What Is Person-Centred Care? A Practical Guide for Care Staff
Person-centred care is one of the fundamental principles of high-quality adult social care. It means recognising that every person receiving support is an individual with their own history, preferences, abilities, relationships, beliefs and aspirations. Good care should therefore not simply revolve around completing a list of tasks. Helping someone wash, dress, eat, take medication or participate in activities is important, but how that support is provided matters just as much. People should be involved in decisions about their lives and supported to retain as much choice, dignity, independence and control as possible. For care workers, person-centred practice means moving away from asking: “What tasks do I need to complete?” and instead thinking: “What matters to this person, and how can I support them in the way that is right for them?” In this guide, we explore what person-centred care means in everyday practice and how care staff can help ensure that each person remains at the heart of their own care. What Does Person-Centred Care Mean? Person-centred care means providing care and support around the individual rather than expecting the individual to fit around the routines of the service. It recognises that two people with apparently similar care needs may want very different forms of support. For example, two residents may both require assistance getting ready in the morning. One may have spent their working life getting up at 6am and still enjoy an early start. Another may have always preferred staying up late and sleeping until 9am. Providing exactly the same morning routine to both people might be convenient for the service, but it would not necessarily be person-centred. Instead, staff should consider each person’s preferences wherever reasonably possible. Person-centred care can involve: The person should remain an active participant in their care rather than becoming a passive recipient of services. Person-Centred Care Is More Than Being Kind Kindness and compassion are essential qualities in care, but person-centred practice goes further. A member of staff could be extremely kind while still making decisions for someone unnecessarily. For example: “I’ve chosen your clothes and brought your breakfast because I thought that would make things easier for you.” The intention may be good, but the person has lost two opportunities to make everyday choices. A more person-centred approach might involve asking what they would like to wear and offering breakfast choices in a way they can understand. Small decisions matter. Being able to choose when to get up, what to wear, what to eat, where to sit or how to spend the afternoon can contribute enormously to someone’s sense of identity and control. Why Person-Centred Care Matters Moving into a care environment can involve significant changes in someone’s life. A person may have previously: Needing care does not erase that person’s identity. Person-centred care helps preserve the things that make someone who they are. It can support: Understanding the person rather than simply understanding their care needs can make an enormous difference to their experience. Person-Centred Care and CQC Expectations Person-centred care is also an important regulatory requirement. Regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 requires care and treatment to be appropriate, meet people’s needs and reflect their preferences. Providers are expected to work collaboratively with people when assessing their needs and preferences and support them to understand and participate in decisions about their care. Person-centred practice should therefore be visible throughout a service — not simply written into policies. Our guide to CQC training requirements for care homes explores the wider importance of ensuring staff have appropriate knowledge and competence. Managers preparing their teams for inspection may also find our CQC inspection staff training checklist useful. Start by Getting to Know the Person Person-centred care becomes difficult if staff know very little about the individual. Care plans should contain important information, but meaningful conversations and everyday interaction can help staff understand much more. Useful things to learn may include: This knowledge can transform apparently routine care into meaningful interaction. A resident who rarely engages in organised activities, for example, may become animated when discussing the football club they supported for 60 years. Knowing someone’s story helps staff see the individual rather than simply their room number, diagnosis or care needs. Promote Choice in Everyday Care Choice does not only involve major medical or care decisions. Some of the most important choices happen during ordinary daily routines. Where appropriate, people may be able to choose: Staff should avoid creating unnecessary restrictions simply because a particular routine is easier for the organisation. Support Independence Rather Than Automatically Taking Over One of the easiest traps in care work is doing something for someone because it is quicker. Person-centred care asks a different question: What can this person still do for themselves? A resident might need help preparing for breakfast but still be able to: Providing the right amount of support rather than automatically taking over can help maintain skills, confidence and independence. Independence does not necessarily mean doing everything without assistance. Sometimes independence means receiving exactly the right support to continue doing as much as possible yourself. Protect Dignity and Privacy Dignity is closely connected with person-centred care. People receiving care may need support with very personal aspects of daily living, including washing, dressing, toileting and continence care. Staff should consider how they would want to be treated in the same circumstances. Good practice can include: Small actions can have a significant impact on someone’s dignity. Communicate in a Way the Person Understands Person-centred communication means adapting communication to the individual rather than expecting everyone to communicate in the same way. Some people may need: Staff should also consider non-verbal communication. Facial expression, posture, behaviour and tone of voice may provide valuable information, particularly when someone has difficulty communicating verbally. People should be given enough time to express themselves rather than having others automatically speak for them. Person-Centred Care and Dementia Person-centred practice is particularly important when supporting someone living with dementia. A diagnosis of