P6: Explain the role of supportive relationships in reducing the risk of abuse and neglect.
M3: Discuss the role of supportive relationships in reducing the risk of abuse and neglect, using
examples.
Core principles of care
A fundamental set of care standards were forged during the 1990’s, which was originally referred to
as the Care Value Base, however, it is now typically referred to as ‘principles and values’. These
fundamental standards consist of guidelines, principles and values which must be adhered to in all
health and social care provisions. The principles are as follows;
To promote diversity and equality of individuals.
To promote individual’s responsibilities and rights.
To preserve information confidentiality.
These principles recognise the core of care and provide a basis of standards for health and social
care services to follow. These can be summarised into five words in which vulnerable individuals and
other individuals can expect to be treated. These are;
respect
equality
dignity
privacy
fairness
Building effective relationships
Adult at centre of planning
Professional relationships and personal friendships differ in a variety of ways. Neil Moonie, co-
author of ‘BTEC Level 3 National Health and Social Care: Student Book 1 (Level 3 BTEC National
Health and Social Care)’ suggests that this variation is due to; professionals working within values
framework, professional relationships including the establishment of professional boundaries and
that professional work requires the involvement of a duty of care for the well-being of individuals. It
is the responsibility of the professional to certify that the professional relationship remains within
the limitations formed through legislation and by professional organisations. While the relationship
must be one of equality in regards to being empowering, supportive and between two individuals, it
is fundamentally a relationship consisting of an individual who requires help and a professional
providing it. A majority of professional’s codes of practice now promote a humanistic approach,
putting the vulnerable individual at the centre. Although this has not always been an accepted view.
For example, up until the early 1970’s in Canada, young girls and women with learning disorders
were involuntarily sterilised, without their permission in order to prevent them from conceiving
‘unwanted’ children. Behaviours like this would likely destroy the trust these women had towards
healthcare professionals, it could have also developed some form of cognitive problems due to the
trauma they suffered of having their child removed from them without their permission, this makes
it likely that these women would be grieving the loss of their unborn child. These women would also
likely feel as though the professional is patronising them into a decision they have no authority over
and did not consent to, they may also mourn the loss of life opportunities in the future such as
having a family. Having an adult at the centre of planning ensures that they are more involved in the
choices regarding their personal care, if this individual did not wish to choose a treatment that is
recommended by those involved with the care plan, the individual does not have to, the choice is
entirely theirs, unless they are not of sound mind and evidence of this can be presented under the
Mental Capacity Act 2005.
Methods of communication and listening
The preferred method of communication of the individual must always be used whenever feasible.
This may involve an interpreter, a signer or the use of Makaton for example. It is crucial to carefully