The purpose of this guide is to explain how the care planning process works within Person Centred Software.
The 3-stage process is as follows:
Stage 1: Assessment tools
Stage 2: Initial and Current assessment
Stage 3: Care Plans
If documents are completed in this order, the system can pull through information at each stage making the process a lot smoother for staff completing.
[From this point onwards, this guide assumes that you have already completed all the relevant assessment tools and the Initial Assessment and now have a Current Assessment in place. If not, please stop here and complete those stages first.]
In mCare
1. Select a service user.
2. Select the Care planning drop down at the top right of the screen. This is where you can find the three stage Care Planning process.
3. Select Care plans.
4. Information from the Assessment Tools completed in Step 1, and the Current Assessment completed in Step 2 will have been brought through to the Care Plan.
Sections of the Current Assessment appear as green headings, and linked Assessment Tools show as blue headings.
If yellow headings appear on this screen, it indicates that the Current Assessment was not completed at the previous stage and so the system is linking information from the Initial Assessment instead. In this case it is important to go back to Step 2 and complete the Current Assessment before moving onto the Care Plan.
5. To work on an individual section of the Care Plan, first click to open it. You can click anywhere along the corresponding line.
6. The section at the top shows the Assessed current situations for the service user
This includes information linked from the Current Assessment and any relevant Assessment tools. This may be edited by clicking the Change button.
7. The box that opens shows information that is available to be linked
At the top is the information from the Current assessment. Click the black triangles to open any section that is concealed.
8. Any sections that the system has automatically linked will have a blue ring around the text. If you do not feel that this information is relevant to this particular care plan, you can unlink it. To do this, click on the text, this will remove the blue ring and unlink it from the care plan
9. To link a section, click the text and the blue ring will appear. Work your way through each of the 5 sections: Cognition; Psychological; Physical; Social; End of life, and link in any section that is relevant to the particular care plan.
NB it is not possible to just link one sentence from a section, you can either link the whole section or none of it.
10. When you have linked in all the relevant information from the Current Assessment (green headings), link in any relevant Assessment Tools (blue headings).
Click the black triangle if this section is initially closed. Assessment Tools may then be linked in by clicking, in the same way as the previous step.
11. If the service user has a Wound Care Plan or Infection Care Plan, this may be linked in too by clicking on the Body map conditions section.
12. When all the relevant information has been linked, click Accept.
13. Next, work your way through the boxes at the bottom of the screen. Click into each one to add information for the service user.
14. In the Care Needs box write a summary of the main points regarding the service user’s continence.
15. The Outcome / Goal box is used to add information about what we are trying to achieve. There is a tick box which will add in a separate text box to include a short-term outcome if required.
16. If the system has put in a suggested outcome, this will need to be edited to personalise it for the service user
17. Use the Able to do themselves box to add in details of anything the person can do for themselves in this area of life, however small.
18. The Description of Care Actions box is used to give instructions for staff regarding the support that the service user needs with this aspect of life. It works well if these are written as a list, as it makes it easier to read the text on the handset.
19. At the bottom of the screen is the Actions to Track for Reviews section. This allows you to select Action Tiles which will gather together useful information that may be used when reviewing the Care Plans. It is useful to add any action which may have an impact on this area of the service user’s life. To use this feature, click the Change button
20. Click on any relevant Action Tiles and then click Accept.
21. The system will now start gathering the selected Care Notes, ready to be used when reviewing the care plan.
22. Finally, click Save at the top of the screen.
23. It is possible to create bespoke additional sections of the Care Plan, and a short-term care plan using these two buttons.
Please see the separate user guide for this.