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Promote effective communication and information handling
Explain the reasons why people communicate – think about all of the people the support worker communicate at work and in the support worker’s personal life and the types of communication the support worker have with each and why they need to communicate with the support worker, giving relevant examples.
Communication is vital within a residential setting as much as in general life. People need to express how they feel and pass information on to each other. This helps build (stronger) relationships. Communicating with a CYP (child or young person) verbally supports them feeling safe and secure. Communication helps build trust and a CYP being more open about how they are feeling and what thoughts they have. While communication can be thought as people speaking to each other, other forms such as visual and writing are of note.
Within the workplace setting, this effective communication is not only between children and staff but also staff and their colleagues. Even as a start, it is typical for any CYP to communicate their basic needs: food, drink and personal care as much as needing emotional support from adults. Staff and their colleagues, whereas, are in professional relationships where effective communication is vital to ensure positive collaboration. For example, checking the worker has given medication to the CYP while making sure this action has been signed off. This highlights general communication goals, such as, sharing knowledge, clarifying actions, knowing a person’s thoughts and resolving problems. Within this, people can understand other’s perspectives and be clear on what has happened.
Building a supportive and trusting relationship with a CYP as much as staff/colleagues means people can learn more about each other, how they are feeling and what is happening day to day. Adults support CYP’s developments, their language and social emotional character. A CYP can seek someone to talk to and may need this to understand how they are feeling. This can not only be done verbally but also the CYP (or staff) may need write down or draw their emotions. A CYP needs guidance as they spend their time within residential care notwithstanding with their family and in the community.
CYP, in general, need to know there are boundaries and when they have crossed them. Adults can comment on their behaviour supporting active change and developing maturity. In life, as CYP progress, there can be times of change where they can find it hard to adapt. Having effective communication with a CYP allows them to have a conduit where an adult can support them. The empathy and the emotional support through communication a staff member / parent / guardian can offer, can support a CYP to have more self-esteem and work towards understanding more about themselves and how they manage situations. Positive and effective relationships / communication bode well towards supporting a CYP towards their end goal.
People should always work together to help support communication where they come together. Effective conversation means all people are working together to create a positive environment. People can support each other when anyone of them needs help.
Describe factors to consider for effective communication – what does the support worker need to think about when communicating with others to ensure that the support worker is effectively communicating with them?
Effective communication generally but not always for a CYP is talking. However, it may be difficult for a CYP to talk so they may prefer to draw or write. A CYP’s social workers can attend the CYP’s residential home but they may also make contact by telephone. On more daily face to face basis, support workers need to be not only be attentive to what the CYP says and how they communicate this but also be aware of what the child does not say. It may be the case the CYP writes down information for the social worker. However, how the child is behaving may be them showing that something is worrying them. Staff should be aware of a CYP’s body language and mood. Staff may find it better for the CYP to communicate while keeping them occupied such as cooking or sport. These activities can be on a one to one basis where the environment is also better. This can help the CYP feel more at ease. However, it can all depend on how the CYP’s day is going.
When a support worker communicates to a CYP, they should be calm and listen. Listening actively allows the CYP to feel they are being heard, and their thoughts are valued. The support worker should not be judgemental. Trauma can impact how a CYP communicates with others. Effective communication development may well have been slow, this highlights the support staff being patient.
Analyse reasons why a young person may not be able to use verbal communication in a particular situation even though they usually have good verbal communication skills – think about the situation, an event that may have happened, how the YP is feeling and how each of these may make it difficult for the YP to use verbal communication. the support worker can include selective mutism as one of the reasons. Please include examples of support worker’s practice if the support worker can.
In particular situations CYP may be unable to use verbal communication due to various reasons even though they have good verbal communication skills. Adverse Childhood Experiences (ACEs) can have a major effect on their communications skills and their speech development. Emotional and psychological factors contribute. However, there may situations where children have speech and language disorders. Despite this, sometimes CYP are in an environment they are alien to and they are scared. Their mind is in overdrive and their emotions can be shown by way of negative behaviour refusing to engage and being violent.
While factors can affect mood, a CYP on the autistic spectrum can also struggle with communication. They can be limited in their speaking skills where they can also find it difficult in social situations. These situations could also provide a sensory overload which affect a CYP with ASD. These CYPs may have trouble recognising social cues and facial expressions. Missing this can affect how they relate to people and their ability to use appropriate verbal communication.
Furthermore, developmental delay can also be a factor affecting verbal communication. Milestones in language and speech have not been attained at that point. A CYP may trouble with long and complex sentences as much as difficulty in expressing their thoughts. Factors such as neglect or stimulation as a young child can affect them reaching language goals as they grow older. CYP as they age begin to process the world they are in and their surroundings where expressing thoughts is hampered by any delay in their speech and language skills.
Explain how communication affects relationships and effective practice in the support worker’s working practice with the support worker’s colleagues, the families of the YP and other professionals. Include how communication can make this works and how not having effective communication with any of these can make the support worker’s working practice more difficult.
Communication can affect relationships with colleagues, the families of the CYP and other professionals. Positive and informative communication can build trust while being honest can create respect. Likewise, this supports colleagues, the families of the YP and other professionals working together for the best of the CYP and effective practice. On the other hand, poor communication can impact everyone’s safety and outcomes.
Within a residential workplace setting, there are many changes of support worker over the course of a day/week and staff do not always work with the same CYP. Debriefs and paperwork are important to inform the next staff and management of what has happened in the day/night. It is important with effective practice, there are no misunderstanding. Staff can be left missing vital information while the CYP can feel unheard and also dismissed. Getting a better understanding how the CYP’s day went and were there any incidents is a priority to have all the staff manage each day appropriately. Of course, if there are concerns these need to be relayed. This could be to health staff or the psychologist who work in residential care.
Notably in residential care, communication is not just between staff members, it is between support workers and CYP. Staff who have positive and effective communication with CYP can build a trusting relationship. This helps the CYP as the support worker can use trauma informed practice. This safe and supportive environment promotes welfare and lessens re-traumatisation. CYP in residential care can have ACEs (Adverse Childhood Experiences) and find it hard to express themselves and interact socially due to previous trauma. This is where a support worker’s communication approach can be affective and personalised to each CYP. Progressive communication can show the CYP the support worker has interest in them. This is important as CYP, in a secure setting, can have a minimum of 3 months which is not exactly a brief period.
Be it with staff or CYP, strengthening a relationship through constructive and encouraging communication through support and openness highlights positive support. It helps de-escalating situations and show care. Bad communication can lead to break down of relationships which can be un-repairable.
Explain how children and young people use communication methods in different ways when they communicate with the support worker, each other, their families, other professionals. . the support worker can include examples of how the CYP the support worker support use communication methods.
CYP in residential care can have trauma from various ACEs in their early childhood which affects ‘normal’ communication leading to different ways to connect . This trauma can have a major effect on a CYP’s where their struggles are better transferred in various ways such as emotionally, physically, verbally written or visually.
Support workers can not only listen to what the CYP says, but also what they are not saying and how they are behaving. A support worker may arrange a game of football and notice the CYP is being aggressive in the way they tackle and play the game. These can be signs of the CYP’s mood. However, there may be times when the child is sat down. Their body language and facial expression can highlight a lot of non-verbal communication and how they are feeling. They can be seen generally or when someone goes near or looks at them. Hyperarousal shows how traumatic events have affected a CYP and nonverbal cues such as someone touching or looking at them brings on the arousal. The CYP may be vocal and ask to go to their room. They could say they are tired or just need to some quiet time. This could easily be saying more than the child is actually saying. The CYP could just want someone sat outside their room or a light left on. The CYP can express their approval by smiling. A CYP asking to be settled at bedtime can show they need support.
A CYP can still be limited in their spoken words where they use other methods. A line of communication can be used through Makaton. This uses gestures and pictures to communicate. If the CYP does not know Makaton, a support worker can use basic drawing and writing to communicate. Some CYPs have feeling cards to show how they feel. All they need to do is show their card and the support worker know how they are feeling and can work with the CYP to support them. The CYP may prefer to use their writing or drawing skills to show how they feel. While drawings and writing can express how they feel, drawing a picture of a sad face can be explicit.
Whether it is through drawing, writing, speaking, body language or visually, CYP can articulate their thoughts and emotions. The role of a support worker to work with a CYP noting how they feel more comfortable to express themselves. For example, the support worker use sport and cooking to keep the CYP occupied which leads to more focus / mindfulness. With other CYP, the support worker use the art room which has a lot of material to make things or draw. However, some places will sometimes bring in animals either on a special day or something like a gerbil they have to look after it. Whatever methods, the CYP being freer to convey their thoughts and emotions is important.
Describe 3 barriers to communication and their impact – what may make communication difficult for the young people the support worker support and how can each of these barriers make them feel or behave?
Barriers to communication can impact CYP in their inability to make themselves understood and process their emotions. Emotions can not only be difficult but also complicated to communicate. Language can be barrier not only verbally but also the CYP struggles to understand what another person is telling the CYP. This can also affect the CYP internally as restricted communication makes them stressed. Their emotional state can make them react such as fight or flight. This could make them shut down restricting any speech.
Language focuses on the use of a speak and language therapist. This also highlights culture and people interacting leading to misunderstanding. Cultures are created through shared group actions and what may seem normal for others is not culturally allowed for the CYP. Views on certain subjects can be different. This is where someone from the same culture or use of the same language can help. The CYP can benefit from a translator. However, there may be a fear or stigma attached with being different where they are reluctant to talk. The CYP may work better with female or male staff members due to their gender. Whilst culture can mean the CYP works better with a female, trauma can also form a part of this where a CYP past was defined by a male or female figure. Age also forms a part of language where there may have been developmental delays at a younger age. All this can slow progress, the CYP has to manage this struggle.
Whilst exasperation can come out in aggression, barriers have been built through poor social-emotional development. People thrive on positive relationships that endure. Social and emotional growth is key. Interacting with beneficial others improves decision making skills and management of emotions. Not only does a CYP need to develop emotionally, but also language acquisition is also a major factor. Any deficiencies can impact wellbeing, relationships and maturity. The CYP can feel embarrassed and continually misunderstood. Frustration can boil over with the CYP giving up. Whilst these factors can be impactful, hearing loss, for example, can also be a barrier to speaking clearly whilst creating problems with receptive speech. Within a world of noise around people and the environments they can be in, it can be difficult to converse. Thus, people can lose focus further impacting them to be understood creating unimportance.
One barrier to communication, in secure, is the CYP who have had their liberty taken. A CYP may have been in foster placement. Whatever the background is the CYP is away from friends and family. This means they do not want to be where they are albeit it is for their safety and welfare.
Another factor is ‘looked after children’ could well have had some traumatic experiences in their lives. A CYP with ACEs can have difficulty with social interaction. Trauma can inhibit how CYP regulate their emotions. CYP can seem hostile, but it is their way of managing. It can be to the extent of pushing away the people who are there to support them. This can come from trust issues and the fear of abandonment. They can seem emotionally guarded but this may be just to shield them from being upset again. The impact from this is a CYP avoid support and does not believe there is a pathway to recovery.
Explain how to access support or services to enable a young person to communicate effectively
Any CYP in residential care will need to access support or services to enable them to communicate effectively. Within secure, when a CYP begins their period of stay, they will be assessed for their needs albeit there are already reports such as their Care Plan, Individual Educational Plan or Looked After Reviews.
Communication and the CYP’s ability is a priority to recognise the challenges they may have and support them. This includes how well the CYP communicates with their speech as much as their social interaction. In some cases, the residential home needs to bring in professionals support. An assessment by a speech and language therapist will distinguish the challenges the CYP is having. An Occupational Therapist can be brought in to improve a CYP’s communication by addressing other factors such sensory, motor and emotional regulation. These factors can have a big impact on the CYP’s interaction with others.
In education, the teacher can use particular resources to support the CYP. Although an assessment can be completed for a new CYP, they may have an Individual Education Plan (IEP). This IEP supports adjustments that are made to the CYP’s education/curriculum so they can access school and learning. Modern technology can be a part of this where assistive communication devices can be used. These kinds of tools including computer software help the CYP express themselves and support them using communication skills.
There is support for CYP who do not speak English. There is EMTAS (Ethnic, Minority and Traveller Achievement Service). The service provides support to schools with bilingual resources and targeted interventions. Also, one peer support available is the Young Interpreters Scheme. They offer translation services. However, as a day-to-day provision google translate can be used for communication barriers.
Explain the term ‘confidentiality’ and what this means for verbal and written communication that is paper-based or held electronically and how the support worker securely shares or dispose of information.
Confidentiality is essentially not disclosing certain information about the CYP to professionals / people if any. Confidentiality means when there are times information needs to be shared, this information is then only shared with authorised people. Certain information will only be used within the parameters of the relationship. Within a Council, for example, they use emails which end with gov.uk. This is a secure network and if sending to another professional with a gov.uk email means it is secure. General emails such a gmail or yahoo are not safe for emailing confidential information. However, any professional’s email still needs to be checked. A professional could easily miss the email says @county.com.
Confidentiality is a principle of data protection. The Data Protection Act 2018 and the General Data Protection Regulations (GDPR) are laws which clearly state how information should be processed lawfully. Professional have a duty of care to protect those they support. Confidentiality is making sure any sensitive information is safeguarded. This not only electronic as written reports are still used. These needs to be stored safely whilst the disposal means using a shredder and a private company taking this away.
As a support worker, they will have access to confidential information either written or spoken. Of course, they need to have a level of understanding of confidentiality, so they can safeguard the CYP. When it comes to information sharing, some policies make it clear how information should be shared. The framework for data protection is comprehensive to protect any CYP in care. Of note, a support worker does not want to put the CYP in a position of being exploited by others who misuse the information they heard. A support worker should always make sure the CYP there is an appropriate setting to talk to them. A child does not need to disclose confidential information in front of others including other CYPs. If a CYP discloses confidential information to a support worker, this information must be passed on to management and the CYP’s social worker.
Explain the conflict between maintaining confidentiality and disclosing concerns – why might following the support worker’s legal duty to pass on any disclosures or concerns relating to harm or abuse, result in conflict between the support worker and the young person or the support worker and the person alleged to have committed the harm or abuse.
Confidentiality is imperative where trust is involved between a support worker and a CYP in residantial. However, the sharing of information is integral to provide support and services to the CYP. This assists in recognising the CYP’s needs while reducing the risk to harm to the CYP and to others. There has to be a balance between the CYP having the right to confidentiality and the sharing of information to others relevant to the care of the CYP. Where they have reason to believe if they do not report a concern this will result in a risk to the child, they need to report it. Although this might create a divide in the relationship they have built up with the child, they must be honest and open with the CYP to inform them what is being shared and why. They must know they only share this with professional individuals who need to know.
Essentially, the CYP needs to know their information is confidential. A support worker must maintain confidentiality when working with vulnerable CYP. However, the CYP also needs to know when it will be shared with other agencies who are involved in their care. A CYP may share a secret with a support worker. The support worker must inform CYP if harm or abuse is disclosed that they cannot maintain the confidentiality between them. The support worker must immediately inform the safeguarding team, the social worker and write a safeguarding report. For example, they were told by a CYP, that one support worker was different when they had the CCTV cameras on them. They questioned a support worker should do the same professional job whether they have cameras on them or not. The CYP expressed how another support worker behaved to the CYP in an open home. They questioned further and it was stated something happened at an open home (with no cameras). They reported this to their Duty Officer and wrote a safeguarding report. They spoke to management who contacted the LADO.
A disclosure may be criminal matter where the CYP is the victim. However, a CYP may disclose they are involved in illegal activities. Thus, they would be in position to inform management about this sensitive information. Breaking confidentiality may harm a relationship but if it means the victim is safe or an illegal activity is stopped it is still imperative to pass this information over.
Essentially, following any disclosure to a support worker, if they have to share this with management will escalate further, this may well bring conflict between the support worker and the CYP notwithstanding their family. Initially, the CYP can feel there has been a breach of trust and they have betrayed them (even though they would have told them how any disclosure can work). While abuse could have happened (and they have done the right thing), the CYP may still feel they will be in trouble with their family and worried about the repercussion to the alleged person and the family. Any serious allegation can put the offender in prison which could break a family. Personally, the CYP may then close up and stop talking to them. This can be not only the support worker but all professionals thinking they cannot trust anyone, anymore. Meanwhile, the alleged offender will probably deny any accusation whilst be angry their family private matters have been disclosed. They can easily be accused of lying and that they do not have any evidence. Where they are working with the CYP, it may be aimed at them: they are bias and getting involved in matters that are not their problem. There may be retaliation from the accuser/ family where threats, hostility and even harassment can come following the sharing of information with management. There may be counter accusations. However, they are following their legal duty to pass on any disclosures or concerns relating to harm or abuse.
What are the boundaries of the support worker’s role in sharing safeguarding concerns – who should the support worker tell and who would the support worker not tell about the support worker’s concerns?
Within a residential setting, there are many occasions where they will see and hear confidential and disclosed information. Along with a council and residential policies, this information is protected and confidential to people who are not authorised. The information used should be for a specific purpose. This means that others do not need to know information especially the other CYP. This adheres to General Data Protection Regulation (GDPR) and the Data Protection Act 2018 (DPA). This means any personal data is managed lawfully whilst the information is protected by the organisation. They will be asked by others including the CYP about other CYP. However, generally sharing of information is strictly forbidden. This information is very sensitive and can be detrimental to any CYP if it is shared. A CYP could use this information, for example, to bully another CYP who is vulnerable anyway because of reasons beforehand. It should be noted CYP have good ears as well and they can hear information. The support worker should only share information with relevant colleagues, duty officers and managers. This being said, a disclosure from a CYP does not need to be shared around. the seriousness of the information means the support worker should speak to the duty officer who will inform managers.
Give an example of an occasion when a support worker used communication in a situation of tension or conflict. Describe the conflict situation, explain the type of communication they used on this occasion and then reflect on how effective this was. Did it work well in resolving the situation and would they use the same approach in a similar situation in the future? If not, what would they change?
An example which can be used is when a CYP tried to abscond from an open home they were working at. The CYP was saying they will run away and do not try and stop them. While this was happening, there was another CYP watching and another two indoors. They had two staff members outside while one staff member was settling a younger CYP in their room. They did recognise the CYP was threatening to run away more than just running up the road and gone. They saw another staff member try and stop the CYP, this made them only try running away and running in the road also. They felt the other staff member was acerbating the situation by warning the CYP about police, possible restraints and being in trouble. They talked to the staff member and advised them to not directly and strongly intervene at that point. They kept a visual on the CYP but also waited until they slowly came back. The CYP was shouting about all the issues they were having and that they did not want to live at the house. They did not get into a debate but explained that the conversation could not take place appropriately while they were outside. The other staff member was now busy with other CYP in the front garden. After a short time, the CYP came into the garden and leant against the wall. The support worker allowed them to let some of their frustration out knowing they were in the front garden and not running away or in the road. They kept the front door open and invited them to talk about what is going on. They did walk indoors at one point and the CYP followed. The CYP told them not to close the door. They ended up bringing some drawing material to keep the CYP busy asking them to write down what was bothering them. They said they would pass this on to their social worker and their manager. It was important they felt that the CYP did not feel they had lost the ‘fight’. The child thought they came indoors through their own fruition. However, the support worker believed the communication and actions led to a calmer and positive ending to the conflict.
On reflection, support worker felt the incident was dealt with quite well. There have been incidents like this where staff have said they did and should have restrained the CYP. They believed this was where the CYP went into the road or to run away. This can ‘nip it in the bud’ which they agree with, especially with the risk being heightened by roads. However, showing a calm reassuring attitude to the child they feel supports better relationships and severity of aggression . At the first point of agitation, de-escalation techniques they believe, can help manage situations with calm communication restoring the CYP’s sense of control.
