The 6 C’s of Care

What are the 6C’s of care?

The 6C’s of care are a set of 6 values which all care professionals are expected to follow:

• Care
• Compassion
• Competence
• Communication
• Courage
• Commitment

Care workers should embody the 6Cs in their beliefs, behaviours and interactions. Following a set of common values ensures the delivery of consistent high-quality care for all service users.

 

Care

Care lies at the heart of the social care profession. Caring defines the both the profession and the people within the profession. The essence of care is a commitment to the well-being of patients and service users. Part of this commitment is understanding that as people’s needs change, care should change accordingly.

Care givers should help service users to remain active, connected and independent while living in their own homes or in a residence of their choice. Part of this is ensuring that service users’ cultural and personal beliefs are respected and catered for.

 

Compassion

Compassion means treating people with respect and dignity. Care givers should form relationships with service users based on empathy and acknowledgement of their emotions. Being treated kindly is an important part of how service users perceive their care.

Care givers who show compassion create a genuine connection with service users that lifts moods and eases worries. By listening to service users and making them feel valued, they create a safe space where people experiencing pain can heal.

 

Competence

Competence requires care givers to have the expertise to identify the health and social needs of different people. They also need the clinical knowledge and technical skills to deliver effective care treatments based on the latest research.

Care givers need to keep learning and practising to keep their competence up to date with current standards. This requires them to be diligent about continuous learning and development in care to ensure they are trained to carry out care using the most up to date best practices and approaches.

 

Communication

Communication in care ensures that service users are always included in decisions about their care. Care givers must tell service users what they are doing and ensure they are kept always informed. This is to uphold the principle of ‘no decision about me without me.’ 

Care givers also need to know how to listen, how to understand and how to respond with sensitivity. They should practice active listening to service users and accept that service users have a right to refuse any advice given.

 

Courage

Courage is important to ensure that the needs of service users are always put first, and care givers are willing to speak out when things go wrong. This includes being able to push for changes in working practices that would result in better patient care.

Care givers who have courage can make a difference through small choices that over time can drive significant and lasting improvements in the standard of care. Even minor adjustments like changing mealtimes to better suit a service user or allowing more flexible visiting hours can be impactful.

 

Commitment

Commitment refers to dedication to the needs of service users and the community. Making service users a priority ensures they will receive the best quality of care and user experience. Commitment also entails being adaptable to new situations as they arise.

Care givers who are committed are driven to continuous learning to develop their skills and knowledge and stay abreast of new trends and practices. They can work effectively across sector boundaries and will challenge malpractice or discrimination where they encounter it.

 

What are the care values in health and social care

The care values in health and social care are codified in the 6C’s of care: care, compassion, competence, communication, courage, and commitment. These 6 care values are a practical and memorable way to guide and inspire the work of care professionals for the benefit of service users.

The 6 health and social care values form the foundation of compassionate care. The aim is to produce care professionals who want to do more than the just basic requirements of their job, and instead are focused on what their service users need.

When care professionals develop and embody these care values, service users will feel cared for, respected, and understood in a way that enhances every aspect of their care experience.

 

Development of the 6 care values

The 6C’s were announced in December 2012 by Jane Cummings, the Chief Nursing Officer in England, as part of her Compassion in Practice strategy. The 6 care values were developed in conjunction with nurses and care professionals through conferences, meetings, and social media debates. Jane Cummings’ vision was to find a set of values that would promote health and longevity, support independence, and offer comfort to people living with illness.

 

Context of the 6 care values

At the time the 6C’s were developed, people were living longer, giving rise to more older patients to support, often with multiple and complex needs. Additionally, the public had higher expectations of what health, care and support should offer.

This was transforming the roles of care professionals who found their responsibilities increasing, requiring comprehensive training in new skills and the use of technology. There was also the emergence of multidisciplinary teams where individuals have specific tasks and responsibilities but need to work collaboratively with others to support and care for service users.

Jane Cummings was proud of the achievements of the health and care sector. However, she acknowledged that there were occasional failings, sometimes shockingly severe. She believed that by developing the 6C’s she would create new standards of care and treatment that built on the pledges and rights of the NHS Constitution.

Jane Cummings’ vision was that health and care providers should work with people in a partnership that allowed them to make choices about their health and care.

 

The 6 areas of action

Jane Cummings set out 6 areas of action where the 6 health and social care values could create the greatest impact for service users.

The 6 areas of action are as follows:

• Helping people to stay independent
• Providing a positive experience of care
• Delivering high quality care
• Building and strengthening leadership
• Ensuring the right staff are in place
• Supporting positive staff experience

 

Helping people stay independent

Health and care professionals should be committed to improving the public’s health. This means not just treatment of ill health but also prevention, early intervention, and health promotion. The aim is to enable people to remain active and connected in their own homes or other residence of choice. Health and care services can meet this need by providing integrated care at an early stage of engagement.

 

Providing a positive experience of care

Quality of care is as important as the quality of treatment. People’s experience of care is influenced by more than they treatment they receive. They will be influenced by the care environment, whether they were treated with kindness and respect, and whether they had to tell their story more than once. Accordingly, health and care providers need to actively seek feedback, listen and act on it, and to design frameworks which allow people to have a greater say in the care they receive.

 

Delivering high quality care

Delivering high quality care needs to be evidence-based. This means measuring outcomes to judge performance and drive improvement. Appropriate metrics can be chosen with input from staff, service users and key partners. Use of the right technology tools will facilitate data collection and reduce costs. Performance data should be made public along with transparency about what service areas are falling short and what is being done to improve them.

 

Building and strengthening leadership

Strong leadership is important to build a caring and compassionate culture focused on high quality care. Everyone has a role to play in providing leadership within their teams and their organisation. Care professionals on all levels of the organisation should be empowered to lead and motivate their teams to improve the outcomes for service users. Even junior staff can participate in leadership by being encouraged to find ways of improving service quality.

 

Ensuring the right staff are in place

To deliver the vision of higher quality care, there needs to be the right staff with the right skills and behaviour, deployed in the right roles to meet the needs of their service users. Staff need to be offered learning and development programmes by their organisations to improve their ability to  serve with more compassion. Organisations need to understand the required mix of competency, experience and education in their staff and to know the appropriate staff allocation for their particular care settings.

 

Supporting positive staff experiences

Positive staff experiences drives quality of care, according to research. Thus, staff need to be supported to do their job well. Organisations must ensure staff are nurtured by a culture of care, compassion, and recognition of their work. This should include staff involvement in decision making, promoting healthy and safe work environments, creating rewarding jobs, and embracing innovative working practices and new technologies.

 

Outcomes of the 6 care values

In May 2016 the NHS commissioned a report on the outcomes achieved after over three years of following the strategy outlined by Compassion in Practice and the 6C’s in December 2012. Staff surveys and interviews found the following:

• The 6C’s helped to refocus the work of care givers. In particular, they helped correct the growing trend of seeking solely technical proficiency by reemphasising the fundamentals of care: being approachable, reliable, friendly, and helpful.
• The 6C’s helped to engage staff in organisational initiatives aimed at encouraging good practice. Staff were more motivated in implementing the initiatives and actively listening to feedback from service users.
• The 6C’s helped staff to stay positive in the face of external criticism, for example some of the harsh comments contained in the Francis Report, and refocus on their core values and motivations.
• The 6C’s were welcomed by staff for highlighting the value and importance of delivering compassionate care. Staff felt that this had a positive impact on the public perception of their work.

What are social care values?

Social care values are beliefs and attitudes that are required to work in social care. Although qualifications and previous work experience are helpful, they are not always essential. What’s more important is having the right values to work effectively and empathetically with people receiving social care.

The 6C’s, discussed above, are one way to look at social care values.

 

Social care values and centring the person

Another way of looking at social care values is that each person must be placed at the centre of their care and support. Every person is treated as having unique and distinct needs. Therefore, care must be made to fit the person, rather than the person made to fit the care. This approach is based on person-centred values.

Person-centred values and the 6C’s of care are two ways of approaching social care values. Although their terminology may be different, their core objective is the same: to put the individual at the heart of care.

 

Helping you focus on compassionate and responsive care

The 6C’s of care are a simple but effective guide for care providers who wish to be compassionate and responsive to the needs of individual service users.

However, a common problem across the care sector is that administration and document management is time consuming and eats into the time that could be better spent in improving the quality of care.

Access Policies & Procedures software is designed to help you efficiently manage your social care policies, procedures and associated documents in a digital platform. By taking care of your routine tasks, the software will leave you with more to time to focus on providing compassionate and responsive care.

Designed by health and social care experts, including former regulators and clinicians, Policies & Procedures is quick to set up and is approved by the CQC, Care Inspectorate Wales and Care Inspectorate Scotland.

To find out more about the care policies and procedures software we offer at Access, contact us here to discuss your needs or book a demo.