Use case 1: Consistency of care to an individual when a temporary worker needs to step in (page 2 of 11) in Requirements and use Cases (chapter 4 of 10) within Adult Social Care Digital Social Care Record: Minimum Operational Data Standard (MODS): Implementation Guidance

Scenario:

Mr. Green ([Subject of care](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=463685)) has been living in a care home ([Care Organisation](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?elementId=465255)) for several years. He is a very social person ([About me](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?elementId=463962#), [Strengths](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=464142), [Need](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?elementId=465037)) and is often in the communal rooms such as the dining room ([Preferences](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=464123)). Also, he likes to participate in activities such as singing and painting ([Preferences](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=464123), [Service](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=464057)). Mr. Green is somebody who likes to have a lot of structure in his life ([Preferences](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=464123)).

He is normally assisted by Nurse Assistant Emily (Care worker who provides care for Mr. Green and is flagged as a key worker), but she is on leave for a week and her shifts are being covered by an agency worker, Eliza (Care worker). Eliza is an experienced care worker but has never worked in this care home or met any of the residents. Before starting work this morning she spent a few minutes going over the residents' records (Adult Social Care Record) to find out a little about them.

Today, Mr. Green (Subject of care) woke up at 8 o’clock. Nurse assistant Eliza reviewed her tasks (Task) and assisted Mr. Green with a shower (Action) and helped him to go to the toilet (Action).

By himself, he walked to the dining room where he ate two eggs and a roll and drank a cup of coffee. He was sitting next to Mr. Brown where he normally sits. After that, he read the daily newspaper.

At 9 o’clock nurse Eva (Care worker) gave him his medication (Medication, Action), which he took with a glass of water.

At 10 o’clock Mr. Green (Subject of care) was picked up (Action) by the activity well-being facilitator Mahsa (Care worker) so that Mr. Green could participate in the choir group (Service). He was in a good mood and looked as if he was having a good time with the other residents (Outcome). At 12 o’clock he went for lunch in the dining room where he ate some soup and a sandwich. After that he went for an afternoon nap in his room.

Goal:

Monitoring the assistance of Mr. Green with his daily life in a care home. Take care of him and help him with washing himself, ensuring he gets his daily medication, food and drinks and that he goes to the activities that he enjoys provided by the care home.

Assumptions:

Retaining patient data roughly consists of three steps: Recording (1), sharing it with colleagues (2) and sharing it with the recipient of care (3). For this process to run smoothly, it is important that the data is understandable and reusable for everyone and can be monitored over time to see changes. In this use case, the focus is on a recipient of care in a care home, so it is information that carers and activity well-being facilitators capture in the daily life of Mr. Green. Every individual and each day are different so the information can be different, it totally depends on the recipient of care and the care needs somebody has at the time. Also, this sharing of information is between carers and activity providers, but it can also be that a transfer message has to be shared multidisciplinary for example between a carer and a doctor. In all situations the information needs to be easily comparable with days, weeks or months before to understand changes in the individual’s state.

Process breakdown:

Note time when Mr. Green was awake and wanted to have a shower ([Daily Living](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=466369#)) Note which food Mr. Green ate and what he was drinking ([Daily Living](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=466369#)) Note if and which medication Mr. Green took ([Medication](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=464052), [Action](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?elementId=584590)) Note in which activities Mr. Green was active ([Activities](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=584589)) Note which care worker helped the recipient of care ([Care worker](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?elementId=465857)) Note how his day schedule looked ([Activities](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=584589)) Note in which social (group) activities he was active ([Activities](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=584589)) Note how his mood and communication was ([Outcome](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=465118#)) Note how much sleep he had ([Daily Living](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=466369#)) Note if any markable changes occurred compared with the situation before ([Outcome](https://standards.nhs.uk/published-standards/adult-social-care-digital-social-care-record-minimum-operational-data-standard-mods/data-specification/data-browser?classId=465118#)) These data points are the core information about Mr. Green's daily life. MODS contributes to Eliza's ability to care for him and the data she has access to and populates could be recorded using MODS.