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Case Study - Mr. Richard Kaye

Things have been going well for both Ruby and Mr. Kaye.  Ruby updated Mr. Kaye’s service plan and has been monitoring the plan closely. She makes sure that any service Mr. Kaye receives is tied to a goal in the service plan and that all services are well documented.   Ruby checks in with Mr. Kaye and Rob regularly to make sure the plan is working and that Mr. Kaye is getting what he needs. Things have been going smoothly.

Unfortunately, Ruby has just received notification from the provider agency, that Mr. Kaye’s favorite home care assistant is leaving for another job.  The agency has assigned a new care assistant to Mr. Kaye and assures Ruby that George, the new worker, is qualified for the role.  But Ruby knows that changing a care assistant can be hard for the elderly, especially when the former relationship was so compatible.

George’s first day at work coincides with Ruby’s next visit with Mr. Kaye so she is available to help in George’s orientation. She listens as Rob and Mr. Kaye explain to George the daily assistance Mr. Kaye needs and his preferences for when and how he receives each service. Ruby provides a copy of the relevant section of the service plan and describes each task in detail.  Ruby notes with concern that George asks no questions, does not take notes, and does not interact directly with Mr. Kaye.  When she asks George questions about his prior experience he’s vague.

Ruby makes a note to come back later in the week to observe George at work. She also will call his provider agency and inquire into George’s prior experience.

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