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Four key approaches to change SeCtion one Deciding on the change
Having developed the alternative PQR formulae Manager D met with a selection of frontline staff, senior care assistants, residents and families to consider the different viewpoints and build an overall model that incorporated all of the elements that had been developed to date, with connections between the relevant aspects (Diagram D4). The model was based on the mnemonic CATWOE:
Customers affected: Owners who could stop it:
Environmental constraints:
Purposeful activity: Transformational process:
Worldview:
Diagram D4: CATWOE
People living in accommodation
Family
Care management team
Person’s personal income Funding for care package Accessibility of local community
Encouraging people to have more control over their lives and greater confidence in achieving their goals
Values driven care
Disabled people have right & assets
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