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Apprenticeship Journey

ST0005/AP01   Level 2

Adult Care Worker — Assessment Strategy

Summary of Assessment

The Adult Care Worker Apprenticeship is an integrated programme of knowledge and skills acquisition, developed alongside core behaviours expected of a competent worker operating in a regulated field. The award of the apprenticeship certificate will signify a recognition of competence in a role and enable progression to higher levels of skills development.

This assessment strategy, when delivered by high-quality learning providers and assessed by independent assessment organisations will ensure that candidates can progress towards the achievement of an Adult Care Worker Apprenticeship as the first step in a career as a professional care worker.

Independent assessment organisations referenced within this plan must be on the SFA Register of Apprenticeship Assessment Organisations.

Apprentices must undertake a programme of study in a suitable care setting and complete the Care Certificate as part of a high-quality induction programme.

The Care Certificate, which builds on the previous Common Induction Standards (CIS) and National Minimum Training Standards, is a requirement for all apprentices on this standard.

For those staff who have completed the CIS prior to the launch of the Care Certificate, it is the employer’s responsibility to judge where the gaps are for staff to meet the additional standards in the Care Certificate.

The Diploma in Health and Social Care level 2 (England) is completed with the support of a learning provider or employer who trains apprentices.

Apprentices can only attempt the separate, mandatory end-point assessment once the recognised Diploma and Care Certificate have been attempted and achieved.

The synoptic end point assessment will include two distinct components. Firstly, the completion of a situational judgement test answered through a multiple-choice exercise (but not necessarily undertaken as an online or computer-based test) and secondly a professional discussion. To achieve final certification, the apprentices must have completed and achieved these end point assessments in addition to the Care Certificate and the Diploma.

The assessment will demonstrate that the apprentice can apply their knowledge, skills and behaviours in an integrated way and will satisfy the requirements for the award of an apprenticeship certificate.

  • Delivery of training and any qualification-based assessment up to the end point will be considered as being on programme. The end-point assessment will be the only assessment that can count towards the achievement of the apprenticeship certificate.

End-Point Assessment Overview Assessment Method Area Assessed by Grading  and Weighting of the

  1. Situational judgement test

   2. Knowledge

All knowledge elements will be assessed in this component Skills.

• the care worker undertakes the main tasks and responsibilities according to their job role Communicate clearly and responsibly. Independent Assessment Organisation then awards

Pass/Merit/ Distinction

Professional Discussion

All knowledge and behaviours will be assessed in this component using a wide range of evidence sources including the self-assessment and testimonies from people who use services .Independent Assessment Organisation will award,

Pass/Merit/Distinction

50%  A pass will be considered as the minimum attainment to achieve an apprentice certificate.

QUALIFICATIONS AND ON-PROGRAMME ASSESSMENT

It is recommended that apprentices are supported through their on-programme learning by their employer and or learning provider in the following elements:

  • The Care Certificate

  • Level 2 Diploma in Health and Social Care (England) (QCF) (Adult Care worker pathway)

  • Ongoing assessment by the employer and provider — for example meetings with apprentice, employer and learning provider, observations of workplace, gathering evidence

  • Completion of the Self-Assessment exercise Assessment Gateway

Before the apprentice is adjudged ready to undertake the end-point assessment by their employer and learning provider, they will need to:

  • Achieve the Level 2 Diploma in Health and Social Care (England) (QCF) (Adult Care worker pathway)

  • Complete the Care Certificate

  • Achieve Level 1 Literacy and Numeracy

  • Undertake a self-assessment in the last month of their apprenticeship to enable them to see whether they are confident that they have taken on board all aspects of the occupation. This self-assessment must be submitted to the independent end point assessor as a source of evidence to prepare for the professional discussion

  • In the last three months of the apprenticeship following the completion of the Diploma, collate testimonies from people who use services. This must be submitted to the end point assessor to support the professional discussion assessment

End Point Assessment

What is being assessed?

The Adult Care Worker’s knowledge must include:

  • Understanding the job they have to do, their main tasks and responsibilities

  • The importance of having the right values and behaviours

  • The importance of communication

  • How to support individuals to remain safe from harm

  • How to promote health and wellbeing for the individuals they support and work colleagues

  • How to work professionally, including their own professional development

The Adult Care Worker’s must include being able to:

  • Undertake the main tasks and responsibilities according to their job role

  • Treat people with respect and dignity and honour their human rights

  • Communicate clearly and responsibly

  • Support individuals to remain safe from harm

  • Champion health and wellbeing for the individuals they support and for work colleagues

  • Work professionally and seek to develop their own professional development

The Adult Care Worker’s  summed up by the “Six Cs”:

  • Care — is caring consistently and enough about individual take a positive difference to their lives

  • Compassion — is delivering care and support with kindness, consideration, dignity, and respect

  • Courage — is doing the right thing for people and speaking up if the individual they support is at risk

  • Communication — good communication is central to successful caring relationships and effective team working

  • Competence — is applying knowledge and skills to provide high quality care and support

  •  Commitment — to improving the experience of people who need care and support ensuring it is person centred

How will assessment be undertaken?

Situational judgement test

The situational judgement test will present the candidate with a range of real-life scenarios about which the learner will have to answer questions in a multiple-choice format (60 questions). The assessment will normally be undertaken online, under controlled conditions with a time limit applied. Questions will draw from the stated knowledge and skills elements of the standard and focus on the higher order competencies. Material may be drawn from any part of the apprenticeship

standard.

The grading threshold will be:

Acceptable achievement

(Pass)   40 correct answers Good achievement.

(Merit)  50 or more correct answers Outstanding achievement.

 (Distinction) 55 or more correct answers.

Candidates achieving between 25 and 39 correct answers may retake the assessment on one further occasion within three months. Candidates achieving fewer than 25 correct answers will not be allowed to retake the assignment until they have completed a professional review of performance and acted on its findings.

Professional discussion

A professional discussion will be undertaken with an independent assessor. The discussion will be of no more than 45 minutes duration. Candidates can only apply to undertake the discussion component once the multiple-choice assessment has been achieved. The discussion will draw questions and amplifications from prior learning and experience including, where applicable, the candidate’s self-assessment and supporting evidence including testimony from users of services and a sample of standardised candidate questions asked of every apprentice candidate in the interview. These questions will be developed and made open to the employer.

Acceptable achievement

Pass using a standard interview record template (to be developed and shared with all assessment organisations)

Good achievement

Merit using a standard interview record template (to be developed and shared with all assessment organisations)

Outstanding achievement

Distinction using a standard interview record template (to be developed and shared with all assessment organisations)

The situational judgement test will take place under examination conditions run by the independent assessment organisations. The professional discussion may take place in the workplace under controlled conditions.

Who will undertake the end-point assessment?

End-point assessments will be carried out by staff from independent end-point assessment organisations on the Register of Apprenticeship.

The situational judgement test will normally be undertaken online or face-to-face under controlled conditions with a time limit applied.

The independent assessor would be a qualified IQA with an understanding and knowledge of the sector. Current, relevant occupational competence within the work place is also required. The assessor would also need to be qualified at or above the level they are assessing.

The criteria for the award of an apprenticeship — the final judgement

Although employers may be involved in the professional discussion, the final decision on whether the apprentice has passed the end-point test lies solely with the independent assessor who will grade the apprenticeship according to the components set out in this plan.

Independence End point assessments will be conducted by an independent assessor drawn from the SFA’s Register of Apprenticeship Assessment Organisations of End-point assessment.

 — Summary of roles and responsibilities of Assessor .

The role of the  Employer is :

To agree a candidate’s preparedness for the interview and to participate in the professional discussion. They will not have a role in final grading of the apprenticeship.

Learning Provider

To advise the employer on whether the apprentice is ready to undertake the end-point test through review of the gateway steps such as testimony from people who use services and self-assessment.

Assessment Organisation

To devise and administer the end-point situational judgement test and run assessment centres for such tests and professional discussions.

Quality Assurance — internal

Internal quality assurance will be undertaken by independent end-point assessment organisations who will be expected to regularly compare judgements and grading decisions offered by their assessors for consistency. It is strongly recommended that they have:

Sound understanding of the sector (independent assessors who have worked in and have a qualification in adult care) and the assessment requirements for this Standard, together with the expertise to administer the Assessment Tools required.

  • Capability to deliver assessments at the scale and with the levels of service required, giving confidence that this is a strategic part of their business.

Assessors with the background specified above.

There will be robust verification and quality assurance processes that can ensure the end point assessment is of the required standard.

Quality Assurance — external

External Quality Assurance will be led by an Adult Care Apprenticeship awarding body .The data set will require end-point assessors to note characteristics of the assessed candidate as well as detailed results of the assessment tests in order that a picture can be drawn of the pattern of assessment results. This will enable any anomalies in the pattern to emerge and be followed up by our company

.

Sampled data will match grades awarded against profiles of locality, personal profile of the apprentice, type and location of employer and profile of their learning provider.

Funding of this system will be through a fixed fee per apprentice tested from Care Vocational.

This will be a non-profit-making exercise.

Care Vocational end-point assessment will be made available on SFA’s Register of Apprenticeship Assessment.  All our online tests will therefore be made available as open-source or equivalent .

End-point – Grading

A candidate will be required to complete and achieve a minimum of a Pass in both of the end-point assessment components as below in addition to achieving the pre-requisite components to allow the end point to be attempted. The grade for each component will appear on the achievement certificate. The final grade is decided by the following combinations:

    1.Professional Discussion

    2.

  1. Pass

  2. Merit  or

  3. Distinction

Distinction

The professional discussion will carry the grade determining outcome.

All the knowledge and skills set out in the standard are of equal importance and therefore are equally weighted. That means that none of the competencies have been selected for specific inclusion in the end-point assessment. The end-point assessment can therefore draw on all competencies.

The knowledge-based assessments will be graded, with outcomes on a scale that includes at least one grade above satisfactory performance.

Implementation

SUMMARY OF THE ASSESSMENT MODEL

Registration as an apprentice

ST0006/AP01   Level 3

OVERVIEW

As a Lead Adult Care Worker[level 3] your apprenticeship will make a positive difference to someone’s life when they are faced with physical, practical, social, emotional or intellectual challenges and will be expected to exercise judgement and take appropriate action to support individuals to maintain their independence, dignity and control.

By providing leadership, guidance and direction at the front line of care delivery, the Lead Adult Care Worker plays a key role in improving the health and well-being of those receiving care and support.

Your apprentice will undergo a 12—18 month apprenticeship training programme at Level 3, gain a Level 3 Diploma in Health and Social Care qualification, complete the Care Certificate and achieve Level 2 Literacy and Numeracy.

Throughout the apprenticeship Care Vocational will ensure a rigorous and professional assessment process to ensure that high standards of quality across the care sector are maintained.

ROLE PROFILE

Lead Adult Care Workers will, in some circumstances, hold delegated responsibility for the standard of care provided and may supervise the work of other care workers. This autonomy and accountability means leading and supporting others to comply with expected standards and behaviours.

Lead Adult Care Workers may work in residential or nursing homes, domiciliary care, day centres or some clinical healthcare settings. In addition to Lead Adult Care Workers, this standard also covers Lead Personal Assistants who are able to operate at this senior level but may only work directly for one individual who needs support and care services, usually within their own home.

​ End Point Assessment​

  1. Situational Judgement Test​

Candidates are presented with a range of real-life scenarios about which they are required to answer questions in a multiple choice format (60 questions). The assessment will be undertaken online, under controlled conditions with a time limit applied. Questions will be drawn from the stated knowledge and skills elements of the standard and focus on the higher order competencies. It is a requirement to achieve 40 correct questions for a pass; should an apprentice achieve between 25 and 29 they are permitted to retake within three months. Candidates achieving fewer than 25 correct questions will not be permitted to retake until they have completed a professional review of their performance and acted on its findings.

ASSESSMENT DELIVERY – digital first, GRADE WEIGHTING —40 correct questions to on-demand delivery via an online platform. gain a Pass grade, 50 correct questions to gain a Merit grade and 55 correct questions to gain a Distinction grade.

Grade Weighting- three levels of grade available; Pass,Merit and Distinction which are mapped against the standard interview  record template.

GATEWAY

As an employer it is your decision to place apprentices for end point assessment. To help inform your verdict, we ensure you and your provider gain a holistic view of the apprentice’s On-programme progression. In order to be eligible to pass through the gateway an apprentice must have achieved the Level 3 Diploma in Health and Social Care, completed the Care Certificate, achieved Level 2 in Literacy and Numeracy and undertake a self-assessment. This ensures apprentices are put forward only when they are ready for the assessment.

End Point Assessment

As defined by the employer led trailblazer action group, the assessment plan for Lead Adult Care Worker has two modes of assessment: situational judgement test and professional discussion. Care Vocational will ensure

the allocation of a single assessor to see each apprentice through all modes of assessment and assure consistent quality of assessment.

CERTIFICATION

Once the assessor verifies the apprentice has successfully completed all end point assessments, Care Vocational will activate certification. Working with the apprenticeship certificate issuing authority we will ensure the apprentice receives their certificate — a worthy recognition of their hard work and achievement and the currency that can help further their career.

2. Professional Discussion

 In this concluding assessment module,the end point assessor leads a 45 minute discussion to uncover additional evidence of personal development activities and how this learning was applied to the role and workplace.Candidates can only apply to undertake the discussion component once they have achieved a pass in the situational judgement test.The discussion will draw questions and amplification from prior learning and experience including,where applicable,the candidate’s self-assessment and supporting evidence;this will include testimony from service users.

A sample of standardisation questions asked of every apprentice candidate in the interview will be developed and made available to the employer.

​End-point – Grading

  1. Pass

  2. Merit  or

  3. Distinction

ST0125/AP01   Level 5

Overview

The Level 5 Training, Development and Assessment Apprentices usually take 12– 24 months to complete this apprenticeship,

during which they participate in training, development and on-going review activities.

These typically include: • Induction which is specific to their workplace and at a minimum meets the

15 standards required by the Care Quality Commission [as set out in the Care Certificate

• Study days and training courses

• Formal programmes of lectures, seminars and workshops that are provided as part of their regulated qualification

• Mentoring/buddy support

• Completion of portfolios, essays, reflective accounts and projects through which the apprentice gathers evidence of their progress

• Structured one to one reviews of their progress with their employer and/or training provider Apprentices will complete a regulated Level 5 Occupational Competence Qualification such as a Foundation Degree, other Level 5 Diploma of Higher Education or the Level 5 Diploma for Assistant Practitioners in Healthcare whilst on programme, prior to moving on to end point assessment.

The qualification must evidence what the apprentice has achieved during the apprenticeship, covering these knowledge areas of the apprenticeship standard:

1. The principles and philosophy of health and social care

2. Physiology, organisation and function of the human body

3. Lifespan developments and healthcare needs from prenatal to end of life/bereavement

4. Research and development in the health and social care sector to inform and improve quality of care.

The qualification must evidence what the apprentice has achieved during the apprenticeship, covering these skills areas of the apprenticeship standard:

1. Responsibilities and duty of the role

2. Personal Development

3. Team Working

4. Assessment

5. Communication

6. Person-centred care and well-being

7. Physiological Measurements

8. Risk Management

9. Equality and Diversity

10. Quality Assessment Gateway Before going forward for end point assessment the apprentice must have completed:

• the 15 standards required by the Care Quality Commission [as set out in the Care Certificate]

• Level 2 maths and English

• A regulated Level 5 occupational competence qualification

• A reflective journal. The apprentice reflects on their knowledge and skills development as well as their approach to the workplace (the values and behaviours).

Evidence must be gathered following completion of their programme of training and development and during the 3 months leading up to the planned date of the end point assessment.

6 ST0215/AP01 Judgement on whether the apprentice is ready for the end point assessment is taken by the employer who should gather views from the training provider and the apprentice to inform this decision.

Apprentices should not be put forward for the end point assessment before they are ready.

Administering the End Point Assessment The end point assessment is triggered by the employer when the gateway requirements have been met, and after determining the readiness of the apprentice.

Delivery of all training, development and review activities up to the end point are considered as being on-programme.

The independent assessor must not have been involved in any on-programme training, development or on programme review/assessment of the apprentice.

The date and timing of the assessment is agreed with the apprentice and their employer and takes place in the apprentice’s normal place of work.

The assessment takes the following format:

• Multiple choice/short answer test The apprentice sits the test which the independent assessor administers (90 minutes)

• Practical observation. The assessor observes the apprentice in the course of their normal work (minimum of 90 minutes)

• Reflective journal and interview. The assessor assesses the journal generated by the apprentice This takes place between the assessor and the apprentice at the end of the assessment (minimum of 30 minutes, maximum of 60 minutes)

For final certification, the apprentice must have passed all components in the end point assessment. At the conclusion of the end point assessment, the independent assessor collates the evidence and determines the final grading for the apprenticeship.

The grading decision is made solely by the independent assessor. The apprentice must attempt all components of the end point assessment on their first attempt.

Should the apprentice fail any components they are required to re-take only those components which they have previously failed. Re-takes are permitted after 1 month and within 12 months but not after 12 months.

The number of times an apprentice is permitted to re-take the end point assessment within the permitted time frame is determined by the employer.

End Point Assessment Multiple Choice & Short Answer Test The multiple choice/short answer test covers all knowledge requirements within the standard:

1. Principles and philosophy of health and social care

2. Physiology, organisation and function of the human body

3. Lifespan developments and healthcare needs from prenatal to end of life/bereavement

4. Research and development in the health and social care sector to inform and improve quality of care

5. Provision and promotion of holistic person centred care and support, duty of care and safeguarding of individuals

6. Importance of the strategic environment in health and social care and the implications for the individual

7. Importance of current evidence based practice within scope of the role

 ST0215/AP01 There are; 40 multiple choice (1 mark each) and 4 short answer questions (5 marks each) (maximum 250 word answers).

The grade boundaries are set to allow candidates to achieve Pass, Merit and Distinction grades according to the following table Combined

multiple choice and short answer score Grade 40 – 59% Pass

60 – 74% Merit

75% Distinction Observation of Practice

The independent assessor spends a minimum of 90 minutes observing the apprentice during the course of their normal work in their normal place of work.

To pass the observation of practice the apprentice must be able to meet the following requirements in bold:

1. Communicate complex sensitive information through a variety of methods

2. Manage information, keeping accurate records and ensuring confidentiality

3. Use and promote a range of techniques to prevent the spread of infection including hand hygiene, the use of Personal Protective Equipment (PPE) and waste management.

4. Promote and maintain a safe and healthy working environment

5. Identify and manage risks

6. Demonstrate and promote what it means in practice to provide person centred care and support

7. Treat people with dignity, respecting individual’s diversity, beliefs, culture, values, needs, privacy and preferences

8. Show respect and empathy for those you work with; have the courage to challenge areas of concern and work to best practice; be adaptable, reliable and consistent

9. Show discretion and self-awareness

10. Promote effective inter-professional and multi-disciplinary team working with peers, colleagues and staff from other agencies

11. Provide appropriate leadership within the scope of the role

12. Undertake defined clinical or therapeutic interventions appropriately delegated by a Registered Practitioner Requirements not emboldened which do not occur naturally during the observation period may be tested during the interview.

The practical observation is ungraded above a Pass by the independent assessor. Reflective Journal and Interview The apprentice produces a written account of 2000 words (+/- 10%) reflecting on the development of the following components from the apprenticeship standard:

1. Case Management Manages own work and case load and implements programmes of care in line with current evidence, taking action relative to an individual’s health and care needs.

2. Supervision and Teaching Allocates work to and supports the development of others and may supervise, teach, mentor and assess other staff as required.

 ST0215/AP01 The reflective account must also include evidence of the values and behaviours being applied in the context of case management and supervision and teaching. The final interview takes place between the independent assessor and the apprentice and lasts for a minimum of 30 minutes and a maximum of 60 minutes.

The purpose of the interview is to enable the apprentice to further showcase their knowledge, skills and behaviours. The assessor checks and clarifies any matters arising from the multiple choice/short answer test results, the reflective journal and from the outcome of the observation of practice. The independent assessor uses professional discussion techniques to encourage a two way dialogue The reflective journal and interview is graded as

Pass, Merit or Distinction by the independent assessor where

Pass = Meets the standard The reflective journal content is organised and uses recognised referencing system, uses appropriate language and sentence construction but with some inaccuracies in grammar and spelling, is able to relate some concepts and theories to practice, makes satisfactory connections between learning and future practice, does not go outside word limit, is able to engage in professional discussion and is able to provide evidence that supports practice. Combined evidence demonstrates the knowledge, skills and behaviours set out in the Standard have been met.

Merit = Exceeds the standard The reflective journal content well organised and uses recognised referencing system, uses appropriate language and sentence construction with accurate in grammar and spelling, is able to relate a range of concepts and theories to their practice, makes good connections between learning and future practices, does not go outside word limit, is able to engage in and actively take forward professional discussion and provides evidence that demonstrates a good level of analysis and synthesis across the range of theories and concepts applied to their practice.

Distinction = Far exceeds the standard The reflective journal content is highly structured and uses a recognised referencing system extensively, uses appropriate language and sophisticated sentence construction with accurate grammar and spelling, is able to relate a wide range of concepts and theories to their practice, draws conclusions and makes insightful connections between learning and future practices, does not go outside word limit, is able to engage in professional discussion in a way that demonstrates a very good or exceptional knowledge of the concepts and theories they apply to their practice including an awareness of the limitation of their knowledge, and how this influences any analyses and interpretations based on that knowledge.

Independence End point assessments are carried out by staff from  Care Vocational

 An apprenticeship certificate is only issued if approved by the independent assessor.

​​independent assessor

​Roles and Responsibilities In summary: to Apprentice

• Participates fully in their training and development

• Actively contributes to their performance review

• Contributes to the decision on the timing of their end point assessment Employer

• Supports the apprentice throughout their training and development

• Conducts reviews to monitor progress

• Determines when the apprentice is competent and ready to attempt the end point assessment Training Provider

• Provides on-going training for the apprentice

• Provides tools and processes to support the apprentice

• Carries out regular reviews with the apprentice and employer

• Advises the employer when the apprentice is ready to undertake the end point assessment.

• Takes no part in the training of those apprentices for whom they complete end point assessments

• Devises and administers the end point assessment

• Recruits and trains independent assessors

• Ensures assessors are occupationally competent, are able to assess the performance of the apprentice in all components of the end point assessment and are able to determine the grade achieved

• Maintains robust quality assurance processes

• Actively participates in the quality assurance procedures described in this assessment plan Assessor

• Administers and oversees the multiple choice/short answer knowledge test

• Assesses the apprentice in the course of their normal work

• Assesses the reflective journal and conducts the final interview

• Determines the final apprenticeship grade Quality Assurance Assessment from Care Vocational that deliver end point assessment for the Assistant Practitioner

 The apprenticeship must be accepted by the Skills Funding Agency onto the Register of Apprenticeship Assessment of Care Vocational.

Registered end point assessment organisations develop the assessments and supporting materials.

Assessments are designed to produce assessment outcomes that are consistent and reliable, allowing fair and proper comparison between apprentices employed

 Only assessors appointed by Care Vocational are able to carry out the end point assessment.

Assessors must:

• Be occupationally competent, Occupationally competent means that each assessor must be capable of carrying out the full requirements within the competence they are assessing.

Occupational competence must be at an individual function level which might mean different people being involved during the on-programme

delivery however the assessor involved in the end point assessment must be occupationally competent across the whole apprenticeship standard.

• Be a registered healthcare professional in the related field of practice

• Hold, or be working towards, a formal assessor qualification.

• Have experience of working in a health or social care setting within the last 2 years carring out Assessment with Care Vocational

 are required, as a minimum, to

• hold an internal annual standardisation event which focuses on current assessment practices and issues which have arisen

• meet annually with all other assessment organisations for Assistant Practitioner to share practices and resolve issues which have arisen

External quality assurance is provided by Ofqual through regulation of the end point assessment.

All organisations that offer end point assessment for this Standard will be a recognised awarding organisations by demonstrating to Ofqual that they meet the General Conditions of Recognition.

End-point – Grading

  1. Pass

  2. Merit  or

  3. Distinction

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