The health and social care setting that I have chosen to evaluate and describe is Cathays and Central Youth Provision (CCYP) based at Cathays Youth and Community Centre

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                                                                                                                                                            Describe and evaluate the essential elements of a 'Quality Service' in a health or social care setting of your choice. You may illustrate your answer with examples from practice.        

Since the implication of the NHS and Community Care Act 1990 providing quality has become a key issue in the field of health and social care. How quality is defined is relative and may vary from person to person, at its core quality is about meeting agreed goals and objectives in relation to individual needs.

Service delivery has become more “customer” focussed, although service users may have limited options. Stakeholders, such as perspective service users, family members, other professionals, employees etc will have an interest in the quality of service provision.

The health and social care setting that I have chosen to evaluate and describe is Cathays and Central Youth Provision (CCYP) based at Cathays Youth and Community Centre. This youth provision consists of an open access youth club, open three nights a week for varying age groups, DJ and breakdancing sessions on the weekend and a thriving music project. Also this youth provision runs regular holiday schemes, predominantly focussed on young people with learning difficulties.

Although the provision is based in Cathays the young people who attend come from a wide catchment area; this is to do with the demographics of a condensed student population in Cathays and a high school that has an intake from all over Cardiff.

 The youth provision is funded and run by Cardiff County Council but the building and other functions of the community centre are the responsibility of a voluntary management committee. The organisation is a registered charity and is funded by rental of the building space and small grants. 

Young people are a diverse client group with specific individual needs; therefore stakeholder perceptions of quality service may vary greatly. The Youth Work Curriculum Statement for Wales and “Extending Entitlement Document” advocate “the promotion of equal opportunities to ensure that all young people are able to take advantage of youth provision, based on local and individual needs”. (National Assembly Wales 2004, online)

Cathays Youth Provision aims to meet individual service user needs by providing a variety of activities and opportunities which are age and ability appropriate. Youth work should develop through voluntary relationships with young people and, as stated in the Youth Work Curriculum for Wales, opportunities to learning should be educative, participative, empowering and expressive.

A measure of quality youthwork is how much young people are involved with decision making processes within activities offered. (John, M, ed. 1996) Roger Hart’s “Ladder of Participation Model” is a good example of a framework tool used to measure the involvement of young people. At the bottom of the framework/ladder is token involvement moving up various “rungs” to decisions initiated by young people

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Stewart and Walsh put forward the theory that quality can be assessed by using three dimensions. These three dimensions are the “core” service that is being provided i.e. does the service do what it was set up achieve?  The service environment, such as the physical surroundings, i.e. do the surroundings enhance delivery of service?  Also service relationship, do service providers have a good rapport with service users and stakeholders?

When these three dimensions are applied to Cathays Youth Provision it may be said that the core service is set up to achieve a positive interaction with young people ...

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