Case Study Worked Example

Michael spent most of his life working in the mines in Lanarkshire. Well into his 80s he is now in a care home on the edge of the mining village where he was brought up. As a result Michael is well known not just to the others in the home but by many of the staff whose parents and grandparents he knew. Michael is in poor health and as a result of his work suffers from emphysema and is breathless.

Michael has a daughter, Lisa, who moved away from home when she was 18, qualified to be a nurse but has now returned back to the village after her retirement. She is a strong character and frequently takes over the tasks of the care staff and constantly inspects their work and support.

One day Michael asks to be supported to go to the toilet which the duty staff begin to respond to. Lisa insists that she will take her dad to the toilet. Michael begins to get upset and to starts to breathe more heavily and to get agitated. The staff ask Lisa to leave but she refuses saying that as a professional nurse and as a daughter she has the right to stay and make sure that they are looking after her father properly.

Hover over the sections below to see the worked answers


What is the experience of the individual? Is the individual being heard and if not, do they require support to do so?

What are the important facts to understand?


What are the human rights or issues at stake?

Can the right be restricted?

What is the justification for restricting the right?

Is the restriction on the right ‘proportionate’?


What changes are necessary?

Who has responsibilities for helping to make the necessary changes?


Have the actions taken been recorded and reviewed and has the individual affected been involved?