During a check to make sure that the improvements required had been made
Using documentary evidence provided by the service manager we found that improvements had been made as required.
Where people were unable to make decisions regarding the care and support they needed, a mental capacity assessment had been carried out as required by the Mental Health Act 2005. Following this assessment decisions had been made in consultation with the person's representative and after taking clinical advice into account.
We saw evidence in documents provided to us by the service manager that care was planned and delivered in accordance with the wishes of the person using the service and that they had been involved in the planning of their care and had agreed to it. In the case of a person using the service being unable to make a decision, the manager had carried out an assessment of their mental capacity and had planned their care in consultation with the person's representative and general practitioner.