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Archived: West Lodge Residential Care Home

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Inspection report

Date of Inspection: 4 October 2013
Date of Publication: 5 November 2013
Inspection Report published 05 November 2013 PDF

Before people are given any examination, care, treatment or support, they should be asked if they agree to it (outcome 2)

Meeting this standard

We checked that people who use this service

  • Where they are able, give valid consent to the examination, care, treatment and support they receive.
  • Understand and know how to change any decisions about examination, care, treatment and support that has been previously agreed.
  • Can be confident that their human rights are respected and taken into account.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 4 October 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

Before people received care or support every effort was made to obtain their consent and act in accordance with their wishes.

Reasons for our judgement

During our inspection we spoke with people who lived at the home, observed care being provided, checked records and spoke with people’s relatives, members of staff and a healthcare professional. We saw examples of where staff had made efforts to obtain people’s views and consent about different aspects of their care and support.

Some of the people who lived at the home experienced difficulty in communicating their needs and requirements. We saw that staff used a wide range of both verbal and non-verbal communication methods to explain what was happening and ascertain individual preferences and choices about issues such as food, activities and personal hygiene.

One person told us, “I do feel in control. They let us decide what to do and how to spend our days.” Another person said, “I decide what to do and when. They [staff] always explain and ask my views.” A relative we spoke with commented, “We have been shown and have gone through the care plans together a couple of times. I am happy that we are kept fully involved and consulted about what goes on.”

We looked at the care records relating to four people who lived at the home. We saw that arrangements were in place to assess and document people’s ability to make decisions. This had been done in line with published guidance relating to the Mental Capacity Act (MCA) 2005.

However, the provider may find it useful to note that the capacity assessments we looked at had not been reviewed. This meant that the information provided about people’s ability to make decisions may not have been as accurate or up to date as it should have been.