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Inspection report

Date of Inspection: 20 March 2013
Date of Publication: 9 April 2013
Inspection Report published 9 April 2013 PDF | 89.05 KB

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 20 March 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff.

Our judgement

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

Reasons for our judgement

The guide to services provided at Cotswold Care Hospice outlined how people would be consulted about their care and treatment and given choices. It assured strict confidentiality and made reference to how people would be asked to give consent to treatment and the sharing of information.

The consent policy stated that valid consent must be obtained before any treatment or personal care could be provided and cited it as a general legal and ethical principle that this happened. The policy differentiated types of consent as implied, verbal and written. It gave information about mental capacity as outlined in The Mental Health Act 1983 and Mental Capacity Act 2005.

We saw that people were asked to sign to give consent to the sharing of information about them and were informed that this would only be done when required and in certain circumstances.

Where counselling services were provided consent was seen by hospice staff as a form of ‘contract’ that maintained confidentiality.

Staff we spoke with who worked for ‘Hospice at Home’ told us they always told people what they were about to do for them and obtained their agreement as consent to support.

The hospice provided a single point of contact for people. In addition to referrals being made by healthcare professionals’ people could refer themselves for a service. They could also be referred by a friend or neighbour and on these occasions the service ensured that people had given their consent to the referral being made.