You are here

All reports

Inspection report

Date of Inspection: 3 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 3 October 2013, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with staff.

We looked at the cleanliness of the environment and the infection control procedures in place.

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

During our inspection of Riverbanks Clinic on 3 October 2013, we spoke with some of the people using the service at that time. They told us they had been asked to consent to their procedures and treatments throughout their visits to the service, but that signed consent was not required until at least the second pre-treatment visit. They said they proceeded with a clear understanding of what they were agreeing to and felt the explanations provided by the doctor had been very thorough. They said they felt the process of giving them time to consider their decisions between visits was very reassuring. One person said: "I signed my consent to proceed with a full knowledge and understanding of what was happening." Another person said: "Everything was very well explained before I signed. I didn't feel at all hurried and where there was any confusion it was all clarified."

We looked at the care records of the people we spoke with. We saw that each file contained a signed consent to the relevant procedure (including such things as surgery and sedation). The consent forms detailed that each person had signed the form confirming they had read and understood the information provided to them, were aware of any potential complications and side effects (which were listed) and were undergoing the treatment of their own volition.

Each file contained a GP notification form. Some were signed and some were not, depending on each person's decision as to whether or not their GPs were informed about their treatments at Riverbanks Clinic. During our conversations with people, we checked their decisions corresponded with the forms in their files which they did on each occasion. This meant that before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.