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Archived: Individual Care Services - 14 Marble Alley

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All reports

Inspection report

Date of Inspection: 10 December 2013
Date of Publication: 4 January 2014
Inspection Report published 04 January 2014 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 10 December 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 carers and / or family members, talked with staff and reviewed information sent to us by commissioners of services.

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

All the people we spoke with told us that their support worker helped them with the things they wanted help with. People were very clear about the things they could do independently. People said, “We go out to different places, I choose where” and “X (staff) helps me with my shopping, but I choose what food to have.”

Support workers we spoke with about consent told us that their role was to support people to be as independent as possible and to explain the risks and benefits of their choices. Support workers told us, “We try to encourage people, but if they don’t want to do something, that’s fine” and “If they don’t want to go out, they don’t want to go out.” This meant that before people received any care or support they were asked for their consent and the provider acted in accordance with their wishes.

In the four care plans we looked at, we saw that all the records had been typed up and most of the original hand written notes had been destroyed. This meant that in many cases, people’s original signatures, to say they consented to care and support, had been destroyed.

In one care plan we saw that the person had signed their consent to staff administering their medicines when they first joined the service. In another care plan we saw the person’s next of kin had signed their consent to photos and to the initial assessment of needs and abilities. In a third care plan we saw the person had signed and dated their consent on their initial hand written needs assessment.

During our visit, the manager created a document for people or their representatives to sign. The document said, “I hereby give my consent for Individual Care Services to provide support as per the agreed care plan for X.” The manager told us that they would make sure everyone was given the opportunity to sign a document and that this would remain on their file.