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Archived: Workwise Healthcare Limited

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All reports

Inspection report

Date of Inspection: 28 November 2013
Date of Publication: 9 January 2014
Inspection Report published 09 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 28 November 2013, talked with people who use the service and talked with carers and / or family members. We reviewed information sent to us by commissioners of services.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

Our judgement

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

Reasons for our judgement

Before people received any care or support they were asked for their consent and the provider acted in accordance with their wishes. People we spoke with said they had been asked for their consent to care and support. They told us they had been asked for their views and wishes and that they felt these were respected.

The majority of people we spoke with said they had signed their care plan when their needs were first assessed. Some people were not sure whether their care plans had been updated. One person we spoke with who used the agency told us their care plan had only been updated once in about 8 years and this had been done recently at their request. However one relative said that their family member’s care plan had been changed when their needs had changed.

In the care plans we looked at we saw that there was a care/support plan consent form which people who used the agency had signed to show they were in agreement with the care package. These were also signed and dated by the member of staff from the agency who had compiled the care plan.

This form also had a section for completion when the person who used the agency had been assessed as not having mental capacity and the care plan had been compiled in their best interests.

The Mental Capacity Act 2005 (MCA) is legislation used to protect people who might not be able to make informed decisions on their own about the care they received.

As well as the consent form we saw records of two stage capacity assessments which showed how decisions had been made in the best interests of people who lacked capacity. This demonstrated that the provider had acted in accordance with legal requirements.

The director told us staff received training on the Mental Capacity Act and records viewed confirmed what we were told. The care workers we spoke with showed a good understanding of the Mental Capacity Act legislation and best interest decisions. They described how they gained consent from people who used the agency on a daily basis. One care worker said, “I never do anything for someone without asking first and I always give people choices, it is important to promote independence as much as possible.” Another said, I always ask people if it is ok to help them with their medication, I would never just give it to them.”