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Archived: Holmwood Residential Home

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Inspection report

Date of Inspection: 4 November 2013
Date of Publication: 28 November 2013
Inspection Report published 28 November 2013 PDF | 79.31 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 4 November 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 any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

Reasons for our judgement

We observed, in the residential service, that before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes. This included asking for people's permission before they were supported with their personal care needs and to allow us to see their bedrooms.

We saw the care records of eight people who used the service. These records included documents which stated that people had been consulted about their care, had consented to the terms and conditions of the service, consented to their next of kin, where appropriate, to be contacted about their care and that they consented to their needs to be discussed with health professionals, where needed. These records had been signed by the people who used the service, or where appropriate, their representatives.

The care records included evidence which showed that people had participated in their care planning. People's care plans included information about their capacity to make decisions, their likes and dislikes, preferences about how they wanted to be supported and cared for.

We looked at the care records of five people who used the residential service. These care records included people's decisions about end of life care, including if they wished to be resuscitated and advanced care decisions. The daily care records showed where people had been asked for their consent in their day to day care and where people had refused, their wishes were respected. For example, one person had received advice regarding their diet and had chosen not to act on the advice they had been given.