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Inspection report

Date of Inspection: 18 November 2013
Date of Publication: 12 December 2013
Inspection Report published 12 December 2013 PDF | 74.09 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 carried out a visit on 18 November 2013, talked with people who use the service, talked with carers and / or family members and talked with staff.

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

Records showed that systems were in place to gain and review consent from people who used service, or their representatives as they were encouraged to sign to show they had been involved in the preparation of their support plans and were in agreement with them.

We found the support plans to be well maintained and recorded peoples individual preferences in relation to their daily activities. We also found that the support plans had been reviewed on a regular basis to ensure they remained up to date. This observation was confirmed by the registered manager who told us, “We review everyone’s support plans once a month. People call them ‘my book’ and we encourage them to access them at any time. I have recently put pictures in them as people were finding them a bit boring, they are much better now and people like looking at them.”

People residing at the home told us the support staff had always obtained their consent before any interventions were performed and confirmed their opinions were always respected. They also told us that they were provided with the opportunity to attend residents meeting and were encouraged to discuss issues which were important to them such as the provision of social activities and meals. Records were available to support this.

We examined the results of a resident’s survey which was undertaken in 2012. One hundred per cent of the respondents stated they were happy with the quality of service they received and felt they were respected and valued the support staff.

A relative of a person also told us that the registered manager kept them fully informed of their son’s progress. They also confirmed that were encouraged to contribute to their son’s support package. They told us, “We are fully informed. Our son is happy and healthy, it’s an excellent service and they have given him the life we could not.”

We asked staff how they ensured people provided consent to the support package they received. One staff member told us, “We always ask our residents what they would like to do throughout the day. We offer a variety of choices such as shopping, bowling, horse riding. People also go on holiday to Blackpool, one of our residents is going to America which he is really looking forward to.” Another member of the support staff told us, “We hold residents meetings every month. If our residents have any concerns they can be raised then, they can also approach any member of support staff to discuss any issues. We always ask them what they want to wear each morning and respect their choice; obviously it needs to be appropriate to the weather conditions but we always respect their opinions.”

We found that where people lacked capacity to provide informed consent, the provider acted in accordance with legal requirements. The provider had ensured that in these situations a mental capacity assessment was undertaken as required by the Mental Capacity Act (2005). The Mental Capacity Act (2005) is legislation used to protect people who might not be able to make informed decisions on their own about the care they receive.

Throughout the day of our inspection we observed that support staff were interacting with people in a caring manner. They were assisting people to make choices in relation to their day to day activities and respected their wishes at all times. All observed interactions showed that the support staff were proactive in obtaining consent whilst empowering people to achieve optimum independence.