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Archived: Lifestyles Care & Support Limited - 30 South View

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Inspection report

Date of Inspection: 5 December 2013
Date of Publication: 3 January 2014
Inspection Report published 03 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 5 December 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

Where people did not have the capacity to consent, the provider acted in accordance with legal requirements.

Reasons for our judgement

We spoke with all three people living at the service and the ones that could express their views freely said that they were able to make their own decisions. One of them said “I am free to come and go as I please.” We observed one person returning from a day out and another person had chosen to visit family. People we spoke to said that they were asked what they like and don’t like to do and were always asked about decisions that needed to be made. We checked their care records and confirmed that staff had recorded people’s likes and dislikes.

We did not see any evidence that people had signed to give consent to their care and treatment, but we saw a best interest meeting that had taken place for one person who lacked capacity to make some decisions. Staff confirmed this when asked. This ensured that actions were taken in the best interests of people when they were unable to consent themselves. Where people did not have the capacity to consent, the provider acted in accordance with legal requirements.

We spoke to one relative and they told us that their brother/sister sees them regularly. The relative told us, “Staff have the people’s best interest at heart.

We saw from training records that staff had completed Mental Capacity Act 2005 (MCA) training and we also saw copies of the consent to care policy with information about people’s capacity. The Mental Capacity Act 2005 (MCA) is an act which applies to people who were unable to make all or some decisions for themselves. It promotes and safeguards decision making within a legal framework. The MCA states that every adult must be assumed to have capacity to make decisions unless proved otherwise.