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Inspection report

Date of Inspection: 10 May 2011
Date of Publication: 9 June 2011
Inspection Report published 9 June 2011 PDF

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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

Our judgement

Care is provided in a private and dignified manner. Care records include how people choose the manner, how, and when their care is delivered. The service liaises well with other agencies and professionals. The choices and preferences of people using the service are recorded.

User experience

People we spoke with told us they have the opportunity to express preferences and felt supported to do so. One person living at Trewartha and a visitor confirmed that staff do talk to them about their care. People told us they do have a say, and can make choices about their lives.

Other evidence

People are provided with information to enable them to discuss their care, treatment and support options and make informed choices. The service liaises well with other agencies, such as the Department of Adult Care and Support (DACS) and District Nurses to ensure that people’s ‘best interests’ are served. This is shown in the care records, where there is good evidence of the involvement of people (or their representative) in determining their own care.

Risks are assessed, recorded, and action taken to minimise them whilst recognising the individuals’ right to take informed risks. Induction training and ongoing training includes confidentiality, the Mental Capacity Act, and Deprivation of Liberty.

A consent policy is in place on obtaining informed consent and clearly documents this. Where capacity is in question, the Mental Capacity policy gives guidance to staff and a process to follow that enables staff to get valid consent.

Bedrooms were seen to reflect the lifestyle and preferences of the person living there. People are given the opportunity to speak to staff, or the registered manager.

Photographs, word of mouth from staff and a visitor, and other evidence around the home show that there is a significant amount of time invested in group activities and one-to-one activities. Unfortunately, care records do not always reflect this. A high proportion of staff have undertaken dementia care training.

Common induction standards are undertaken by all new staff, which supports informed choice and enabling staff to give people the information they need to give consent. Training records show that twenty one (21) care workers have achieved NVQ in care at Level Two (2) or above.