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Inspection report

Date of Inspection: 15 October 2013
Date of Publication: 11 January 2014
Inspection Report published 11 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 15 October 2013, observed how people were being cared for and talked with people who use the service. We talked with staff and reviewed information given to us by the provider.

Our judgement

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

Reasons for our judgement

At our last inspection on the 12 June 2013 we were concerned arrangements were not in place for obtaining, and acting in accordance with, the consent of people in relation to the care and treatment provided for them.

At this inspection we saw that the provider was in the process of implementing a system that evidenced that people who used the service were included in decisions about their care and welfare. We saw a consent form that people would sign to say that they had been involved or consulted in the drawing up of their individual plan of care. Staff told us that these consent forms had not yet been completed, but they had began to discuss them with the people who used the service. Staff were able to show us written notes to confirm this.

We observed informal consent being sought on numerous occasions from people who used the service. For example, we saw staff asked people for their permission before helping them with their breakfast or assisting them to move around the home. People told us that staff confirmed with them that they wanted help with their care before giving any assistance. The staff we spoke with were clear about the importance of giving people all the time and information necessary to make their own decisions. We saw that the staff took time to explain what was happening. People commented “If I want something I just ask” and “I get to decide”.

We were told that although staff had not undertaken specific training on the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS), this had been discussed as part of the recent safeguarding vulnerable adults training. Staff demonstrated a good understanding of people’s rights to make their own decisions. This meant that before people received any care or treatment they were asked for their consent and staff acted in accordance with their wishes.

Staff we spoke with gave examples of how they sought consent from people who lived at the home. Examples included knocking on people’s rooms and waiting for permission to enter and seeking people’s permission before giving them care. This was observed throughout our visit.