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Archived: Marsh House

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Inspection report

Date of Inspection: 13 June 2013
Date of Publication: 17 July 2013
Inspection Report published 17 July 2013 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 carried out a visit on 13 June 2013, observed how people were being cared for, checked how people were cared for at each stage of their treatment and care 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

During the visit people who used the service told us their care preferences and choices had been discussed with them and their agreement to their care plan had been sought. When we discussed this with the manager she told us the initial plan of care was prepared with the help of the person who had just moved in to the home.

We looked at four care records and these showed that the people concerned had been involved in developing their care plans and had given their agreement to them. All of them had signed to say they were in agreement with the level of care and support they would be given. For people who experienced difficulty in signing their records there was evidence of family involvement.

We observed that each person had the opportunity to express their views about what action should be taken if a life threatening emergency occurred. Details about end of life care and peoples’ wishes about this were documented and reviewed each month. On the care plans we looked at we could see that people were given the opportunity to make this important decision themselves

There was nobody in the home that had chosen to be responsible for handling their own medicines although one person was administering their own topical medicines (creams) and there was an up to date risk assessment in place regarding this.