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Archived: Westleigh

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Inspection report

Date of Inspection: 25 July 2013
Date of Publication: 24 August 2013
Inspection Report published 24 August 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 25 July 2013, observed how people were being cared for and talked with people who use the service. We talked with staff, reviewed information given to us by the provider and reviewed information sent to us by other authorities.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

Our judgement

Systems were in place to obtain the consent of people in relation to their care to enable the provider to act in accordance with their wishes.

Reasons for our judgement

People spoken with demonstrated that they felt that they were involved in all aspects of their care and that they were supported to understand any decisions arising from planning their care. People’s comments included “I can take my time and if I don’t understand I can say, I get help from staff if I don’t understand and they are very kind and patient with me“ and “I have been here for many years and I know all the staff are always willing to explain anything to me. I don’t worry as I know I can say if I get unhappy or something is upsetting me.”

Following our previous inspection of the service we saw that systems were not in place to demonstrate that people were regularly asked for their consent to care and support. During this visit we saw that a policy regarding consent to care and treatment had been implemented. We saw that the policy included information that informed people who use the service and staff on the general principles of gaining consent; withdrawing consent and the making of advanced decisions. The policy contained guidance for staff to ensure that consent to care and treatment was sought appropriately at all times.

We saw people’s care planning documents gave the opportunity for people to sign that they had given consent to their planned care and support.

Further information was readily available to inform people of what support was available to assist them in making lifestyle decisions, for example, we saw that information and contact details of local advocacy services and IMCA (Independent Mental Capacity Advocate) were displayed on the notice board.