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Archived: Moss View Nursing Home

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Inspection report

Date of Inspection: 27 September 2012
Date of Publication: 2 November 2012
Inspection Report published 2 November 2012 PDF | 88.83 KB

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 27 September 2012, 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

People who use the service receive the care and support they agree to.

Reasons for our judgement

Before people were admitted they had been given information about the service. We looked at records relating to the assessment and care of two people living in the home and a selection of other people's care notes. We found people had an assessment completed when they were first admitted that had identified their care, treatment and support needs. Peoples’ right to maintain their privacy, dignity, choice, independence and fulfilment was central in their assessment. People who lacked capacity to make the best choices, or access the right care had their interests protected by a named person, for example a relative.

People had been issued with a contract outlining the terms and conditions of residence and where applicable an additional service agreement from the funding authority. The contract issued by the service did require updating as it made reference to the registered Homes Act 1984.

We found evidence people had their care and support discussed with them and their care plans were signed, dated and reviewed. We noted procedures to get valid consent within the service were followed in practice. Information about capacity was clearly documented and reflected in care plans. For example, ‘Lacks capacity to make an informed choice’. We found risk assessment completed for the use of a bed rail and a signed agreement. The nurse in charge told us relatives were kept informed and involved in their relations care.

We spoke to three relatives visiting. They told us they were involved in making decisions about their relations care and support. One person told us, “They always ask me about her care and what she needs. I want the best for her and I visit regularly”. Another person told us, “I know him well enough and they ask me my opinion as he doesn’t always say what he would like”.