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The Risings Residential Home for the Elderly Outstanding

All reports

Inspection report

Date of Inspection: 4 October 2012
Date of Publication: 31 October 2012
Inspection Report published 31 October 2012 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 4 October 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

We found that consent was sought from people about their care.

Where people did not have the capacity to consent, adequate arrangements in place in place for decisions to be made on their behalf.

Reasons for our judgement

We examined the care files of three people at The Risings. We saw that consent forms had been completed and signed regarding the content of people’s care plan, keys to their room and whether they wanted to go into hospital if they became unwell.

We spoke with the manager and staff at The Risings who were aware of the Mental Capacity Act 2005 (MCA). This law provides a system of assessment and decision making to protect people who do not have capacity to give consent for care or treatment themselves.

We saw that assessments had been correctly completed where people had dementia and could not make particular decisions, and best interest decisions had been recorded. Some of the decisions made had involved medical practitioners, and some also family members. We saw that some files included ‘end of life’ plans for people that were properly completed and signed. The manager told us that assessments were also being completed regarding the administration of medication, where people could not consent. This would ensure that any decisions made on people’s behalf were in their best interests.

The provider may wish to note that some consent documents had been signed by family members where the person did have capacity to sign consent for themselves, which was not in line with the MCA. .

We found that people’s consent to their care and treatment was being sought, and that the MCA was being used where necessary at The Risings