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Inspection report

Date of Inspection: 9 July 2013
Date of Publication: 31 July 2013
Inspection Report published 31 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 9 July 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and talked with commissioners of services.

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

We spoke with eight people during our inspection on the 9 July 2013. All were able to tell us they and / or a relative had been asked about the care and treatment provided to them and they had given their agreement to this. The provider may find it useful to note that not all the care records clearly documented how this was done. However we observed people being asked for their consent to tasks during the day. For example, before moving a person staff clearly explained what they were doing and why and asked for the person's agreement.

The care files showed people who needed the use of bed rails to prevent them falling out of bed had been asked to sign an agreement. This was because the bedrail would make it difficult for a person to leave their bed and could be seen as form of restraint rather than a safety measure.

Every person using the service had their photograph on their care documentation; they had been asked to confirm their agreement to having this photograph taken by signing a consent form. Staff told us they would ask a person who had a pressure area for their agreement to photograph it. This was to demonstrate any changes and measure the effectiveness of the treatments.

At the time of inspection the registered manager told us that all of the 29 people living at Kimbolton Lodge had capacity to make some decisions for themselves. The care documentation and our observations confirmed this. However each care plan had a mental capacity assessment reminder for staff so that they would consider the impact of any decision a person was asked to make and their capacity for the particular decision. Staff we spoke to understood the mental capacity process and all had received the appropriate training.

The home had a good relationship with a local GP who served most of the people living at the home. Records showed the GP would visit every week and would involve family members as appropriate.