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Moorlands Grange Requires improvement

All reports

Inspection report

Date of Inspection: 20 September 2013
Date of Publication: 26 October 2013
Inspection Report published 26 October 2013 PDF | 80.42 KB

Before people are given any examination, care, treatment or support, they should be asked if they agree to it (outcome 2)

Not met 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 20 September 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

Where people did not have the capacity to consent, the provider did not act in accordance with legal requirements.

Reasons for our judgement

Before people received any care or treatment they were not asked for their consent and the provider did not act in accordance with their wishes.

We looked at the care records of four people who were using the service and we found that none of the records contained any documentation to show the person had consented to the care and treatment they were receiving. We saw that a document was in place in three people's records regarding their preferences as to whether the person wanted to have their door locked or unlocked throughout the day and night. The document was signed by the person concerned and also showed the person had been asked if they wanted to have a key to their room or not.

We spoke with the staff member in charge at the time of our inspection about arrangements the service had in place for assessing people's mental capacity. This was in relation to the person being able to consent to the care and treatment they received whilst using the service. We were told there had been some discussions within the team regarding one person who used the service however, there was no information available for us to look at relating to this. We were told the information would be forwarded to us following the inspection. We received an email which gave brief details of the staff member's thoughts on the person's mental capacity. However, we did not receive any details of an assessment which had taken place for this purpose. This meant that if a person did not have the capacity to consent to the care they received, the service had nothing in place to ensure this was dealt with appropriately.