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North Short Term & Urgent Support Requires improvement

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Inspection report

Date of Inspection: 29 January and 7 February 2014
Date of Publication: 27 February 2014
Inspection Report published 27 February 2014 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 29 January 2014 and 7 February 2014, talked with people who use the service and talked with carers and / or family members. We talked with staff.

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

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

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

We asked the manager how people who used the service consented to the care and treatment they received. They showed us a section of the ‘initial assessment’ document. We saw this contained a section for people to sign to give their consent for information about them being shared with other parties involved in their care. The provider may find it useful to note however, there did not appear to be provision in the document for a person to consent to the care and support to be provided.

We spoke to the manager about Mental Capacity Training. They told us they had received training along with the locality managers. They told us support workers and home support co-ordinators had not had training in the Mental Capacity Act. The provider may find it useful to note this may result in staff not being fully aware of their responsibilities under this legislation.

After the inspection we spoke with six home support workers. We asked them how they ensured the people they supported were given opportunities to make choices and decisions about their care and support. Their comments included;

“I open the wardrobe door, I encourage them to choose. I take a choice of meals from the freezer, let them choose which one.”

“I encourage them to do what they can for themselves.”

We also asked staff what action they would take if a person declined the care or support being offered to them. Staff told us:

“The majority have capacity. If they decline, we try to persuade them. If they are adamant, we have to respect that decision.”

This showed the service respected people’s decision to make their own decisions.

We spoke with people who were using the service or who had recently used the service, after the inspection. Many of them told us they had been treated with dignity and respect by the staff. Their comments included;

“They gave X the choice of what clothes they wanted to wear and also whether they had a shower or a wash.”

“They asked me what I wanted to be called when they started to come and everyone has stuck to it”.

“They were very clear, precise and patient in explaining it all to my relative. Involved and included them in it all.”