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Archived: Focused Healthcare Limited

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All reports

Inspection report

Date of Inspection: 25 October 2013
Date of Publication: 14 November 2013
Inspection Report published 14 November 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 25 October 2013, checked how people were cared for at each stage of their treatment and care and talked with carers and / or family members. We talked with staff and received feedback from people using comment cards.

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. The service provided care and support to children and young people with complex needs. Parents told us that they were involved with planning their children’s care and that staff had in-depth conversations with them before carrying out care or changing the way care was provided. Children’s wishes were sought and influenced the ways care and support was given. Staff understood the need for on-going consent and the involvement of parents and their children.

There were guidelines and training for care staff about working in people’s homes and about maintaining professional boundaries around privacy and consent. The impact of having carers working in their homes was also made clear to parents.

All the care files we saw contained information about parent’s and children’s wishes and relevant signed consent forms, along with information about how consent would be obtained initially and on an on-going basis. Parents indicated what information they wished to be shared with others.

We saw evidence that the service dealt appropriately and sensitively with complex consent issues in line with current legislation, local authority guidelines and best clinical practice.