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Inspection report

Date of Inspection: 25 June 2013
Date of Publication: 20 July 2013
Inspection Report published 20 July 2013 PDF | 81.8 KB

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 June 2013, 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.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

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 saw that people were spoken to with respect and addressed by their preferred name. We heard staff offer people choices and encourage them to make decisions. We observed the morning activity in one of the lounge areas. Staff members encouraged people to participate and assisted them to get involved. However, where people chose just to watch this was respected.

We observed a nurse offering one person their medication. The person had limited verbal communication and some physical difficulties. We saw that the nurse discreetly explained what was happening and asked the person if they wanted their medication. The person took their time to understand and respond, this was respected.

We looked at four care and support plans. It was clear that they had been written with the involvement of the person or their family. People’s preferred daily routines were recorded. The people living at Marnel Lodge told us they chose what they wanted to do. They said they got up and went to bed when they liked. One person said “if you need or want anything, you just ask”.

We spoke with one relative who told us that they were very involved in their family member’s care. They said “the communication is very good, they keep me informed”. They also said they could ask any member of staff if they had a query. They were confident any concerns would be quickly sorted out.