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Archived: Caremark (Redbridge)

This service was previously registered at a different address - see old profile

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Inspection report

Date of Inspection: 16 January 2014
Date of Publication: 1 March 2014
Inspection Report published 01 March 2014 PDF | 76.03 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 16 January 2014, talked with people who use the service and talked with carers and / or family members. We talked with staff and reviewed information given to us by the provider.

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 registered manager explained that people or their next of kin completed contracts agreeing to care being provided by the service, which could be cancelled at any time. We saw evidence of contracts within some people's care files and we also saw that where medication was to be administered by the service there were medication authorisation forms. We spoke to people who used the service and they said that they could not recall signing a contract but that care staff did ask for permission before doing anything. This showed that the service had arrangements in place to obtain people's consent to care and treatment.

We spoke to 4 care staff after the inspection and they told us before personal care was given they asked for people's permission. For example one member of staff said "I will ask X do you want a bath today? if X says yes I will give one." Another member of staff said, "I tell my clients what I am going to do and ask if what I am doing is ok before doing anything in their home." Care staff told us they respected people’s choice and that people were not forced to accept the service.

Where people refused to give consent to care and treatment care staff advised they would document this in people's care plans and inform the office. Staff gave us examples of where people may refuse to eat their food or take their medication. They told us that they would gently encourage people to agree to eat or take medicine and explain the benefits of them doing so. If this still did not work staff explained they would inform the office .

Where people did not have the capacity to consent, the provider acted in accordance with legal requirements. The registered manager advised they would involve people's next of kin, speak to the social worker and hold best interest meetings .