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Archived: Steps Care Limited

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Inspection report

Date of Inspection: 14 March 2013
Date of Publication: 3 May 2013
Inspection Report published 3 May 2013 PDF | 84.3 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 14 March 2013, talked with people who use the service and talked with staff.

Our judgement

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

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

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. Staff told us that people were supported to make their choices by giving them appropriate information to make informed judgements. People told us that they were involved in their treatment pathway and were supported by staff. Staff told us that they involved people in their daily care and ensured that their privacy and dignity were upheld at all times.

The provider had assessment completed which included social worker. These were carried out with the individual in their home. Relatives were also involved in the assessment process to ensure individualised care package was devised to suit the needs of the person. This reviewed the individual person's needs and their views regarding skills and competency of their daily living. The provider has review questionnaire which was about the things that are important to the person and how their current situation could be better.

People had easy-read information about their expectations. This included what they needed to do to achieve them. These were signed by the person but had no date on them. People had annual health assessments completed by the GP which was reviewed during visit. This included capacity to consent to health check form which had been completed. People had care programme approach care plan in place which were reviewed. These did not have people's sign to evidence that the contents of the care plan had been discussed or explained to the individual.