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Archived: British Red Cross-Crisis Intervention Community Support Services

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Inspection report

Date of Inspection: 12 February 2013
Date of Publication: 9 March 2013
Inspection Report published 9 March 2013 PDF | 85.87 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 12 February 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff.

Our judgement

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

Reasons for our judgement

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

Health care assistants told us they visited new people who were referred to the service and completed an assessment questionnaire and then prepared a care plan. This included a summary of the support to be provided to the person. We saw the person who used the service had signed the section to give their consent to provide the support outlined in the summary. The person also gave consent to, or declined to, share information with other health professionals as required.

We saw the assessments identified what people were able to manage for themselves, and what they needed the support with. For example, some assessments we saw stated the person had no problem managing their own bathing and dressing, so no care plan was prepared to provide support with these activities.

Health care assistants told us people provided verbal agreement to them visiting to carry out the assessment and prepare the care plan. A health care assistant told us there were occasions when someone told them they did not want to use the service as they felt they did not need it, or they would receive support from their family. The health care assistant said in those situations they did not continue with the assessment and they respected the person’s wishes.

Health care assistants said they explained to people how the service would be provided. The health care assistants then said they asked people to read through the proposed plan and if they were happy with this they asked the person to sign the care plan giving their consent. Health care assistants told us there was also a consent form for handling money if they were involved in supporting people with shopping.

We asked people if they had been included in the assessment and care planning process. One person who used the service told us, “They found out what help I wanted and explained the care plan to me. I signed something to that effect.” Another person said, “I felt I was involved every step of the way. I was very impressed, they were very good and involved me. It was a première service, more than I expected.” A relative told us, “Mum agreed to the package and agreed she would have some help. I think I might have signed.” These comments showed people who used the service felt involved in preparing their care support and gave their consent to this being provided.

The manager and health care assistants told us they were not often asked to provide any services to people who did not have capacity to make decisions for themselves. Where this had occurred health care assistants said they had liaised with the person’s doctor and involved a relative when they carried out the assessment and prepared the care plan. This included signing to show they had consented to the care package.

The provider may wish to note the assessment and care plan documentation did not allow it to be recorded and shown when a person did not have the mental capacity to make decisions for themselves and give their consent to the care package. The manager said they would amend the documentation to include this.

The provider may also wish to note health care assistants we spoke with said they would welcome some training on the Mental Capacity Act (2005) so they were prepared if the situation arose.