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Archived: Sutton Lodge Residential Care Home Inadequate

The provider of this service changed - see old profile

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Inspection report

Date of Inspection: 10 December 2013
Date of Publication: 10 January 2014
Inspection Report published 10 January 2014 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 10 December 2013, observed how people were being cared for and talked with people who use the service. We talked with staff, reviewed information given to us by the provider and talked with commissioners of services.

Our judgement

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes and where people did not have the capacity to consent, the provider acted in accordance with legal requirements.

Reasons for our judgement

We spoke to staff and asked them how they ensured they had obtained consent from people who used the service before providing any care, treatment or support. People we spoke with told us they had been asked for consent. We observed staff asking people for consent and explaining what they were going to do before commencing the delivery of care. This process ensured that people were given the choice to accept the care or decline it if they wished.

People we spoke with also told us that the staff listened to them and acted in accordance with their wishes. One person told us, “I have my own routine and ways of doing things and the staff have always respected my wishes”.

We looked at the care records for four people who used the service. We saw that all four had a document about consent. However, the provider may wish to note two of the forms had not been fully completed for example they were not signed and dated. The manager told us the two people concerned had limited capacity and that they were waiting for relatives to assist with the consent process. Nevertheless, in the meantime we could not establish if consent had been obtained. Although we were told verbal consent was given, this could be unreliable and could not be evidenced. We did not see where consent had been reviewed or recorded, but the manager told us that consent was reviewed and would be recorded in future.

We saw that the provider had written guidance available for staff to refer to on the Mental Capacity Act 2005 in relation to obtaining consent. Staff had been trained in (MCA) and this meant that staff were aware of how to obtain consent from people who may not have had the capacity to give consent reliably.