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Inspection report

Date of Inspection: 8 February 2014
Date of Publication: 29 March 2014
Inspection Report published 29 March 2014 PDF | 76.33 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 8 February 2014, observed how people were being cared for and talked with people who use the service. We 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.

Reasons for our judgement

We saw people were offered comprehensive information about their specific surgical procedure.We also saw a pre-surgery screening tool, which served to reassure them that their medical history had been considered in the lead up to the surgical procedure taking place. The consent to procedure form was well constructed and easy to follow. One person we spoke with said that they had also appreciated the time taken by the surgeon to talk through the procedure with them, prior to both of them signing the consent form. This included the benefits and risks of any available alternative treatments.

Of the people's records examined, each had a signed consent form in place.

We saw that people had also received post-surgery advice, including emergency contact details, pain relief and wound care.

The service had an interpreter policy in place, which offered either a telephone service or face-to-face contact.

The two people we spoke with told us they were appreciative of the time taken by staff to emphasise the precautions to be used until the relevant tests had been analysed and cleared. They were also reminded of the process to be followed in providing the necessary samples.

We spoke with three members of staff who were very assured in their knowledge of preserving people's rights and dignity.

We saw the unit's consent policy which accurately reflected what we had seen. This policy was due for review in March 2014.

The provider had suitable arrangements in place for obtaining, and acting in accordance with, the consent of service users in relation to the care and treatment provided for them.