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Archived: Fitzwilliam Court

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Inspection report

Date of Inspection: 23 September 2013
Date of Publication: 16 October 2013
Inspection Report published 16 October 2013 PDF | 77.47 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 23 September 2013, talked with people who use the service and talked with staff. We 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.

Reasons for our judgement

We found that the provider had policies and procedures in place relevant to this standard. These included the Mental Capacity Act policy (MCA) and consent to care policy. The Mental Capacity Act 2005 (MCA 2005) is an act which applies to people who are unable to make all or some decisions for themselves. It promotes and safeguards decision making within a legal framework.

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes. People told us, “They [staff] always asked what I wanted doing, what I want for breakfast and what I want to wear that day” and “the girls [care staff] always ask, they don’t do anything without asking me.”

Various forms and checklists were available for staff to complete regarding a person's capacity to make decisions. For example, we saw that each person's care file had a form which showed that people had been consulted about such things as care and treatment, care plans and risk assessments. We saw that people, or their advocate had also signed a provider ‘agreement with us’ contract.

People said they were involved in regular discussions about their care. One person said “I have had discussions about my care and it is in that care plan.”

Staff spoken with confirmed that they had been provided with combined MCA and Deprivation of Liberty Safeguarding (DoLS) training so that they had the knowledge to uphold and promote people's rights. We saw records held to confirm this training.

Staff we spoke with had a very good understanding of their responsibilities in making sure people were cared for in accordance with their preferences and wishes. Staff told us they had access to written information and guidance about the MCA and DoLS to support their understanding. Staff we spoke with told us; "We know that people must always be at the centre of all choices. We must always assume that people have the capacity to make their own choices and decisions.”