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Inspection report

Date of Inspection: 22 January 2013
Date of Publication: 5 February 2013
Inspection Report published 5 February 2013 PDF | 84.83 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 22 January 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members 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.

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. People who used the service and the two visitors we spoke with told us staff respected their decisions and included them in deciding how they wanted their care provided. One person told us, “They ask us what we want.”

We saw when people could not sign their care files to show they agreed with the planned care their relatives had been involved in making decisions. We also saw consent forms had been completed where needed.

The staff we spoke with demonstrated a good knowledge of the people they supported, their care needs and their wishes. They described to us how they asked people what they wanted and looked at their body language to see if they were happy with what was taking place. One care worker told us, “If someone can’t tell us what they want we always involve families and it would be written in their care plan.” Another care worker gave examples of how they offered people options. They added, “We ask people and listen to what they tell us.”

Where people did not have the capacity to consent, the provider acted in accordance with legal requirements. The manager told us about what actions would be taken if someone could not make an informed decision about something. She explained how other people would be involved in looking at what was in their best interest and said this would be clearly recorded in their file. For example where a person had no-one to represent them, best interest meetings had taken place with the GP to decide if they needed a flu vaccination. These decisions had been then been recorded.