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Archived: Carers Trust in Greater Manchester Good

This service was previously registered at a different address - see old profile

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Inspection report

Date of Inspection: 3 December 2013
Date of Publication: 12 December 2013
Inspection Report published 12 December 2013 PDF | 73.87 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 3 December 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 or treatment they were asked for their consent and the provider acted in accordance with their wishes.

Reasons for our judgement

We looked at the care files of eight people who used the service and found their care and support needs were met in a safe way and according to individual requirements. We found there were appropriate systems in place to ensure consent to provide care and support was obtained.

The service provided practical and emotional support in the form of a respite service to carers who were supporting relatives or friends in their home. We saw written consent had been obtained from people who used the service on care support plans. This demonstrated that before people received any support, consent had been obtained from the individual carer enabling the service to act in accordance with their wishes.

We found written consent had also been obtained for service contract agreements and permission had been obtained to share information with other agencies if required. We found that care support plans were reviewed annually or in response to changes in need with the carer requiring support.

We asked staff to tell us how they obtained valid consent from people who lacked the capacity to make decisions for themselves. Staff were able to explain how they interacted with people and as they provided support to the same people, they quickly developed an understanding relationship with that individual. One staff member told us; “I explain what I want to do, but as we know these clients, I would soon know if they didn’t want to do anything. It is a matter of explaining carefully and ensuring they understand”.

One carer who used the service said “They are absolutely brilliant with my X. They are kind, caring and have taken time to get to know him. My X can be quite challenging, but they are brilliant.” Another carer told us; “I get a great service. The lady who comes gets on absolutely brilliantly with my X and communicates well with him. I feel very confident leaving her with him. She is great with him.”

We looked at current polices which provided guidance to staff in relation to the requirements for written consent and Mental Capacity Act 2005 and associated code of practice.