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Archived: Claremont Hospital

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Inspection report

Date of Inspection: 4 January 2013
Date of Publication: 1 February 2013
Inspection Report published 1 February 2013 PDF | 82.68 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 carried out a visit on 4 January 2013, observed how people were being cared for, 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.

Where people did not have the capacity to consent, the provider had systems to act in accordance with legal requirements.

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. We checked the documentation in patients’ notes where consent had been obtained. We also spoke with staff and patients at the hospital.

One patient said,” When I came to see the consultant, he said it like it is. Told me all the things which could go wrong and I was able make my own mind up. I was fully informed when I signed the consent form. I feel smashing now.” Another person said, “I did a lot of research and went to see the surgeon where he normally worked to check. I also checked if Claremont had a good resuscitation policy and staff were trained before I decided to consent. I have not been disappointed.”

We noted that people who used the services at Claremont Hospital only received the examination, investigation, care and treatment they had agreed to. This is because clear procedures to get valid consent had been followed by medical and allied professionals. We were informed by the registered manager following reviews of practices, documentation and through monitoring the present process they had introduced a revised consent form to be used.

Medical staff and nurses described to us the need for a sensitive approach when seeking consent and respecting patient confidentiality when discussing certain procedures. They said some people only wanted the medical staff to know of their treatment and the family were not involved in the decisions. Therefore in such instances the staff told us they made sure the patient’s wishes were respected.

Staff also described the policies they would follow if a life threatening emergency arose and it was not possible to obtain consent from the patient They said in such circumstances the professionals involved would make a decision in the best interest of the patient.

Staff we spoke with told us they ensured consent was sought by staff who had sufficient knowledge about the patient. They said staff seeking consent also made sure the person was able to make an informed decision by discussing with them the investigation, care and treatment options they had available to them. The nurses said following consent they checked the patients’ understanding and gave people time to consider their options. Patients’ comments confirmed that they were given a ‘cooling off period’ so that they could reconsider all their options before making decisions.

The staff and the registered manager told us that the hospital had policies when dealing with people who lacked capacity. They said there were plans for all staff groups to receive additional training on the mental capacity act and deprivation of liberty safeguards to ensure staff were familiar with all aspects of capacity and consent.