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Inspection report

Date of Inspection: 19, 23 April 2013
Date of Publication: 29 May 2013
Inspection Report published 29 May 2013 PDF

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 19 April 2013 and 23 April 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

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 sought information about the person from their family members. All the information obtained was recorded on the assessment form which was kept in the care file. Family members were also included in decisions about care and treatment.

We spoke with four of the people who lived at Hillbrook Grange and one family member all of whom said that they had been involved in their initial assessment. They were all able to tell the staff team what their likes and dislikes were which formed the basis of their care plan. Although not everyone was able to remember if they had signed the care plan and other documents we were able to see evidence of signatures in the care file.

People told us that their privacy and dignity was respected. One person also told us “I never do anything I don’t want to; always my choice.” They also told us “Staff are all ok, in general very good; they respect me and my privacy and dignity.”

We were told by the Registered Manager that all the care workers had completed electronic learning (e-learning) in the Mental Capacity Act and Deprivation of Liberty Safeguards (DoLS). The Mental Capacity Act and DoLS are acts of parliament to make sure that people who are not able to make decisions or choices for themselves are protected and kept safe.