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Archived: Marie Stopes International Birmingham

The provider of this service changed - see old profile

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Inspection report

Date of Inspection: 10 December 2013
Date of Publication: 10 January 2014
Inspection Report published 10 January 2014 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 10 December 2013, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with staff, reviewed information given to us by the provider, were accompanied by a pharmacist and reviewed information sent to us by 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

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes. The provider had an ‘Informed Consent Policy’. This outlined the different ways of obtaining valid consent and

described the two stage process required to obtain written consent for treatment such as termination of pregnancy. The first stage was described as the provision of information, discussion of options and initial decision. The second stage was the confirmation by the patient that they wish to proceed with treatment.

A consent form was used to document both the information and the confirmation stage. We checked a sample of 8 records where treatment had proceeded and found that consent had consistently been recorded. Where one person had needed the assistance of an interpreter both the person receiving treatment and the interpreter had signed the consent form.

There were clear procedures in place for obtaining consent from young people (under 18 years of age) and children (under 16 years of age) and advice was set out in the informed consent policy. All children requesting a termination of pregnancy were required to be seen by a specially trained counsellor.

The people we spoke with told us they were given appropriate information to allow them to make informed decisions about their treatment. There was also literature available in the clinic and on the Marie Stopes website. Staff told us that some people who attended the clinic spoke limited or no English. We saw that information was available in a range of different languages and in different formats and that an interpreter service was available to support people for whom English was not their first language.

We found that one person whose first language was not English had an interpreter with them. They told us this had been arranged by the clinic. One person told us, “They explained everything well today and answered any questions I had”. Another person told us, “The nurse rechecked I was sure I wanted to proceed. They put it across in a nice way, they were not judgemental”.

People were given the option as to whether or not they wanted their GP to be informed that they had received treatment at the centre. Staff told us that if they consented to this, a letter was sent to the person's GP informing them of the treatment they had received.

Records showed that staff had completed mandatory training in consent. This was on line training. We were told that only staff who had been signed off as competent were permitted to obtain consent.