You are here

Archived: AC Homecare

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

All reports

Inspection report

Date of Inspection: 16 September 2014
Date of Publication: 22 October 2014
Inspection Report published 22 October 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 16 September 2014, observed how people were being cared for and talked with people who use the service. We 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. Where people did not have the capacity to consent, the provider acted in accordance with legal requirements.

Reasons for our judgement

Before people received any care or support they were asked for their consent and the provider acted in accordance with their wishes. The manager told us all care staff had been made aware of their responsibilities in relation to obtaining consent from people before they provided care and support. We talked with three care workers and they confirmed this. They told us they only provided support to people who had given their consent for them to do so. They told us this had been covered during their induction training. One staff member said before they provided support they always asked the person for their agreement. Another staff member commented, “I always say, what do you want to do and what would you like to eat?” They said although all the information was recorded in the person’s care plan, “I still ask daily, how they want it done.”

We spoke with three people who used the service and they confirmed staff sought their consent on a daily basis. One person said, “They always ask me for permission first, in everything they do.” Another person told us, “They ask every time. When they are helping me with anything they ask what I would like and how I would like assistance.”

We looked at a sample of daily records recorded for five people who used the service. These provided evidence that people had been consulted and their choices had been respected. We were told that all of the people using the service had capacity to make decisions. We saw records of, ‘spot checks’ carried out by the manager at frequent intervals to evaluate and assess staff abilities to carry out their duties in line with the agency’s policies and procedures. This included whether the staff member had gained consent from people before they had provided any support.

We looked at the care plans and records of five people who used the service. The provider may wish to note we saw that only four out of the five people had given their signed consent to care.