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Inspection report

Date of Inspection: 26 August 2014
Date of Publication: 24 September 2014
Inspection Report published 24 September 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 26 August 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes and best interests.

Reasons for our judgement

Two people were using the service at the time of our inspection. They were unable to communicate verbally and used body language to inform staff of what they wanted. We observed how staff supported people in making decisions. For example, a range of different foods were placed in front of people so they could make a decision about what they wanted for lunch. We observed that staff had good relationships with people, understood their needs and responded positively when requests were made.

We spoke with the senior care worker and a care worker. We asked them how they supported people in making decisions. They demonstrated good knowledge of how each person displayed body language to express what they wanted. The senior care worker explained to us the likely reason for one person who may display reluctance to have their personal care. They told us what they would do for the person to enable them to be receptive of their care needs.

The senior care worker told us about a situation where they found a person was not comfortable with the care they received. The senior care worker had discussed this with the relatives and obtained their permission to make changes. They said when the changes had been implemented the person was much more relaxed and accepted the assistance staff provided. This showed staff had obtained valid consent that resulted in consent from the person who was using the service.

Where people did not have the capacity to consent the provider acted in accordance with legal requirements. We found that relatives and external professionals had been involved in and influenced development of respective care and support plans. We saw that mental capacity assessments had been carried out for each person and they had been reviewed and updated regularly or when a person's circumstances had changed. This indicated that staff had attempted to ensure that valid consent was obtained appropriately.