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Crawshaw Hall Medical Centre and Nursing Home Good

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Inspection report

Date of Inspection: 31 March 2015
Date of Publication: 16 May 2015
Inspection Report published 16 May 2015 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 31 March 2015, 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.

Reasons for our judgement

During our last inspection we identified concerns in relation to consent. We found documentation that related to Deprivation of Liberty Safeguards (DoLS) was out of date and that staff were not able to explain their understanding of the DoLs process and the impact on a person living at the home. we asked the provider to send us an action plan about how they would ensure this breach was met. we looked at this during our inspection.

People living at the home told us they were happy with the care they received. One person told us "They (staff) always ask me first before offering to do something." Another told us "I get up and go to bed whenever I choose.You get all the help and support you want." Another told us "I can go out when and where I want, that's what I like."

We reviewed the care plans of six people living at the home. Relevant documentation including care plans and risk assessments were in place and we saw these had been signed and agreed by people who use the service or their relative.The records were person centered and contained a lifestyle section. We saw evidence of reviews taking place and a relative told us "They (the staff) go through everything with me including medication, they keep me well informed." Where it was appropriate completed DoLS application and authorisations were in place. These authorisations were up to date and were included in the care plan so it identified how it impacted on the person and their care. This would ensure people who used the service were not being deprived of their liberty unlawfully.

We reviewed staff training records which identified staff on the elderly mentally ill unit and registered managers had received relevant and up to date DoLS training. Staff confirmed they had received training on the mental capacity act and DoLS.

We spoke to staff about their understanding of DoLS. Staff were able to explain why a DoLS application may be made and what impact an authorisation being in place could have on a persons care. Staff were able to describe how the process relates to the mental capacity act. One member of staff told us "It's about if you have not got capacity to make a particular decision and it is put in place to help safeguard, it is not for the staff's convenience." Another member of staff explained how a DoLS authorisation was in place to support a person receiving help with their personal care.

Staff told us about the training they had received in dignity and care. One member of staff told us "It is important people have choices and that we do not take peoples independence away from them." Another told us how she supports new staff working at the home "I make sure new staff are aware of the importance of talking to people and explaining things to them and getting a persons consent." This meant the provider had systems and training in place to obtain a persons consent and to maintain the person's dignity and independence.