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Royal Cornwall Hospital Requires improvement

All reports

Inspection report

Date of Inspection: 25 January and 25 May 2011
Date of Publication: 29 June 2011
Inspection Report published 29 June 2011 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

Our judgement

The service has suitable arrangements for gaining and acting in accordance with people’s consent. This ensures that people receive the care and support they have agreed to.

User experience

We were told, by patients, that people had been asked for their consent to surgery and that procedures to be carried out had been fully explained.

During one ‘time out’ period (safety checks performed before the start of the operation) observed, consent was discussed in detail as it had involved ‘best interests’ meetings taking place prior to consent being gained.

One consent form seen had two options for surgery on it. This varied from the procedure written on the board in the theatre. In discussion with staff it was confirmed that they had checked with the surgeon and that what was written on the board was the procedure to be carried out. This may be misleading for staff.

We observed that pre operative checks ensure that consent forms had been signed and staff confirmed verbally with the patient what procedure they were going to have.

Other evidence