You are here

All reports

Inspection report

Date of Inspection: 25 November 2013
Date of Publication: 11 January 2014
Inspection Report published 11 January 2014 PDF | 73.9 KB

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 25 November 2013, talked with people who use the service and talked with staff.

Our judgement

Before people received any care 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

We found that the provider, Rotherham Doncaster and South Humber NHS Foundation Trust had a policy for consent to examination or treatment. We reviewed this policy and found it covered all relevant areas.

We spoke with the care home's manager who told us that not all the people who used the service were always able to consent to their care. In such cases staff assessed people’s needs and provided care when it was in their best interests. We found that the appropriate forms had been completed under the Mental Capacity Act 2005. The Act is designed to protect people who can't make decisions for themselves. Independent advocates were used at all stages of this process. This showed that the provider acted in accordance with legal requirements when people did not have the capacity to consent.

We were told that other people could consent if they were communicated to in a manner which they understood. We reviewed people’s care records and found in one case that a personal hygiene care plan, a planning sheet for social activities, and a health action plan had been signed by the person who used the service. We also found that another person who used the service had also signed to agree their care plans. This showed that people consented to their care when they had the capacity to do so.

We spoke with a care worker who told us they would always ensure they obtained the consent of the person who used the service before offering care. They also gave a knowledgeable explanation of when they would use the Mental Capacity Act, in the case of people who did not have the capacity to consent for themselves.

We spoke with a person who used the service who told us staff asked what they liked and listened to what they said.