You are here

All reports

Inspection report

Date of Inspection: 8 August 2013
Date of Publication: 6 September 2013
Inspection Report published 06 September 2013 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 8 August 2013, 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 care, treatment or support, every effort had been made to obtain their consent and act in accordance with their wishes.

Reasons for our judgement

During our visit we spoke with people who lived at the home, observed care being provided, checked records and spoke with people’s relatives, members of staff and a healthcare professional. We saw examples of where staff had made considerable efforts to obtain people’s views and consent about different aspects of their care, treatment and support.

Some of the people who lived at the home experienced difficulty in communicating their needs and requirements. We saw that staff used a wide range of both verbal and non-verbal communication methods to explain what was happening and ascertain individual preferences and choices about issues such as food, clothing and personal hygiene.

Care records we looked at showed that people were respected as individuals and encouraged to take part in decisions about their lives and daily routines. Suitable arrangements were in place for obtaining, and acting in accordance with, the consent of people who lived there and, where necessary, their family and relevant health and social care professionals.

One person told us, “The staff are good at asking and explaining before they do things.” Another said, “I think it’s great, [it's like] ‘home from home’ here. I can do what I like and nobody tells me what to do.” A relative we spoke with commented, “[Name] is able to exercise free choice.”

We saw evidence that suitable arrangements had been put in place to assess, document and review people’s ability to make decisions in line with published guidance relating to the Mental Capacity Act (MCA) 2005. Staff we spoke with during our inspection demonstrated a good understanding of how consent about the care and treatment provided should be obtained. This meant that people had been supported to provide valid consent and knew how to change, amend or withdraw decisions previously made.

One member of staff told us, “We talk a lot about capacity and involve GP’s and a Consultant Psychiatrist from [a local hospital] where necessary. Initial assessments are carried out and reviewed every six months. It’s important to allow individuals to have independence over their lives and make choices.”

Records we looked at showed that most staff had received basic awareness training about consent and capacity issues regarding the MCA 2005.