Primecare

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

People’s views and wishes are taken into account when their care is planned. Staff understood the importance of ensuring that people fully understood what they were consenting to and the importance of obtaining consent before they delivered care or support.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible people make their own decisions and hare helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interest and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interest and legally authorised under the MCA. In care homes, and some hospitals, this is usually through MCA application Procedures called the Deprivation of Liberty Safeguards (DoLS). DoLs applications had been made and legal authorisations were in place when required.

Staff had received training in the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Staff understood they needed to gain consent from people before they carried out a care task and tried to encourage people to make decisions for themselves. Staff said, “We always assume people have the capacity to make a decision and ask them first.” The registered manager gave examples of professional meetings which had taken place to discuss the capacity of people to make decisions for themselves. People’s care plans had clear guidance around their capacity to make decisions.

We observed people being asked for their consent before staff carried out care tasks. People were encouraged to make decisions and choices for themselves. One person told us, “The staff always ask me before they do something they know I like to do things for myself even though I am slow.” One relative told us, “The home has been brilliant in ensuring that they take into account what [name] would want, they always include [name] and me in making decisions.” Another relative told us, “I never feel out of the loop we are always included in any decisions about [name] care.”