ST GEMMA S HOSPICE POLICIES AND PROCEDURES
|
|
- Dennis Cooper
- 6 years ago
- Views:
Transcription
1 ST GEMMA S HOSPICE POLICIES AND PROCEDURES Category: Patient Title: Safeguarding the Liberty of those who lack Capacity Responsibility of: Social Work Manager and Senior Nurse HLT Member Accountable: Director of Spiritual Care & Social Work Developed in consultation with: HODs Staff with operational responsibility for development, implementation and review: Target audience: All staff Key words: Associated policies: Patient, Policy, Safeguarding, safeguarding, liberty, capacity, DoLS, DOLS, deprivation Patient - Safeguarding the liberty of those who lack capacity Patient - Obtaining Consent form Patients Date most recently validated: October 2011 Date originally validated: November 2009 Review date: October 2014 Page 1 of 9
2 PATIENT - SAFEGUARDING THE LIBERTY OF THOSE WHO LACK CAPACITY With reference to the Mental Capacity Act 2005 Deprivation of Liberty Safeguards (MCA DoLS) 1.0 Preamble Page 2 of The MCA DoLs were introduced in April 2009 to provide a legal framework around the deprivation of liberty. It provides protection for those who might, in their best interests, need to be deprived of their liberty and also for those who are making decisions about depriving a patient of their liberty. DoLS were specifically introduced to prevent breaches in the European Convention on Human Rights (ECHR) such as the case illustrated below and other such cases. The Bournewood judgement The case concerned a gentleman with autism HL, who lacked the capacity to decide whether he should be admitted to hospital for specific treatment. HL was admitted on an informal basis under the common law doctrine of necessity (Mental Health Act 1983). However, the admission was challenged by his carers. The European Court of Human Rights (ECtHR) judgement was that the admission constituted deprivation of HL s liberty. Following the judgement of ECtHR, there was a consultation exercise which resulted in the introduction of safeguards for people who lack capacity and are detained for treatment or care. The Deprivation of Liberty Safeguards (DoLS) provide an administrative and judicial framework to safeguard those adults who lack mental capacity who are deprived of their liberty in care homes and hospitals. 1.2 The ECtHR has stated that deprivation of liberty depends on the specific circumstances of each individual case. As a result there is no single definition or standard checklist that can be used to identify when a person is being deprived of their liberty. However, Appendix 1 lists factors that may suggest deprivation of liberty. 1.3 Every effort is made to avoid deprivation of liberty. If this is not possible deprivation of liberty should be for no longer than is necessary. 1.4 People should be cared for in the least restrictive way possible and care planning should always consider options available to avoid unnecessary deprivation of liberty. However if all alternatives have been explored and staff feel that in the patients best interest, it is necessary to deprive them of their liberty to deliver care or treatment they must then follow the standard process to gain authority to deprive an individual of their liberty. 1.5 DoLS provide legal protection for those vulnerable people who are or may become deprived of their liberty in a care home or hospital whether placed there under public or private arrangement.
3 1.6 People who may need this additional protection include:- Those over 18 years of age who lack capacity. Those with severe learning disabilities, older people with a range of dementias. Or people with neurological conditions such as brain injuries. Those who lack capacity to consent to where treatment and/or care is given. Those who need to be deprived of their liberty in their own best interests to protect them from harm. 1.7 The DoLS exist to provide a proper legal process and suitable protection in those circumstances where deprivation of liberty appears unavoidable, in the person s best interest. They provide for deprivation of liberty to be made lawful through standard and urgent authorisation processes. These processes are designed to prevent arbitrary decisions to deprive a person of liberty and give a right to challenge DoL authorisations 1.8 Protection is provided in the following ways:- Provision of a representative to act for them and protect their interests. If a person has no relative or friend to represent them, an Independent Mental Capacity Advocate (IMCA) will be provided. The right to challenge the Court of Protection against unlawful deprivation of liberty. The right for the deprivation of liberty to be reviewed and monitored on a regular basis. The right to have a representative appointed to oversee care provision in their best interests. 1.9 DoLS do not apply to people detained under the Mental Health Act DoLS state that the managing authority (MA), in our case the Hospice, must seek authority from a Supervisory Body (SB) in order to legally deprive someone of their liberty. In Leeds, NHS Leeds (formerly Leeds PCT) is the responsible supervisory body for Leeds patients at the Hospice. The SB for patients at the Hospice who do not reside in Leeds will be the Local Authority or NHS primary care trust for the area in which they have lived Before a standard authorisation to deprive someone of their liberty can be given, the SB must undertake a comprehensive assessment to decide whether it would be in the person s best interests to deprive him/her of their liberty. The assessment will determine whether the Mental Health Act is indicated instead of DoLS. Page 3 of 9
4 1.12 In deciding whether an application is necessary, a MA will carefully consider whether any restrictions that are or will be in place to provide ongoing care or treatment amount to deprivation of liberty when looked at together. It is neither necessary nor appropriate to apply for a DoL authorisation for everyone who is in hospital or a care home who lacks the capacity to decide whether or not they should be there. For most patients the Mental Capacity Act 2005 provides safeguards under section 5 to enable care providers to give care and treatment to patients. 2.0 Policy Page 4 of Staff Member (SM) identifies that the patient may be being deprived of his/her liberty. (Please see Appendix 1 for factors that may prompt thoughts of deprivation of liberty) OR Patients carers or family feel that the patient is being deprived of their liberty and approach staff. 2.2 The Multi-disciplinary team (MDT) discuss these issues. 2.3 Following a discussion, advice is requested from the SB. 2.4 When contact is made with the SB, they will assist the MA staff to determine whether there is a need to proceed with an authorisation. 2.5 The SB will then carry out a series of assessments to decide if it is right to deprive the person of their liberty. 2.6 Following the assessment the SB will advise whether there is a case for authorisation of deprivation of liberty. 2.7 Types of Authorisation:- Standard Authorisation: (This cannot be made more than 28 days before it is required) The Hospice would request a standard authorisation when a plan of care has been agreed that potentially deprives a patient of their liberties but has not yet been put into action. Urgent Authorisation: (7 days only) If the Hospice believes that a deprivation of liberty is actually occurring or may occur before the SB is able to complete a standard authorisation assessment, the responsible staff member should implement an urgent authorisation and at the same time request a standard authorisation from the SB. Forms requesting authorisation are available from: The SB must conclude the assessment within 21 days.
5 2.9 The SB commissions assessments by 2 trained assessors:- 1) The Mental Health Assessor is a doctor with experience of diagnosis and treatment of mental disorders. 2) The best interest assessor must be independent of the SB and may be a nurse, social worker, occupational therapist or chartered clinical psychologist who has undergone specific training The assessments are as follows:- Age assessment, which determines if the person is 18 years old or over. Mental health assessment, which decides whether the person is suffering from a mental disorder. Mental capacity assessment, which determines if a person lacks the capacity to consent to receive care or treatment in the particular hospital or care home making the application for deprivation of liberty. Eligibility assessment, which determines whether the person is, or should be, subject to a requirement under the Mental Health Act 1983 (in which case they are not eligible for this process). No refusals assessment, which determines if the person has refused treatment or made decisions in advance about the treatment they wish to receive. This assessment also determines if the potential authorisation conflicts with valid decisions made on the person s behalf by a donee of a lasting power of attorney for personal welfare matters, or a deputy appointed for the person by the Court of Protection. Best interests assessment, which determines if there is a deprivation of liberty and whether this is:- in the person s best interest. necessary in order to keep the person from harm. a reasonable response to the likelihood of the person suffering harm and the likely seriousness of that harm An authorisation will be granted only if all six assessments support the authorisation If authorisation is not granted the MA (Hospice) must look at an alternative plan of care that is less restrictive If a deprivation of liberty authorisation is granted the patient must have a Relevant Persons Representative (RPR) who is appointed to support the patient and look after their interests. This could be a family member or a friend. Page 5 of 9
6 2.14 If the patient has no one to represent them, an Independent Mental Capacity Advocate (IMCA) is appointed by the SB 2.15 The Hospice and the SB make regular checks to make sure the authorisation is still necessary and remove the authorisation when no longer necessary. provide the RPR with information about care and treatments. A DoLS authorisation can last for up to 12 months. The SB will determine how regularly the authorisation is to be reviewed. 3.0 Procedure 3.1 Staff Member (SM) identifies that the patient may be being deprived of his/her liberty. OR Patients carers or family feel that the patient is being deprived of their liberty. 3.2 MDT asks the questions :- Will the person be restricted in such a way as to take away their freedom to do what they want to do to such an extent that it amounts to a deprivation of their liberty? Do they believe that the care or treatment being provided is in the person s best interest? 3.3 MDT explore whether the care or treatment could be given in a less restrictive way which does not deprive the patient of their liberty. 3.4 MDT agree that the care/treatment cannot be given without restriction of liberty and the person cannot be cared for or treated in any other way. 3.5 MDT appoint a SM to take the DoLS authorisation forward. 3.6 SM contacts NHS Leeds DoLS co-ordinator to discuss the circumstances. 3.7 DoLS co-ordinator assists the SM to reach a decision whether a DoLS authorisation request is necessary but cannot make the decision for the MA. 3.8 SM takes information back to the MDT. 3.9 SM completes request for authorisation (Form 4 and Form 1 if necessary) if DoLS authorisation is necessary faxing the completed forms to the DoLS coordinator (number below). Page 6 of 9
7 3.10 DoLS co-ordinator arranges for a Mental Health Assessor and Best Interest Assessor to investigate the case on behalf of NHS Leeds SB: a) Authorisation is not granted. MDT review their care plans to reduce deprivation of liberty. b) Deprivation of Liberty Authorisation is granted for up to 1 year SB appoints RPR to ensure the Hospice continues to care for the patient in his/her best interests SB appoints an IMCA if patient has no representative to ensure the Hospice continues to care for the patient in his/her best interests SB and the Hospice will review the case regularly. This is prearranged by the SB. The address of the SB (Leeds NHS) is: DoLS Administration Team Social Work Department St Mary s House 1 st Floor South Wing St Mary s Road Leeds LS7 3JX Tel: Fax : Page 7 of 9
8 APPENDIX 1 Deprivation of Liberty Safeguards Policy Factors suggesting deprivation of liberty Restraint, including sedation, is used to admit a person to an institution where that person is resisting admission. Staff exercise complete and effective control over the care and movement of a person for a substantial period. Staff exercise control over assessments, treatment, contracts and residence. A decision has been taken by the institution that the person will not be released into the care of others, or permitted to live elsewhere, unless the staff in the institution considered appropriate. Page 8 of 9
9 A request by carers for a person to be discharged to their care is refused. The person is unable to maintain social contacts because of restrictions placed on their access to other people. The person loses autonomy because they are under continuous supervision and control. Page 9 of 9
Deprivation of Liberty Safeguards A guide for primary care trusts and local authorities
OPG607 Deprivation of Liberty Safeguards A guide for primary care trusts and local authorities Mental Capacity Act 2005 DH INFORMATION READER BOX Policy HR/Workforce Management Planning/Performance Clinical
More informationNHS Dorset Clinical Commissioning Group Deprivation of Liberty Safeguards Guidance for Managing Authorities
Deprivation of Liberty Safeguards Guidance for Managing Authorities Supporting people in Dorset to lead healthier lives Quality Strategy DEPRIVATION OF LIBERTY SAFEGUARDS GUIDANCE FOR MANAGING AUTHORITIES
More informationMental Capacity Act 2005
Mental Capacity Act 2005 Julia Barrell MCA Manager Cardiff and Vale UHB 1 Introduction What is the Mental Capacity Act 2005? 5 Key Principles What is Mental Capacity? 2 Stage Test Best Interests and Consultation
More informationHerefordshire Safeguarding Adults Board
Herefordshire Safeguarding Adults Board DEPRIVATION OF LIBERTY SAFEGUARDS (DoLS) POLICY, PROCEDURE AND GUIDANCE DATE: April 2015 It is suggested that this policy is read in conjunction with Herefordshire
More informationMENTAL CAPACITY ACT (MCA) AND DEPRIVATION OF LIBERTY SAFEGUARDS (DoLS) POLICY
MENTAL CAPACITY ACT (MCA) AND DEPRIVATION OF LIBERTY SAFEGUARDS (DoLS) POLICY Last Review Date Approving Body Not Applicable Quality & Patient Safety Committee Date of Approval 3 November 2016 Date of
More informationBirmingham CrossCity Clinical Commissioning Group Deprivation of Liberty Safeguards (DoLS) Policy: Supervisory body Functions
Birmingham CrossCity Clinical Commissioning Group Deprivation of Liberty Safeguards (DoLS) Policy: Supervisory body Functions Policy Number Purpose of document To ensure that that the rights of patients
More informationCapacity Act Unit reference number: Y/616/7560 Level: 4. Credit value: 4 Guided learning hours: 30. Unit summary
Unit 21: Understand the Mental Capacity Act 2005 Unit reference number: Y/616/7560 Level: 4 Unit type: Optional Credit value: 4 Guided learning hours: 30 Unit summary The Mental Capacity Act 2005 is designed
More informationPolicy/Procedure Name: Deprivation of Liberty Safeguards: Practice and Procedures Policy SMT049. Head of Safeguarding. Not applicable. Date of EIA?
Policy/Procedure Name: Deprivation of Liberty Safeguards: Practice and Procedures Policy Policy/Procedure Number: SMT049 Date of Approval: 3 September 2014 Effective Date: September 2014 Revised Date:
More informationSt Helens Adult Social Care and Health
St Helens Adult Social Care and Health Mental Capacity Act 2005 Deprivation of Liberty Safeguards (DoLS) Policy, Procedure & Practice Guidance Version 1 March 2009 CONTENTS POLICY Introduction and Scope
More informationMental Capacity Act Policy V3.00
Mental Capacity Act Policy V3.00 Lead executive Name / title of author: Mandy Bailey Chief Nurse Lesley Shaw, Lead Nurse Vulnerable Adults Date reviewed: October 2015 Date ratified: 13/11/2015 Ratifying
More informationThe Mental Capacity Act 2005 Legislation and Deprivation of Liberties (DOLs) Authorisation Policy
The Mental Capacity Act 2005 Legislation and Deprivation of Liberties (DOLs) Authorisation Policy Version Number 3 Version Date vember 2015 Policy Owner Director of Nursing and Clinical Governance Author
More information2. Audience The audience for this document is the London NHS Commissioner MCA Steering Board.
Commissioner MCA and DoLS responsibilities checklist Version 1.6 05/02/2016 1. Purpose The purpose of this document is to outline commissioner Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards
More informationLincolnshire NHS Provider Trust s Mental Capacity Act & Deprivation of Liberty Safeguards Policy and Procedure for LPFT
Lincolnshire NHS Provider Trust s Mental Capacity Act & Deprivation of Liberty Safeguards Policy and Procedure for LPFT DOCUMENT VERSION CONTROL for LPFT front sheet Document Type and Title: Mental Capacity
More informationVersion Number Date Issued Review Date V2: Extension November 2017 April 2018
Corporate CCG CO03 Deprivation of Liberty Safeguards (DoL) Policy Version Number Date Issued Review Date V2: Extension November 2017 April 2018 Prepared By: Consultation Process: Newcastle Gateshead Alliance
More informationMental Capacity Act and Deprivation of Liberty Safeguards Policy and Guidance for staff
Mental Capacity Act and Deprivation of Liberty Safeguards Policy and Guidance for staff APPROVED BY: Approved by Quality and Governance Committee September 2016 EFFECTIVE FROM: September 2016 REVIEW DATE:
More informationSAFEGUARDING ADULTS WORKBOOK
Ensuring our safeguarding arrangements act to help and protect adults SAFEGUARDING ADULTS WORKBOOK Module Two The Mental Capacity Act and Deprivation of Liberty Safeguards Contents Page Introduction 2
More informationMental Capacity Act POLICY
Mental Capacity Act POLICY REFERENCE NUMBER Version: Supersedes: AUTHOR(S): ACKNOWLEDGEMENTS TO: LEAD DIRECTOR: Date Ratified: ELCCG_SG07 Version 1 New Policy N/A Deputy Designated Professional for Safeguarding
More informationCCG CO21 Continuing Healthcare Policy on the Commissioning of Care
Corporate CCG CO21 Continuing Healthcare Policy on the Commissioning of Care Version Number Date Issued Review Date V1 28 04 15 29 April 2015 April 2016 Prepared By: Head of Quality & Patient Safety Consultation
More informationMental Capacity Act and Court of Protection/Deprivation of Liberty Safeguards Policy. October 2017
Mental Capacity Act and Court of Protection/Deprivation of Liberty Safeguards Policy October 2017 Contents Section Page 1) Introduction 3 2) Purpose and Scope 4 3) Governance and accountability 5 4) CCH
More informationNational Review of the use of Deprivation of Liberty Safeguards (DoLS) in Wales 2014
National Review of the use of Deprivation of Liberty Safeguards (DoLS) in Wales 2014 City and County Cardiff County Council Cardiff & Vale University Health Board 9 11 April 2014 This publication can be
More informationClients Who Lack Mental Capacity To Take Decisions Policy
Clients Who Lack Mental Capacity To Take Decisions Policy Authorising Officer Claudio Duran, Chief Executive Officer Version: 1 Name of Barbara Hurley originator/author: Date issued: August 2015 Review
More informationDeprivation of Liberty Safeguards: putting them into practice
Deprivation of Liberty Safeguards: putting them into practice This resource describes good practice in the management and implementation of the Deprivation of Liberty Safeguards. The Social Care Institute
More informationDeprivation of Liberty Safeguarding in hospice care: from law into practice
Deprivation of Liberty Safeguarding in hospice care: from law into practice Hot Topics Study Day May 2016 Dr Corinna Midgley Saint Francis Hospice Registered Charity No: 275913 Aims of today: To review
More informationCCG CO10 Mental Capacity Act Policy
Corporate CCG CO10 Mental Capacity Act Policy Version Number Date Issued Review Date 2 November 2016 November 2019 Prepared By: Consultation Process: Joint Commissioning Manager. CCG Executive Director
More informationInformation and Guidance for the Deprivation of Liberty Safeguards (DoLS) Data Collection
Information and Guidance for the Deprivation of Liberty Safeguards (DoLS) Data Collection Collection period 1 April 2018 to 31 March 2019 Published September 2017 Copyright 2017 Health and Social Care
More informationAdmission to Hospital under Part II of the Mental Health Act 1983 and Mental Capacity Act 2005 Deprivation of Liberty Safeguards.
Document level: Trustwide (TW) Code: MH3 Issue number: 6 Admission to Hospital under Part II of the Mental Health Act 1983 and Mental Capacity Act 2005 Deprivation of Liberty Safeguards. Lead executive
More informationCONSENT TO EXAMINATION OR TREATMENT
TRUST-WIDE CLINICAL POLICY DOCUMENT CONSENT TO EXAMINATION OR TREATMENT Policy Number: Scope of this Document: Recommending Committee: Approving Committee: SD06 All Staff Patient Safety Committee Executive
More informationPolicy: L5. Patients Leave Policy (non Broadmoor) Version: L5/01. Date ratified: 8 th August 2012 Title of originator/author:
Policy: L5 Patients Leave Policy (non Broadmoor) Version: L5/01 Ratified by: Policy Review Group Date ratified: 8 th August 2012 Title of originator/author: Consultation Psychiatrist Title of responsible
More informationCCG CO03 Deprivation of Liberty Safeguards (DoLS) Policy. Version Number Date Issued Review Date V3 November 2016 November 2019
Corporate CCG CO03 Deprivation of Liberty Safeguards (DoLS) Policy Version Number Date Issued Review Date V3 November 2016 November 2019 Prepared By: Consultation Process: Joint Commissioning Manager CCG
More informationPETERBOROUGH SAFEGUARDING ADULTS BOARD (PSAB) MULTI-AGENCY TRAINING STRATEGY
SAFEGUARDING ADULTS PETERBOROUGH SAFEGUARDING ADULTS BOARD (PSAB) MULTI-AGENCY TRAINING STRATEGY 2012/2013 Peterborough Safeguarding Adults Board Multi-Agency Training Sub-Group Training Strategy Introduction
More informationMental Capacity Act. Target Audience. Who Should Read This Policy. All Trust Employed Staff Bank and Agency Staff
Mental Capacity Act Who Should Read This Policy Target Audience All Trust Employed Staff Bank and Agency Staff Version 2.0 March 2017 Ref. Contents Page 1.0 Introduction 4 2.0 Purpose 5 3.0 Objectives
More informationGOOD PRACTICE GUIDE. The Adults with Incapacity Act in general hospitals and care homes
GOOD PRACTICE GUIDE The Adults with Incapacity Act in general hospitals and care homes Reviewed March 2017 This document was reviewed in Spring 2017 in light of changes to the Mental Health Act. It was
More informationIndicators for the Delivery of Safe, Effective and Compassionate Person Centred Service
Inspections of Mental Health Hospitals and Mental Health Hospitals for People with a Learning Disability Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service 1 Our Vision,
More informationSET Mental Capacity Act and Deprivation of Liberty Safeguards Policy and Guidance
SET Mental Capacity Act and Deprivation of Liberty Safeguards Policy and Guidance Southend Safeguarding Adults Board Essex Safeguarding Adults Board Thurrock Safeguarding Adults Board (March 2018) 1 Document
More informationThe Right to Decide: Towards a greater understanding of mental capacity and deprivation of liberty
The Right to Decide: Towards a greater understanding of mental capacity and deprivation of liberty Focus Report: learning lessons from complaints July 2017 www.lgo.org.uk Contents Introduction 1 Mental
More informationBerith & Camphill Partnership
Camphill Village Trust Limited(The) Berith & Camphill Partnership Inspection report 27 Worcester Street Stourbridge DY8 1AH Tel: 01384441505 Date of inspection visit: 12 September 2016 Date of publication:
More informationLocked Door. Target Audience. Who Should Read This Policy. All Inpatient Staff
Locked Door Who Should Read This Policy Target Audience All Inpatient Staff Version 1.0 October 2016 Ref. Contents Page 1.0 Introduction 4 2.0 Purpose 4 3.0 Objectives 4 4.0 Process for Access and Exit
More informationPolicy for the use of Leave under Section 17 of the Mental Health Act 1983 (as amended) Version: 9
SH CP 52 Policy for the use of Leave under Section 17 of the Mental Health Act 1983 (as amended) Version: 9 Summary: Keywords (minimum of 5): (To assist policy search engine) Target Audience: Policy for
More informationPROCEDURE AND GUIDELINES FOR THE ADMINISTRATION OF MEDICATION IN FOOD OR DRINK TO PEOPLE UNABLE TO GIVE CONSENT TO OR WHO REFUSE TREATMENT MM10
MERSEY CARE NHS FOUNDATION TRUST HOW WE MANAGE MEDICINES Medicines Management Services aim to ensure that (i) Service users receive their medicines at times that they need them and in a safe way. (ii)
More informationyour hospitals, your health, our priority
Policy Name: Policy Reference: SAFEGUARDING VULNERABLE ADULTS POLICY Recognition, Reporting and Investigation of the Abuse of Vulnerable Adults TW10/032 Version number : 4 Date this version approved: AUGUST
More informationFirst Names... To be retained in individual's records/notes
NHS Continuing Healthcare Consent Form West Hampshire Clinical Commissioning Group (CCG) hosts the NHS Continuing Healthcare Service on behalf of Fareham and Gosport, South Eastern Hampshire, North Hampshire
More informationMental Health Act Policy. Board library reference Document author Assured by Review cycle. Introduction Purpose or aim Scope...
Mental Health Act Policy Board library reference Document author Assured by Review cycle P041 Associate Director of Governance, Quality and Regulatory Compliance Quality and Standards Committee 1 Year
More informationNHS and independent ambulance services
How CQC regulates: NHS and independent ambulance services Provider handbook March 2015 The Care Quality Commission is the independent regulator of health and adult social care in England. Our purpose We
More informationAccountable Director Executive Director of Nursing and Secure Services Head of Nursing
Policy Number SD40 Policy Title DISCHARGE/ TRANSFER POLICY Accountable Director Executive Director of Nursing and Secure Services Author Head of Nursing Safeguarding is Everybody s Business. This policy
More informationCommunity Treatment Orders and second opinion approved doctors (SOADs)
Mental Health Alliance Community Treatment Orders and second opinion approved doctors (SOADs) Authority to treat community patients (1) Leave out clause 32 ( Authority to treat) and insert (1) The 1983
More informationThe LGSS & Cambridgeshire County Council Mental Capacity Act and Deprivation of Liberty Safeguards Training Offer
The LGSS & Cambridgeshire County Council Mental Capacity Act and Deprivation of Liberty Safeguards Training Offer September 2017 September 2018 Author - James Codling - Mental Capacity Act Training and
More informationCourt of Protection Protocol
Court of Protection Protocol This protocol has been produced to offer guidance to staff about good practice in case management prior to accessing the Court of Protection in relation to welfare disputes
More informationNHS Continuing Health Care Consent Form
NHS Continuing Health Care Consent Form Surname/family name (of individual being assessed) First names Date of birth: NHS number (or other identifier)... Responsible professional 1 Name:...... Job title...
More informationSW7035 Best Interests Assessor (30 Credits at level 7)
SW7035 Best Interests Assessor (30 Credits at level 7) Best Interest Assessors Undertaking this module will lead to qualification as a Best Interests Assessor. Best Interests Assessors undertake an important
More informationMental Health Act 2007: Workshop. Approved Clinicians and Responsible Clinicians. Participant Pack
Mental Health Act 2007: Workshop Approved Clinicians and Responsible Clinicians Participant Pack Table of Contents Introduction...1 Professional roles...2 Overview...2 Responsible clinician...2 Approved
More informationSAFEGUARDING ADULTS POLICY
SAFEGUARDING ADULTS POLICY This document may be made available in alternative formats and other languages, on request, as is reasonably practicable to do so. Policy Owner: Approved by: POVA Operational
More informationDecision-making and mental capacity
1 2 3 NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE DRAFT GUIDELINE 4 5 Decision-making and mental capacity 6 7 8 [Issue date: month/year] Draft for consultation, December 2017 Decision-making and
More informationAppendix A: CQC Fundamental Standards - Overview of each regulation
Appendix A: CQC Fundamental Standards - Overview of each regulation Regulation Regulation 9: Personcentred care The intention of this regulation is to make sure that people using a service have care or
More informationDementia Gateway: Making decisions
DEMENTIA GATEWAY WHAT THE RESEARCH SAYS Dementia Gateway: Making decisions Key messages There is not much research on the experiences of social care staff, and people with dementia and their carers within
More informationPolicy on the Commissioning of NHS Continuing Healthcare for Adults: Assuring Equity, Choice and Value for Money
Policy Statement No. Salford Clinical Commissioning Group Policy on the Commissioning of NHS Continuing Healthcare for Adults: Assuring Equity, Choice and Value for Money Lead for development & revisions
More informationRothbury House Hotel. The RAF Association (RAFA) Overall rating for this service. Inspection report. Ratings. Good. Is the service effective?
The RAF Association (RAFA) Rothbury House Hotel Inspection report West End Rothbury Morpeth Northumberland NE65 7TU Date of inspection visit: 14 March 2017 Date of publication: 19 April 2017 Tel: 01669620235
More informationIMHA Support Project. Key Competencies Of An Effective IMHA Service. Action for Advocacy
IMHA Support Project Key Competencies Of Action for Advocacy This guidance is aimed at IMHAs, health and social care professionals, commissioners of IMHA services as well as regulators such as the Care
More informationSpecialist mental health services
How CQC regulates: Specialist mental health services Provider handbook March 2015 The Care Quality Commission is the independent regulator of health and adult social care in England. Our purpose We make
More informationWoodbridge House. Aitch Care Homes (London) Limited. Overall rating for this service. Inspection report. Ratings. Good
Aitch Care Homes (London) Limited Woodbridge House Inspection report 151 Sturdee Avenue Gillingham Kent ME7 2HH Tel: 01634281890 Website: www.regard.co.uk Date of inspection visit: 14 March 2017 Date of
More informationComplying with the Mental Capacity Act
Complying with the Mental Capacity Act Department of Health July 2015 1 DH Leading the nation s health and care Niall Fry - MCA Policy Lead DH Twitter - @NiallatDH Email - Niall.Fry@dh.gsi.gov.uk Overview
More informationInformed consent practice standard
Informed consent practice standard 14 May 2018 1 Foreword Standards framework The Dental Council (the Council) is legally required to set standards of clinical competence, cultural competence and ethical
More informationMental Capacity Act (2005) and risk. Pauline Dorn Head of Vulnerable Adults and Safeguarding
Mental Capacity Act (2005) and risk Pauline Dorn Head of Vulnerable Adults and Safeguarding Background to the Mental Capacity Act (MCA) The Mental Capacity Act (MCA) received Royal Assent in April 2005
More informationAction required: To agree the process by which Governors will meet with the inspection team.
Airedale NHS Foundation Trust Council of Governors: 28 th January 2016 Title: CQC Inspection Briefing Author: Jane Downes, Company Secretary As you will be aware, the Care Quality Commission ( CQC ) have
More informationContinuing Healthcare Policy
Continuing Healthcare Policy 1 SUMMARY This policy describes the way in which Haringey Clinical Commissioning Group (HCCG) will make provision for the care of people who have been assessed as eligible
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Dovehaven Nursing Home 9-11 Alexandra Road, Southport, PR9 0NB
More informationMAKING DECISIONS FOR PEOPLE WHO LACK CAPACITY
MAKING DECISIONS FOR PEOPLE WHO LACK CAPACITY Mental Capacity Act 2005 RESOLVING DISAGREEMENTS AND DISPUTES This is one of a series of resource materials for clinical ethics committees providing explanation
More informationMental Health Act Committee - Deprivation of Liberty Safeguards, Recruitment of Best Interest Assessors in Health Boards in Wales
Betsi Cadwaladr University Health Board Mental Health Act Committee Meeting 15 July 2014 Item 14/029.2 Subject: Situation Mental Health Act Committee - Deprivation of Liberty Safeguards, Recruitment of
More informationDecision-making and mental capacity
Decision-making and mental capacity NICE guideline: short version Draft for consultation, December 0 This guideline covers decision-making in people over. it aims to help health and social care practitioners
More informationPatient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Consent to Treatment
Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Consent to Treatment What this leaflet will tell you This leaflet will give you information about consenting to treatment options.
More informationCONTINUING HEALTHCARE POLICY
BEFORE USING THIS POLICY ALWAYS ENSURE YOU ARE USING THE MOST UP TO DATE VERSION CONTINUING HEALTHCARE POLICY 1 SUMMARY This policy describes the way in which the five Primary Care Trusts in NHS North
More informationMental Health Act 1983/2007. Section 117 and After Care Policy
Mental Health Act 1983/2007 Section 117 and After Care Policy Between: London Borough of Hillingdon Hillingdon Clinical Commissioning Group FINAL DRAFT February 2015 Document Control Sheet Type of Document
More informationA National Review of the use of Deprivation of Liberty Safeguards (DoLS) in Wales
A National Review of the use of Deprivation of Liberty Safeguards (DoLS) in Wales April May 2014 This publication can be provided in alternative formats or languages on request. There will be a short delay
More informationSafeguarding Vulnerable Adults Policy and Procedures
155-159 Freeman Street, Grimsby, North East Lincolnshire, DN32 7AR Tel: 01472 240440 Safeguarding Vulnerable Adults Policy and Procedures The CPO Media policy adheres to the multi-agency policy, procedures
More informationSAFEGUARDING ADULTS STRATEGY
SAFEGUARDING ADULTS STRATEGY Originator: Corporate Nursing Date Approved: May 2009 Approved by: Safeguarding Committee Date for Review: May 2011 Contents Page 1. Introduction 3 1.1 Vision 3 1.2 Scope 3
More informationHow CQC monitors, inspects and regulates adult social care services
How CQC monitors, inspects and regulates adult social care services November 2017 Contents MONITORING AND INFORMATION SHARING... 3 How we monitor and inspect adult social care services... 3 CQC Insight...
More informationDoLS UPDATE. Derek Winter DL Her Majesty s Senior Coroner for the City of Sunderland
DoLS UPDATE Derek Winter DL Her Majesty s Senior Coroner for the City of Sunderland www.sunderland.gov.uk/coroner 1 Show me the manner in which a nation cares for its dead and I will measure with mathematical
More informationHospital Managers Appeal and Renewal Hearings
Standard Operating Procedure 10 (SOP 10) Hospital Managers Appeal and Renewal Hearings Why we have a procedure? It is the Hospital Managers (Managers) who have the power to detain patients who have been
More informationGuidance: Trusted Assessors
Guidance: Trusted Assessors Requirements when people are discharged from hospital to adult social care services under Trusted Assessor schemes Summary 2 Guidance 2 1. What is the Trusted Assessor approach?
More informationUnless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version
Policy No: MH27 Version: 2.0 Name of Policy: Care Programme Approach & Care Co-ordination Effective From: 25/08/2015 Date Ratified 24/07/2015 Ratified Mental Health Committee Review Date 01/07/2017 Sponsor
More informationCovert Administration of Medicines Policy and Procedure
CARDIFF AND VALE NHS TRUST YMDDIRIEDOLAETH GIG CAERDYDD A R FRO Covert Administration of Medicines Policy and Procedure Policy Procedure Protocol Guideline Y Y N N Classification of Document: Clinical
More informationProtocol for. The use of Independent Best Interests Assessors for. Deprivation of Liberty Safeguards Assessments in care homes and hospitals
Protocol for The use of Independent Best Interests Assessors for Deprivation of Liberty Safeguards Assessments in care homes and hospitals Report Author: Lorraine Currie Revised April 2013 Review Date:
More informationCare and Treatment Review: Policy and Guidance
Care and Treatment Review: Policy and Guidance With policy and guidance on Care, Education and Treatment Reviews for children and young people Easy Read Version 2017 1 Contents Foreword from Gavin Harding...
More informationNightingales Nursing Home
Nightingales Care Limited Nightingales Nursing Home Inspection report 355a Norbreck Road Thornton Cleveleys Lancashire FY5 1PB Tel: 01253822558 Date of inspection visit: 17 January 2017 Date of publication:
More informationFrequently asked legal questions
Frequently asked legal questions The Alzheimer's Society receives around 1,000 enquiries a year about the law relating to dementia. This information sheet gives answers to some of the most common types
More informationApplications and authorisations: implications of recent judgments, House of Lords Report / Government Response implications for Local Authorities
Applications and authorisations: implications of recent judgments, House of Lords Report / Government Response implications for Local Authorities Paula Scully Adult Care Solicitor Derbyshire County Council
More informationChapter 1 Background to the Mental Health Act 2007
Chapter 1 Background to the Mental Health Act 2007 Recent history of mental health law Introduction The Mental Health Act amendments, as passed in 2007 and largely implemented in 2008, were the result
More informationTRUST WIDE CARE PROGRAMME APPROACH POLICY (INCLUDING ARRANGEMENTS FOR STANDARD CARE PLAN)
TRUST WIDE CARE PROGRAMME APPROACH POLICY (INCLUDING ARRANGEMENTS FOR STANDARD CARE PLAN) Date effective from: 1 st May 2014 Review date: 28 th April 2016 Version number: 3.0 See Document Summary Sheet
More informationEnter and View Report FINAL
Enter and View Report FINAL Name of Establishment: Juniper Centre Rosemary Ward Moseley Hall Hospital Alcester Road Moseley Birmingham B13 8JL Date of Visit: Wednesday 28 th May 2014 Time of Visit: Purpose
More informationNightingales Home Care
Nightingale's Care (Gloucester) Limited Nightingales Home Care Inspection report Unit C1, Spinnaker House Spinnaker Road, Hempsted Gloucester Gloucestershire GL2 5FD Tel: 01452310314 Website: www.homecare.nightingales.co.uk
More informationNHS Continuing Healthcare Practice Guidance
NHS Continuing Healthcare Practice Guidance March 2010 DH INFORMATION READER BOX Policy HR/Workforce Management Planning/Performance Clinical Estates Commissioning IM&T Finance Social Care/Partnership
More informationSomerset Treatment Escalation Plan & Resuscitation Decision Policy
Somerset County County-wide Policy Title: SOMERSET TREATMENT ESCALATION PLAN (STEP) & RESUSCITATION DECISION POLICY Keywords Not for CPR, DNACPR, Ceiling of Care, Treatment Escalation Plan, Allow Natural
More informationRowan Court. Avery Homes (Nelson) Limited. Overall rating for this service. Inspection report. Ratings. Requires Improvement
Avery Homes (Nelson) Limited Rowan Court Inspection report Silverdale Road Newcastle under Lyme Staffordshire ST5 2TA Tel: 01782622144 Website: www.averyhealthcare.co.uk Date of inspection visit: 16 May
More informationRESUSCITATION/DO NOT ATTEMPT RESUSCITATION (DNAR) POLICY
Appendix 9 RESUSCITATION/DO NOT ATTEMPT RESUSCITATION (DNAR) POLICY Approval Committee Version Issue Date Review Date Document Author GaRMC TMB Final January 2011 January 2012 Resuscitation Committee Author:
More informationPolicy Document Control Page
Policy Document Control Page Title Title: MHA Section 117 After-care Version: 4 Reference Number: CL49 Keywords: Mental Health Act, after-care, care planning, discharge, duty, continuing, after-care services,
More informationGuidance for completing the Internal Agency Investigation Report. This form requires completion within 28 days of the alert being raised.
Guidance for completing the Internal Agency Investigation Report The purpose of this is to support managers completing the Mandatory Internal Agency Investigation Report. This report should be completed
More information1. Guidance notes. Social care (Adults, England) Knowledge set for end of life care. (revised edition, 2010) What are knowledge sets?
Social care (Adults, England) Knowledge set for end of life care (revised edition, 2010) Part of the sector skills council Skills for Care and Development 1. Guidance notes What are knowledge sets? Knowledge
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Darna House Groby Road, Altrincham, WA14 2BQ Tel: 01619284342
More informationSupervised Community Treatment and Community Treatment Orders (S17(a)) Policy
Supervised Community Treatment and Community Treatment Orders (S17(a)) Policy SUPERVISED COMMUNITY TREATMENT AND COMMUNITY TREATMENT ORDERS (S17(A)) POLICY Document Type Policy Unique Identifier CL-010
More informationWe are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. St John's Home St Mary's Road, Oxford, OX4 1QE Tel: 01865247725
More informationSOUTH CENTRAL AMBULANCE SERVICE NHS FOUNDATION TRUST
SOUTH CENTRAL AMBULANCE SERVICE NHS FOUNDATION TRUST CLINICAL SERVICES POLICY & PROCEDURE (CSPP No.21) CONSENT POLICY & PROCEDURE September 2018 DOCUMENT INFORMATION Author: Dave Sherwood Assistant Director
More information