Heaton House Care Home

On this page

• 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

Staff sought people’s consent before providing care. Information regarding people’s capacity and decision making ability was contained within care documentation. A log was used to monitor derivation of liberty safeguard (DoLS) application, outcomes and expiry dates.

This service scored 54 (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 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.

People told us staff sought their consent before providing care. Comments included, “Oh yes, they ask me [for consent]. All the staff are very nice,” and, “The staff help me to shower. They ask if it is alright before they do something with me.” Information regarding people’s capacity to make decisions and whether they had consented to their care, was located within their electronic care records.

We checked whether the service was working within the principles of the Mental Capacity Act (MCA), whether appropriate legal authorisations were in place when needed to deprive a person of their liberty, and whether any conditions relating to those authorisations were being met. People can only be deprived of their liberty to receive care and treatment when this is in their best interests 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).

The provider used a log to monitor DoLS applications and outcomes. We found applications had been submitted timely, and where these had been granted, no specific conditions needed to be met. We did identify some contradictory information relating to capacity and the need for DoLS within care records. For example, one person’s records stated they had capacity, and an application was not needed, then later stated an application had been submitted. We noted the decision to submit an application was made after a professionals meeting, however, care records had not been updated to reflect or reference this. We also noted where people were recorded as needing support to help them understand documentation, such as the resident guide and statement of purpose, it was not documented staff had done so.