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Single Assessment Framework version

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GO Online: Inspection toolkit

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Consent to care and treatment

Person-centred care requires providers to be upfront with the people you support and seek their consent. This will require strong understanding of adhering to people’s rights in order to involve them in decisions about their care.

The following film provides a summary of this area of inspection. It can help you and your teams learn about what will be inspected and what is important to demonstrate to deliver good or outstanding care.

Introducing Consent to care and treatment

Duration 01 min 45 sec

Care and treatment must only be provided with the consent of the person you support.

This area of CQC inspection looks at how you manage and support people’s consent.

The CQC will want to know how your service is always supporting people to make their own decisions in line with the latest legislation and guidance.

Inducting new staff and refreshing learning is important … but you should also remember to check staff understanding and assess their confidence. Discussions in one-to-ones, team meetings and when shadowing colleagues can help.

Your managers should have a deeper understanding of consent, enabling them to respond to escalated issues from the staff team.

The regular monitoring of people’s mental capacity and associated assessments is important, as well as recording this information.

Where people lack capacity, best interest decisions may need to be made on their behalf.

The inspection may also focus on awareness and understanding of people’s liberty safeguards.

CQC inspectors will seek to interview people, their family, friends, and advocates when looking at consent.

Documented evidence may be asked for, including:

  • consent to care and treatment records
  • records of assessments of mental capacity
  • best interests decision-making records
  • DoLS application forms
  • Do Not Attempt CPR ‘notices’ in files
  • and associated policies and procedures.

To learn more about how to be effective at People’s Consent, look at GO Online’s recommendations, examples, and resources.

Watch the film here: https://vimeo.com/788207221

CQC focus

What is the CQC Quality Statement?

We tell people about their rights around consent and respect these when we deliver person-centred care and treatment.

What sub-topics might the CQC look at when inspecting this?

  • Consent
  • Advocacy and support
  • DNACPR (Do Not Attempt Cardiopulmonary Resuscitation

How does this part of the inspection relate to CQC Regulations and guidance?

How will the CQC gather evidence?

The CQC will primarily gather evidence by:

  • People's Experience
  • Feedback from staff and leaders
  • Processes

Read more about this Quality Statement

  • The CQC have published further insight into what this Quality Statement means, including the I Statements and which legislation it relates to on their website here.