CIW Restrictive Practice, Mental Capacity and DoLS Audit - Care Homes
Relevant CIW sources
Answered 0 / 26(0% complete)
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Audit workspace
Score
0%
N/A counts as Yes (full credit). Unanswered reduces the score until completed.
Breakdown
0 Yes •0 No •0 N/A •26 Unanswered
Answers Overview
Questions
0/26 answeredQ1 | Unanswered
Governance: Is there a current policy framework for restrictive practice, mental capacity and deprivation of liberty that reflects the Mental Capacity Act 2005, DoLS, CIW requirements and current guidance?
Evidence to check
- • Current restrictive-practice, capacity and DoLS policies with review history
- • Evidence policies reflect the Mental Capacity Act, DoLS, CIW requirements and current guidance
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ2 | Unanswered
Leadership: Are named leaders responsible for oversight of restrictive practice, capacity and DoLS, with clear escalation, advice and accountability arrangements?
Evidence to check
- • Named-lead responsibilities, governance structure and escalation process
- • Meeting records or supervision evidence showing active leadership oversight
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ3 | Unanswered
Culture: Does the service promote a human-rights-based, least-restrictive culture that values choice, positive risk-taking, independence and prevention over control?
Evidence to check
- • Human-rights, least-restrictive or positive-risk-taking policy and staff communications
- • Feedback or observation evidence showing the culture is lived in practice
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ4 | Unanswered
Identifying restrictions: Does the service actively identify restrictions in everyday care, including locked doors, keypads, observation, medication, bedrails, sensor equipment, restricted access and limits on contact or movement?
Evidence to check
- • Restriction register, environmental review and sample personal plans
- • Evidence everyday restrictions are recognised rather than treated as routine care
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ5 | Unanswered
Necessity and proportionality: Before a restriction is used, is there clear evidence that it is necessary to prevent a specific risk of harm, proportionate to that risk and the least restrictive available option?
Evidence to check
- • Risk assessments and decision records explaining necessity, proportionality and least restriction
- • Review evidence showing restrictions are not continued without justification
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ6 | Unanswered
Alternatives: Are positive, person-centred and non-restrictive alternatives considered, tried, recorded and reviewed before restrictive practice is used or continued?
Evidence to check
- • Positive support plans and records of alternatives considered or trialled
- • Evidence learning from alternatives informed the current approach
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ7 | Unanswered
Personal plans: Do plans clearly describe each agreed restriction, its purpose, risk assessment, alternatives, safeguards, review date and the person's views and wishes?
Evidence to check
- • Sample personal plans and restriction risk assessments
- • Evidence each plan records safeguards, review dates and the person's views
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ8 | Unanswered
Capacity principle: Do staff start from the presumption that a person has capacity and provide all practicable support to help them make the specific decision themselves?
Evidence to check
- • Capacity-policy guidance and staff observation or supervision records
- • Examples showing staff provided practicable support before treating a person as unable to decide
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ9 | Unanswered
Decision-specific assessment: Where capacity is in doubt, is a timely, decision-specific capacity assessment completed by a competent person and recorded with clear reasoning?
Evidence to check
- • Sample decision-specific capacity assessments
- • Evidence assessor competence, clear reasoning and timely review
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ10 | Unanswered
Fluctuating capacity: Do assessments and plans recognise where capacity may fluctuate and set out how decisions will be revisited at the appropriate time or in the best conditions?
Evidence to check
- • Plans and assessments addressing fluctuating capacity
- • Evidence decisions were timed or revisited to maximise the person's participation
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ11 | Unanswered
Communication and support: Are accessible information, communication aids, interpreters, familiar people and other practical support used to maximise the person's ability to decide?
Evidence to check
- • Communication assessments and accessible-information plans
- • Examples of aids, interpreters or other support used in actual decisions
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ12 | Unanswered
Best interests: Where a person lacks capacity, are best-interest decisions made lawfully, individually and with full consideration of the person's past and present wishes, feelings, beliefs and values?
Evidence to check
- • Sample best-interest decision records
- • Evidence wishes, feelings, beliefs, values and less restrictive options were considered
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ13 | Unanswered
Consultation: Are relevant family, friends, attorneys, deputies, advocates and professionals consulted in best-interest decisions where appropriate, with differing views recorded and addressed?
Evidence to check
- • Best-interest meeting notes and consultation records
- • Evidence relevant views were sought, recorded and addressed
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ14 | Unanswered
Advance decisions and legal authority: Are advance decisions, health and welfare lasting powers of attorney, deputies, court orders and other relevant legal authorities identified, checked and followed?
Evidence to check
- • Checks of advance decisions, attorneys, deputies, court orders and legal authority
- • Care-plan evidence showing valid authority is followed in practice
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ15 | Unanswered
DoLS identification: Does the service recognise promptly when care arrangements may amount to a deprivation of liberty and seek appropriate advice or authorisation without avoidable delay?
Evidence to check
- • DoLS screening, referral or advice records
- • Evidence potential deprivation of liberty is identified and escalated promptly
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ16 | Unanswered
DoLS applications: Are DoLS applications made correctly and promptly, with urgent authorisation considered where necessary and records showing the action taken?
Evidence to check
- • DoLS application and urgent-authorisation records where applicable
- • Audit or tracker evidence showing timeliness and completeness
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ17 | Unanswered
DoLS conditions and reviews: Are authorisations, conditions, expiry dates, reviews, renewals, relevant person's representative arrangements and rights of challenge monitored and acted on?
Evidence to check
- • DoLS tracker for authorisations, conditions, expiry dates and reviews
- • Evidence conditions, representative arrangements and rights of challenge were actioned
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ18 | Unanswered
Advocacy: Is independent mental capacity advocacy or other appropriate advocacy identified and accessed when legally required or when a person needs support to participate or challenge a decision?
Evidence to check
- • Advocacy referral process and anonymised referral or contact records
- • Evidence people were supported to participate or challenge decisions
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ19 | Unanswered
Positive behaviour support: Are proactive, person-centred positive behaviour support plans in place where needed, informed by assessment and designed to reduce distress and the likelihood of restrictive intervention?
Evidence to check
- • Positive behaviour support plans, functional assessments and review records
- • Evidence plans are person-centred and reduce distress and restrictive intervention
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ20 | Unanswered
Physical restraint and control: If restraint, control or a restrictive intervention is used, is it only used as a last resort, for the shortest time, by trained staff and in line with the plan and current guidance?
Evidence to check
- • Restrictive-intervention policy, training records and anonymised incident samples
- • Evidence intervention was last resort, proportionate, brief and carried out by competent staff
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ21 | Unanswered
Immediate review: After a restrictive incident, are the person supported, any injury or distress addressed, records completed promptly and a debrief or review undertaken with those involved where appropriate?
Evidence to check
- • Post-incident support, debrief and review records
- • Evidence injury, distress, learning and the person's perspective were addressed
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ22 | Unanswered
Staff capability: Do staff receive appropriate induction, refresher training, supervision and competency assessment in the Mental Capacity Act, DoLS, positive behaviour support and restrictive practice?
Evidence to check
- • Training matrix, induction, refresher, supervision and competency records
- • Scenario, observation or reflective-practice evidence demonstrating staff capability
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ23 | Unanswered
Records: Are capacity assessments, best-interest decisions, restrictions, DoLS documents, incident records and review evidence accurate, secure, accessible and kept current?
Evidence to check
- • Sample capacity, best-interest, restriction, DoLS and incident records
- • Record-quality, confidentiality and accessibility audit
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ24 | Unanswered
Monitoring: Does the service maintain a reliable register or other oversight process for restrictions, capacity assessments and DoLS, so that due dates, patterns and risks are visible?
Evidence to check
- • Current restriction, capacity and DoLS register or oversight dashboard
- • Evidence due dates, patterns and individual risks are actively monitored
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ25 | Unanswered
Audit and learning: Are restrictive practice, capacity and DoLS arrangements audited regularly, with themes, disproportionality or repeated restrictions analysed and improvement actions completed?
Evidence to check
- • Recent audit, trend analysis and improvement action plan
- • Evidence themes and possible disproportionality were considered and actions closed
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ26 | Unanswered
Quality assurance: Do findings about restrictive practice, capacity and DoLS inform the quality of care review, with leaders verifying a sustained reduction in unnecessary restriction?
Evidence to check
- • Quality of care review report covering restrictions, capacity and DoLS
- • Evidence leaders verified sustained reduction of unnecessary restriction
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCamera
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