Mental Capacity and Consent Audit - Domiciliary Care
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- Q1: Is there a written policy on mental capacity, consent, and decision-making in line with the Mental Capacity Act (MCA)?
- Q2: Are staff trained in the principles of the MCA and confident in applying them in practice?
- Q3: Do care plans include a record of the individual’s capacity to make specific decisions?
- Q4: Are capacity assessments completed for specific decisions rather than globally?
- Q5: Are mental capacity assessments clearly documented with the decision, time, and assessor identified?
- Q6: Is the least restrictive option considered and recorded when supporting decision-making?
- Q7: Are staff trained to recognise when a person may lack capacity and know how to respond appropriately?
- Q8: Are best interest decisions made in line with MCA principles when a person lacks capacity?
- Q9: Are relevant others (family, advocates, attorneys) involved in best interest decisions as required?
- Q10: Are records of best interest decisions clear, reasoned, and proportionate?
- Q11: Are consent forms completed and signed where appropriate before care or treatment begins?
- Q12: Is consent to care, medication, and sharing information clearly documented and revisited as needed?
- Q13: Are staff aware of who holds Lasting Power of Attorney (LPA) for health and welfare or property and affairs?
- Q14: Are copies of LPA documents held on file and verified as registered with the Office of the Public Guardian?
- Q15: Are staff aware of the difference between LPA and deputyship, and when each applies?
- Q16: Are any restrictions on liberty clearly documented and assessed for compliance with legal frameworks?
- Q17: Are Deprivation of Liberty Safeguards (DoLS) or Liberty Protection Safeguards (LPS) relevant in the home setting identified and flagged?
- Q18: Are staff aware of how to challenge or question decisions that may breach human rights or autonomy?
- Q19: Are service users supported to express their views and wishes, even when capacity fluctuates?
- Q20: Is accessible information (e.g., easy read) used to support understanding and informed consent?
- Q21: Are consent and capacity routinely discussed during care reviews and service changes?
- Q22: Are advance decisions and advance care plans recorded and respected?
- Q23: Is there evidence that service users are supported to take risks when they have capacity to choose?
- Q24: Are concerns about undue influence or coercion explored and recorded appropriately?
- Q25: Is MCA compliance regularly audited and used to inform staff training or policy reviews?
- Q26: Are lessons from incidents involving capacity or consent used to improve future practice?
- Q27: Are managers aware of their responsibilities under the MCA and act as role models for staff?
- Q28: Is documentation of capacity and consent easily accessible and consistently maintained?
- Q29: Do staff seek verbal or written consent before each care task and record it when appropriate?
- Q30: Are care decisions reviewed promptly when there are changes in capacity or circumstances?