Mental Capacity and Consent Audit - Domiciliary Care

Q1 | Unanswered

Is there a written policy on mental capacity, consent, and decision-making in line with the Mental Capacity Act (MCA)?

Q2 | Unanswered

Are staff trained in the principles of the MCA and confident in applying them in practice?

Q3 | Unanswered

Do care plans include a record of the individual’s capacity to make specific decisions?

Q4 | Unanswered

Are capacity assessments completed for specific decisions rather than globally?

Q5 | Unanswered

Are mental capacity assessments clearly documented with the decision, time, and assessor identified?

Q6 | Unanswered

Is the least restrictive option considered and recorded when supporting decision-making?

Q7 | Unanswered

Are staff trained to recognise when a person may lack capacity and know how to respond appropriately?

Q8 | Unanswered

Are best interest decisions made in line with MCA principles when a person lacks capacity?

Q9 | Unanswered

Are relevant others (family, advocates, attorneys) involved in best interest decisions as required?

Q10 | Unanswered

Are records of best interest decisions clear, reasoned, and proportionate?

Q11 | Unanswered

Are consent forms completed and signed where appropriate before care or treatment begins?

Q12 | Unanswered

Is consent to care, medication, and sharing information clearly documented and revisited as needed?

Q13 | Unanswered

Are staff aware of who holds Lasting Power of Attorney (LPA) for health and welfare or property and affairs?

Q14 | Unanswered

Are copies of LPA documents held on file and verified as registered with the Office of the Public Guardian?

Q15 | Unanswered

Are staff aware of the difference between LPA and deputyship, and when each applies?

Q16 | Unanswered

Are any restrictions on liberty clearly documented and assessed for compliance with legal frameworks?

Q17 | Unanswered

Are Deprivation of Liberty Safeguards (DoLS) or Liberty Protection Safeguards (LPS) relevant in the home setting identified and flagged?

Q18 | Unanswered

Are staff aware of how to challenge or question decisions that may breach human rights or autonomy?

Q19 | Unanswered

Are service users supported to express their views and wishes, even when capacity fluctuates?

Q20 | Unanswered

Is accessible information (e.g., easy read) used to support understanding and informed consent?

Q21 | Unanswered

Are consent and capacity routinely discussed during care reviews and service changes?

Q22 | Unanswered

Are advance decisions and advance care plans recorded and respected?

Q23 | Unanswered

Is there evidence that service users are supported to take risks when they have capacity to choose?

Q24 | Unanswered

Are concerns about undue influence or coercion explored and recorded appropriately?

Q25 | Unanswered

Is MCA compliance regularly audited and used to inform staff training or policy reviews?

Q26 | Unanswered

Are lessons from incidents involving capacity or consent used to improve future practice?

Q27 | Unanswered

Are managers aware of their responsibilities under the MCA and act as role models for staff?

Q28 | Unanswered

Is documentation of capacity and consent easily accessible and consistently maintained?

Q29 | Unanswered

Do staff seek verbal or written consent before each care task and record it when appropriate?

Q30 | Unanswered

Are care decisions reviewed promptly when there are changes in capacity or circumstances?