Margaret Thatcher Infirmary

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

People understood their rights regarding consent to the care and treatment they were offered. People’s views and wishes were taken into account when their care was planned. There were effective systems and practices to help people understand the care and treatment being offered and people were supported to make informed decisions. People were provided with information about their care and treatment ways they could understand. Staff understood the importance of ensuring people understood anything they were consenting to and also the importance of obtaining people’s consent before they delivered any care or treatment. People's mental capacity was assessed and their ability to consent was taken into account. People using the service, or a person lawfully acting on their behalf, were involved in planning, managing and reviewing their care and treatment.

This service scored 96 (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 How staff, teams and services work together 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 their views and wishes were listened to when their care was planned. People confirmed their human rights and diversity were respected and said they were treated with compassion, and kindness by staff. This meant people’s rights and dignity were maintained and they were involved as partners in their care. One person told us, “This place is my anchor, and I haven’t regretted moving in. Staff are excellent and I’m treated as a human being, not a patient.”

The manager and senior staff told us they understood their responsibilities regarding the Mental Capacity Act (MCS) and Deprivation of Liberty Safeguards (DoLS). The manager explained how best interests meetings were held and decisions were made for people who lacked mental capacity in any particular area. Staff confirmed the importance of gaining consent and ensuring people were supported to make their own choices regarding their care and support. Staff explained how they ensured people who lived in the home were supported in the least restrictive way possible and had maximum choice and control of their lives. The NI told us that everybody had full mental capacity at the point of moving into the service. This ensured people were able to make fully informed choices and decisions about their lives in the present day, as well as their wishes for the future.

We were assured the service was working within the principles of the MCA and, where necessary, we saw mental capacity assessments, reviews and best interests meetings took place as required. We also saw that people’s consent to treatment was obtained and recorded in their care plans. At the time of this assessment, none of the people living on the Long Wards and using the homecare service were subject to any deprivation of liberty order through the Court of Protection.