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Not properly authorised: unannounced visits to people receiving treatment under part five of the Adults with Incapacity Act
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2012
- Pagination:
- 14p.
- Place of publication:
- Edinburgh
The Adults with Incapacity (Scotland) Act 2000 (The Act) sets out the framework for regulating medical treatment or research for people who may lack capacity to consent. Previous visits to care homes and hospitals found that legal safeguards under the Act for medication and other interventions were not properly observed and therefore people who lacked capacity to consent were not receiving treatment in line with the law. This report details a series of unannounced visits to 90 care homes and hospitals and examined 519 individual care files, an average of about six per visit. Of the 519 files examined in detail, 467 people had a completed Section 47 certificate, around 90% of those who were identified by staff as lacking capacity to consent. The majority of the individuals whose files were examined, around 70%, were identified as having dementia. Around 13% had a learning disability, 7% had a mental illness, and around 5% had an acquired brain injury. A further 5% had alcohol related brain damage. Overall, there were concerns in around 20% of cases.
Safe to wander? principles and guidance on good practice when considering the use of wandering technologies for people with dementia and related disorders
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2007
- Pagination:
- 12p.
- Place of publication:
- Edinburgh
The Mental Welfare Commission is occasionally asked for advice on the use of technology in caring for people with dementia, learning disabilities and related disorders. The response is generally that the Commission believes that technology can be a valuable tool which has the potential to help people to maintain their independence and enhance their freedom and that, where new technology can provide assistance without unduly restricting or increasing the risks that an individual may face, its use is to be welcomed. This publication provides specific guidance for those considering the use of new technologies, particularly in support of individuals with dementia who are resident in care homes or hospitals. Although the focus is on dementia and residential care, the principles of this guidance may also prove helpful for people working to provide care and treatment for other mental disorders in a range of settings, especially as the use of emerging technologies evolves to provide home based alternatives residential care.
Safe to wander?: principles and guidance on good practice in caring for residents with dementia and related disorders where consideration is being given to the use of wandering technologies in care homes and hospitals
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2005
- Pagination:
- 11p.,bibliog.
- Place of publication:
- Edinburgh
This guidance looks at the principles which should be applied when considering the use of wandering technology and the current legal implications of its use. This guidance is not exhaustive, it should be used to help guide staff in conjunction with standards produced in Scotland by the National Care Standards Committee and local policies and procedures in care homes and hospital settings. Although primarily aimed towards the care of residents with dementia in care homes and hospitals, this guidance may also be helpful in relation to care of people with a learning disability or an acquired brain injury.The guidance is also relevant to people living in their own homes particularly as the use of developing technologies can be helpful in delaying and preventing admissions to institutional settings.
Focussed visits 2013: summary of recommendations and outcomes from focussed visits 2013
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2015
- Pagination:
- 19
- Place of publication:
- Edinburgh
This report identifies the main issues raised following focussed visits to 96 different services (eg hospitals, care homes and prisons) carried out between January 2013 and December 2013. The visits aim to identify individual concerns; assess whether the requirements of legislation are being met; and assess the facilities for individuals' care. A total of 339 recommendations were made relating to these visits. These were grouped into the categories of: Assessment, care planning and review, person-centred care; Adults with Incapacity (Scotland) Act 2000; The physical environment; Therapeutic activity; Mental Health (Care and Treatment) (Scotland) Act 2003; Medication; Restrictions. Some specific examples of where improvements have been made are also highlighted. (Original abstract)
Mental Welfare Commission for Scotland: summary of outcomes from focussed visits 2010-11
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2011
- Pagination:
- 19p.
- Place of publication:
- Edinburgh
Between April 2010 and March 2011, the Commission undertook 87 focussed visits to people receiving care for mental health problems or learning disability in various settings. A total of 301 recommendations for improvement were made following these visits. When followed up, it was found that services had taken satisfactory action in 76% of cases. This paper reports on the main issues emerging from 74 of those visits, and specific examples of improvements made by these services after the visits. These 74 visits were to people receiving treatment in the following types of care settings: intensive psychiatric care and secure units; care facilities for people with learning disability; older people in hospital; older people in care homes; people with mental disorders in prison; young people's care facilities; mental health continuing care and rehabilitation facilities; and adult acute admission wards. Many of the recommendations addressed principles of Scottish mental health and incapacity legislation, the articles of human rights legislation and other international conventions. The most common issues raised were: care environments that did not appear to meet people's right to privacy and dignity; care plans that did not appear to comply with the principles of maximum benefit, participation and the range of options available; and lack of attention to physical health.