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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.
Making progress: older adult functional assessment wards: visit and monitoring report
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2015
- Pagination:
- 28
- Place of publication:
- Edinburgh
This report details the findings from the visits to twenty four NHS wards providing acute assessment for older people with functional mental illness in Scotland and contains recommendations to improve patient care. Functional mental illness includes common conditions such as depression and anxiety, and rarer conditions such as schizophrenia, delusional disorder, bipolar affective disorder and obsessional compulsive disorder. The care of 128 individuals was reviewed, and attempts were made to hear their views where possible, including the views of 15 unpaid carers – most often family member or close friends. The review found that just about a quarter of care plans were felt to have a good amount of individualised and personalised content, with just over half having some individualised person centred content. The rest had non-individualised generic content. The majority of patients were able to give information about staff availability and felt staff were easily available and approachable. Nearly all patients were being reviewed at least weekly by their psychiatrist, with the remainder being reviewed every fortnight but there was considerable variation in levels of input from clinical psychologists in different wards. Only about half of patients said they had access to advocacy, half were either unaware of, or did not have access to, advocacy. Detained patients were more likely to be aware of advocacy. (Edited publisher abstract)
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.