MCA audit tools - list

• Association for Real Change (ARC) audit toolOpen

  ARC have developed three tools, each designed to focus on a particular audience:

  1. An audit tool for front line staff - This is a simple test aimed at establishing whether or not front line staff have a basic understanding of the Act. It is pitched at the level of what front line staff need to know in order to work intelligently with the Act and be able to understand how it impacts on their day to day role.
  2. A service level audit tool for managers - This tool is for the manager of a service where MCA issues may arise. It prompts the manager to consider what evidence they will need to demonstrate that they are complying with the Act within the service and requires them to evidence their own level of knowledge of the Act. It raises questions about availability of support from both within their own agency and locally.
  3. An audit tool for lead professionals This is a high level tool for individuals who have lead responsibility within a large agency or within a supervisory body covering a geographical area. They may have a variety of job titles, often around safeguarding functions, but responsibility for and compliance with the Act within the organisation will fall within their job role.

  Download audit tools

  • Service Level Audit for Managers (PDF file, 40kb)
  • Audit for Frontline Staff (PDF file, 33kb)
  • Audit for Lead Professionals (PDF file, 40kb)

  For further information about the tools, please contact: James Churchill, Chief Executive

  Telephone: 01246555043

  Email: James Churchill

• British Psychological Society (BPS) audit toolOpen

  BPS have developed a tool to evaluate the quality of mental capacity assessments. Its primary audience is those carrying out formal assessments of capacity, such as occupational therapists, applied psychologists, psychiatrists, and social workers, but the tool can be used by anyone carrying out an assessment.

  1. For the individual practitioner it provides a statement of the expected standard against which to review their own work either on their own or with their clinical supervisor.
  2. The tool can also be used within teams and/or services as part of both corporate and clinical governance to identify strengths and weaknesses of procedures and implementation.
  3. For professions involved in capacity assessments it provides a consensus statement of expected standards.

  Download audit tools

  Download British Psychological Society (BPS) audit tool (300k PDF file)

  For further information about the tools, please contact: Nigel Atter, Policy Advisor (Professional Practice)

  Telephone: 0116 254 9568

  Email: Nigel Atter

• East Sussex County Council audit toolOpen

  These tools are designed to ascertain whether or not staff have the confidence, knowledge, skills and judgement to assess and act in another person’s best interests under the Act. The tools are designed to inform guidance, and learning and skills developments on MCA practice for the future. East Sussex County Council have also developed a service user choice and dignity tool designed for use in care homes and hospital wards.

  1. Best Interests Decision Making Questionnaire - This questionnaire is for audit of MCA practice and confidence in social care work, for all relevant staff to complete and return. Collated results can be used to inform current and future implementation. It can also be used as an individual tool in supervision to inform MCA practice and training needs.
  2. MCA checklist - This tool is for self assessment use by staff involved in decision making for others, from daily living choices to complex human rights considerations.
  3. Service User Choice and Dignity tool - This is to enable those with memory loss or confusion living in care homes or admitted to hospital wards to take part in person centred care planning. It is a best interest decision-making tool for dignity and choice.

  Download audit tools

  • Best Interests Decision Making Questionnaire (PDF file, 36kb)
  • East Sussex MCA checklist (PDF file, 37kb)
  • East Sussex Service User Choice and Dignity tool.pdf (PDF file, 30kb)

  For further information about the tools, please contact: Carol Wilkinson, MCA DoLS Manager

  Telephone: 01273 335315

  Email: Carol Wilkinson

• Guy's and St Thomas' NHS Foundation Trust (GSTFT)Open

  GSTFT have developed a comprehensive Trust-wide implementation programme with an audit tool to assess compliance with the Act. The tool is designed to cover adult patients in all specialities who lack or might lack capacity.

  Download audit tools

  For further information, please contact alison.picton@scie.org.uk.

• Health and Social Care Advisory Service (HASCAS) audit toolOpen

  HASCAS have produced three tools covering:

  Audit of general compliance

  Audit Tool (83kb Word Document)

  Audit of training - including general awareness and understanding of the Act and more advanced training to prepare staff and others to undertake assessments

  Audit of Training (636kb Word Doument)

  An electronic web based audit tool that can be used to audit the overall performance of an organisation.

  This tool will be available in April 2010.

  Access audit tool

  • Link: HASCAS Mental Capacity Audit Tool

  For further information about the tools, please contact: Ian Allured Director of Adult Mental Health, HASCAS

  Telephone: 0207 307 2892

  Email: Ian Allured

• Mental Health Foundation audit toolOpen

  The Mental Health Foundation have developed a fit-for-purpose online tool for self-audit by decision-makers. This can be used either to evaluate a specific assessment, or as a reflective learning exercise to aid professional development. The tool contains a common gateway leading to separate pathways for people making decisions with a variety of groups. As an open-access resource, the tools enhance involvement and engagement with service users, family carers and others with regard to the issue of assessing mental capacity.

  Completion of the questionnaire generates an automated response that includes:

  1. An indication of the effectiveness of the assessment
  2. Suggestions to enhance practice including links to relevant sections of Code of Practice and other available information relevant to capacity assessments
  3. An option to join an online network of practitioners to share good practice There is the potential to use aggregated data to provide evaluation reports for organisations such as mental health trusts, local authority social services departments and service providers.

  Access audit tool

  • Link: Mental Health Foundation Audit tool

  For further information about the tools, please contact: Toby Williamson, Head of Development Telephone: 0207 803 1132 Email Toby Williamson

• NHS North Lancashire, Lancashire County Council and Lancashire Care AssociationOpen

  This suite of audit tools is designed to evaluate the implementation of MCA in the hospital discharge planning process. It includes tools to audit policies and procedures and clinical records, and questionnaires to elicit feedback from staff, patients, patients’ relatives, carers and advocates, and recipient organisations such as care homes.

  • Instructions for using the audit tools (104kb PDF file)

  Please note – the recording tools were recently taken down temporarily for maintenance. We would strongly recommend that if you have used these tools previously, to download the new versions of the recording tools below to input your data.

  Questionnaires

  Audit of discharge policies and procedures (1.13mb Word document)

  Audit of discharge policies and procedures (208 kb Excel file)

  Staff questionnaire (1153kb Word document)

  Staff questionnaire with prompts (1153kb Word document)

  Staff questionnaire record (1179kb Excel file)

  File audit (1208kb Word document)

  File audit record (2024kb Excel file)

  Satisfaction questionnaire for patients (108kb Word document)

  Satisfaction questionnaire for patients with prompts (108kb Word document)

  Satisfaction questionnaire for patients with pictures (108kb Word document)

  Satisfaction questionnaire for patients with pictures and prompts (108kb Word document)

  Satisfaction questionnaire for patients record (192kb Excel file)

  Satisfaction questionnaire for patients’ carers relatives and friends (1131kb Word document)

  Satisfaction questionnaire for patients’ carers relatives and friends with prompts (1131kb Word document)

  Satisfaction questionnaire for patients’ carers relatives and friends record (2252kb Excel file)

  Satisfaction questionnaire for patients' advocates (1130kb Word document)

  Satisfaction questionnaire for patients' advocates with prompts (1130kb Word document)

  Satisfaction questionnaire for patients' advocates record (205kb Excel file)

  Satisfaction questionnaire for recipient organisations (1124kb Word document)

  Satisfaction questionnaire for recipient organisations with prompts (1124kb Word document)

  Satisfaction questionnaire for recipient organisations record (192kb Excel file)

  Screening assessment and audit (1136kb Word document)

  Screening assessment and audit with prompts (1136kb Word document)

  Screening assessment and audit record (733kb Excel file)

  Equality and diversity monitoring form (1141kb Word document)

  Equality and diversity monitoring form with prompts (1141kb Word document)

  Equality and diversity monitoring form record (172kb Excel file)

  For further information about the tools, please contact: Sue Neal, MCA Implementation Lead, North Lancashire Teaching PCT

  Telephone: 07920 870248

  Email: Susan Neal

• Royal Hospital for Neuro-Disability (RHN) audit toolOpen

  RHN have developed a tool to evaluate the impact of the Act on the consent process. The overall aim is two fold:

  1. To audit the consent process in line with the Act;
  2. To support implementation highlighting areas where implementation is difficult and to suggest practical solutions.

  The tool presents a holistic approach to practice, incorporating assessments of capacity, the consent and consultation processes, and the recording of advanced directives and LPA’s.

  Download audit tools

  • Royal Hospital for Neuro disability audit tool (PDF file, 97kb)

  For further information about the tools, please contact: Dr Sophie Duport, Head of Research Email: Dr Sophie Duport

• Social Care Association (SCA)Open

  SCA in conjunction with a large provider, Voyage, have developed an online, interactive tool to assess compliance with the Act. The tool has direct applicability to Older People’s services and focuses on elements of governance, management, quality assurance and care/support of staff practice.

  Download audit tools

  • Audit Tool for Registered Adult Care Providers (1.31MB PDF file)

  For further information about the tools, please contact: Nick Johnson, Chief Executive, Social Care Association.

  Telephone: 01543 442510

  Email: n.johnson@socialcaring.co.uk

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