Report 70: The Mental Capacity Act (MCA) and care planning

Monitoring MCA implementation

This section sets out the role of providers and commissioners in monitoring and assessing quality. It offers a set of standards against which evidence gathered about care planning can be measured.

Example quality standards and prompts

A set of standards is produced below for monitoring officers to use with either domiciliary care agencies or care homes. Providers may also wish to use these as part of their own quality management processes. Beneath each standard is a list of the types of evidence that would demonstrate whether or not that standard is being achieved. These prompts are not designed to be used as a tick-box set of criteria. They represent suggested areas for enquiry, and the monitoring officer or provider may choose to use them to build their own tools.

Person-centred care and support
Quality standard: care and support plans promote people’s liberty – the freedom to make decisions about their care and support.

People’s choices are recorded including:

Involvement
Quality standard: people and their chosen representatives are supported to be involved in their care planning and to make decisions about their care and support.

How people are supported to be involved in their care and support planning is recorded, including:

Assessment of mental capacity
Quality standard: there is a clearly recorded assessment of capacity with supporting evidence for people who lack capacity to consent to their care and support plan.

The evidence includes:

Best-interests decision-making process
Quality standard: care planning documents demonstrate that any act performed for, or any decisions made on behalf of, people who lack capacity is performed, or made, in their best interests.

Documents should show:

Reviews
Quality standard: care and support plans are regularly reviewed to make sure that they continue to meet people’s changing needs and choices.

Reviews should ensure that:

Deprivation of Liberty Safeguards
Quality standard: people who are deprived of their liberty have their rights protected.

The following questions should be asked:


Download

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Available downloads:

  • The Mental Capacity Act (MCA) and care planning report