Today it’s Well Led: Governance, Leadership and Culture – hugely topical in the current health and social care sector. The stunningly beautiful London Golf Club in sunny Kent is the beautiful backdrop for my delegates made up mainly from the social care sector and acute NHS services. Today’s theme linking in to this is choice and control, and how mental capacity is managed in these areas.
All adults are presumed to have sufficient capacity to decide on their own medical treatment, unless there’s significant evidence to suggest otherwise. Capacity means the ability to use and understand information to make a decision, and communicate any decision made. A person lacks capacity if their mind is impaired or disturbed in some way, which means they’re unable to make a decision at that time. If someone makes a decision about treatment that other people would consider to be irrational, it does not necessarily mean they have a lack of capacity, as long as they understand the reality of their situation.
How we, as providers, promote choice and control, and train and support our teams to both understand and respect people’s rights to make choices, is a big determination in how we will be rated by the CQC, even more so now under the pending new single assessment framework.
The two quality statements below are just two of the numerous new standards that strongly focus on the individual and what they want, instead of what we as care providers believe they should have.
๐ฃ) ๐๐ฏ๐ท๐ฐ๐ญ๐ท๐ช๐ฏ๐จ ๐ฑ๐ฆ๐ฐ๐ฑ๐ญ๐ฆ ๐ต๐ฐ ๐ฎ๐ข๐ฏ๐ข๐จ๐ฆ ๐ณ๐ช๐ด๐ฌ๐ด
๐๐ฆ ๐ธ๐ฐ๐ณ๐ฌ ๐ธ๐ช๐ต๐ฉ ๐ฑ๐ฆ๐ฐ๐ฑ๐ญ๐ฆ ๐ต๐ฐ ๐ถ๐ฏ๐ฅ๐ฆ๐ณ๐ด๐ต๐ข๐ฏ๐ฅ ๐ข๐ฏ๐ฅ ๐ฎ๐ข๐ฏ๐ข๐จ๐ฆ ๐ณ๐ช๐ด๐ฌ๐ด ๐ฃ๐บ ๐ต๐ฉ๐ช๐ฏ๐ฌ๐ช๐ฏ๐จ ๐ฉ๐ฐ๐ญ๐ช๐ด๐ต๐ช๐ค๐ข๐ญ๐ญ๐บ ๐ด๐ฐ ๐ต๐ฉ๐ข๐ต ๐ค๐ข๐ณ๐ฆ ๐ฎ๐ฆ๐ฆ๐ต๐ด ๐ต๐ฉ๐ฆ๐ช๐ณ ๐ฏ๐ฆ๐ฆ๐ฅ๐ด ๐ช๐ฏ ๐ข ๐ธ๐ข๐บ ๐ต๐ฉ๐ข๐ต ๐ช๐ด ๐ด๐ข๐ง๐ฆ ๐ข๐ฏ๐ฅ ๐ด๐ถ๐ฑ๐ฑ๐ฐ๐ณ๐ต๐ช๐ท๐ฆ ๐ข๐ฏ๐ฅ ๐ฆ๐ฏ๐ข๐ฃ๐ญ๐ฆ๐ด ๐ต๐ฉ๐ฆ๐ฎ ๐ต๐ฐ ๐ฅ๐ฐ ๐ต๐ฉ๐ฆ ๐ต๐ฉ๐ช๐ฏ๐จ๐ด ๐ต๐ฉ๐ข๐ต ๐ฎ๐ข๐ต๐ต๐ฆ๐ณ ๐ต๐ฐ ๐ต๐ฉ๐ฆ๐ฎ.
๐ค) ๐๐ฏ๐ฅ๐ฆ๐ฑ๐ฆ๐ฏ๐ฅ๐ฆ๐ฏ๐ค๐ฆ, ๐ค๐ฉ๐ฐ๐ช๐ค๐ฆ ๐ข๐ฏ๐ฅ ๐ค๐ฐ๐ฏ๐ต๐ณ๐ฐ๐ญ
๐๐ฆ ๐ฑ๐ณ๐ฐ๐ฎ๐ฐ๐ต๐ฆ ๐ฑ๐ฆ๐ฐ๐ฑ๐ญ๐ฆโ๐ด ๐ช๐ฏ๐ฅ๐ฆ๐ฑ๐ฆ๐ฏ๐ฅ๐ฆ๐ฏ๐ค๐ฆ, ๐ด๐ฐ ๐ต๐ฉ๐ฆ๐บ ๐ฌ๐ฏ๐ฐ๐ธ ๐ต๐ฉ๐ฆ๐ช๐ณ ๐ณ๐ช๐จ๐ฉ๐ต๐ด ๐ข๐ฏ๐ฅ ๐ฉ๐ข๐ท๐ฆ ๐ค๐ฉ๐ฐ๐ช๐ค๐ฆ ๐ข๐ฏ๐ฅ ๐ค๐ฐ๐ฏ๐ต๐ณ๐ฐ๐ญ ๐ฐ๐ท๐ฆ๐ณ ๐ต๐ฉ๐ฆ๐ช๐ณ ๐ฐ๐ธ๐ฏ ๐ค๐ข๐ณ๐ฆ, ๐ต๐ณ๐ฆ๐ข๐ต๐ฎ๐ฆ๐ฏ๐ต ๐ข๐ฏ๐ฅ ๐ธ๐ฆ๐ญ๐ญ-๐ฃ๐ฆ๐ช๐ฏ๐จ.
At our workshops, we really drill into how leadership teams are vital in driving and embedding this culture and look at how to evidence this to prove you’re delivering outstanding, person-centered care.
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