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The Deprivation of Liberty Safeguards. 20 minute update May 2010 Jason Marshall Best Interests Assessor . The Deprivation of Liberty Safeguards. At the introduction in April 2009 the use of the safeguards was far below estimates – just 35%.

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the deprivation of liberty safeguards
The Deprivation of Liberty Safeguards

20 minute update May 2010

Jason Marshall

Best Interests Assessor

the deprivation of liberty safeguards2
The Deprivation of Liberty Safeguards
  • At the introduction in April 2009 the use of the safeguards was far below estimates – just 35%.
  • No authoritative interpretation of this has been issued by Dept of Health.
  • Education ongoing.
  • Nationally numbers are now increasing slightly.
in worcestershire
In Worcestershire
  • Total number of requests for first 12 months - 67.
  • 51 came from care homes.
  • Consistently 5 or 6 every month this year.
  • Many requests are now more appropriate – half have been authorised this year (20% in 2009).
dols issues in recent authorisations
DoLS issues in recent authorisations
  • Preventing discharge to family member.
  • Persistent restraint needed.
  • Control over movement and social contact.
  • Prevention of return home without planned care.
  • Continual environmental restraint – locked in.
non dols issues in recent cases
Non – DoLS Issues in recent cases
  • Protesting about being heavily restricted to one person, or this ocurring on just one occasion.
  • Unfulfilled wishes to leave care, but has plans still being worked on.
  • Continual movement about home, sometimes trying doors.
mca dols problems are we finding
MCA / DoLS problems are we finding
  • Scarcity of evidence of MCA in care planning
  • Family involvement equates to family making or breaking decisions that care staff are responsible for.
  • Agreements signed / consent ‘given’ by those with no capacity, on money, behaviour, possessions etc.
  • Invalid Do Not Attempt Resuscitation forms.
  • DoLS forms do not demonstrate good practice
the dols team ongoing activities
The DoLS Team ongoing activities
  • DoLS assessments.
  • Education sessions to staff teams on DoLS and MCA.
  • Prioritising homes that are zero or 1 star.
  • WCC/NHS staff development.
  • Extra value projects – advice, website, appointeeship
contacts and the latest tips for more info
Contacts and the latest tips for more info.
  • The DoLS Team - 01905 822624
  • dols@worcestershire.gov.uk
  • www.worcestershire.gov.uk - pages on MCA and DoLS
  • www.mentalcapacity.com – good training materials.
  • www.scie.org.uk - The Social Care Association Audit tool