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Involving People in Their Care (Wales) Policy

Policy Statement

This policy shows how this care service sets out to involve people in their care and support in line with the requirements of the Regulated Services (Service Providers and Responsible Individuals) (Wales) Regulations 2017 (particularly Regulation 15: Personal Plan, Regulation 21: Standards of Care and Support — Overarching Requirements, and Regulation 25: Respect and Sensitivity.

The service fully endorses the principles of maintaining people receiving care’s dignity, privacy and independence by always treating them with consideration and respect and enabling them to make and take part in all decisions regarding their care and treatment.

The service does this by providing people with the information they need to take their own decisions and to inform staff what they need to do to provide fully person-centred programmes of care and treatment.

People receiving care are always involved in decisions about their own care and treatment equally and inclusively, irrespective of their age, gender, sexual orientation, religious persuasion, racial origin, culture, language and disabilities. Care staff are expected and trained to make sure that they always treat the people who they are supporting with consideration, respect and involvement. They do this, for example, by carefully listening to people receiving care and their representatives and by paying attention to their views and experiences.

Implementation

The service ensures that its people receiving care and those acting on their behalf:

1. understand the care, treatment and support choices available to them
2. express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support
3. have their privacy, dignity and independence respected
4. have their views and experiences taken into account in the way the service is provided and delivered.

To do this, the service:

1. recognises the diversity, values and human rights of people receiving care
2. upholds and maintains people receiving care’s privacy, dignity and independence
3. puts people at the centre of their care, treatment and support
4. enables people to make their own decisions where able to, and to follow “best interests” procedures when they lack the capacity to do so
5. provides information that supports people receiving care and those acting on their behalf, to make decisions about their care, treatment and support, and to understand what is being provided
6. encourages and enables people receiving care to contribute to how the service is run and could develop.

The service reflects its commitment to involving people receiving its care and compliance with its legal requirements in a number of policies and key documents that provide in greater detail the methods used and processes followed. These can be summarised as follows.

Nature of the involvement	Key policies and documents	Examples of involvement
Commitment to the values and principles of involvement.	Statement of Purpose and Information for People Receiving Care, Equality, Diversity and Inclusion (Wales) Policy, Autonomy and Choice in Care Homes (Wales) Policy, Autonomy and Choice in Domiciliary Care (Wales) Policy	Using comments from people receiving care to improve the statement of purpose and information.
Person-centred care.	Needs Assessment in Care Homes (Wales) Policy, Care and Support (Personal) Plans (Wales) PolicyMeeting People Receiving Care’s Needs (Wales) Policy, Responsive Services in Domiciliary Care (Wales) Policy	Continually checking with people receiving care and others contributing to their care that the arrangements and services are meeting their needs.
Listening and paying attention to the views and concerns of the people using the service.	Safeguarding People Receiving Care from Abuse and Harm (Wales) policies, Concerns and Complaints (Wales) Policy, Quality Assurance and Management (Wales) Policy, Supporting People who Need Advocacy Policy	Using complaints and comments from user surveys to improve the care provided.
Involving people who might not have mental capacity.	People Receiving Care Who Lack Mental Capacity to Take Decisions: Implementation of the Mental Capacity Act 2005 (Wales) Policy	Making sure that people without capacity are involved in decision-making to the best of their abilities and all best interests processes are carried out.
Involving people with other professionals and services.	Working with Other Providers and Agencies in Care Homes (Wales) Policy, Working with Other Providers and Agencies in Domiciliary Care (Wales) Policy	Making sure that people receiving care have access to all the services that they need from other providers.
Involving people in running and developing the service.	Quality Assurance and Management (Wales) Policy, Consultation processes	Carrying out consultations with people receiving care and others about any significant changes being proposed to the services provided.

[The titles of the key documents in the middle column should reflect the service’s own titles, and actual examples of involvement could be inserted in the right-hand column.]

The service is committed to ensuring the full involvement of people receiving care by the rigorous implementation of all the above policies, procedures and processes and many others.

Training

All care staff are recruited and selected for their abilities to provide person-centred care and to involve people in all aspects of their care. This is reinforced in their induction training and further training and through the monitoring and supervision of their work.

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