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UID:219@careengland.org.uk
DTSTART;TZID=Europe/London:20240604T140000
DTEND;TZID=Europe/London:20240604T150000
DTSTAMP:20240617T091855Z
URL:https://www.careengland.org.uk/events/demystifying-court-of-protection
 -and-deprivation-of-liberty-safeguards-for-care-home-managers/
SUMMARY:Demystifying Court of Protection and Deprivation of Liberty Safegua
 rds for Care Home Managers
DESCRIPTION:This webinar gave an overview to the Deprivation of Liberty Saf
 eguards and their operation in a care home setting.\nBelow is a copy of th
 e event recording\, contact details of the speaker and an FAQ with further
  information from the session.\nUnderstanding mental capacity and the arra
 ngements required when someone is deprived of their liberty (Deprivation o
 f Liberty Safeguards) in a registered care or nursing home setting is key 
 to ensuring you limit your exposure in respect of unlawful deprivations of
  liberty. There are further difficulties if the resident is in a supported
  living environment. The position for care providers can also be challengi
 ng if the resident is displaying disruptive behaviour to other residents\,
  families\, and staff.\n\nThe area of mental capacity law and deprivation 
 of liberty is fast moving and complex. The mental capacity team at Mills &
 amp\; Reeve manage one of the largest Court of Protection practices in the
  country\, working with a diverse range of clients in both the public and 
 independent sector. Our dedicated team will provide you with the right sup
 port to ensure that you get the result you require. Click here to find out
  more.\n\n&nbsp\;\nYou can watch the a recording of the webinar below:\nht
 tps://youtu.be/5MofJ19CxUI\n\n&nbsp\;\nHere is a link to the slides:\nDemy
 stifying Court of Protection and Deprivation of Liberty Safeguards for Car
 e Home Managers\n\n&nbsp\;\nPlease contact Mills &amp\; Reeve if you have 
 further questions:\n\n\n&nbsp\;\n\nNeil Ward\n\nT: +44(0)121 4568202\n\nE:
  neil.ward@mills-reev.com\n\n&nbsp\;\n\n[learn_more caption="Questions &am
 p\; Answers"]\n\n1. If a person has dementia and are compliant with their 
 daily prescribed medication and if you do not give it to them\, they may n
 ot ask for it. Do we need to do capacity assessment for this as I have see
 n some assessments completed because the resident is unable to manage thei
 r medication.\n\nYes you will need a capacity assessment to determine if a
  resident has capacity to refuse medication. If your resident has capacity
  and can agree and consent to medication (or equally refuse to take it) \,
  then that’s the process to follow. If however\, the resident lacks capa
 city\, then you can make the decision in the best interests of the residen
 t without having to go to court. If\, however\, you are verging into the r
 ealms of covert medication\, then we recommend seeking legal advice as it
 ’s a grey area and we’d look to seek court authorisation to take this 
 step.\n\n&nbsp\;\n\n2. There was talk about extending Dols applications fo
 r longer than 1 year as often we have to reapply and there are no changes.
 \n\nDOLS has been criticised from inception and branded as unworkable for 
 years. The Government went out to consultation for the new Liberty Protect
 ion Safeguards\, but these reforms have been kicked into the long grass by
  the government for now. The new LPS would cover 16–17-year-olds and the
  supported living sector.  In terms of making further applications beyond
  the year\, the aim is to ensure that individuals are not deprived of thei
 r liberty for longer than is reasonably necessary and to cover potential i
 mprovement. There is a balance to be struck but we appreciate it can creat
 e an extra bureaucratic burden for care providers.\n\n&nbsp\;\n\n3. We fin
 d the LA so slow at times that we are 'renewing' at one year before the co
 uncil has responded to the first standard authorisation.\n\nThat is a prob
 lem we are aware of.\n\n&nbsp\;\n\n4. What are the options if you’re not
  able to manage the disruptive resident?\n\nIf you’re unable to manage t
 he disruptive resident do contact the local funder whether that is the LA 
 or the NHS and make that very clear and serve contractual notice which is 
 28 days. It is very important that as you soon as you know the placement h
 as become untenable and unsafe you serve notice in writing. If you get pus
 h back\, then seek early legal advice.\n\n&nbsp\;\n\n5. Does our care home
  need to review its DOLS processes and training and how do we evidence com
 pliance with Mental Capacity Act during CQC inspections?\n\nYes\, the CQC 
 are interested in how care homes and its staff follow the DOLS processes a
 nd understand the Mental Capacity Act. For example\, evidencing that you h
 ave thought about DOLs and follow the MCA guidance is a good starting poin
 t for demonstrating your thinking.\n\n&nbsp\;\n\n6. How do you manage resi
 dents where there is an application to Court but no final decision been ma
 de?\n\nIn uncontested cases\, the Re X / standard authorisation procedure 
 is followed where the care home would seek an authorisation and where lawy
 ers are not involved. We are aware that there are delays obtaining authori
 sations. In theory if you’ve gone beyond 14 days allowed on an urgent au
 thorisation then you don’t have authorisation. Contested applications ar
 e managed differently – in these cases the court can grant an interim or
 der which will give authorisation within days to approve the deprivation p
 ending a full hearing.\n\n&nbsp\;\n\n7. What are the consequences if resid
 ents don’t have proper authorisation?\n\nThis would constitute false imp
 risonment and in certain circumstances the resident/patient can claim comp
 ensation\, but there are very few cases. Generally modest damages are awar
 ded by the courts because the person would have had to be in the same plac
 e anyway and it is only the lack of process (ie they would not have been 
 “free” regardless of the process) but sometimes larger awards are made
  by Courts to set an example eg sending a message if there has been huge d
 elays.  It is something that the CQC are becoming more interested in.\n\n
 [/learn_more]\n\nSupporting information can also be accessed below:\nGuide
  to the Court of Protection and Deprivation of Liberty Safeguards for the 
 busy care home manager\n\nGuide to serving notice on a resident for care h
 ome managers\n\nMental capacity | Legal advice | Mills &amp\; Reeve (mills
 -reeve.com)\n\nHealth and care blog | Mills &amp\; Reeve (mills-reeve.com)
ATTACH;FMTTYPE=image/jpeg:https://www.careengland.org.uk/wp-content/upload
 s/2024/05/Webinar-MillsReeve-4-June.png
CATEGORIES:Care England,Non members
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