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We create opportunities for greater decision making, using the MCA framework to positive effect; starting from the basis that everyone has capacity to control and influence their lives, whilst supporting them to keep healthy and safe. We recognise that while a person may lack capacity to make particular decisions at particular times, it does not mean that they lack capacity to make any decisions. We work on the basis that informed choice is about choosing from options – we do not consider being disengaged a choice.
We support development of communication methods and skills, ensuring those supporting present information to aid understanding and communicate the decisions they make. We break down decisions into smaller parts and involve people with the necessary skills and knowledge to help advocate on their behalf within a best interest decision making process.

CQC reported that ‘People's care plans contained assessments of their capacity to make decisions for themselves. Support workers had received the training and guidance they needed in caring for people that may lack capacity to make some decisions for themselves’.

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