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Forms Guidance

Recording Service Users Agreement to Care Plans

Recording Service Users Agreement to Care Plans

Policy and Guidance
Paul Grimsey Policy Manager 18.5.07

There is no requirement for ACS to ensure that Care Plans are signed by Service Users or Carers unless they are receiving an “in house” service that is delivered by ACS.  If there is an on going in-house service being provided then the Team or Unit providing that service should obtain, and keep the signed copy of the Care Plan.  This is not the responsibility of the Care Manager.

There is a requirement from CSCI for all Service Providers to have a signed copy of a Care Plan for all their Service Users irrespective of whether the service has been arranged by ACS or arranged directly by the Service User or their family etc.  Independent Service Providers are responsible for obtaining, and keeping the signed copy of the Care Plan themselves.  This is not the responsibility of the Care Manager.

There is a requirement that ACS clearly records that a Care Plan has been agreed to by the Service User or their representative/family member.  The record should show where, when and how this Agreement was made.  This can involve getting Service Users and/or Carers to sign their Care Plans where the Service User and Care Manager agree that this would be helpful.

The record should also include the Service Users and Carers involvement in the development of the Care Plan –see the ACS Recording Policy and ‘The Minimum Standards for Assessment and Care Planning’ for more information good practice and recording evidence of good practice.  

If the Service User or their agreed representative/family member/person with Power of Attorney, does not give clear agreement to a Care Plan then the services in the proposed Plan cannot be provided.

People who are reluctant to agree to a Care Plan because they believe that the services in the Plan are not adequate, should be encouraged to accept the services that are being offered.  Their opinion that the services in the Plan are not adequate can be recorded, and they still have the option to make a complaint about not being offered the level of service they think they need.

People who are reluctant to agree a Care Plan or to sign the Financial Assessment Form (SS280) because they are concerned about charges for the services in the Plan should be informed that we cannot provide services unless they do agree the Care Plan and sign the Financial Assessment Form (SS280).  

Where there is concern that someone may lack capacity to make a decision about their Care Plan then we must consider applying the Mental Health Capacity Act - see The Mental Capacity Act Guidance

The issue of signing Care Plans is separate to the fact that we still have to always send a copy of the current Care Plan to the Service User.  Whoever does this must record that this has happened.