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What work is involved in a typical Mental Capacity Assessment?

Mental Capacity Assessments are typically provided by experienced healthcare professionals working independently, or as part of a larger organisation. Unless there is a statutory requirement for the assessment, relating to a specific care or treatment decision, then it is unlikely that an assessment will fall under NHS provision and be free of charge.

Mental capacity assessment: female professional assessing elderly gentleman

Types of questions to ask in an assessment

In previous blogs we have considered what questions to ask as part of Mental Capacity Assessments. We have also worked through a case study in a two-part blog. In today’s blog, we aim to build upon this knowledge, taking a brief look at the types of questions that can be asked, taking special consideration of just how we frame a question and grade it to the client’s needs.

Thinking about the future: Man in glasses looking at reflection in train window

Does a person experiencing decision paralysis lack mental capacity?

Over many years of professional practice I have come across a number cases where certain vulnerable individuals have found themselves unable to make a decision, most frequently when they are confronted with a ‘big decision’ of lasting consequence.

While in some cases it can be sensible to put off a decision until more information becomes available, this ‘decision paralysis’ can sometimes have lasting and quite damaging consequences. This is especially true where decision paralysis can lead to delays in treatment or reduce the quality of life of the individual while they mull over their decision.

Patient consulting with doctor

Who can carry out a Mental Capacity Assessment?

Anyone can conduct a Mental Capacity Assessment. However, context is important, and a professional may be required for complex decisions. This will help ensure assessments are carried out in the correct manner, and that they are valid (i.e. reliable and trustworthy) in order to protect both the assessor, and the person being assessed.

Supporting capacity with augmentative communication aids

How to carry out Mental Capacity Assessments

Since launching Mental Capacity Ltd at the start of 2022, we have published a new blog every week to raise awareness around the Mental Capacity Act and help professionals build confidence and develop skills in applying the Act in practice. In this blog, we bring together some of our most popular blogs on how to carry out Mental Capacity Assessments (sometimes referred to as Mental Capacity Tests) to help you quickly and easily find the resources you need.

Retaining information: man looking out of window

Protecting Human Rights in care settings

As the size of our retired population grows, and our social norms change, we are seeing an increasing demand for care and nursing homes to support those who are not able to have their needs met within the community.

These older adults – indeed many younger adults as well – may have come to these placements through shared decision-making, or through Best Interest decisions made on their behalf. Others may be in care settings as a part of discharge-to-assess models, respite, or as a step-down placement for rehabilitation prior to returning home.

Supporting capacity: woman being pushed in wheelchair, looking at the sun

Mental Capacity Ltd: Our Mission 

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Our Mission is to raise awareness and confidence in the everyday application of the Mental Capacity Act, including the use of the Deprivation of Liberties and Liberty Protection Safeguards. We strive to demystify assessment process, empowering those involved and ultimately helping to ensure that people’s rights are protected, and the best decisions are made.  

Supporting capacity with augmentative communication aids

Support for RPRs

An RPR is a vital role under the Mental Capacity Act (2005), supporting an individual’s inclusion and rights around their Deprivation of Liberties (DoLS). This role is often filled by an unpaid family-member, friend or partner. However, if a family-member, friend, or partner cannot be identified, the supervisory body is required to refer for independent advocacy to complete this role as a paid (professional) RPR.