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Mental Capacity and DoLS

Quick guidance on the Mental Capacity Act and Deprivation of Liberty Safeguards (DoLS)

Mental Capacity and DoLS

Mental Capacity Act (MCA) – applies to those involved in the care, treatment and support of people aged 16 years and over who are unable to make all or some decisions for themselves.

Deprivation of Liberty Safeguards (DOLS) – The MCA 2005 includes DOLS - a set of checks that aims to make sure that any care that restricts a person’s liberty is both appropriate and in their best interests.

Liberty Protection Safeguards (LPS) -  On the 17th March 2022 the Government launched a public consultation on proposed changes to the Mental Capacity Act (MCA) Code of Practice for England and Wales which included guidance on the new LPS system.  There are six sets of draft regulations which will underpin LPS and a number of documents that are intended to support the sector with LPS implementation have also been published that can be accessed on the GOV.UK website.

Further guidance on Mental Capacity and DoLS can be accessed on the SCIE website.  

Tony Anyaegbu DoLS/MCA Manager has provided a presentation that gives an overview of the Liberty Protection Safeguards, draft MCA Code of Practice and consultation process.  

Deprivation of Liberty Safeguards (DoLS) is a legal framework that offers protection to vulnerable adults (aged 18 and above) against infringement of their Article 5 right- right to liberty. It ensures that when someone is being deprived of their liberty and/or their freedom is restricted in a care home or hospital, it is only done because the person lacks the mental capacity to consent to that arrangement and it is both in the person’s best interests and the least restrictive option available at the time.

DoLS only applies to a person who is in a care home or hospital. However if the managing authority (care home/hospital) thinks it needs to deprive a person of their liberty, this has to be authorised by a supervisory body (local authority) following assessments conducted by a Best Interests Assessor (BIA) and Mental Health Assessor. The BIA is the professional who recommends DoLS if they are satisfied the criteria for granting DoLS (standard authorisation) is met.

With regards to care arrangements in a care home that will amount to a Deprivation of Liberty, care homes need to be reminded that they need to make the application/referral for an authorisation at the time they establish that they are able to offer a placement- referrals can be made up to 28 days before the person is admitted to the care home.

Social workers will need to inform care homes if the person is already subject to a DoLS authorisation or where it appears that they are likely to meet the threshold for an authorisation. Social workers/staff need to also be aware they can make a 3rd party referral if the relevant managing authority does not action the necessary referral.

For more information, please contact the DOLS Team at [email protected]

 

Last updated: 25 May 2023