1 Duty of Candour
Duty of Candour is a legal requirement of all health and social care services in Scotland. It ensures that if something goes wrong in a service the people affected are offered an explanation, an apology and an assurance that staff and the organisation will learn from the error.
All health and social care services in Scotland must provide an annual duty of candour report for their service. As a supported living provider this information is sent to our regulator the Care Inspectorate.
2 About our organisation
The organisation has distinct activities of:
• delivering personalised services to enable customers live a life which makes sense to them and achieve their goals
• fundraising and campaigning to enable work to challenge negative attitudes to people with learning disabilities.
The organisation supports approximately 1000 people across Scotland to either live in their own homes or share with a small number of others and make maximum use of their local community. All direct support staff are matched to work for either an individual person or a small number of people.
The organisation has a Duty of Candour policy and staff guidance. All staff with a line management responsibility complete training about the requirements of Duty of Candour. It also forms part of our induction programme.
3 Incident Report
During the reporting period there have been no incidents which have triggered the Duty of Candour.
Type of unexpected or unintended incident
Number of times this happened
- Someone has died
- Someone has permanently less bodily, sensory, motor, physiological or intellectual function
- Someone’s treatment has increased because of harm
- The structure of someone’s body changes because of harm
- Someone’s life expectancy becomes shorter because of harm
- Type of unexpected or unintended incident
- Number of times this happened
- Someone’s sensory, motor or intellectual functions is impaired for 28 days or more
- Someone experienced pain or psychological harm for 28 days or more
- A person needed health treatment to prevent them dying
- A person needing health treatment to prevent other injuries
4. Our Policy and Process
The organisation’s internal reporting process for accidents and incidents will initially capture information about any events which requires the implementation of Duty of Candour. The Manager who oversees the service is informed about the incident promptly and the Care Inspectorate is notified through e-forms. Senior Managers are also informed of such incidents. A prompt apology would be issued to the person supported or another appropriate person (i.e. next of kin, Guardian or Attorney).
The resulting investigation of the incident will aim to highlight any learning done and any improvements/changes required to practice, policy and/or process. Any learning done from the investigation of an incident will be shared across the organisation to minimise the risk of a further occurrence and improve the service we deliver.
Staff affected by the incident will receive support from line managers and can also access an external, confidential 24hr hour employee assistance service.
Whilst the focus of the investigation will be about learning and improving as opposed to apportioning blame where an incident occurs because of wrongdoing by staff the organisation’s
Disciplinary Process will be implemented.
5 What have we learned?
In this first year of implementing Duty of Candour:
• We have supported staff in understanding the process.
• Our annual reporting has become an item for our Trustees to discuss at their Board
meeting and is included in our Risk Register monitoring.
If you would like more information about this report, please contact us