What are the 6 DoLS criteria?

The DoLS assessment makes sure that the care being given to the person with dementia is in the person's best interests. There are six parts to the assessment: age, mental health, mental capacity, best interests, eligibility and no refusals.
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What are the 5 principles of DoLS?

Mental Capacity Act and DoLS
  • Principle 1: A presumption of capacity. ...
  • Principle 2: Individuals being supported to make their own decisions. ...
  • Principle 3: Unwise decisions. ...
  • Principle 4: Best interests. ...
  • Principle 5: Less restrictive option.
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What are the key elements of DoLS?

A deprivation of liberty is when a person has their freedom limited in some way. It occurs when: 'The person is under continuous supervision and control and is not free to leave, and the person lacks capacity to consent to these arrangements. '
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What is the key element of the DoLS safeguards?

If a standard authorisation is given, one key safeguard is that the person has someone appointed with legal powers to represent them. This is called the relevant person's representative and will usually be a family member or friend.
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What is DoLS method?

Dynamic OLS (DOLS) is an alternative (parametric) approach in which lags and leads are introduced to cope with the problem irrespectively of the order of integration and the existence or absence of cointegration."
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What are the Deprivation of Liberty Safeguards? Maria Nicholas 020 8492 2290



What is a DoLS assessment?

The DoLS assessment is a safeguard as it makes sure that the care being given is in the person's best interests. An assessment will decide whether the deprivation of liberty is allowed to happen or not. If the assessment decides that it is allowed to happen this is called 'authorisation'.
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What is the best interest checklist?

2. The Checklist for Applying the Best Interest Principle
  • The checklist. ...
  • Encourage participation of the person. ...
  • Identify all relevant circumstances. ...
  • Find out the person's views. ...
  • Avoid discrimination. ...
  • Assess whether the person might regain capacity. ...
  • Consult others. ...
  • Avoid restricting the person's rights.
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What are the 2 types of DoLS?

There are two kinds of DOLS authorisation — an urgent authorisation and a standard authorisation. An urgent authorisation is put in place by a care home or a hospital. A standard authorisation is put in place by a local authority.
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When can you not use DoLS?

DoLS can only be used to deprive you of your liberty at a care home or hospital. It cannot be used to take you from your home to a care home or hospital – this would need an order from the Court of Protection.
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Which two care settings does DoLS apply to?

It is part of the Mental Capacity Act 2005 and only applies to people in care homes and hospitals which have been granted a DoLS authorisation from a supervisory body. The DoLS does not apply to people who are under 18 years of age.
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What are DoLS restrictions?

The DoLS under the MCA allows restraint and restrictions that amount to a deprivation of liberty to be used in hospitals and care homes – but only if they are in a person's best interests. To deprive a person of their liberty, care homes and hospitals must request standard authorisation from a local authority.
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Can you list some examples when DoLS might be required?

For example, a care home or staff in a hospital may stop the person from walking around at night or leaving the building, or give them medications that may affect their behaviour. Sometimes, taking away a person's freedom in this way is defined in law as a 'deprivation of liberty'.
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What circumstances would require a DoLS to be reviewed?

A review of a current DoLS authorisation can be applied for where:
  • the person no longer meets one of the requirements.
  • the reason why they meet one of the requirements is different.
  • there has been a change in the person's circumstances and the conditions need to be varied.
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What are some examples of deprivation of liberty?

In short, deprivation of liberty is when you have your freedom taken away regarding making decisions over your own life. Furthermore, deprivation of liberty is only legal when it's the least restrictive way of keeping someone safe or making sure they receive the correct medical treatment.
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What are the 3 restrictions of the Mental Capacity Act?

1The principles

(1)The following principles apply for the purposes of this Act. (2)A person must be assumed to have capacity unless it is established that he lacks capacity. (3)A person is not to be treated as unable to make a decision unless all practicable steps to help him to do so have been taken without success.
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What is the difference between DoLS and LPS?

The Mental Capacity (Amendment) Act 2019 received the Royal Assent on 16th May 2019. The purpose of the Act is to abolish the Deprivation of Liberty Safeguards (DoLS) and to replace them with a completely new system, the Liberty Protection Safeguards (LPS). This system will apply to England and Wales only.
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How long must a DoLS remain in place?

How long do the DoLS remain in place? Assessments must be completed within 21 days or before urgent authorisation expires. If a DoLS authorisation is granted, it must state how long it lasts – this can be up to a maximum of 12 months and any conditions must be attached.
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How long does a deprivation of liberty last?

A DoLS authorisation by a Local Authority will last for a maximum of 12 months and can be renewed after that following a review.
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When can a person be deprived of their liberty?

Deprivation of liberty means taking someone's freedom away. On 19 March 2014 a Supreme Court judgement decided that someone is deprived of their liberty if they are both 'under continuous supervision and control and not free to leave'.
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Who can determine mental capacity?

Who assesses mental capacity? Normally, the person who is involved with the particular decision which needs to be made is the one who would assess mental capacity. If the decision is a complex one then a professional opinion might be necessary, for example the opinion of a psychiatrist, psychologist, social worker etc.
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Can you use DoLS without Authorisation?

DoLS can never be used to give compulsory treatment if the person lacks capacity to consent to it. This is a big difference between the Mental Health Act and DoLS. A DoLS authorisation only authorises the deprivation of liberty – which means the parts of the care plan that meet the 'acid test'.
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What is the section 4 checklist?

Section 4 of the Mental Capacity Act has a best interests checklist, which outlines what someone needs to consider before taking an action or decision for you while you lack capacity.
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Can next of kin make best interest decisions?

Your family members and other people close to you (including your next of kin) don't have any legal authority to make decisions about your care or treatment if you lack capacity. Although they should be consulted, the healthcare professional doesn't have to follow what they say.
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Who can chair a best interest meeting?

5.2. It would usually be expected that a Principal Practitioner or General Manager will chair the best interests meeting or a registered and experienced health or social care professional. At the very least it needs to be someone who is able to chair a meeting at which competing views and opinions may be expressed.
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How many assessments are there in DoLS?

Under the Mental Capacity Act Deprivation of Liberty Safeguards (MCA DOLS), six assessments have to be successfully conducted before a local authority (supervisory body) can authorise the deprivation of an individual's liberty in a hospital or a care home.
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