What does a DoLS mean?

Deprivation of Liberty Safeguards (DoLS) are a set of checks that are part of the Mental Capacity Act 2005. Read about the DoLS procedure, which protects a person receiving care whose liberty has been limited, and tips to help you identify a deprivation of liberty. You are here: Deprivation of Liberty Safeguards (DoLS)
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What is the meaning of dolls DoLS?

DoLS ensures people who cannot consent to their care arrangements in a care home or hospital are protected if those arrangements deprive them of their liberty.
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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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How long can a person be deprived of their liberty?

An authorisation for a deprivation of liberty made by the Court of Protection can last up to 12 months and can then be renewed by application to the Court. Just like a DoLS authorisation, the Court of Protection may decide to authorise the deprivation of liberty for less time than this, depending on the circumstances.
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What are some examples of deprivation of liberty?

For example, if you do not understand the information and are unable to make a decision about your treatment, you are said to 'lack capacity' to make decisions about your treatment.
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What are the Deprivation of Liberty Safeguards? Maria Nicholas 020 8492 2290



What are the 6 assessment criteria for DoLS?

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 does DoLS mean in NHS?

Deprivation of Liberty Safeguards (DoLS) are a set of checks that are part of the Mental Capacity Act 2005, which applies in England and Wales. The DoLS procedure protects a person receiving care whose liberty has been limited by checking that this is appropriate and is in their best interests.
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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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Can a DoLS be removed?

Deprivation of liberty can be ended at any time before the end date set in the authorisation. This should happen if the care home or hospital believes the deprivation of liberty is no longer necessary. In that case the managing authority should apply to the supervisory body to review the authorisation – form 10.
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What is a DoLS patient?

DoLS is part of the MCA and is a legal framework for individuals who lack the capacity to consent to be accommodated in a hospital or care home in order to receive care and treatment.
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Who puts a DoLS in place?

In an emergency, or in situations where there is no time to go through the assessment process, the hospital or care home management can grant themselves an urgent DoLS authorisation. This is valid for seven days, but they must also apply for the normal DoLS assessment and authorisation at the same time.
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How do you know if you have a lack of capacity?

Someone may lack mental capacity if they can't: understand information about a particular decision. remember that information long enough to make the decision. weigh up the information to make the decision, or.
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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 is a DoLS assessment?

The Deprivation of Liberty Safeguards (DoLS) procedure is designed to protect your rights if the care or treatment you receive in a hospital or care home means you are, or may become, deprived of your liberty, and you lack mental capacity to consent to those arrangements.
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What is a DoLS order?

If the person who lacks mental capacity doesn't live in a care home or hospital but is being deprived of their liberty, you must apply to the court to get an order authorising the restriction of their freedom.
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What is the new name for DoLS?

Sometime in 2022 we will begin to say goodbye to Deprivation of Liberty Safeguards (DoLS) and introduce their successor, Liberty Protection Safeguards (LPS). LPS is a scheme set up by an amendment to the Mental Capacity Act (MCA) 2005. It might be worth reminding ourselves why we have these provisions under the MCA.
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What can you do under a DoLS?

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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What conditions would indicate a deprivation of liberty?

A deprivation of liberty occurs where someone 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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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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Does DoLS affect everyone living in a care home that lacks capacity?

In England and Wales, under the Mental Capacity Act 2005, health professionals in care homes and hospitals are only allowed to take away someone's liberty by following the strict set of checks included in the DoLS, designed to protect vulnerable people who lack the capacity to consent to the care or treatment that they ...
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When a DoLS Authorisation has been given?

What powers does a DoLS authorisation give us? Well, the obvious one is that a DoLS authorisation gives us the power to deprive someone aged 18 or over of their liberty, in a hospital or care home , as long as they lack the capacity to consent to be there, for the purpose of being given necessary care or treatment.
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Can you use Dols in A&E?

Cannot be used in A&E because the patients there are not “inpatients”. How long can I be detained for? 28 days.
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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 can a DoLS be Authorised for?

A DoLS authorisation should be for as short a time as possible, and only up to a maximum of 12 months. Each DoLS authorisation will mention its end date. However, during this time both the care provider and local authority (or health board) should: make regular checks to see if the authorisation is still needed.
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Who decides if a patient has capacity?

Information from references 1, 4 and 11. Regardless of whether a directed clinical interview or a formal tool is used, the physician must clearly document the assessment and the final judgment about capacity in the patient record.
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