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Client Consent Document

Dear ,

This document serves as an official confirmation of the consent areas you have agreed to, as well as any areas where consent was not provided or was not applicable. Below, we have detailed your responses as per the consent form:

Care and Support

- to Carry out a Needs Assessment.
- to Carry out a Risk Assessment.
- to Provide Personal Care and Support as outlined in the Care Plan.
- to Assist with Medication Administration.
- to Use Restraint or Restrictive Practices.
- to Provide End-of-Life Care.

Information Sharing and Data Protection

- to Share Personal Information with Relevant Agencies or Professionals.
- to Contact Your GP to Introduce Ourselves as Your Care Provider.
- to Share Information with Safeguarding Authorities if Concerns Arise.
- to Store and Process Personal Data in Compliance with GDPR.

Documentation and Record-Keeping

- to Record Information on Daily Care Logs.
- to Access Records for Auditing and Inspection Purposes.
- to Document and Report Any Incidents or Accidents.

Monitoring and Quality Assurance

- to Monitor and Review Care Package Regularly.
- to Conduct Spot-Checks on Care and Support Workers.
- to Collect and Use Feedback to Improve Care.

Specific Care Interventions

- to Use a Lap Safety Belt on Your Wheelchair.
- to Hold a Key to Your Property for Emergency Access.
- to Use Bed Side Rails for Safety.

Advance Care Planning

- to Discuss and Document Your Advance Care Plan.
- to Follow Your End-of-Life Care Preferences.

Capacity to Consent

- - Confirm You Have the Capacity to Consent.
- - If You Lack Capacity, a Representative Has Been Appointed.

Client Awareness and Documentation

- - Statement of Purpose for Topline Care Solutions Ltd. Provided.
- - Care and Support Plan Provided.
- - Emergency Plan Provided.
- - Complaints Procedure Provided.

Complaints and Feedback

- - You Can Raise Complaints or Concerns About Your Care.
- - Your Feedback Will Be Used to Improve the Quality of Care.

This document confirms the consent provided for each specific area and ensures that your preferences and needs are fully understood and respected. We will adhere to the information you have provided, and your data will be processed in accordance with GDPR, ensuring your privacy and safety at all times.

Since this is a digitally generated form, a single signature will be applied to all relevant documents. There is no need for multiple signatures. By submitting this form, you confirm your consent to the care plan and services provided by Topline Care Solutions Ltd.

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Timestamp

Audit

02/04/2025 12:14 PM BST

Client Consent Document Uploaded by Maria Podolean - info@toplinecare.solutions IP 62.30.221.119