When required
n certain situations, individuals in care homes (and hospitals) can be deprived of their liberty. This can include them being cared for in a locked door environment, not being able to go anywhere without permission, and being subject to continuous control and supervision.
Deprivation of Liberty Safeguards (DoLS) exist to protect the rights of individuals who lack capacity to make certain decisions for themselves. They are an important safeguard to make sure that vulnerable individuals are treated and cared for with dignity and respect, and as far as possible, in line with their own wishes.
The process of authorising an individual’s deprivation of liberty following a DoLS assessment includes a requirement that they are appointed a representative. They are known as the Relevant Person’s Representative (RPR). They are often a family member, friend, or other carer, but can also be from a paid organisation if there is no one else suitable.
The role of the RPR is to keep in regular contact with the individual deprived of their liberty and advocate on their behalf. The RPR should be informed about the individual’s care and treatment, and any changes that are made. The RPR is allowed access to the individual’s documentation and should make sure this is up to date and accurate and can request reviews when necessary.
Section 21A Court of Protection proceedings.
If the individual objects to any aspect of the DoLS, the RPR has a duty to challenge this on their behalf. It may not necessarily be what the individual says but how they act.
For example, they might express a wish to go home, check doors in an attempt to leave, or refuse to accept support from carers.
Even if the RPR has their own views about the individual’s care and accommodation, they must challenge the DoLS on behalf of the individual if they are clearly objecting to it. The RPR has a duty challenge the
DoLS, regardless of whether the individual’s wishes have merit or not. It is important to remember that the individual has a legal right to challenge the DoLS even though they lack capacity to do this themselves and to make decisions about their care and accommodation.
This is done by making an application under Section 21A of the Mental Capacity
Act 2005. This process involves a judge at the Court of Protection reviewing the DoLS to confirm that they are lawful and in the individual’s best interests.
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