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In order to decide if an individual has mental capacity, a strict assessment process must be followed. Legally this process must be documented and there are two forms that are used to assess an individual’s capacity. The assessment itself must be conducted an independent healthcare professional.

If you are concerned about a person’s wellbeing, the first thing that needs to be understood is if they are able to make a decision on their own.

You may be involved in MCA Assessment process and will therefore need to understand the process. The assessment looks at someone’s mental capacity at the time a particular decision needs to be made. This starts with the assumption that the person has the capacity to make the decision in question.

The assessment looks at if the person is able to;

  • Understand what decision they need to make and why they need to make it
  • Understand what might happen if they do or do not make this decision
  • Understand and weigh up the information relevant to this decision
  • Communicate their decision (by talking, using sign language or any other means)
  • Can they communicate with help from a professional (such as a speech or language therapist)?

The assessment will also look at if the person needs a more thorough assessment, perhaps by involving a doctor or other professional expert.

If you are a healthcare worker or if you need to make a decision for another person under Mental Capacity then you are required to complete an MCA form. There are two forms that can be used for this assessment and these are simply named MCA1 or MCA2 form.

The MCA1 form is used for Day-to-Day decisions and the MCA2 form is used where a significant decision needs to be made. The forms are used to record the outcome of a Mental Capacity Assessment conducted with the service user in accordance with the MCA. We have uploaded a copy of these assessment forms to your dashboard should you wish to have a look at an example of these forms.