When participants keep refusing support, there’s often a reason people don’t talk about. Sometimes it’s not “challenging behaviour” — sometimes it’s exhaustion. Imagine explaining your disability again and again to new staff, new routines, and new faces every week. Eventually people shut down. They cancel shifts and avoid services. Not because they don’t want help, but because they’re tired of feeling like a case file instead of a human being. At Borealis, we believe consistency builds trust — a
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TikTokborealiscare
Interview-only mental capacity assessments can be unsafe in self-neglect cases. In adult social care and safeguarding, mental capacity assessments are sometimes carried out primarily through conversation. While discussion is an essential part of assessment, Safeguarding Adult Reviews consistently show that interview-only approaches can miss significant risk in self-neglect. Many adults who self-neglect are able to articulate understanding of risk, describe what support would help, and demonstrat
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The phrase “unwise decision” is frequently misunderstood in self-neglect cases and can become a safeguarding blind spot. The Mental Capacity Act is clear that adults have the right to make unwise decisions. However, Safeguarding Adult Reviews repeatedly highlight situations where this phrase is used to prematurely close down analysis, even when risk is escalating. In self-neglect, the critical question is not whether a decision appears unwise, but whether there is reason to doubt mental capacity
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