Domestic use of CCTV  

Aim

Cavendish Professionals understands that using CCTV in a private home for a client, particularly one with dementia, is a sensitive matter that requires careful consideration of ethical, legal and practical aspects.  Each case is unique, and it’s important to consult with legal and ethical experts, as well as healthcare professionals, to ensure that the use of CCTV is appropriate and in the best interests of the patient.  Ethical and legal issues are much less challenging if the installation of cameras in a care-giving situation is known to all parties. In this context, filming can be viewed as an extension of quality control measures already in place.

Policy

The following points form the basis of Cavendish Homecare’s CCTV policy.

  • Informed Consent: It’s crucial to obtain informed consent from the client (if they have the capacity to give it) or their legal representative. They should understand why CCTV is being used, how it will work, and who will have access to the footage.
  • Purpose and Justification: The purpose of using CCTV should be clearly defined and must include the safety and well-being of the client, and to monitor any potentially harmful situations or behaviours.
  • Placement and Coverage: Cameras should be strategically placed to monitor areas where the client spends most of their time, as well as areas where potential risks may exist (e.g., kitchen, stairs).
  • Privacy Considerations: While the primary goal is to ensure the client’s safety, it’s important to balance this with their right to privacy. Cameras should not be placed in areas where the patient has an expectation of privacy, such as bedrooms and bathrooms.
  • Access and Viewing: Access to CCTV footage should be restricted to authorised individuals, such as family members or caregivers directly involved in the client’s care. It’s important to have strict controls in place to prevent unauthorised access.
  • Access and Viewing: Access to CCTV footage should be restricted to authorised individuals, such as family members or caregivers directly involved in the client’s care. It’s important to have strict controls in place to prevent unauthorised access.
  • Recording and Retention: Consider whether you need continuous recording or motion-activated recording. Determine how long recordings will be stored and ensure they are deleted securely after that period.
  • Notification: The client and their family should be informed about the presence of CCTV if they have not been involved in the decision to install this. This notification can be a part of the informed consent process.
  • Compliance with Data Protection Laws: Ensure that the use of CCTV complies with data protection laws, such as GDPR in the UK. This includes securing the footage and ensuring it is not shared or used for unintended purposes. Cavendish Homecare is aware that certain aspects of Data Protection laws do not apply in individuals’ homes.
  • Regular Review and Evaluation: Periodically reviews should be undertaken to assess the effectiveness of the CCTV system. If it’s no longer necessary or if circumstances change, consider discontinuing its use.
  • Alternative Interventions: CCTV should be one part of a broader Care Plan. Cavendish Homecare will always consider other interventions and strategies for managing the patient’s safety and well-being.

Guidance

Cavendish Homecare will always seek advice from the regulator, The Care Quality Commission regarding current ruling for CCTV usage in clients’ own homes.

Date:  January 2024

Version: 2 (Review)

Source: CQC / Chat GPT