It is always good practice to check how much a person has understood of what is happening to them whatever age they are. Capacity to consent must be assumed unless assessed otherwise. It is essential to remember that each decision is time location and decision specific. A variety of communication tools should be employed to aid a person’s understanding in order to gain a full picture of their understanding such as signs, photos, videos, music and books beyond words materials. These will assist health professionals to get care right alongside following the 5 main principles of the Mental Capacity Act (2005).