Care and Social Services Inspectorate Wales

Care Standards Act 2000

Domiciliary Care Agencies (Wales) Regulations 2004

Application to Register: Part 2

Name of Agency:      

Name of Applicant:      

Date: dd/mm/yyyy

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Care and Social Services Inspectorate Wales

Structure and approach of Part 2 of the application formThis section of your application is your primary opportunity to demonstrate that you have understood the principles and requirements in the Regulations and National Minimum Standards for Domiciliary Care Agencies and that the arrangements and resources you are proposing to employ in your domiciliary care agency will result in those Regulations and Standards being consistently met or exceeded.

The Standards are core requirements which apply to all such agencies.

Whilst broad in scope, these Standards acknowledge the unique and complex needs of individuals and the additional specific knowledge and skills required in order to deliver a service that is tailored to the needs of each person. These Standards will be applied to agencies providing personal care to the wide range of people who need care and support whilst living in their own home, including:-

Older people People with physical disabilities People with sensory loss including dual sensory impairment People with mental health problems People with learning disabilities Children and their families Personal or family carers

The Standards focus on achievable outcomes for service users, that is the impact by agencies on organisations and individuals. They are grouped under the following key topics:

User-focused services (Standards 1-5) Personal care (Standards 6 – 10) Protection (Standards 11 – 16) Managers and staff (Standards 17 – 21) Organisation and running of the business (Standards 22 – 27).

These Standards establish the minimum required; i.e. they state a standard of service provision below which an agency providing personal care for people living in their own home must not fall. The applicant should note however that although the standards will be used as a measure of the organisation’s performance it is primarily in relation to the Regulations that any enforcement action will be taken.

Each of the Standards is preceded by a statement of the overall outcome that is intended to be secured for service users. The Standards have been designed to achieve the required outcomes and to be enforceable through relevant regulations.

When completing your application you must demonstrate that you will run the proposed service in every respect to the requirements of the Regulations and the Standards. Appendix A of the Notes for Applicants document provides examples of possible evidence that you may wish to submit as part of your application. This is not Dom Care Part 2 09/2013

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meant to be a prescriptive list. The self-assessment documentation in part 2 of the application to register a domiciliary care agency follows the standards and is set out on each page in the following way:

Title and number of the Standard The overall outcome of the Standard Reference to the whole or part of a Standard that is not applicable where the

applicant is an employment agency Reference to the Regulations against which your application will be measured Space for you to list the evidence you have attached to part 2 of the application Space for the inspector assessing your application to make notes.

It will be necessary for you to refer to the full set of domiciliary care agency Regulations and Standards when conducting the self-assessment activities. The submission of the evidence should enable you to demonstrate that you have either met or exceeded the expectation of the Standard. If you are submitting a piece of evidence which covers more than one Standard, or part of a Standard, please identify all aspects it is intended to cover, by including it in the list of evidence for each relevant Standard. You do not need to submit the same piece of evidence more than once.

The following cross-cutting themes underpin the drafting of the Standards for the provision of domiciliary care services:-

Focus on service users. ‘Building for the Future’ (National Assembly for Wales,1999) called for Standards that focus on the key areas that most affect the quality of life experienced by service users. Inspectors will look for evidence that the personal care is provided in such a way that it achieves positive outcomes for, and the active participation of, service users.

Fitness for purpose. The regulatory powers provided by the Care Standards Act 2000 are designed to ensure that agencies providing personal domiciliary care and the managers and care staff it employs are “fit for their purpose”. In applying the Standards, inspectors will look for evidence that the agency is successful in achieving its stated aims and objectives.

Comprehensiveness. In applying the Standards, inspectors will consider how the total care package provided contributes to the overall personal and health care needs and preferences of service users, and how the agency collaborates with other services / professionals to maximise independence and ensure the individual’s inclusion in the community.

Meeting assessed needs. In applying the Standards, inspectors will look for evidence that the care provided meets the assessed needs of service users, and that individuals’ changing needs continue to be met. Inspectors will also wish to see evidence that staff are able to be flexible to meet the changing needs and requirements of service users on a short term or temporary basis.

Quality services. Welsh Government modernising agenda, including the new regulatory framework, aims to ensure “greater assurance of quality services…rather than having to live with second best”. In applying the Standards, inspectors will seek evidence of a commitment by the agency to continuous improvement and

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quality services and support which assure a good quality of life and health for service users and which contribute to them maintaining their independence.

Quality workforce. Competent, well-trained managers and staff are fundamental to achieving good quality care for people who use social care services. The Care Council for Wales has developed a Qualification Framework for managers and care workers, which includes induction competencies and foundation programmes. Inspectors will look for evidence that registered managers and staff have achieved or are working towards the National Training Organisation requirements.

As already emphasised in the Notes for Applicants document, a well thought out and clearly worded Statement of Purpose for the proposed agency is an essential basis for working through the practical details of all aspects of the agency’s operation. It will also be the starting point for CSSIW’s evaluation of your proposals under each Standard. To help us process your application as efficiently as possible, will you please list and mark each document provided by reference to the Standard. Although not a requirement, CSSIW would find it helpful if you would submit your documents in lever arch files with an index of sections and contents.

Finally, it is essential that in preparing your evidence you read the Regulations and the Standards together. CSSIW believe that it is essential that you base your proposals on a consideration of all the legal requirements.

We look forward to receiving your completed proposals.

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USER FOCUSED SERVICES (Standards 1 – 5)

National Minimum Standards for Domiciliary Care Agencies

STANDARD 1 - INFORMATIONOUTCOMECurrent and potential service users and their relatives or representatives are provided with and have access to comprehensive information, so that they can make informed decisions on whether the agency is able to meet their specific care needs.

See the following Regulations: 4 - Statement of Purpose 5 - Service Users’ Guide

Please list evidence supporting your application

     

Inspector’s Notes

     

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National Minimum Standards for Domiciliary Care Agencies

STANDARD 2 – NEEDS ASSESSMENT OUTCOMEThe service delivery requirements of service users are individually assessed before they are offered a domiciliary care service

See the following Regulations: 14 – Arrangements for the provision of personal care

Please list evidence supporting your application

     

Inspector’s Notes

     

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National Minimum Standards for Domiciliary Care Agencies

STANDARD 3 – MEETING NEEDS OUTCOMEThe agency has the skills and competence required to meet the care needs of the service user.

See the following Regulations: 13 – Conduct of agency 14 – Arrangements for the provision of personal

care15 – Fitness of workers16 – Staffing

Please list evidence supporting your application

     

Inspector’s Notes

     

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National Minimum Standards for Domiciliary Care Agencies

STANDARD 4 – SERVICE DELIVERY PLAN

OUTCOMEThe care needs, wishes, preferences and outcomes for each individual service user are incorporated in their service delivery plan.

See the following Regulations: 14 – Arrangements for the provision of personal care

Please list evidence supporting your application

     

Inspector’s Notes

     

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NB This standard does not apply to Employment Agencies

National Minimum Standards for Domiciliary Care Agencies

STANDARD 5 – TERMS AND CONDITIONS OUTCOMEEach service user has information as to the terms and conditions for the provision of care from the agency.See the following Regulations: 18 – Provision of information to service users

Please list evidence supporting your application

     

Inspector’s Notes

     

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NB This standard does not apply to Employment Agencies

PERSONAL CARE (Standards 6 – 10)

National Minimum Standards for Domiciliary Care Agencies

STANDARD 6 - CONFIDENTIALITYOUTCOMEThe personal information of service users and their relatives or representatives is handled appropriately and personal confidences are respected.

See the following Regulations: 16 - Records kept in service user’s home20 – Records

Please list evidence supporting your application

     

Inspector’s Notes

     

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NB Standards 6.2 and 6.3 do not apply to Employment Agencies

National Minimum Standards for Domiciliary Care Agencies

STANDARD 7 – RESPONSIVE SERVICESOUTCOMEService users receive a flexible, consistent and reliable personal care service.

See the following Regulations: 14 – Arrangements for the provision of personal care

16 – Staffing Please list evidence supporting your application

     

Inspector’s Notes

     

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NB Standard 7.3 does not apply to Employment Agencies

National Minimum Standards for Domiciliary Care Agencies

STANDARD 8 – PRIVACY AND DIGNITY OUTCOMEService users feel that they are treated with respect and dignity, are valued as people and their right to privacy is upheld.

See the following Regulations: 14 – Arrangements for the provision of personal care 16 – Staffing13 – Conduct of agency

Please list evidence supporting your application

     

Inspector’s Notes

     

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National Minimum Standards for Domiciliary Care Agencies

STANDARD 9 - AUTONOMY AND INDEPENDENCEOUTCOMEService users are assisted to make their own decisions and control their own lives and are supported in maximising their independence in accordance with their service delivery plan.

See the following Regulations: 14 – Arrangements for the provision of personal care

16 – StaffingPlease list evidence supporting your application

     

Inspector’s Notes

     

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National Minimum Standards for Domiciliary Care Agencies

STANDARD 10 – MEDICATION AND HEALTH RELATED ACTIVITIES

OUTCOMEThe agency’s policies and procedures on medication and health related activities protect service users and assist them to maintain responsibility for their own medication and to remain in their own home.

See the following Regulations: 14 – Arrangements for the provision of personalcare

16 – Staffing13 – Conduct of agency

Please list evidence supporting your application

     

Inspector’s Notes

     

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NB Standards 10.5, 10.9 and 10.10 do not apply to Employment Agencies

PROTECTION (Standards 11-16)

National Minimum Standards for Domiciliary Care Agencies

STANDARD 11 – SAFE WORKING PRACTICESOUTCOMEThe health, safety and welfare of service users and care workers is promoted and protected.

See the following Regulations: 13 – Conduct of agency 14 – Arrangements for the provision of

personal carePlease list evidence supporting your application

     

Inspector’s note

     

National Minimum Standards for Domiciliary Care Agencies

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NB Standard 11 does not apply to Employment Agencies

NB Standard 12 does not apply to Employment Agencies

STANDARD 12 – RISK ASSESSMENT OUTCOMEThe risk of accidents and harm happening to service users and staff in the provision of the personal care is minimised.

See the following Regulations: 13 – Conduct of agency

Please list evidence supporting your application

     

Inspector’s Notes

     

National Minimum Standards for Domiciliary Care Agencies

STANDARD 13 – FINANCIAL PROTECTION

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NB Standard 13 does not apply to Employment Agencies

OUTCOMEThe money and property of service users is protected at all times whilst providing the care service.

See the following Regulations: 13 – Conduct of agency 14 – Arrangements for the provision of personal

care17 – Staff handbook and code of conduct

Please list evidence supporting your application

     

Inspector’s Notes

     

National Minimum Standards for Domiciliary Care Agencies

STANDARD 14 – PROTECTION OF THE PERSON

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NB Standard 14 does not apply to Employment Agencies

OUTCOMEService users are protected from abuse, neglect and self-harm.

See the following Regulations: 13 – Conduct of agency 14 – Arrangements for the provision of personal

care16 – Staffing 26 – Notification of Incidents

Please list evidence supporting your application

     

Inspector’s Notes

     

National Minimum Standards for Domiciliary Care Agencies

STANDARD 15 – SECURITY OF THE SERVICE USER’S HOME

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NB Standard 15 does not apply to Employment Agencies

OUTCOMEService users are protected and are safe and secure in their home.

See the following Regulations: 13 – Conduct of agency 14 – Arrangements for the provision of personal

care19 – Identification of Workers

Please list evidence supporting your application

     

Inspector’s Notes

     

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National Minimum Standards for Domiciliary Care Agencies

STANDARD 16 – RECORDS KEPT IN THE SERVICE USER’S HOME

OUTCOMEThe health, rights and best interests of service users are safeguarded by maintaining a record of key events and activities undertaken through delivery of service.

See the following Regulations: 17 – Staff handbook and code of conduct 20 - Records

Please list evidence supporting your application

     

Inspector’s Notes

     

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NB Standard 16 does not apply to Employment Agencies

MANAGERS AND STAFF (Standards 17 – 21)

National Minimum Standards for Domiciliary Care Agencies

STANDARD 17 – RECRUITMENT AND SELECTION OUTCOMEThe well-being, health and security of service users is protected by the agency’s policies and procedures on recruitment and selection of staff.

See the following Regulations: 15 – Fitness of workers 16 – Staffing

Please list evidence supporting your application

     

Inspector’s Notes

     

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National Minimum Standards for Domiciliary Care Agencies

STANDARD 18 – REQUIREMENTS OF THE JOB

OUTCOMEService users benefit from clarity of staff roles and responsibilities.

See the following Regulations: 16 – Staffing 17 – Staff handbook and code of conduct

Please list evidence supporting your application

     

Inspector’s Notes

     

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NB Standard 18 does not apply to Employment Agencies

National Minimum Standards for Domiciliary Care Agencies

STANDARD 19 – DEVELOPMENT AND TRAINING

OUTCOMEStaff are appropriately trained to assess, monitor, meet and review the personal care needs of service users.

See the following Regulations: 16 – Staffing

Please list evidence supporting your application

     

Inspector’s Notes

     

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NB Standard 19 does not apply to Employment Agencies

National Minimum Standards for Domiciliary Care Agencies

STANDARD 20 - QUALIFICATIONS

OUTCOMEThe personal care of service users is provided by qualified and competent staff.

See the following Regulations: 16 – Staffing

Please list evidence supporting your application

     

Inspector’s Notes

     

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NB Standard 20 does not apply to Employment Agencies

National Minimum Standards for Domiciliary Care Agencies

STANDARD 21 – SUPERVISION AND APPRAISAL

OUTCOMEStaff are supervised and performance is appraised regularly.

See the following Regulations: 16 – Staffing

Please list evidence supporting your application

     

Inspector’s Notes

     

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NB Standard 21 does not apply to Employment Agencies

ORGANISATION AND RUNNING OF THE BUSINESS (Standards 22-27)

National Minimum Standards for Domiciliary Care Agencies

STANDARD 22 – BUSINESS PREMISES, MANAGEMENT AND PLANNINGOUTCOMEService users receive a consistent, well managed and planned service.

See the following Regulations: 16 – Staffing24 – Fitness of premises25 – Financial Position

Please list evidence supporting your application

     

Inspector’s Notes

     

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National Minimum Standards for Domiciliary Care Agencies

STANDARD 23 – FINANCIAL PROCEDURESOUTCOMEThe continuity of the service provided to service users is safeguarded by the accounting and financial procedures of the agency.

See the following Regulations: 25 – Financial Position

Please list evidence supporting your application

     

Inspector’s Notes

     

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National Minimum Standards for Domiciliary Care Agencies

STANDARD 24 – RECORD KEEPING

OUTCOMEThe rights and best interests of service users are safeguarded by the agency keeping accurate and up-to-date records.

See the following Regulations: 20 – RecordsSchedule 4 – Records to be maintained for inspection

Please list evidence supporting your application

     

Inspector’s Notes

     

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NB Standards 24.3 and 24.4 do not apply to Employment Agencies

National Minimum Standards for Domiciliary Care Agencies

STANDARD 25 – POLICIES AND PROCEDURES OUTCOMEThe service user’s rights, health and best interests are safeguarded by robust policies and procedures which are consistently implemented and constantly monitored by the agency.

See the following Regulations: 4 - Statement of Purpose16 – Staffing17 – Staff handbook and code of conduct 23 – Review of quality of service provision

Please list evidence supporting your application

     

Inspector’s Notes

     

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National Minimum Standards for Domiciliary Care Agencies

STANDARD 26 – COMPLAINTS AND COMPLIMENTS OUTCOMEService users and their relatives or representatives are confident that their complaints will be listened to, taken seriously and acted upon.

See the following Regulations: 14 – Arrangements for the provision of personal care

21 – Complaints 23 – Review of quality of service

Please list evidence supporting your application

     

Inspector’s Notes

     

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National Minimum Standards for Domiciliary Care Agencies

STANDARD 27 – QUALITY ASSURANCE OUTCOMEThe service is run in the best interests of its service users.

See the following Regulations: 16 – Staffing 23 – Review of quality of service provision

Please list evidence supporting your application

     

Inspector’s Notes

     

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