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The Department of Health, Social Services and Public Safety in exercise of the powers conferred on it by Articles 23(1), (2)(a) to (d) and (f) to (j), (3), (5), (7)(a) to (h), (j) and (1), 25(1), 30, 31(1), 32 and 48(2) of the Health and Personal Social Services (Quality, Improvement and Regulation) (Northern Ireland) Order 2003[1] and of all other powers enabling it in that behalf, having consulted such persons as appropriate as required by Article 23(8) of that Order, hereby makes the following Regulations: Citation, commencement and extent 1. These Regulations may be cited as the Residential Care Homes Regulations (Northern Ireland) 2005 and shall come into operation on 1st April 2005. Interpretation 2. - (1) In these Regulations -
(b) any parent, grandparent, child, grandchild, brother, sister, uncle, aunt, nephew or niece of his; (c) the spouse of any relative within sub-paragraph (b) of this definition,
and for the purpose of determining any such relationship a person's step-child shall be treated as his child, and references to "spouse" in relation to any person include a former spouse and a person who is living with the person as husband or wife;
(2) In these Regulations, references to employing a person include employing a person whether or not for payment and whether under a contract of service or a contract for services and allowing a person to work as a volunteer.
(b) a statement as to the facilities and services which are to be provided by the registered person for residents; and (c) a statement as to the matters listed in Schedule 1.
(2) The registered person shall supply a copy of the statement of purpose to the Regulation and Improvement Authority and shall make a copy of it available for inspection by every resident and any representative of a resident.
(b) the conditions for the time being in force in relation to the registration of the registered person under Part III of the Order.
Resident's guide
(b) the terms and conditions in respect of accommodation to be provided for resident's, including as to the amount and method of payment of fees; (c) a standard form of contract for the provision of services and facilities by the registered provider to residents; (d) a summary of the complaints procedure established under regulation 24; (e) the address and telephone number of the Regulation and Improvement Authority.
(2) The registered person shall also provide, on request, access to a copy of the most recent inspection report and information on how to access earlier inspection reports;
(ii) personal care;
and, except where a single fee is payable for those services, the services to which each fee relates;
(2) The registered person shall notify the resident at least 28 days in advance of -
(b) any variation in the matters referred to in paragraph (1)(b).
(3) Where a HSS Trust has made arrangements for the provision of residential accommodation with board and personal care at the residential care home and the charge made exceeds the fee paid, the registered person shall in the individual written agreement -
(b) by whom it will be paid; and (c) list the services, if any, provided for it.
(4) Where a nursing contribution is paid in respect of nursing care provided to the resident, the registered person shall provide to the resident a statement specifying -
(b) the date on which the registered person is to deduct the amount of the nursing contribution from the fees referred to in paragraph (1)(a) or pay that amount to the resident.
(5) In this regulation "nursing care contribution" means a payment by a HSS Trust to the registered person in respect of nursing care to be provided to a resident, but does not include a payment where -
(b) the payment relates to any period for which under those arrangements accommodation is provided to the resident.
Review of statement of purpose and resident's guide
(b) notify the Regulation and Improvement Authority and residents of any such revision within 28 days.
Fitness of registered provider 7. - (1) A person shall not carry on a residential care home unless he is fit to do so. (2) A person is not fit to carry on a home unless the person -
(ii) in partnership with others, and he and each of his partners satisfies the requirements set out in paragraph (3);
(b) is a partnership, and each of the partners satisfies the requirements set out in paragraph (3);
(ii) that individual satisfies the requirements set out in paragraph (3).
(3) The requirements are that -
(b) he is physically and mentally fit to carry on the home; and (c) full and satisfactory information is available in relation to him in respect of the matters specified in paragraphs 1 to 7 of Schedule 2.
(4) A person shall not carry on a home if -
(b) he has made a composition or arrangement with his creditors and has not been discharged in respect of it.
Appointment of manager
(b) the registered provider -
(ii) is not a fit person to manage a home; or (iii) is not, or does not intend to be, in full-time day-to-day charge of the home.
(2) Where the registered provider appoints a person to manage the residential care home he shall forthwith give notice to the Regulation and Improvement Authority of -
(b) the date on which the appointment is to take effect
Fitness of registered manager
(b) having regard to the size of the home, the statement of purpose, and the number and needs of the residents -
(ii) he is physically and mentally fit to manage the home; and
(c) full and satisfactory information is available in relation to him in respect of the matters specified in paragraphs 1 to 7 of Schedule 2.
Registered person: general requirements
(b) an organisation, it shall ensure that the responsible individual undertakes; (c) a partnership, it shall ensure that one of the partners undertakes;
from time to time such training as is appropriate to ensure that he has the experience and skills necessary for carrying on the home.
(b) the offence of which he was convicted; and (c) the penalty imposed on him in respect of the offence.
Requirements to ensure quality of care and other service provision 12. - (1) The registered person shall provide care and any other services to residents in accordance with the statements of purpose, and shall ensure that the care, treatment, if necessary, and other services provided to each resident -
(b) reflect current best practice; and (c) are (where necessary) provided by means of appropriate aids or equipment.
(2) The registered person shall ensure that all aids and equipment used in or for the purpose of the residential care home is -
(b) properly maintained and in good working order.
(3) Where reusable medical devices are used in a home, the registered person shall ensure that appropriate procedures are implemented and adhered to in relation to cleaning, disinfection, inspection, packaging, sterilisation, transportation and storage of such devices.
(b) are properly prepared, wholesome and nutritious and meets their nutritional requirements; (c) are suitable for the needs of residents; (d) provide choice for the residents; (e) that the menu is varied at suitable intervals.
Health and welfare of residents
(b) to make proper provision for the care and where appropriate, treatment and supervision of residents.
(2) The registered person shall so far as practicable enable residents to make decisions with respect to the care they are to receive and their health and welfare.
(b) medicine which is prescribed is administered as prescribed to the resident for whom it is prescribed, and to no other resident; and (c) a written record is kept of the administration of any medicine to a resident.
(5) Paragraph (4) does not apply to medicine which -
(b) may be safely self-administered by that individual.
(6) In this regulation, "prescribed" means -
(b) prescribed for a resident under section 58 of the Medicines Act 1968[9].
(7) The registered person shall make suitable arrangements to minimise the risk of infection and toxic conditions and the spread of infection between residents and staff.
(b) with due regard to the sex, religious persuasion, ethnic origin, and cultural and linguistic background and any disability of residents.
(9) The registered provider and registered manager (if any) shall, in relation to the conduct of the home -
(b) encourage and assist staff to maintain good personal and professional relationships with residents.
Further requirements as to health and welfare
(b) to receive where necessary, treatment, advice and other services from any health care professional and/or social worker.
(2) The registered person shall ensure as far as reasonably practicable that -
(b) any activities in which residents participate are free from avoidable risks; and (c) unnecessary risks to the health, welfare or safety of residents are identified and so far as possible eliminated; and (d) shall make suitable arrangements for the training of persons employed in first aid.
(3) The registered person shall make suitable arrangements to provide a safe system for moving and handling residents.
(b) the registered person has obtained a copy of the assessment; and (c) there has been appropriate consultation regarding the assessment with the resident or a representative of the resident as appropriate; (d) the registered person has confirmed in writing to the resident that having regard to the assessment the home is suitable for the purpose of meeting the resident's needs in respect of his care health and welfare; (e) the home has been registered for the category of care appropriate to the resident's needs.
(2) The registered person shall ensure that the assessment of the resident's needs is -
(b) revised at any time when it is necessary to do so having regard to any change of circumstances and in any case not less than annually.
Resident's care plan
(b) the resident's care plan is kept under review; (c) where appropriate and, unless it is impracticable to carry out such consultation, after consultation with the resident or a representative of his, revise the resident's care plan; and (d) notify the resident of any such revision.
Review of quality of care and other service provision
(b) provide telephone facilities which are suitable for the needs of residents, and make arrangements to enable residents to use such facilities in private; (c) provide in rooms occupied by residents adequate furniture, bedding and other furnishings, including curtains and floor coverings, and equipment suitable to the needs of residents and screens where necessary; (d) permit residents, so far as it is practicable to do so, and subject to fire and safety requirements, to bring their own furniture and furnishings into the rooms they occupy; (e) arrange for the regular laundering of linen and clothing; (f) so far as it is reasonable and practicable to do so, provide adequate facilities for residents to wash, dry and iron their own clothes if they so wish and, for that purpose, to make arrangements for their clothes to be sorted and kept separately; (g) so far as it is reasonable and practicable to do so, provide adequate facilities for residents to prepare their own food and ensure that such facilities are safe for use by residents; (h) so far as it is reasonable and practical to do so, provide sufficient and suitable kitchen equipment, crockery, cutlery and utensils and adequate facilities for the preparation and storage of food; (i) after consultation with the environmental health department of the district council for the district in which the home is situated, make suitable arrangements for maintaining satisfactory standards of hygiene in the home; (j) keep the home free from offensive odours; (k) make suitable arrangements for the safe disposal of general and clinical waste; (l) provide a place where the money and valuables of residents may be deposited for safe keeping, and make arrangements for residents to acknowledge in writing the deposit and return to them of any money or valuables; (m) consult residents about their social interests, and make arrangements to enable them to engage in local, social and community activities and to visit, or maintain contact or communicate with, their families and friends; (n) where activities are provided by or on behalf of the home including training, occupation and recreation, there are arrangements to ensure that -
(ii) residents are consulted about the planned programme of activities.
(3) The registered person shall ensure that so far as practicable residents have the opportunity to attend religious services of their choice
(b) ensure that the record referred to in sub-paragraph (a) is kept securely in the residential care home.
(2) The registered person shall maintain in the home the records specified in Schedule 4.
(b) are at all times available for inspection in the home by any person authorised by the Regulation and Improvement Authority to enter and inspect the home; and (c) ensure that residents are aware of arrangements to access their personal records.
(4) The records referred to in paragraphs (1) and (2) shall be retained for not less than 6 years from the date of the last entry.
(b) ensure that the employment of any persons on a temporary basis at the home will not prevent residents from receiving such continuity of care as is reasonable to meet their needs; (c) ensure that the persons employed by the registered person to work at the home receive -
(ii) are supported to maintain their registration with the appropriate regulatory or occupational body; and (iii) are enabled from time to time to obtain training and/or further qualifications appropriate to the work they perform; and (iv) are provided with a job description outlining their responsibilities.
(2) The registered person shall ensure that persons working at the home are appropriately supervised.
(b) subject to paragraph (5), he has obtained in respect of that person the information and documents specified in paragraphs 1 to 7 of Schedule 2; (c) he is satisfied on reasonable grounds as to the authenticity of the references referred to in paragraph 3 of Schedule 2 in respect of that person.
(2) Paragraph 1 applies to a person who is employed by a person ("the employer") other than the registered person.
(b) the employer has obtained in respect of that person the information and documents specified in -
(c) the employer is satisfied on reasonable grounds as to the authenticity of the references referred to in paragraph 3 of Schedule 2 in respect of that person, and has confirmed in writing to the registered person that he is so satisfied.
(5) For the purposes of paragraphs (1) and (4), a person is not fit to work at a home unless -
(b) he has qualifications or training suitable to the work that he is to perform, and the skills and experience necessary for such work; (c) he is physically and mentally fit for the purposes of the work he is to perform at the home. (d) full and satisfactory information is available in relation to him in respect of the following matters -
(6) The registered person shall ensure that all health care professionals are covered by appropriate professional indemnity.
(b) the account is not used by the registered person in connection with the carrying on or management of the residential care home.
(2) Paragraph (1) does not apply to money which is paid to the registered person in respect of charges payable by a resident for accommodation or other services provided by the registered person at the home.
(b) the procedure (if any) that has been notified by the Regulation and Improvement Authority to the registered person for the making of complaints to the Regulation and Improvement Authority relating to the residential care home.
(8) The registered person shall supply to the Regulation and Improvement Authority at its request a statement containing a summary of the complaints made during the preceding twelve months and the action that was taken in response.
(b) staff are supported to meet and maintain the standards and requirements of their relevant codes of practice; (c) appropriate action is taken when staff do not meet the expected standards of conduct in line with the relevant codes of practice.
Clinical trials and research
(b) any clinical trial to be conducted in the home has been authorised in accordance with the Medicines for Human Use (Clinical Trials) Regulations 2004[10].
Fitness of premises 27. - (1) Subject to regulation 3(3), the registered person shall not use premises for the purposes of a residential care home unless the premises are suitable for the purpose of achieving the aims and objectives set out in the statement of purpose. (2) The registered person shall, having regard to the number and needs of the residents, ensure that -
(b) the premises to be used as the home are of sound construction and kept in a good state of repair externally and internally; (c) equipment provided at the home for use by residents or persons who work at the home is in good working order, properly maintained in accordance with the manufacturer's guidance and suitable for the purpose for which it is to be used; (d) all parts of the home are kept clean and reasonably decorated; (e) adequate private and communal accommodation is provided for residents; (f) the size and layout of rooms occupied or used by residents are suitable for their needs; (g) there is adequate seating, recreational and dining space provided separately from the resident's private accommodation; (h) the communal space provided for residents is suitable for the provision of social, cultural and religious activities appropriate to the circumstances of residents; (i) suitable facilities are provided for residents to receive visitors whether in communal areas or in private as the resident chooses; (j) there are provided at appropriate places in the premises sufficient numbers of lavatories, wash-basins, baths and showers fitted with a hot and cold water supply; (k) any necessary sluicing facilities are provided; (l) there is suitable storage provision for the purposes of the home; (m) suitable storage facilities are provided for the use of residents; (n) suitable adaptations are made, and such support, equipment and facilities, including passenger lifts, as may be required are provided to meet the needs of residents; (o) secure and safe outdoor space with seating, accessible to all residents is provided and appropriately maintained; (p) ventilation, heating, cooling and lighting suitable for residents is provided in all parts of the home which are used by residents; (q) the engineering services are maintained in good working order; (r) any vehicle used by the home for transporting residents is suitable for that purpose and maintained in good working order; (s) provision is made for the home to operate in the event of the breakdown of essential utility services; and (t) a risk assessment to manage health and safety is carried out and updated when necessary.
(3) The registered person shall having regard for the number of staff employed and the duties they undertake, provide-
(ii) storage facilities.
(4) The registered person shall -
(b) take adequate precautions against the risk of fire, including the provision of suitable fire equipment; (c) provide adequate means of escape; (d) make adequate arrangements -
(ii) for giving warnings of fires; (iii) for the evacuation, in the event of fire, of all persons in the home and safe placement of residents; (iv) for the maintenance of all fire equipment; and (v) for reviewing fire precautions, and testing fire equipment, at suitable intervals;
(e) make arrangements for persons working at the home to receive suitable training, from a competent person, in fire prevention; and
(5) The registered person shall undertake appropriate consultation with the environmental health department of the district council for the district in which the home is situated. Financial position 28. - (1) The registered provider shall carry on the residential care home in such a manner as is likely to ensure that the home will be financially viable for the purpose of achieving the aims and objectives set out in the statement of purpose. (2) The registered person shall, if the Regulation and Improvement Authority so requests, provide such information and documents to the Regulation and Improvement Authority as it may require for the purpose of considering the financial viability of the home, including -
(b) a reference from a bank expressing an opinion as to the registered provider's financial standing; (c) information as to the financing and financial resources of the home; (d) where the registered person is a company, information as to any of its associated companies; (e) a certificate of insurance for the registered provider in respect of liability which may be incurred by him in relation to the home in respect of death, injury, public liability, damage or other loss.
(3) The registered person shall -
(b) ensure that the accounts give details of the running costs of the home, including rent, payments under a mortgage and expenditure on food, heating and salaries and wages of staff; and (c) supply a copy of the accounts to the Regulation and Improvement Authority at its request.
(4) In this regulation a company is an associated company of another if one of them has control of the other or both are under the control of the same person.
(b) another of the directors or other persons responsible for the management of the organisation or partnership; or (c) an employee of the organisation or the partnership who is not directly concerned with the conduct of the home.
(3) Visits under paragraph (1) or (2) shall take place at least once a month or as agreed with the Regulation and Improvement Authority and shall be unannounced.
(b) inspect the premises of the home, its record of events and records of any complaints; and (c) prepare a written report on the conduct of the home.
(5) The registered provider shall maintain a copy of the report required to be made under paragraph 4(c) in the home and make it available on request to -
(b) the registered manager; (c) the resident or their representative; and (d) an officer of the HSS Trust in the area of which the home is situated.
(6) In the case of a visit under paragraph (2) -
(ii) where the registered provider is a partnership, to each of the partners.
Notification of death, illness and other events 30. - (1) The registered person shall give notice to the Regulation and Improvement Authority without delay of the occurrence of -
(b) the outbreak in the home of any infectious disease which in the opinion of any medical practitioner attending persons in the home is sufficiently serious to be so notified; (c) any serious injury to a resident in the home; (d) any event in the home which adversely affects the care, health, welfare or safety of any resident; (e) any theft or burglary in the home; (f) any accident in the home; (g) any allegation of misconduct by the registered person or any person who works at the home.
(2) Any notification made in accordance with this regulation which is given orally shall be confirmed in writing within 3 working days of the oral report.
(b) the registered manager;
proposes to be absent from the home for a continuous period of 28 days or more, the registered person shall give notice in writing to the Regulation and Improvement Authority of the proposed absence.
(b) the reason for the absence; (c) the arrangements which have been made for the running of the home during that absence; (d) the name, address and qualifications of the person who will be responsible for the home during that absence; and (e) in the case of the absence of the registered manager, the arrangements that have been, or are proposed to be, made for appointing another person to manage the home during that absence, including the proposed date by which the appointment is to be made.
(3) Where the absence arises as a result of an emergency, the registered person shall give notice of the absence within one week of its occurrence specifying the matters mentioned in sub-paragraphs (a) to (e) of paragraph (2).
(b) the registered manager;
has been absent from the home for a continuous period of 28 days or more, and the Regulation and Improvement Authority has not been given notice of the absence, the registered person shall without delay give notice in writing to the Regulation and Improvement Authority of the absence, specifying the matters mentioned in sub-paragraphs (a) to (e) of paragraph (2).
(b) a person ceases to carry on or manage the home; (c) where the registered person is an individual, he changes his name; (d) where the registered provider is a partnership, there is any change in the membership of the partnership; (e) where the registered provider is an organisation -
(ii) there is any change of director, manager, secretary or other similar officer of the organisation; (iii) there is to be any change of responsible individual;
(f) where the registered provider is an individual, a trustee in bankruptcy is appointed;
Notice of termination of accommodation
(b) the person who appears to be the resident's next of kin; and (c) where a HSS Trust has made arrangements for the provision of accommodation, board and personal care to the resident at the residential care home, that Trust.
(2) If it is impracticable for the registered person to comply with the requirement in paragraph (1) -
(b) he shall provide to the Regulation and Improvement Authority a statement as to the circumstances which made it impracticable for him to comply with the requirement.
Appointment of liquidators etc.
(b) appoint a manager to take full-time day-to-day charge of the residential care home in any case where there is no registered manager; and (c) within 28 days of his appointment notify the Regulation and Improvement Authority of his intentions regarding the future operation of the home.
(2) This paragraph applies to any person appointed as -
(b) a liquidator or provisional liquidator of a company which is a registered provider of a home; or (c) the trustee in bankruptcy of a registered provider of a home.
Death of registered person
(b) within 28 days of their intentions regarding the future running of the home.
(3) The personal representatives of the deceased registered provider may carry on the home without being registered in respect of it -
(b) for any further period as may be determined in accordance with paragraph (4).
(4) The Regulation and Improvement Authority may extend the period specified in paragraph (3)(a) by such further period, not exceeding one year, as the Regulation and Improvement Authority shall determine, and shall notify any such determination to the personal representatives in writing.
(b) notice has been given to him in accordance with paragraph (3); (c) the period specified in the notice, has expired; and (d) the person contravenes any of the provisions of the regulations mentioned in the notice.
(3) Where the Regulation and Improvement Authority considers that the registered person has contravened any of the provisions of the regulations mentioned in paragraph (1), it may serve a notice on the registered person specifying -
(b) what action, in the opinion of the Regulation and Improvement Authority, the registered person should take so as to comply with any of those regulations; and (c) the period, not exceeding three months, within which the registered person should take action.
(4) The Regulation and Improvement Authority may bring proceedings against a person who was once, but no longer is, a registered person, in respect of a failure to comply with regulation 19 and for this purpose, references in paragraphs (2) and (3) to a registered person shall be taken to include such a person.
1. The name and address of the registered provider and of any registered manager. 2. The relevant qualifications and experience of the registered provider and any registered manager. 3. The number, relevant qualifications and experience of the staff working at the residential care home. 4. The philosophy of care. 5. The status and constitution of the home. 6. The organisational structure of the home. 7. The number of residents to be accommodated or provided with services. 8. The range of needs, (categories of care) that the home is intended to meet and the number in each category. 9. Any criteria used for admission to the home, including the home's policy and procedures (if any) for emergency admissions. 10. The arrangements for residents to engage in social activities, hobbies and leisure interests. 11. The arrangements made for consultation with residents about the operation of the home. 12. The fire precautions and associated emergency procedures in the home. 13. The arrangements made, so far as is practicable that residents have the opportunity to attend religious services of their choice. 14. The arrangements made for contact between residents and their relatives, friends, representatives, and the local community where practicable. 15. The arrangements for dealing with complaints. 16. The arrangements made for dealing with reviews of the resident's care plan referred to in regulation 16(1). 17. The number and size of rooms in the home. 18. Details of any specific therapeutic techniques used in the home and arrangements made for their supervision. 19. The arrangements made for respecting the privacy and dignity of residents. 1. Proof of the person's identity, including a recent photograph. 2. Either -
(b) in any other case, a criminal certificate issued under section 113 of that Act, including, where applicable, the matters specified in sections 113(3EA) and 115(6EA)[14] of that Act and the following provisions once they are in force, namely section 113(3EC)(a) and (b) and section 115(6EB) (a) and (b)[15] of that Act.
3.
Two written references relating to the person, including a reference from the person's present or most recent employer, if any. 1. The following documents in respect of each resident -
(b) the resident's care plan referred to in regulation 16(1).
2.
A recent photograph of the resident.
(b) the name, address and telephone number of the resident's next of kin or of any person authorised to act on his behalf; (c) the name, address and telephone number of the resident's general practitioner and of any officer of a HSS Trust whose duty it is to supervise the welfare of the resident; (d) the date on which the resident was admitted to the residential care home; (e) the date on which the resident was discharged from the home; (f) if the resident is transferred to another home, nursing home or to a hospital, the name of the home or hospital and the date on which the resident is transferred; (g) if the resident died at the home, the date and time of death; (h) the name and address of any HSS Trust, organisation or other body, which arranged the resident's admission to the home; (i) a record of all medicines kept in the home for the resident, and the date on which they were administered to the resident; (j) a record of any accident affecting the resident in the home and of any other incident in the home which is detrimental to the care, health, safety or welfare of the resident, which record shall include the nature, date and time of the accident or incident, whether medical treatment was required and the name of the individuals who were supervising the resident; (k) a contemporaneous note of all care and services provided to the resident, including a record of his condition and any treatment or other intervention; (l) details of any specialist communications needs of the resident and methods of communication that may be appropriate to the resident; (m) details of any health care plan relating to the resident in respect of medication, specialist health care provision or nutrition; (n) the wishes of the resident regarding any specific arrangements at the time of death; (o) a record of falls and of treatment provided to the resident; (p) a record of incidence of pressure ulcers and of treatment provided to the resident; (q) a record of any restraint used in relation to the resident; (r) a record of any limitations agreed with the residents to the resident's freedom of choice, liberty of movement and power to make decisions.
4.
A copy of correspondence relating to each resident. 1. A copy of the statement of purpose. 2. A copy of the resident's guide. 3. A record of all accounts relating to the residential care home including a record of resident's fees and financial arrangements that are handled by the home and a record of persons working at the home acting as the appointee or agent of a resident. 4. A copy of all inspection reports. 5. A copy of any report made under regulation 29(4)(c) or a copy of any written record or report made under regulation 30. 6. A record of all persons employed at the home, which includes in respect of each person so employed -
(b) a copy of his birth certificate and passport (if any); (c) a copy of each reference obtained in respect of him; (d) the dates on which he commences and ceases to be so employed; (e) the position he holds at the home, the work that he performs and the number of hours for which he is employed each week; (f) correspondence, reports, records of disciplinary action and any other records in relation to his employment including the recruitment process under which he was appointed. (g) the training and development activities completed by him.
7.
A copy of the duty roster of persons working at the home, and a record of whether the roster was actually worked.
(b) shall include the written acknowledgement of the return of the money or valuables.
10.
A record of furniture and personal possessions brought by a resident into the room occupied by him.
(b) any incident which is detrimental to the care, health, safety or welfare of a resident, including the outbreak of infectious disease in the home; (c) any injury or serious illness; (d) any fire; (e) except where a record to which paragraph 14 refers is to be made, any occasion on which the fire alarm equipment is operated; (f) any theft or burglary.
13.
Records of the food provided for residents in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition and otherwise, and of any special diets prepared for individual residents.
(b) a record is kept of journeys made and names of residents being transported.
19.
A record of the programme of events and activities that includes the name of the person leading the activity and the names of those who participated. (This note is not part of the Regulations.) These Regulations are made under the Health and Personal Social Services (Quality, Improvement and Regulation) (Northern Ireland) Order 2003. Part II of the Order establishes the Northern Ireland Health and Personal Social Services Regulation and Improvement Authority ("the Regulation and Improvement Authority") and Part III provides for the registration and inspection of establishments and agencies, including residential care homes, by the Regulation and Improvement Authority. It also provides powers for regulations governing the conduct of establishments and agencies. These new arrangements replace the regulatory system provided for in relation to residential care homes by the Registered Homes (Northern Ireland) Order 1992. Under regulation 3, 4 and 5, each home must have a statement of purpose consisting of the matters set out in Schedule 1, and supply a guide of the home to each resident together with a statement giving information about fees payable. Regulations 7 to 10 make provision about the fitness of the persons carrying on and managing the home, and require satisfactory information to be available in relation to certain specified matters. Where an organisation carries on the home, it must nominate a responsible individual in respect of whom this information must be available (regulation 7). Regulation 8 prescribes the circumstances where a manager must be appointed for the home, and regulation 10 imposes general requirements in relation to the proper conduct of the home, and the need for appropriate training. Regulation 17 requires the registered person to establish a system for reviewing and improving the quality of care and other service provision provided by the home. Part III makes provision about the conduct of residential care homes, in particular as to the care, health, safety, welfare and protection of residents, and as to the facilities and services that are to be provided. Provision is also made about record keeping, the staffing of homes, the fitness of workers, and about complaints. Part IV makes provision about the suitability of premises and fire precautions to be taken. Part V deals with the management of homes. Regulation 28 imposes requirements relating to the home's financial position. Regulation 29 requires the registered person to visit the home as prescribed. Part VI deals with miscellaneous matters including the giving of notices to the Regulation and Improvement Authority. Regulation 36 provides for offences. A breach of the regulations specified in regulation 36 may found an offence on the part of the registered person. However, no prosecution may be brought unless the Regulation and Improvement Authority has first given the registered person a notice which sets out in what respect it is alleged he is not complying with a regulation, and what action the Regulation and Improvement Authority considers it is necessary for him to take in order to comply. The notice must specify a time period for compliance, not exceeding three months. Notes: [1] S.I. 2003/431 (N.I. 9)back [3] S.I. 1984/1821 (N.I. 11)back [8] S.I. 1972/1265 (N.I. 14)back [9] 1968 c. 67; as amended by paragraph 7 of Part II of Schedule 2 to the Medicines (Specified Articles and Substances) Order 1976 (S.I. 1976/968)back [14] Section 113(3EA) and 115(6EA) are inserted by S.I. 2003/417 (N.I. 4) Article 17back [15] Section 113(3EC) and 115(6EB) are inserted by S.I. 2003/417 (N.I. 4) Article 47back
ISBN 0 337 95948 X
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