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The National Assembly for Wales makes the following Regulations in exercise of the powers conferred on it by sections 4(6), 12(2), 14(1)(d), 15(3), 16(1) and (3), 22(1), (2)(a) to (d) and (f) to (j), (5)(a) and (7)(a) to (h) and (j), 25, 35 and 118(5) to (7) of the Care Standards Act 2000[1], having consulted such persons as it considers appropriate[2]: - Name, commencement and application 1. - (1) These Regulations are called the Domiciliary Care Agencies (Wales) Regulations 2004 and shall come into force on 1st March 2004. (2) These Regulations apply in relation to Wales. Interpretation 2. - (1) In these Regulations, unless the context otherwise requires -
(b) in any other case, any office of the National Assembly;
(b) is introduced by an agency to a service user for employment by him or her; or (c) is employed by a direct service provider,
to provide personal care in the homes of and for persons who by reason of illness, infirmity or disability are unable to provide it for themselves without assistance;
(b) any lineal ancestor, lineal descendant, brother, sister, uncle, aunt, nephew or niece of the person or the person's spouse; (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 or her child, and references to "spouse" include a former spouse and a person who is living with the person as if he or she were the person's husband or (as the case may be) wife;
(2) In these Regulations, a reference -
(b) in a regulation or Schedule to a numbered paragraph, is to the paragraph in that regulation or Schedule bearing that number; (c) in a paragraph to a lettered or numbered sub-paragraph is to the sub-paragraph in that paragraph bearing that letter or number.
(3) In these Regulations the terms "employed" and "employment" include employment under a contract of service or a contract for services, or otherwise than under a contract and whether or not for payment.
(ii) is not employed by an organisation or unincorporated association to carry it on; (iii) does not employ any other person for the purposes of the undertaking; and (iv) provides or arranges the provision of personal care services to fewer than four service users;
(b) in so far as it arranges for the provision of personal care for persons accommodated in a care home in respect of which a person is registered under Part II of the Act;
(2) The provisions of these Regulations set out in paragraph (3) shall not apply to domiciliary care agencies to the extent to which they are also employment agencies.
(b) a statement specifying the personal care services which the agency arranges to be provided to service users; (c) a statement as to the number and scale of contracts or other arrangements under which the agency provides services; and (d) a statement as to the matters listed in Schedule 1.
(2) The registered person shall make the statement of purpose available at the agency premises for inspection by every service user and any person employed for the purposes of the agency.
(b) a description of the geographical area in respect of which the agency arranges for services to be provided; (c) the terms and conditions upon which personal care is to be provided for service users, including those as to -
(ii) the matters described in paragraphs 5, 6 and 9 of Schedule 1;
(d) a description of the staff structure of the agency;
(2) The registered person shall -
(b) provide a copy of the current version of the service user's guide to each service user or the service user's representative when the agency first arranges for the provision of personal care for the service user; and (c) subsequent to the provision described in (b), provide on request further copies of the service user's guide to the service user or the service user's representative.
Review of statement of purpose and service user's guide
(b) notify service users and the appropriate office of the National Assembly of any such revision within 28 days.
(2) Unless it is not reasonably practicable to do so, the registered person shall notify the appropriate office of the National Assembly of any revision to be made to the statement of purpose at least 28 days before the revision is to take effect. Fitness of registered provider 8. - (1) A person shall not carry on an agency unless fit to do so. (2) A person is not fit to carry on an agency unless the person -
(ii) in partnership with others and he or she and each of the partners satisfies the requirements set out in paragraph (3); or
(b) is an organisation and -
(ii) that individual satisfies the requirements set out in paragraph (3).
(3) The requirements are that -
(b) the person is physically and mentally fit to carry on or (as the case may be) be responsible for the management of the agency; and (c) full and satisfactory information or (as the case may be) documentation in respect of each of the matters listed in Schedule 2 is available in relation to the person.
(4) A person is not fit to carry on an agency if -
(b) he or she has made a composition or arrangement with, or granted a trust deed for, his or her creditors and has not been discharged in respect of it.
Appointment of manager
(b) the registered provider -
(ii) carries on the agency in partnership; (iii) is not a fit person to manage an agency; or (iv) is not, or does not intend to be, in full time day to day charge of the agency.
(2) Where -
(b) if an appointment has been made under paragraph (1), the registered manager,
proposes to be, is likely to be, or has been, absent from the agency for a continuous period of 28 days or more, the registered provider shall appoint an individual to manage the agency during the provider's or (as the case may be) the registered manager's absence.
(b) subject to registration, the date on which the appointment is to take effect.
(4) The registered person shall nominate a person to be in charge at all times when the agency is open for business and the registered person is absent from the premises.
(b) having regard to the nature and size of the agency and the number and needs of the service users -
(ii) the person is physically and mentally fit to manage the agency; and
(c) full and satisfactory information or (as the case may be) documentation in respect of each of the matters listed in Schedule 2 is available in relation to the person.
Registered person - general requirements and training
(b) an organisation, it shall ensure that the responsible individual undertakes,
from time to time such training as is appropriate to ensure that the individual has the expertise, experience and skills necessary for carrying on the agency.
(b) the offence; and (c) the penalty imposed in respect of the offence.
Conduct of agency 13. The registered person shall make suitable arrangements to ensure that the agency is conducted, and the personal care arranged by the agency is provided -
(b) so as to safeguard service users against abuse or neglect; (c) so as to promote the independence of service users; (d) so as to ensure the safety and security of the service users' property, including their homes; (e) in a manner which respects the privacy, dignity and wishes of service users, and the confidentiality of information relating to them; and (f) with due regard to the sex, religious persuasion, racial origin, and cultural and linguistic background and any disability of service users, and to the way in which they conduct their lives.
Arrangements for the provision of personal care
(b) specify the service user's needs in respect of which personal care is to be provided; and (c) specify how those needs are to be met by the provision of personal care.
(2) The registered person shall -
(ii) any person acting on behalf of a service user who was consulted in its preparation or revision;
(b) keep the service delivery plan under review;
(3) The registered person shall, so far as is practicable, ensure that the personal care which the agency arranges to be provided to any service user meets the service user's needs specified in the service delivery plan.
(b) provide them with comprehensive information and suitable choices as to the personal care that may be provided to them; and (c) encourage and enable them to make decisions with respect to such personal care.
(5) The registered person shall ensure that arrangements made for the provision of personal care to a service user -
(b) specify the circumstances in which a domiciliary care worker may administer or assist in the administration of the service user's medication, and the procedures to be adopted in such circumstances; (c) include suitable arrangements to assist the service user with mobility in his or her home, where required; and (d) specify the procedure to be followed where a domiciliary care worker acts as agent for, or receives money from, a service user.
(6) The registered person shall make suitable arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines used in the course of the provision of personal care to service users.
(b) there is available in respect of that person full and satisfactory information or (as the case may be) documentation in respect of each of the matters specified in Schedule 3; and (c) the registered person is satisfied on reasonable grounds as to the authenticity of the references referred to in paragraph 5 of Schedule 3 in respect of that person.
(2) The registered person shall ensure that a person who is not a domiciliary care worker but who otherwise is required for the purposes of the agency to visit a service user in their home shall not work for the agency unless there is available in respect of that person full and satisfactory information or (as the case may be) documentation in respect of the matters specified in paragraphs 1 to 6 and 9 of Schedule 3.
(b) the person is physically and mentally fit for the purposes of the work which he or she is to perform.
(4) Paragraphs (1)(b) and (2), in so far as they relate to paragraph 4 of Schedule 3, shall not apply until 31st October 2004 in respect of a worker who has been supplied by or worked for the agency at any time during the period from 1st June 2003 to 31st May 2004.
(b) appropriate information and advice are provided to persons employed for the purposes of the agency, and further information and advice are made available to them at their reasonable request, in respect of -
(ii) the provision of personal care to service users;
(c) suitable assistance is provided to persons working for the purposes of the agency, and further assistance is made available to them at their reasonable request, in respect of the provision of personal care to service users;
(2) The registered person shall ensure that each member of staff -
(b) receives suitable assistance, including time off, for the purpose of obtaining further qualifications appropriate to such work; (c) is aware of his or her own responsibilities and those of the other members of staff; and (d) is required to notify the registered person if convicted of any criminal offence.
(3) The registered person shall take such steps as may be necessary to address any aspect of the performance of a domiciliary care worker which is found to be unsatisfactory.
(b) the role and responsibilities of members of staff and domiciliary care workers; (c) record keeping requirements; (d) recruitment procedures; and (e) training and development requirements and opportunities.
Provision of information to service users
(b) details of how the service user may contact the registered person, or a person nominated to act on his or her behalf, at all times during the period for which personal care is being provided; and (c) the terms and conditions upon which personal care is arranged.
(2) The registered person shall ensure that the information specified in paragraph (1) is, where appropriate, also provided on request to the service user's relatives or carers.
(b) at all times available for inspection by any person authorised by the National Assembly to enter and inspect the premises; and (c) retained for a period of not less than three years beginning on the date of the last entry.
(2) The registered person shall endeavour to ensure that, in addition to the records referred to in paragraph (1), a copy of the service delivery plan and a detailed record of the personal care provided to the service user are kept at the service user's home and that they are kept up to date, in good order and in a secure manner.
(b) the procedure (if any) which has been notified by the National Assembly to the registered person for making complaints to the National Assembly relating to the agency.
(4) The registered person shall ensure that every complaint made under the complaints procedure is fully investigated.
(b) a certificate of insurance for the registered provider in respect of liability which may be incurred by him or her in relation to the agency in respect of death, injury, public liability, damage or other loss.
Notification of incidents
(b) any incident which -
(ii) is reported to, or investigated by, the police; and
(c) any allegation of misconduct by the registered person or any person who works for the purposes of the agency.
(3) Any oral notification given in accordance with this regulation shall be confirmed in writing within 48 hours.
(b) a registered manager,
is to be absent from the agency for a continuous period of 28 days or more, the registered person shall give notice in writing to the appropriate office of the National Assembly of the absence.
(b) the reason for that absence; (c) the arrangements which have been made for the running of the agency during that absence; (d) the name, address and qualifications of the person who will be responsible for the agency during that absence; and (e) the name, address and qualifications of any person appointed or nominated in accordance with regulation 9.
(3) Where an absence referred to in paragraph (1) arises as a result of an emergency, the registered person shall give notice of the absence within one week of the emergency's occurrence specifying the matters in sub-paragraphs (a) to (e) of paragraph (2).
(b) a registered manager,
has been absent from the agency for a continuous period of 28 days or more, and the appropriate office of the National Assembly has not been given notice of the absence, the registered person shall forthwith give notice in writing to that office specifying the matters in sub-paragraphs (a) to (e) of paragraph (2).
(b) a person ceases, or proposes to cease, to carry on or manage the agency; (c) where a registered person is an individual, that individual changes, or proposes to change, his or her name; (d) where the registered provider is an organisation -
(ii) there is, or is proposed to be, any change of director, manager, secretary or other similar officer of the organisation, (iii) there is, or is proposed to be, any change in the identity of the responsible individual, or (iv) there is, or is proposed to be, a change of ownership of the organisation;
(e) where a registered provider is an individual, a trustee in bankruptcy for the individual is, or is likely to be, appointed or a composition or arrangement with the individual's creditors is, or is to be, made;
Death of registered person
(b) within 28 days, of their intentions regarding the future running of the agency.
(3) The personal representatives of the deceased registered provider may carry on the agency without being registered in respect of it -
(b) for any further period as may be determined in accordance with paragraph (4).
(4) The National Assembly may extend the period specified in paragraph (3)(a) by such period, not exceeding one year, as the National Assembly shall determine, and shall give notice in writing of such determination to the personal representatives. Compliance with regulations 30. Where there is more than one registered person in respect of an agency, anything which is required under these Regulations to be done by the registered person shall, if done by one of the registered persons, not be required to be done by any of the other registered persons. Offences 31. - (1) A contravention or failure to comply with regulations 4 to 7, 9 and 11 to 28 shall be an offence. (2) The National Assembly 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 20. Specification of appropriate offices 32. The National Assembly may specify an office controlled by it as the appropriate office in relation to agency premises situated in a particular area of Wales. Amendment of the Registration of Social Care and Independent Health Care (Wales) Regulations 2002 33. - (1) The Registration of Social Care and Independent Health Care (Wales) Regulations 2002[4] are amended in accordance with the following provisions of this regulation. (2) In regulation 2(1) -
(ii) in any other case, any office of the National Assembly.";
(c) in the definition of "statement of purpose" insert -
(3) In regulation 9 -
(b) after paragraph (i) insert -
(4) In paragraph 1 of Schedule 1, insert -
Amendment of the Registration of Social Care and Independent Healthcare (Fees) (Wales) Regulations 2002
(b) at the appropriate place, insert -
(4) In regulation 3, after paragraph (3C), insert -
(b) by a person mentioned in paragraph (1)(b), the registration fee shall be nil.".
(5) After regulation 14 (Annual fee - nurses agencies), there is to be inserted the following regulation -
15. - (1) The annual fee in respect of a domiciliary care agency is -
(b) otherwise, £750.
(2) The annual fee in respect of a domiciliary care agency is to be payable by the registered provider on the first and subsequent anniversaries of the date on which his or her certificate of registration is issued.".
Transitional provisions
(b) if within that period application is made for registration, until that application is finally disposed of or withdrawn.
(3) In this regulation "finally disposed of" means the date 28 days following the grant or refusal of registration and, if an appeal is made, the date when the appeal is finally determined or abandoned. 1. Whether the agency is carried on by an individual, by persons in partnership or by an organisation. 2. The nature of the services which the agency provides. 3. The geographical area in which the agency provides services. 4. The range of qualifications of the domiciliary care workers who are to attend at the homes of service users. 5. The circumstances in which the agency may cease to provide services to a service user. 6. Arrangements for cancellation of the supply of a domiciliary care worker by the service user or the agency. 7. The agency's charges. 8. Arrangements which will apply during the sickness or other absence of domiciliary care workers who are to attend at the homes of service users. 9. Requirements in relation to time sheets. 10. The complaints procedure established in accordance with regulation 21. 11. Procedures to safeguard service users and domiciliary care workers. 12. Procedures to safeguard service users' property. 13. Procedures for the administration, or assistance with the administration, of medication. 14. Requirements to protect the health and safety of domiciliary care workers. 15. Procedures to be followed in the event of an occurrence referred to in regulation 27. 16. Arrangements for service users to express their views about the service provided by the agency. 17. The management structure of the agency. 18. Whether, and if so the extent to which, the agency provides services through persons other than employees of the agency. 1. Name, address, date of birth and telephone number. 2. Proof of identity, including a recent photograph. 3. Either -
(b) in any other case, a criminal record certificate issued under section 113 of that Act,
including, where applicable, the matters specified in section 113(3A) or 115(6A) of that Act and, once they are in force, section 113(3C)(a) and (b) or section 115(6B)(a) and (b) of that Act. 1. Name, address, date of birth and telephone number. 2. Name, address and telephone number of next of kin. 3. Proof of identity, including a recent photograph. 4. Either -
(b) in any other case, a criminal record certificate issued under section 113 of that Act,
including, where applicable, the matters specified in section 113(3A) or 115(6A) of that Act and, once they are in force, section 113(3C)(a) and (b) or section 115(6B)(a) and (b) of that Act. Financial records 1. A record of all business transacted by the agency. 2. Counterfoils or copies of all receipts issued. 3. Details of the charges payable by each service user in respect of the provision of personal care. 4. Records of tax and national insurance contributions relating to each person who works for the purposes of the agency. Other records 5. A record of all information provided to the National Assembly for the purposes of registration in relation to the agency. 6. Details of every allegation of abuse, neglect or other harm made against an employee of, or any domiciliary care worker who works for the purposes of, the agency, including details of the investigations made, the outcome and any action taken in consequence. 7. Details of any physical restraint used on a service user. 8. Each service user's service delivery plan prepared for him or her and a detailed record of the personal care provided to him or her. 9. A personnel record relating to each person employed by, or working for the purposes of, the agency. (This note is not part of the Regulations) These Regulations are made under the Care Standards Act 2000 ("the Act") and apply in relation to domiciliary care agencies ("agencies") in Wales. Parts I and II of the Act provide for the National Assembly for Wales, in relation to Wales, to register persons carrying on or managing agencies and to inspect agency premises. Part II also provides that a person who carries on or manages an agency without being registered in respect of it commits an offence. The Act also provides for the National Assembly to make regulations governing the conduct of agencies in relation to Wales. Under section 13 of the Act the National Assembly must be satisfied that the regulations are being and will continue to be complied with if it is to grant an application for registration. Regulation 3 excludes certain undertakings from the definition of domiciliary care agency in section 4 of the Act. These include undertakings which are carried on solely by an individual who is not employed by an organisation to carry it on, who does not employ anyone else for the purposes of the undertaking and who arranges personal care to fewer than four service users. Regulations 4 to 6 are about the agency's statement of purpose and service users' guide. Each agency must have a statement of purpose and a service users' guide to the agency (regulations 4 and 5). The registered person must have regard to the statement of purpose in making staffing arrangements for the agency (regulation 16), and ensure that the agency premises are suitable for the purpose of achieving the aims and objectives set out in the statement of purpose (regulation 24). The statement and the guide are to be kept under review and revised if necessary (regulation 6). Regulation 7 requires the fact of an agency's registration to be noted on its correspondence. PART II of the Regulations makes provision about the fitness of persons carrying on or managing the agency, and requires satisfactory information as to the matters set out in schedule 2 to be available in relation to these persons. Where the person carrying on an agency is an organisation, it must nominate a responsible person in respect of whom this information must be available (regulation 8). Regulation 9 provides that a manager must be appointed for an agency in certain circumstances, and regulation 11 imposes general requirements in relation to the conduct of an agency and the need for registered persons to undertake appropriate training. Part III of the Regulations makes provision about the conduct of agencies, in particular as to the arrangements for the provision of personal care (regulation 14), the fitness of workers (regulation 15), staffing requirements (regulation 16), provision of a handbook and code of conduct to staff and information to service users (regulations 17 and 18), identification to be produced by workers (regulation 19), record keeping (regulation 20), complaints procedures of the agency (regulation 21), the seeking of staff views about the conduct of an agency (regulation 22) and the review of the operations of an agency (regulation 23). PART III also makes provision about the fitness of agency premises (regulation 24), imposes requirements as to the financial position of agencies (regulation 25) and requires notice to be given to the National Assembly of specified events relating to an agency (regulations 26 to 29). Part IV of the Regulations deals with miscellaneous matters such as the discharge of obligations under the Regulations where an agency has more than one registered person (regulation 30), offences under the Regulations (regulation 31), the specification of appropriate offices of the National Assembly for the purposes of obligations under the Regulations to give notice (regulation 32), amendments to the Statutory Instruments about the making of applications for registration and the payment of registration fees to take account of the application of the Act to agencies (regulations 33 and 34), and also makes transitional provision (regulation 35). Notes: [1] 2000 c.14. The powers are exercisable by the appropriate Minister, who is defined in section 121(1), in relation to Wales, as the Assembly, and in relation to England, Scotland and Northern Ireland, as the Secretary of State. "Prescribed" and "regulations" are defined in section 121(1) of the Act; "the Assembly" is defined in section 5(b) of the Act.back [2] See section 22(9) of the Care Standards Act 2000 for the requirement to consult.back [4] S.I. 2002/919 (W.107) as amended by S.I. 2003/710 (W.86) and 2003/2517 (W.242).back [5] S.I. 2002/921 (W.109) as amended by S.I. 2003/710 (W.86), 2003/781 (W.92) and 2003/2517 (W.242).back
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