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The Secretary of State for Health, in exercise of powers conferred on him by sections 4(6), 22(1), (2)(a) to (d), and (f) to (j), (5)(a) and (7)(a) to (h) and (j), 25, 34(1), 35 and 118(5) to (7) of the Care Standards Act 2000[1] and of all other powers enabling him in that behalf, having consulted such persons as he considers appropriate[2], hereby makes the following Regulations: - Citation, commencement and application 1. - (1) These Regulations may be cited as the Domiciliary Care Agencies Regulations 2002 and shall come into force on 1st April 2003. (2) These Regulations apply to domiciliary care agencies in England only. Interpretation 2. - (1) In these Regulations -
(b) is introduced by an agency to a service user for employment by him; or (c) is employed by a direct service provider,
in a position which is concerned with the provision of personal care in their own homes for persons who by reason of illness, infirmity or disability are unable to provide it for themselves without assistance;
(b) provides services for the purpose of supplying him with a domiciliary care worker for employment by him;
(2) In these Regulations, references to the supply of a domiciliary care worker mean -
(b) the introduction of a domiciliary care worker by an agency to a service user for employment by him; and (c) the supply of a domiciliary care worker employed by a direct service provider to a service user.
(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.
(b) is not employed by an organisation to carry it on; and (c) does not employ any other person for the purpose of the undertaking.
Statement of purpose
(b) the conditions for the time being in force in relation to the registration of the registered person under Part II of the Act.
Service user's guide
(b) the terms and conditions in respect of the services to be provided to service users, including as to the amount and method of payment of fees; (c) a summary of the complaints procedure established in accordance with regulation 20; and (d) the address and telephone number of the Commission.
(2) The registered person shall make a copy of the service user's guide available on request for inspection at the agency premises by every service user and any person acting on behalf of a service user.
(b) notify the Commission of any material revision within 28 days.
Fitness of registered provider 7. - (1) A person shall not carry on an agency unless he is 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 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 agency; and (c) full and satisfactory information is available in relation to him in respect of each of the matters specified in Schedule 2.
(4) A person shall not carry on an agency 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 an agency; or (iii) is not, or does not intend to be, in full-time day to day charge of the agency.
(2) Where the registered provider appoints a person to manage the agency, he shall forthwith give notice to the Commission of -
(b) the date on which the appointment is to take effect.
Fitness of manager
(b) having regard to the size of the agency, the statement of purpose and the number and needs of the service users -
(ii) he is physically and mentally fit to do so; and
(c) full and satisfactory information is available in relation to him in respect of each of the matters specified in Schedule 2.
Registered person - general requirements and training
(b) an organisation, it shall ensure that the responsible individual undertakes; or (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 agency.
(b) the offence of which he was convicted; and (c) the penalty imposed on him in respect of the offence.
Fitness of domiciliary care workers supplied by an agency 12. The registered person shall ensure that no domiciliary care worker is supplied by the agency unless -
(b) he has the experience and skills necessary for the work that he is to perform; (c) he is physically and mentally fit for the purposes of the work which he is to perform; and (d) full and satisfactory information is available in relation to him in respect of each of the matters specified in Schedule 3.
Conduct of agency
(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 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) how those needs are to be met by the provision of personal care.
(3) The registered person shall -
(b) keep the service user plan under review; (c) where appropriate, and after consultation with the service user, or if consultation with the service user is not practicable, after consultation with a person acting on behalf of the service user, revise the service user plan; and (d) notify the service user or, where applicable, the person acting on his behalf, of any such revision.
(4) 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 user plan prepared in respect of him.
(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.
(6) The registered person shall ensure that where the agency arranges the provision of personal care to a service user, the arrangements shall -
(b) specify the circumstances in which a domiciliary care worker may administer or assist in the administration of the service user's medication, or any other tasks relating to the service user's health care, and the procedures to be adopted in such circumstances; (c) include arrangements to assist the service user with mobility in his 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.
(7) The registered person shall make 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) the Commission to be notified of any incident reported to the police, not later than 24 hours after the registered person -
(ii) is informed that the matter has been reported to the police.
(13) The registered person shall ensure that any personal information about a service user for whom a domiciliary care worker is supplied by the agency is not disclosed to any member of the agency's staff unless it is necessary to do so in order to provide an effective service to the service user.
(b) appropriate information and advice are provided to persons employed for the purposes of the agency, and are made available to them at their request, in respect of -
(ii) the provision of personal care to service users;
(c) suitable assistance and where necessary, appropriate equipment, is provided to persons working for the purposes of the agency, and is made available to them at their request, in respect of the provision of personal care to service users;
(ii) any arrangements made for persons to work as domiciliary care workers on a temporary basis for those purposes,
will prevent service users from receiving such continuity of care as is reasonable to meet their needs for personal care.
(2) The registered person shall ensure that each employee of the agency -
(b) receives suitable assistance, including time off, for the purpose of obtaining qualifications appropriate to such work; (c) is provided with a job description outlining his responsibilities.
(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 domiciliary care workers and other staff; (c) record keeping requirements; (d) recruitment procedures; and (e) training and development requirements and opportunities.
Provision of information to service users
(b) the name of the member of staff of the agency who is responsible for the supply of that domiciliary care worker; and (c) where the agency is acting otherwise than as an employment agency, details of how he may contact the registered person, or a person nominated to act on behalf of the registered person.
(2) The registered person shall ensure that the information specified in paragraph (1) is, where appropriate, provided to the service user's relatives or carers.
(b) retained for a period of not less than three years beginning on the date of the last entry.
(2) The registered person shall ensure that, in addition to the records referred to in paragraph (1), a copy of the service user 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 Commission to the registered person for making complaints to the Commission relating to the agency.
(4) The registered person shall ensure that every complaint made under the complaints procedure is fully investigated. Fitness of premises 22. Subject to regulation 4(3), the registered person shall not use the premises for the purpose of an agency unless the premises are suitable for the purpose of achieving the aims and objectives of the agency set out in the statement of purpose. Financial position 23. - (1) The registered provider shall carry on the agency in such manner as is likely to ensure that the agency will be financially viable for the purpose of achieving the aims and objectives of the agency set out in the statement of purpose. (2) The registered person shall, if the Commission so requests, provide the Commission with such information and documents as it may require in order to consider the financial viability of the agency, including -
(b) a certificate of insurance for the registered provider in respect of liability which may be incurred by him in relation to the agency in respect of death, injury, public liability, damage or other loss.
Notice of absence 24. - (1) Where -
(b) the registered manager,
proposes 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 Commission of the proposed absence.
(b) the reason for the absence; (c) the arrangements which have been made for running 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) 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 agency 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 set out in paragraph (2)(a) to (e).
(b) the registered manager,
has been absent from the agency for a continuous period of 28 days or more, and the Commission has not been given notice of the absence, the registered person shall, without delay, give notice in writing to the Commission of the absence, specifying the matters set out in paragraph (2)(a) to (e).
(b) a person ceases to carry on or manage the agency; (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 that 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; and (iii) there is any change in the identity of the responsible individual;
(f) where the registered provider is an individual, a trustee in bankruptcy is appointed;
Appointment of liquidators etc.
(b) appoint a manager to take full-time day to day charge of the agency in any case where there is no registered manager; and (c) not more than 28 days after his appointment, notify the Commission of his intentions regarding the future operation of the agency.
(2) This paragraph applies to any person appointed as -
(b) the liquidator or provisional liquidator of a company which is the registered provider in respect of an agency; (c) the trustee in bankruptcy of a registered provider in respect of an agency.
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 Commission may extend the period specified in paragraph (3)(a) by such further period, not exceeding one year, as the Commission shall determine, and shall notify any such determination to the personal representatives in writing. Compliance with regulations 28. 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 29. - (1) A contravention or failure to comply with regulations 4 to 6 and 11 to 25 shall be an offence. (2) The Commission shall not bring proceedings against a person in respect of any contravention or failure to comply with those regulations unless -
(b) notice has been given to him in accordance with paragraph (3); (c) the period specified in the notice, within which the registered person may make representations to the Commission, has expired; and (d) in a case where, in accordance with paragraph (3)(b), the notice specifies any action that is to be taken within a specified period, the period has expired and the action has not been taken within that period.
(3) Where the Commission considers that the registered person has contravened or failed to comply with any of the provisions of the regulations mentioned in paragraph (1), it may serve a notice on the registered person specifying -
(b) where it is practicable for the registered person to take action for the purpose of complying with any of those regulations, the action which, in the opinion of the Commission, the registered person should take for that purpose; (c) the period, not exceeding three months, within which the registered person should take any action specified in accordance with sub-paragraph (b); (d) the period, not exceeding one month, within which the registered person may make representations to the Commission about the notice.
(4) The Commission 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 aims and objectives of the agency. 2. The nature of the services which the agency provides. 3. The name and address of the registered provider and of any registered manager. 4. The relevant qualifications and experience of the registered provider and any registered manager. 5. The range of qualifications of the domiciliary care workers supplied by the agency. 6. The complaints procedure established in accordance with regulation 20. 1. Proof of identity, including a recent photograph. 2. 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) and 115(6A) of that Act and the following provisions once they are in force, namely section 113(3C)(a) and (b) and section 11 5(6B)(a) and (b) of that Act[6]. 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. Details of any criminal offences -
(b) in respect of which he has been cautioned by a constable and which, at the time the caution was given, he admitted.
5.
Two written references, including a reference relating to the last period of employment of not less than three months duration which involved work with children or vulnerable adults. 1. All information provided to the Commission for the purposes of registration in relation to the agency. 2. Details of every allegation of abuse, neglect or other harm made against an employee of, or any domiciliary care worker who works for, the agency, including details of the investigations made, the outcome and any action taken in consequence. 3. Details of any physical restraint used on a service user by a person who works as a domiciliary care worker for the purposes of the agency. 4. The service user plan devised for each service user in accordance with regulation 14, and a detailed record of the personal care provided to that service user. (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 in England only. Part I of the Act establishes, in relation to England, the National Care Standards Commission ("the Commission") and Part II provides for the registration and inspection of establishments and agencies, including domiciliary care agencies, by the Commission. It also provides powers to make regulations governing the conduct of establishments and agencies. Regulation 3 excepts certain agencies from being a domiciliary care agency. By regulation 4, each agency must prepare a statement of purpose in relation to the matters set out in Schedule 1 and a service user's guide to the agency (regulation 5). The agency must be carried on in a manner which is consistent with the statement of purpose. Regulations 7 to 11 make provision about the fitness of the persons carrying on and managing an agency and require satisfactory information to be obtained in relation to the matters specified in Schedule 2. Where the provider is an organisation, 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 in respect of the agency, and regulation 9 makes provision concerning the fitness of the manager. Regulation 10 imposes general requirements in relation to the proper conduct of the agency, and the need for appropriate training. Part III makes provision in relation to the conduct of agencies, in particular about the quality of services to be provided by an agency. Regulation 12 makes provision about the fitness of domiciliary care workers and requires satisfactory information to be obtained in relation to the matters specified in Schedule 3. Regulations 13 and 14 set out the arrangements that must be made by a registered person relating to the conduct of an agency generally and also the procedures which must be implemented in circumstances where domiciliary care workers are supplied to patients by an agency acting otherwise than as an employment agency. In addition, provision is made as to staffing (regulation 15), the staff handbook (regulation 16), the provision of information to service users (regulation 17), the identification of domiciliary care workers (regulation 18), record keeping (regulation 19 and Schedule 4) and complaints (regulation 20). Provision is also made about the suitability of premises (regulation 22) and the financial management of the agency (regulation 23). Regulations 24 to 27 deal with the giving of notices to the Commission. Part IV deals with miscellaneous matters. In particular, regulation 29 provides for offences. A breach of regulations 4 to 6 and 11 to 25 may found an offence on the part of the registered person. However, no prosecution may be brought unless the Commission has given notice which sets out in what respect it is alleged he is not complying with a regulation, and what action (if any), and by when, the Commission considers is necessary in order to comply with the regulation. Notes: [1] 2000 c. 14. The powers are exercisable by the appropriate Minister, who is defined in section 121(1), in relation to England, Scotland and Northern Ireland, as the Secretary of State, and in relation to Wales, as the National Assembly for Wales. "Prescribed" and "regulations" are defined in section 121(1) of the Act.back [2] See section 22(9) of the Care Standards Act 2000 for the requirement to consult.back [3] See section 121(1) of the Care Standards Act 2000 for the definition of employment agency.back [4] Section 115(5)(ea) is inserted by the Care Standards Act 2000, section 104.back [5] A position is within section 115(3) if it involves regularly caring for, training, supervising or being in sole charge of persons aged under 18. A position is within section 115(4) if it is of a kind specified in regulations and involves regularly caring for, training, supervising or being in sole charge of persons aged 18 or over.back [6] Sections 113(3A) and 115(6A) are added to the Police Act 1997 by section 8 of the Protection of Children Act 1999 (c. 14), and amended by sections 104 and 116 of, and paragraph 25 of Schedule 4 to, the Care Standards Act 2000. Sections 113(3C) and 115(6B) are added to the Police Act 1997 by section 90 of the Care Standards Act 2000 on a date to be appointed.back [8] S.I. 1975/1023. Relevant amendments have been made by S.I. 1986/1249, 1986/2268, 2001/1192 and 2002/441.back
ISBN 0 11 044603 8
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