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The Secretary of State for Health, in exercise of the powers conferred upon him by sections 11(4), 12(2), 14(1)(d), 15(3), 16(1) and (3), 22(1), (2)(a) to (d), (f) to (j), (5)(a) and (b), (7)(a) to (h) and (j), 25(1), 31(7), 33, 34(1), 35, 42(1) and (5) and 118(5), (6) and (7) of the Care Standards Act 2000[1], and 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 Adult Placement Schemes (England) Regulations 2004 and shall come into force on 31st August 2004. (2) These Regulations apply in relation to adult placement schemes carried on in England only. Interpretation 2. In these Regulations -
(b) making arrangements for the placing of service users with adult placement carers; and (c) supporting and monitoring placements,
but does not include arrangements made by a person solely for the provision of care and support for his or her relative;
(b) any parent, grandparent, child, grandchild, brother, sister, uncle, aunt, nephew or niece of the service user, or of his 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 they were husband and wife;
Specification of registration authority
(b) a statement as to the matters listed in Schedule 1.
(2) The registered provider shall provide a copy of the statement of purpose to the CSCI and shall make it available upon request for inspection at any reasonable time by any service user and any person acting on behalf of a service user.
(b) the conditions for the time being in force in relation to the registration of the registered provider under Part 2 of the Act.
Service user's guide
(b) a statement explaining the process whereby arrangements are made for the placing of service users, including how adult placement carers are chosen to provide care or support to service users and how the placement is made; (c) a statement of the range of care and support provided by adult placement carers under the scheme; (d) a statement of the fee, or range of fee, payable by or in respect of service users for the provision of each type of care and support provided under the scheme including a statement of any services for which there may be an extra charge not included within the stated fee or range of fee; (e) the standard terms and conditions for the provision of the care and support for service users, including the terms governing the termination of the placement and the notice period required to terminate the placement; (f) a summary of the complaints procedure; and (g) the address and telephone number of the registered provider and of the CSCI.
(2) The registered provider shall -
(b) provide a copy of the current service user's guide to each service user placed by the scheme or to their representative.
Review of statement of purpose and service user's guide
(b) notify the CSCI within 28 days of any such revision; and (c) if the service user's guide is revised, supply a revised copy to each service user who is, at the time of the revision, placed by the scheme.
Scheme documents Fitness of registered provider 8. - (1) A person shall not carry on a scheme unless he is fit to do so. (2) A person is not fit to carry on a scheme 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 scheme or, in the case of the responsible individual, supervise its management; 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 a scheme 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 scheme; or (iii) is not, or does not intend to be, in full-time day to day charge of the scheme.
(2) Where the registered provider appoints a person to manage the scheme, he shall forthwith give notice to the CSCI of -
(b) the date on which the appointment is to take effect.
Fitness of manager
(b) having regard to the size of the scheme and the statement of purpose -
(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) a partnership, it shall ensure that one of the partners undertakes; or (c) an organisation, it shall ensure that the responsible individual undertakes,
from time to time such training as is appropriate to ensure that he has the experience and skills necessary for carrying on the scheme.
(b) the offence of which he was convicted; and (c) the penalty imposed on him in respect of the offence.
Making of placements and placement agreements 13. - (1) The registered provider shall not make a placement of a service user with an adult placement carer unless the provider has entered into a written placement agreement with the carer (in these Regulations referred to as "a placement agreement") which complies with the conditions specified in paragraph (2). (2) The conditions are -
(ii) the placing authority (if any),
are parties to the placement agreement;
(ii) the room to be occupied by the service user in the adult placement carer's home; (iii) the fees payable in respect of the placement, details of who is responsible for the payment of those fees, and the method of payment; (iv) the qualifications (if any) and experience of the adult placement carer; (v) the terms and conditions in respect of the accommodation, care or other services to be provided; (vi) suitable arrangements to assist the service user with mobility in the adult placement carer's home, where required; (vii) the procedure to be followed where an adult placement carer acts as agent for, or receives money from, the service user.
(3) The registered person shall not make a placement of a service user unless he has -
(b) whenever practicable, provided the service user with comprehensive information and suitable choice as to the placements that may be available to the service user.
(4) The registered person shall encourage and take suitable steps to enable service users to make decisions with respect to placements.
(b) whenever a significant alteration is made to the placement plan; and (c) in any event, within a year of the last review.
(3) In monitoring and reviewing a placement, the registered person shall seek the views of the service user or, where appropriate, the service user's representative and the placing authority (if any).
(b) where relevant, the placing authority.
Fitness of adult placement carers 16. - (1) The registered provider shall not enter into a carer agreement with an adult placement carer unless the carer is fit to be an adult placement carer. (2) The registered provider shall terminate a carer agreement in any case where the adult placement carer is not, or is no longer, fit to be an adult placement carer. (3) A person is not fit to be an adult placement carer unless -
(b) he is physically and mentally fit to meet his obligations under the agreement; (c) he has the skills, competence and experience necessary to meet his obligations under the agreement; (d) full and satisfactory information is available in relation to him in respect of the matters specified in Schedule 3;
Carer agreements
(b) sets out the requirements of the adult placement carer's working practice; (c) specifies the insurance cover to be maintained by the adult placement carer which shall include household, public liability and, where appropriate, motor vehicle insurance; (d) specifies the procedure to be followed after an allegation of abuse, neglect or other harm has been made; (e) specifies that a service user is not to be subject to physical restraint unless restraint of the kind employed is the only practicable means of securing the welfare of that, or another, service user; (f) specifies that any allegation of a type mentioned in paragraph (d) of this paragraph or the use of any physical restraint upon a service user is to be reported to the registered person; (g) specifies the circumstances in which an adult placement carer may administer or assist in the administration of a service user's medication; and (h) requires the adult placement carer to notify the registered person within 24 hours of the occurrence of an incident described in paragraph (3), and any such notification which is given orally shall be confirmed in writing.
(3) The incidents are -
(b) the outbreak of any infectious disease which in the opinion of a registered medical practitioner attending a service user is sufficiently serious to be so notified; (c) any serious injury to a service user; (d) any serious illness of a service user; (e) any event within the placement which adversely affects the well-being or safety of any service user; (f) any theft or burglary within the placement; (g) any incident which -
(ii) is reported to, or investigated by, the police;
(h) any allegation of misconduct by a service user or their representative in relation to the adult placement carer or a member of his family;
Adult placement carers - training
(b) the role and responsibilities of adult placement carers; (c) the role and responsibilities of any care manager and any social worker responsible for a service user; (d) the complaints procedure; (e) the procedure for terminating the agreement; (f) the fees payable to the adult placement carer and details of when and by whom such fees will be paid, and the method of payment; (g) any other information that the registered person considers necessary to enable the adult placement carer to meet his obligations under the carer agreement.
(3) The handbook must also specify -
(b) the procedure to be followed after an allegation of abuse, neglect or other harm has been made; (c) that a service user is not to be subject to physical restraint unless restraint of the kind employed is the only practicable means of securing the welfare of that, or another, service user; (d) that any allegation of a type mentioned in paragraph (b) of this sub-paragraph or the use of any physical restraint upon a service user is to be reported to the registered person; (e) the circumstances in which an adult placement carer may administer or assist in the administration of a service user's medication; (f) the records to be kept by the adult placement carer in relation to the service user's plan.
Service user's plan 20. - (1) The registered person shall not make a placement of a service user unless -
(b) a written plan ("the service user's plan") has been produced for the purposes of the placement indicating how those needs are to be met.
(2) If it has not been practicable to comply with paragraph (1) prior to the commencement of a placement, the registered person shall comply with sub-paragraphs (a) and (b) of paragraph (1) as soon as reasonably practicable after the commencement of a placement.
(b) consult the service user or, where appropriate, his representative and any placing authority, care manager or social worker responsible for the service user.
(5) The registered person shall make the service user's plan available to the service user or his representative. General conduct of adult placement scheme 21. - (1) The registered person shall make suitable arrangements to ensure that the scheme is conducted, and that care or support (including any accommodation) is provided -
(b) so as to ensure that a placement is not made in an emergency unless that is in the interests of the service user in question, and the needs of the adult placement carer and other household members have been considered; (c) so as to safeguard service users against abuse, harm or neglect; (d) so as to promote the independence of service users; (e) so as to ensure the safety and security of service users' property; (f) in a manner which respects the privacy, dignity and wishes of service users, and the confidentiality of information relating to them; and (g) with due regard to the sex, sexual orientation, age, religious persuasion, racial origin, and cultural and linguistic background and any disability of service users, and to the way in which they wish to conduct their lives.
(2) The registered provider and the registered manager (if any) shall, in relation to the conduct of the scheme -
(b) encourage and assist staff to maintain good personal and professional relationships with both adult placement carers and service users; (c) encourage and assist adult placement carers to maintain good personal and professional relationships with service users.
(3) The registered person shall make appropriate arrangements to ensure that the views of service users are taken into account in the conduct of the scheme.
(b) at all times available for inspection at the principal office of the scheme by any person authorised by the CSCI to enter and inspect the premises; (c) retained for a period of not less than three years beginning on the date of the last entry.
(2) The registered person must ensure that the scheme has a written policy about the keeping of the information, documents and records specified in Schedules 3 and 4.
(b) the procedure (if any) that has been notified by the CSCI to the registered person for the making of complaints to the CSCI in relation to the scheme.
(7) The registered person shall supply to the CSCI at its request a statement containing a summary of the complaints made during the preceding twelve months and of the action that was taken in response to each complaint.
(b) improving,
the quality of the operation of the scheme, including the quality of the accommodation (where provided) and care or support provided in placements.
(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 scheme.
(3) Visits under paragraph (1) or (2) shall take place at least once every 12 months and shall be announced.
(b) inspect the records referred to in paragraph (4) of Schedule 4, and records of any complaints; and (c) prepare a written report on the conduct of the scheme.
(6) An interview referred to in paragraph (5)(a) must take place in such reasonable place chosen by the person to be interviewed.
(b) any registered manager; and (c) in the case of a visit under paragraph (2) -
(ii) where the registered provider is a partnership, to each of the partners.
Staff views as to conduct of scheme Fitness of premises 27. Subject to regulation 4(3), the registered person shall not use premises for the purposes of a scheme unless the premises are suitable for the purpose of achieving the aims and objectives of the scheme set out in the statement of purpose. Fitness of staff 28. The registered person shall ensure that no person works for the purposes of the scheme unless -
(b) he has the qualifications, skills and experience necessary for the work he is to perform; (c) he is physically and mentally fit for that work; and (d) full and satisfactory information is available in relation to him in respect of the matters specified in Schedule 2.
Staffing
(b) appropriate information and advice are provided to staff about the needs of service users which may be met by the scheme;
(2) The registered person shall ensure that each member of staff -
(b) receives training and appraisal which is appropriate to his work; (c) is enabled from time to time to obtain further qualifications appropriate to his or her work; and (d) is appropriately supervised.
Employment of staff
(b) operate a disciplinary procedure which, in particular -
(ii) provides that a failure on the part of a member of staff to report an incident of abuse, or suspected abuse, of a service user placed by the scheme to an appropriate person is a ground on which disciplinary proceedings may be instituted.
(2) For the purposes of paragraph (1)(b)(ii), an appropriate person is the registered person, a police constable or an employee of the CSCI.
(b) the role and responsibilities of staff and adult placement carers; (c) record keeping requirements; (d) recruitment procedures; and (e) training and career development opportunities and requirements.
Financial position 32. - (1) The registered provider shall carry on the scheme in such manner as is likely to ensure that it will be financially viable for the purpose of achieving the aims and objectives set out in the statement of purpose. (2) Subject to paragraph (4), the registered person shall provide to the CSCI such information and documents as it may require in order to consider the financial viability of the scheme, 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 scheme; (d) where the registered provider is a company, information as to any of its associated companies; (e) a certificate of insurance for the registered provider in respect of any liability which may be incurred by him in relation to the scheme in respect of death, injury, public liability, damage or other loss.
(3) Subject to paragraph (4) the registered provider shall -
(b) ensure that the accounts give details of the running costs of the scheme, including rent, payments under a mortgage and expenditure on salaries and wages of staff; and (c) supply a copy of the accounts to the CSCI at its request.
(4) Paragraphs (2) and (3) do not apply where the registered provider is a local authority or a National Health Service body. Notification of incidents 33. - (1) The registered person shall notify the CSCI if an incident described in paragraph (2) takes place. (2) That notification must be made within 24 hours of the registered person being informed, or otherwise becoming aware, of the incident. (3) The incidents are -
(b) the outbreak within the adult placement carer's home of any infectious disease which in the opinion of any registered medical practitioner attending persons in the home is sufficiently serious to be so notified; (c) any serious injury to a service user; (d) any serious illness of a service user; (e) any event of which the adult placement carer is aware which adversely affects the well-being or safety of any service user; (f) any theft or burglary at the adult placement carer's home; (g) any incident which -
(ii) is reported to, or investigated by the police;
(h) any allegation of misconduct by a service user in relation to the adult placement carer or a member of his family;
(4) Any notification under this regulation which is given orally shall be confirmed in writing.
(b) the registered manager,
proposes to be absent from the scheme for a continuous period of 28 days or more, the registered person shall give notice in writing to the CSCI of the proposed absence.
(b) the reason for the absence; (c) the arrangements which have been made for running the scheme during the absence; (d) the name, address and qualifications of the person responsible for the scheme during the 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 scheme during that absence, including the proposed date by which the appointment is to be made.
(3) Where the absence arises as the 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 (2)(a) to (e).
(b) the registered manager,
has been absent from the scheme for a continuous period of 28 days or more, and the CSCI has not been given notice of the absence, the registered person shall forthwith give notice in writing to the CSCI specifying the matters mentioned in sub-paragraphs (2)(a) to (e).
(b) a person ceases to provide or manage the scheme; (c) where a registered person is an individual, he changes his name; (d) the name or address of the principal office of the scheme is changed; (e) where the registered provider is a partnership, there is any change in the membership of the partnership; (f) 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 any change of responsible individual;
(g) 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 scheme in any case where there is no registered manager; and (c) within 28 days of appointment, notify the CSCI of his intentions regarding the future operation of the scheme.
(2) This paragraph applies to any person appointed as -
(b) the liquidator or provisional liquidator of a company which is the registered provider of a scheme; or (c) the trustee in bankruptcy of a registered provider of a scheme.
Death of registered person
(b) within 28 days of their intentions regarding the future provision of the scheme.
(3) The personal representatives of the deceased registered provider may provide the scheme without being registered in respect of it -
(b) for any further period as may be determined in accordance with paragraph (4).
(4) The CSCI may extend the period specified in paragraph (3)(a) by such further period, not exceeding one year, as the CSCI shall determine, and shall notify any such determination to the personal representatives in writing. Compliance with regulations 38. Where there is more than one registered person in respect of a scheme, 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 39. - (1) Where the registered person contravenes or fails to comply with any of the provisions of regulations 4 to 35 he shall be guilty of an offence. (2) The CSCI shall not bring proceedings against a person in respect of any contravention of, 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 CSCI, 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 CSCI 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 CSCI, 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 CSCI about the notice.
(4) The CSCI 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 22, 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. If the registered provider is not an organisation, his relevant qualifications and experience. 3. If the registered provider is an organisation, the name and address of the responsible individual and his qualifications and experience. 4. The relevant qualifications and experience of any registered manager. 5. The number, relevant qualifications and experience of the staff working for the purposes of the scheme. 6. The organisational structure of the scheme. 7. The age-range and sex of the service users in respect of whom the scheme may make placements. 8. The range of needs that the scheme intends to meet through the making of placements. 9. The arrangements made for consultation with service users about the operation of the scheme. 10. The arrangements made so as to ensure that service users whom the scheme has placed can enjoy appropriate contact with their relatives, friends and representatives. 11. The arrangements for dealing with complaints about the operation of the scheme. 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 the following provisions, namely section 113(3C)(a) and (b) and section 115(6B)(a) and (b) of that Act[13]. 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 the following provisions, namely section 113(3C)(a) and (b) and section 115(6B)(a) and (b) of that Act.
(b) that the adult placement carer is not in arrears with his mortgage payments, rent or (where applicable) service charges and that he is not in breach of the terms of his mortgage, lease or tenancy agreement.
11.
A copy of the assessment report in respect of the adult placement carer prepared on behalf of an adult placement scheme. Records 1. The following information or documents in respect of each adult whom the scheme has placed -
(b) date of birth; (c) sex; (d) marital status; (e) next of kin; (f) ethnic origin where the person agrees to provide that information; (g) the assessment referred to in regulation 20(1); (h) the service user's plan; (i) the placement agreement; (j) the date that the placement commenced and, where applicable, ceased.
2.
A record of all persons working for the purposes of the scheme, which shall include the following matters -
(b) sex; (c) ethnic origin where the person agrees to provide that information; (d) date of birth; (e) home address; (f) qualifications relevant to, and experience of, work involving vulnerable adults; (g) written confirmation that the information referred to in Schedule 2 is available in relation to the person;
3.
A record of all persons with whom the scheme has placed an adult including -
(b) sex; (c) ethnic origin where the person agrees to provide that information; (d) date of birth; (e) where relevant, the address of the premises to which the placement relates; (f) qualifications relevant to, and experience of, work involving vulnerable adults; (g) a copy of the placement agreement; (h) a record of the monitoring undertaken in respect of the placement under regulation 14; (i) written confirmation that the information referred to in Schedule 3 is available in relation to the adult placement carer. (j) a copy of the carer agreement.
4.
A record of -
(b) any use of physical restraint upon a relevant adult placed by the scheme; (c) any allegation of abuse, neglect or other harm made by or in relation to a relevant adult whom the scheme has placed; and (d) any complaint made in relation to the scheme or to an adult placement carer working for the purposes of the scheme.
Modification of section 11 of the Act 1. In section 11 (requirement to register) -
(ii) after the word "description" on the second occasion where it occurs, insert "or as an adult placement scheme";
(b) in subsection (2) -
(ii) after the word "agency" on the second occasion where it occurs, insert "or adult placement scheme (as the case may be)";
(c) in subsection (6) -
(ii) for paragraph (b) substitute -
(c) in the case of a conviction in relation to an adult placement scheme, the conviction is a second or subsequent conviction of the offence.".
Modification of section 12 of the Act
(b) in subsection (4), after the word "agency" insert "or adult placement scheme".
Modification of section 13 of the Act
(b) in subsection (2), after the word "agency" insert "or adult placement scheme".
Modification of section 14 of the Act
(b) in paragraph (c), after the word "agency" insert "or adult placement scheme"
Modification of section 17 of the Act
(b) in subsection (4), after the word "agency" insert "or adult placement scheme".
Modification of section 19
(b) in subsection (5), after the word "agency" insert "or adult placement scheme"; and (c) in subsection (6)(a) and (b), after the word "agency" insert "or adult placement scheme".
Modification of section 21
(b) in subsection (3), after the word "agency", on both occasions where it occurs, insert "or adult placement scheme".
Modification of section 28 of the Act
(ii) after the word "agency" on the second occasion where it occurs, insert "or at any premises from which the adult placement scheme is carried on"; and
(b) in subsection (2), after the word "agency" insert "or adult placement scheme".
Modification of section 31
(b) in subsection (2), after the word "agency" insert "or adult placement scheme"; (c) in subsection (3)(c), after the word "agency" insert "or adult placement scheme"; (d) in subsection (3)(e), after the word "there" insert ", or in the case of an adult placement scheme, any person provided with care or support under such a scheme,"; and (e) in subsection (4)(a), after the word "agency" insert "or adult placement scheme".
Modification of section 32
(b) in subsection (5), after the word "agency" on both occasions where it occurs, insert "or adult placement scheme"; and (c) in subsection (8), after the word "agency" insert "or adult placement scheme".
Modification of section 34
(b) in the definition of "relevant individual", after the word "agency" insert "or adult placement scheme".
Modification of section 35
(b) in subsection (2) -
(ii) at the end, insert "or the premises from which the adult placement scheme is carried on".
1. The Care Homes Regulations 2001[14] are amended in accordance with the following provisions of this Schedule. 2. In regulation 3(1) (excepted establishments) -
(b) in sub-paragraph (g)(iii), for the word "birthday." substitute "birthday; or"; and (c) after sub-paragraph (g) add -
3.
Regulations 45 (adult placements), 46 (modification of regulations in respect of adult placement carers) and 47 (modification of regulations in respect of adult placement carer providing short term break for service user)[15], are omitted. 1. The National Care Standards Commission (Registration) Regulations 2001[17] are amended in accordance with the following provisions of this Schedule. 2. - (1) In regulation 2 (interpretation) -
(ii) after the definition of "the Act", insert -
(b) in paragraph (3), at the end, add -
(ii) reference to a registered manager managing an agency shall include reference to a registered manager managing an adult placement scheme; and (iii) reference to a service user shall include reference to a service user who is placed under an adult placement scheme.".
3.
For regulation 8(1) (registers), substitute -
(b) adult placement schemes.".
4.
In regulation 9 (contents of certificate), in paragraph (e), after the words "by reference" insert ", where applicable,".
(b) in paragraph 9 -
(ii) after paragraph (d) add -
1. The Commission for Social Care Inspection (Fees and Frequency of Inspections) Regulations 2004[20] are amended in accordance with the following provisions of this Schedule. 2. In regulation 2(1) (interpretation) -
(ii) in paragraph (b), after the word "school;" insert "or"; and (iii) after paragraph (b), add -
(g) in the definition of "small establishment", the words ",other than an adult placement home," are omitted;
(b) who has entered into carer agreements with no more than 50 adult placement carers at any one time.".
3.
In regulation 3 (registration fees) -
(b) in paragraph (2) -
(ii) after the words "a small agency", insert "or an adult placement scheme is a small scheme";
(c) in paragraph (3) -
(ii) in sub-paragraph (a), after the words "in sub-paragraph (b)," insert "or an adult placement scheme".
4.
In regulation 4 (variation fees) -
(b) in paragraph (2), for the words "or an adult placement home or an agency is a small agency" substitute ", the agency is a small agency or the adult placement scheme is a small scheme".
5.
In regulation 5 (annual fees) -
(ii) for sub-paragraph (b) substitute -
(ii) in relation to an adult placement scheme, in accordance with column (5).";
(iii) in the Table, in column (1) of the heading, after the words "local authority fostering service" add ", or adult placement scheme"; and
(b) in paragraph (2), the words "which is an adult placement home, or a care home" are omitted; and
6.
In regulation 6 (frequency of inspections) -
(b) in paragraph (4), after the words "establishment or agency" insert "or an adult placement scheme".
1. For regulation 3 of the Domiciliary Care Agencies Regulations 2002 (excepted undertakings)[22], substitute -
(ii) is not employed by an organisation to carry it on; and (iii) does not employ any other person for the purpose of the undertaking; or
(b) it is an adult placement scheme as defined in regulation 2 of the Adult Placement Schemes (England) Regulations 2004.".
1. In this Schedule "relevant date" means the date on which these Regulations come into force. 2. - (1) This paragraph applies to persons who, by virtue of the provisions of the Act and these Regulations, are required to be registered under Part 2 of the Act, but who immediately prior to the relevant date were not required to be so registered. (2) Where paragraph (1) applies, a person who immediately prior to the relevant date was carrying on or managing an adult placement scheme, may continue to carry on or manage the scheme -
(b) if, within that period, an application is made to the CSCI for registration under Part 2 of the Act,
until that application is finally disposed of or withdrawn.
(b) the provisions of the Care Homes Regulations 2001 shall continue in force in relation to that adult placement carer until that date.
4.
- (1) This paragraph applies where -
(b) the provider of that adult placement scheme has not applied to be registered under Part 2 of the Act; and (c) the adult placement carer has not entered into a carer agreement to provide a placement with the provider of another adult placement scheme who is registered under Part 2 of the Act.
(2) Where paragraph (1) applies -
(b) the provisions of the Care Homes Regulations 2001 shall apply in relation to that adult placement carer until that date.
5.
Where an appeal under section 21 of the Act (appeals to the tribunal) is made by a registered provider in respect of a care home providing an adult placement against a decision of the CSCI -
(b) on or after the relevant date but within the time limit specified in section 21 of the Act,
the appeal shall be dealt with in accordance with the relevant provisions of the Protection of Children and Vulnerable Adults and Care Standards Tribunal Regulations 2002[23]. (This note is not part of the Regulations) These Regulations are made under the Care Standards Act 2000 ("the Act") and apply to England only. Part 1 of the Act (as amended by the Health and Social Care (Community Health and Standards) Act 2003) provides for the registration and inspection of certain establishments and agencies by the CSCI. Part 2 of the Act also provides powers for regulations governing the conduct of establishments and agencies. Section 42 of the Act makes provision for regulations to apply Part 2 of the Act in respect of the future registration of other persons who are not covered on the face of the Act, and for the CSCI to be specified as the registration authority and these Regulations make such provision in relation to adult placement schemes. (Regulations (see the Care Standards Act 2000 (Extension of the Application of Part 2 to Adult Placement Schemes) (England) Regulations 2004) have previously been made under the power in section 42 of the Act, to provide that the regulation making powers in Part 2 of the Act shall apply, with the modifications set out in those Regulations, in respect of adult placement schemes, and that the CSCI shall be the registration authority in relation to those regulation making powers). Regulation 3 specifies that the CSCI is the registration authority for the purposes of these Regulations. By regulation 4, a statement of purpose must be prepared in respect of an adult placement scheme in relation to the matters set out in Schedule 1 and a service user's guide to the scheme must be produced (regulation 5). Regulations 8 to 12 make provision about the fitness of the persons carrying on and managing a scheme and require satisfactory information to be obtained in relation to the matters specified in Schedule 2. In the case of an organisation, it must nominate a responsible individual in respect of whom this information must be available (regulation 8). Regulation 9 prescribes the circumstances where a manager must be appointed in respect of the scheme, and regulation 10 makes provision concerning the fitness of the manager. Regulation 11 imposes general requirements in relation to the proper conduct of the scheme, and the need for appropriate training. Part 3 of the Regulations makes provision as to the making of placements under the scheme. Regulations 13 and 14 deal with the conditions to which placement agreements must be subject and also provide for the monitoring and review of placements. Regulation 15 sets out the situations in which the provider carrying on a scheme must terminate a placement. Regulation 16 makes provision about the fitness of adult placement carers and requires satisfactory information to be obtained in relation to the matters specified in Schedule 3. Regulation 17 deals with the contents of the carer agreement, and in addition provision is made for the training of adult placement carers (regulation 18), an adult placement carer handbook (regulation 19) and the production of a service user's plan (regulation 20). Part 4 of the Regulations makes provision about the operation of a scheme. Provision is made as to general conduct (regulation 21), record keeping (regulation 22 and Schedule 4) and complaints (regulation 23). Provision is also made about the fitness of premises (regulation 27) and about the fitness of staff (regulation 28 and Schedule 2) and staffing (regulation 29). Regulations also deal with the financial management of the scheme (regulation 32) and the giving of notices to the CSCI (regulations 33 to 35). Part 5 of the Regulations deals with miscellaneous matters. In particular, regulation 39 provides for offences. A breach of regulations 4 to 35 will be an offence on the part of the registered person. However, no prosecution may be brought unless the CSCI has given notice which sets out in what respect it is alleged the person is not complying with a regulation, and what action (if any), and by when, the CSCI considers is necessary in order to comply with the regulation. Regulation 40 applies Part 2 of the Act (in so far as it has not already been applied and modified) to persons carrying on and managing adult placement schemes with the modifications set out in Schedule 5. Regulation 41 and Schedule 6 amend the Care Homes Regulations 2001. Regulation 42 and Schedule 7 amend the National Care Standards Commission (Registration) Regulations 2001. Regulation 43 and Schedule 8 amend the Commission for Social Care Inspection (Fees and Frequency of Inspections) Regulations 2004. Regulation 44 and Schedule 9 amend the Domiciliary Care Agencies Regulations 2002. Regulation 45 gives effect to the transitional and savings provisions contained in Schedule 10. A Regulatory Impact Assessment has been prepared for these Regulations and a copy has been placed in the library of each House of Parliament. Copies of the Regulatory Impact Assessment can be obtained from the Department of Health's website www.doh.gov.uk/regulatoryimpact/index.htm In addition, a copy can be obtained from Room 547, Wellington House, 133-155 Waterloo Road, London, SE1 8UG. Notes: [1] 2000 c. 14 ("the Act"). The powers are conferred upon the "appropriate Minister" who is defined in section 121(1), in relation to England, Scotland and Northern Ireland, as the Secretary of State: See section 121(1) for the definitions of "prescribed" and "regulations" and The Care Standards Act 2000 (Extension of the Application of Part 2 to Adult Placement Schemes) (England) Regulations 2004 (S.I. 2004/1972).back [2] See section 22(9) of the Act for the requirement to consult.back [3] See section 121 of the Act for the definition of National Health Service body.back [4] S.I. 1975/1023. The definition of "vulnerable adult" was inserted in the 1975 Order by S.I. 2002/441.back [5] See section 42(5) of the Act as inserted by section 147 of, and paragraph 25 of Schedule 9 to, the Health and Social Care (Community Health and Standards) Act 2003 (c. 43) ("the 2003 Act"). The CSCI was established by section 42 of that Act. See also section 5B of the Act, as inserted by section 104 of the 2003 Act.back [7] S.I. 2001/3965 as amended by S.I. 2002/865, S.I. 2003/534, 1703 and 2323.back [8] S.I. 2001/3969 as amended by S.I. 2003/369.back [10] S.I. 2002/3214 and S.I. 2003/2323.back [11] Section 115(5)(ea) is inserted by the Care Standards Act 2000, section 104.back [12] 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 [13] 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 [14] S.I. 2001/3965 as amended by S.I. 2002/865, S.I. 2003/534, 1703 and 2323.back [15] Regulation 47 was inserted by S.I. 2003/1845.back [16] The National Care Standards Commission was abolished by section 44 of the Health and Social Care (Community Health and Standards) Act 2003 (c. 43), and its functions have been transferred to the CSCI and the CHAI.back [17] S.I. 2001/3969 as amended by S.I. 2002/865 and S.I. 2003/369.back [19] Paragraph 4 of Schedule 1 was amended by S.I. 2003/1845.back [22] S.I. 2002/3214 as amended by S.I. 2003/2323.back [23] S.I. 2002/816 ( to which there are amendments which are not relevant to this paragraph).back
ISBN 0 11 049674 4
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