Domiciliary Care Agencies (Wales) Regulations 2004

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Domiciliary Care Agencies (Wales) Regulations 2004
Care and Social Services Inspectorate Wales
Care Standards Act 2000
Domiciliary Care Agencies (Wales) Regulations 2004
Application to Register: Part 2
Name of Agency:
Name of Applicant:
Date:
Dom Care Part 2
dd/mm/yyyy
09/2013
Page 1 of 31
Care and Social Services Inspectorate Wales
Structure and approach of Part 2 of the application form
This section of your application is your primary opportunity to demonstrate that you
have understood the principles and requirements in the Regulations and National
Minimum Standards for Domiciliary Care Agencies and that the arrangements and
resources you are proposing to employ in your domiciliary care agency will result in
those Regulations and Standards being consistently met or exceeded.
The Standards are core requirements which apply to all such agencies.
Whilst broad in scope, these Standards acknowledge the unique and complex needs
of individuals and the additional specific knowledge and skills required in order to
deliver a service that is tailored to the needs of each person. These Standards will be
applied to agencies providing personal care to the wide range of people who need
care and support whilst living in their own home, including:
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Older people
People with physical disabilities
People with sensory loss including dual sensory impairment
People with mental health problems
People with learning disabilities
Children and their families
Personal or family carers
The Standards focus on achievable outcomes for service users, that is the impact by
agencies on organisations and individuals. They are grouped under the following key
topics:

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User-focused services (Standards 1-5)
Personal care (Standards 6 – 10)
Protection (Standards 11 – 16)
Managers and staff (Standards 17 – 21)
Organisation and running of the business (Standards 22 – 27).
These Standards establish the minimum required; i.e. they state a standard of
service provision below which an agency providing personal care for people
living in their own home must not fall. The applicant should note however that
although the standards will be used as a measure of the organisation’s
performance it is primarily in relation to the Regulations that any enforcement
action will be taken.
Each of the Standards is preceded by a statement of the overall outcome that is
intended to be secured for service users. The Standards have been designed to
achieve the required outcomes and to be enforceable through relevant regulations.
When completing your application you must demonstrate that you will run the
proposed service in every respect to the requirements of the Regulations and the
Standards. Appendix A of the Notes for Applicants document provides examples of
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possible evidence that you may wish to submit as part of your application. This is not
meant to be a prescriptive list. The self-assessment documentation in part 2 of the
application to register a domiciliary care agency follows the standards and is set out
on each page in the following way:
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

Title and number of the Standard
The overall outcome of the Standard
Reference to the whole or part of a Standard that is not applicable where the
applicant is an employment agency
Reference to the Regulations against which your application will be measured
Space for you to list the evidence you have attached to part 2 of the application
Space for the inspector assessing your application to make notes.
It will be necessary for you to refer to the full set of domiciliary care agency
Regulations and Standards when conducting the self-assessment activities. The
submission of the evidence should enable you to demonstrate that you have either
met or exceeded the expectation of the Standard. If you are submitting a piece of
evidence which covers more than one Standard, or part of a Standard, please identify
all aspects it is intended to cover, by including it in the list of evidence for each
relevant Standard. You do not need to submit the same piece of evidence more
than once.
The following cross-cutting themes underpin the drafting of the Standards for the
provision of domiciliary care services:
Focus on service users. ‘Building for the Future’ (National Assembly for
Wales,1999) called for Standards that focus on the key areas that most affect the
quality of life experienced by service users. Inspectors will look for evidence that
the personal care is provided in such a way that it achieves positive outcomes for,
and the active participation of, service users.

Fitness for purpose. The regulatory powers provided by the Care Standards Act
2000 are designed to ensure that agencies providing personal domiciliary care and
the managers and care staff it employs are “fit for their purpose”. In applying the
Standards, inspectors will look for evidence that the agency is successful in
achieving its stated aims and objectives.

Comprehensiveness. In applying the Standards, inspectors will consider how the
total care package provided contributes to the overall personal and health care
needs and preferences of service users, and how the agency collaborates with
other services / professionals to maximise independence and ensure the
individual’s inclusion in the community.

Meeting assessed needs. In applying the Standards, inspectors will look for
evidence that the care provided meets the assessed needs of service users, and
that individuals’ changing needs continue to be met. Inspectors will also wish to
see evidence that staff are able to be flexible to meet the changing needs and
requirements of service users on a short term or temporary basis.

Quality services. Welsh Government modernising agenda, including the new
regulatory framework, aims to ensure “greater assurance of quality
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services…rather than having to live with second best”. In applying the Standards,
inspectors will seek evidence of a commitment by the agency to continuous
improvement and quality services and support which assure a good quality of life
and health for service users and which contribute to them maintaining their
independence.

Quality workforce. Competent, well-trained managers and staff are fundamental
to achieving good quality care for people who use social care services. The Care
Council for Wales has developed a Qualification Framework for managers and
care workers, which includes induction competencies and foundation programmes.
Inspectors will look for evidence that registered managers and staff have achieved
or are working towards the National Training Organisation requirements.
As already emphasised in the Notes for Applicants document, a well thought out
and clearly worded Statement of Purpose for the proposed agency is an
essential basis for working through the practical details of all aspects of the
agency’s operation. It will also be the starting point for CSSIW’s evaluation of
your proposals under each Standard.
To help us process your application as efficiently as possible, will you please list and
mark each document provided by reference to the Standard. Although not a
requirement, CSSIW would find it helpful if you would submit your documents in lever
arch files with an index of sections and contents.
Finally, it is essential that in preparing your evidence you read the Regulations and the
Standards together. CSSIW believe that it is essential that you base your proposals
on a consideration of all the legal requirements.
We look forward to receiving your completed proposals.
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USER FOCUSED SERVICES (Standards 1 – 5)
National Minimum Standards for Domiciliary Care Agencies
STANDARD 1 - INFORMATION
OUTCOME
Current and potential service users and their relatives or representatives are provided
with and have access to comprehensive information, so that they can make informed
decisions on whether the agency is able to meet their specific care needs.
See the following Regulations: 4 - Statement of Purpose
5 - Service Users’ Guide
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 2 – NEEDS ASSESSMENT
OUTCOME
The service delivery requirements of service users are individually assessed before
they are offered a domiciliary care service
See the following Regulations: 14 – Arrangements for the provision of personal care
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 3 – MEETING NEEDS
OUTCOME
The agency has the skills and competence required to meet the care needs of the
service user.
See the following Regulations: 13 – Conduct of agency
14 – Arrangements for the provision of personal
care
15 – Fitness of workers
16 – Staffing
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 4 – SERVICE DELIVERY PLAN
NB This standard does
not apply to Employment
Agencies
OUTCOME
The care needs, wishes, preferences and outcomes for each individual service user
are incorporated in their service delivery plan.
See the following Regulations: 14 – Arrangements for the provision of personal
care
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 5 – TERMS AND CONDITIONS
NB This standard does not
apply to Employment Agencies
OUTCOME
Each service user has information as to the terms and conditions for the provision of
care from the agency.
See the following Regulations: 18 – Provision of information to service users
Please list evidence supporting your application
Inspector’s Notes
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PERSONAL CARE (Standards 6 – 10)
National Minimum Standards for Domiciliary Care Agencies
STANDARD 6 - CONFIDENTIALITY
NB Standards 6.2 and 6.3 do not
apply to Employment Agencies
OUTCOME
The personal information of service users and their relatives or representatives is
handled appropriately and personal confidences are respected.
See the following Regulations: 16 - Records kept in service user’s home
20 – Records
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 7 – RESPONSIVE SERVICES
NB Standard 7.3 does not apply to
Employment Agencies
OUTCOME
Service users receive a flexible, consistent and reliable personal care service.
See the following Regulations: 14 – Arrangements for the provision of personal
care
16 – Staffing
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 8 – PRIVACY AND DIGNITY
OUTCOME
Service users feel that they are treated with respect and dignity, are valued as people
and their right to privacy is upheld.
See the following Regulations: 14 – Arrangements for the provision of personal
care
16 – Staffing
13 – Conduct of agency
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 9 - AUTONOMY AND INDEPENDENCE
OUTCOME
Service users are assisted to make their own decisions and control their own lives
and are supported in maximising their independence in accordance with their service
delivery plan.
See the following Regulations: 14 – Arrangements for the provision of personal
care
16 – Staffing
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 10 –
MEDICATION AND HEALTH RELATED ACTIVITIES
NB Standards 10.5, 10.9 and 10.10 do
not apply to Employment Agencies
OUTCOME
The agency’s policies and procedures on medication and health related activities
protect service users and assist them to maintain responsibility for their own
medication and to remain in their own home.
See the following Regulations: 14 – Arrangements for the provision of personal
care
16 – Staffing
13 – Conduct of agency
Please list evidence supporting your application
Inspector’s Notes
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PROTECTION (Standards 11-16)
National Minimum Standards for Domiciliary Care Agencies
STANDARD 11 – SAFE WORKING PRACTICES
NB Standard 11 does not apply
to Employment Agencies
OUTCOME
The health, safety and welfare of service users and care workers is promoted and
protected.
See the following Regulations: 13 – Conduct of agency
14 – Arrangements for the provision of
personal care
Please list evidence supporting your application
Inspector’s note
National Minimum Standards for Domiciliary Care Agencies
Dom Care Part 2
NB Standard 12 does not apply
09/2013
to Employment Agencies
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STANDARD 12 – RISK ASSESSMENT
OUTCOME
The risk of accidents and harm happening to service users and staff in the provision
of the personal care is minimised.
See the following Regulations:
13 – Conduct of agency
Please list evidence supporting your application
Inspector’s Notes
National Minimum Standards for Domiciliary Care Agencies
NB Standard 13 does not apply
to Employment Agencies
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STANDARD 13 – FINANCIAL PROTECTION
OUTCOME
The money and property of service users is protected at all times whilst providing the
care service.
See the following Regulations: 13 – Conduct of agency
14 – Arrangements for the provision of personal
care
17 – Staff handbook and code of conduct
Please list evidence supporting your application
Inspector’s Notes
National Minimum Standards for Domiciliary Care Agencies
STANDARD 14 – PROTECTION OF THE PERSON
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NB Standard 14 does not
apply to Employment
Agencies
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OUTCOME
Service users are protected from abuse, neglect and self-harm.
See the following Regulations: 13 – Conduct of agency
14 – Arrangements for the provision of personal
care
16 – Staffing
26 – Notification of Incidents
Please list evidence supporting your application
Inspector’s Notes
National Minimum Standards for Domiciliary Care Agencies
STANDARD 15 – SECURITY OF THE SERVICE USER’S HOME
NB Standard 15 does not apply
to Employment Agencies
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OUTCOME
Service users are protected and are safe and secure in their home.
See the following Regulations: 13 – Conduct of agency
14 – Arrangements for the provision of personal
care
19 – Identification of Workers
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 16 – RECORDS KEPT IN THE SERVICE USER’S HOME
NB Standard 16 does not apply to
Employment Agencies
OUTCOME
The health, rights and best interests of service users are safeguarded by maintaining
a record of key events and activities undertaken through delivery of service.
See the following Regulations: 17 – Staff handbook and code of conduct
20 - Records
Please list evidence supporting your application
Inspector’s Notes
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MANAGERS AND STAFF (Standards 17 – 21)
National Minimum Standards for Domiciliary Care Agencies
STANDARD 17 – RECRUITMENT AND SELECTION
OUTCOME
The well-being, health and security of service users is protected by the agency’s
policies and procedures on recruitment and selection of staff.
See the following Regulations: 15 – Fitness of workers
16 – Staffing
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 18 – REQUIREMENTS OF THE JOB
NB Standard 18 does not apply to
Employment Agencies
OUTCOME
Service users benefit from clarity of staff roles and responsibilities.
See the following Regulations: 16 – Staffing
17 – Staff handbook and code of conduct
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 19 – DEVELOPMENT AND TRAINING
NB Standard 19 does not apply to
Employment Agencies
OUTCOME
Staff are appropriately trained to assess, monitor, meet and review the personal care
needs of service users.
See the following Regulations: 16 – Staffing
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 20 - QUALIFICATIONS
NB Standard 20 does not apply
to Employment Agencies
OUTCOME
The personal care of service users is provided by qualified and competent staff.
See the following Regulations: 16 – Staffing
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 21 – SUPERVISION AND APPRAISAL
NB Standard 21 does not apply
to Employment Agencies
OUTCOME
Staff are supervised and performance is appraised regularly.
See the following Regulations: 16 – Staffing
Please list evidence supporting your application
Inspector’s Notes
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ORGANISATION AND RUNNING OF THE BUSINESS
(Standards 22-27)
National Minimum Standards for Domiciliary Care Agencies
STANDARD 22 – BUSINESS PREMISES, MANAGEMENT AND PLANNING
OUTCOME
Service users receive a consistent, well managed and planned service.
See the following Regulations: 16 – Staffing
24 – Fitness of premises
25 – Financial Position
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 23 – FINANCIAL PROCEDURES
OUTCOME
The continuity of the service provided to service users is safeguarded by the
accounting and financial procedures of the agency.
See the following Regulations: 25 – Financial Position
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 24 – RECORD KEEPING
NB Standards 24.3 and 24.4 do not
apply to Employment Agencies
OUTCOME
The rights and best interests of service users are safeguarded by the agency keeping
accurate and up-to-date records.
See the following Regulations: 20 – Records
Schedule 4 – Records to be maintained for
inspection
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 25 – POLICIES AND PROCEDURES
OUTCOME
The service user’s rights, health and best interests are safeguarded by robust policies
and procedures which are consistently implemented and constantly monitored by the
agency.
See the following Regulations:
4 - Statement of Purpose
16 – Staffing
17 – Staff handbook and code of conduct
23 – Review of quality of service provision
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 26 – COMPLAINTS AND COMPLIMENTS
OUTCOME
Service users and their relatives or representatives are confident that their complaints
will be listened to, taken seriously and acted upon.
See the following Regulations: 14 – Arrangements for the provision of personal
care
21 – Complaints
23 – Review of quality of service
Please list evidence supporting your application
Inspector’s Notes
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National Minimum Standards for Domiciliary Care Agencies
STANDARD 27 – QUALITY ASSURANCE
OUTCOME
The service is run in the best interests of its service users.
See the following Regulations: 16 – Staffing
23 – Review of quality of service provision
Please list evidence supporting your application
Inspector’s Notes
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