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How we assess whether a care service needs to be registered: guidance for regulation managers and inspectors
- Author:
- COMMISSION FOR SOCIAL CARE INSPECTION
- Publisher:
- Commission for Social Care Inspection
- Publication year:
- 2008
- Pagination:
- 9p.
- Place of publication:
- London
This guidance aims to help regulation managers and inspectors to understand what needs to be considered when assessing whether a service needs be registered under the Care Standards Act 2000. The guidance provides: a guide through a series of key decisions; questions that will prompt thinking when looking at the evidence; examples to show how the guidance can be applied; and explanation of how to reach an overall judgement. It is practical guidance and should be read in conjunction with the ‘Policy and Guidance: Assessing whether a care service needs to be registered’.
Care Standards Act 2000: (2) domiciliary care and other services
- Author:
- DOW John
- Journal article citation:
- Managing Community Care, 9(6), December 2001, pp.40-43.
- Publisher:
- Pavilion
The National Care Standards Commission will regulate standards of domiciliary care for the first time. This article looks at the provisions of the Care Standards Act relating to domiciliary care and considers some of the issues which will arise when developing national minimum standards. It also looks at other care services regulated by the NCSC and other bodies established by the Care Standards Act.
Home care in Europe: a systematic literature review
- Authors:
- GENET Nadine, et al
- Journal article citation:
- BMC Health Services Research, 11(207), 2011, Online only
- Publisher:
- BioMed Central Ltd
This review systematically describes what has been reported on home care in Europe in the scientific literature over the past decade. A systematic literature search was performed for papers on home care published in English, using the following data bases: Cinahl, the Cochrane Library, Embase, Medline, PsycINFO, Sociological Abstracts, Social Services Abstracts, and Social Care Online. Studies were only included if they complied with the definition of home care, were published between January 1998 and October 2009, and dealt with at least one of the 31 specified countries. Clinical interventions, instrument developments, local projects and reviews were excluded. The data extracted included: the characteristics of the study and aspects of home care 'policy & regulation', 'financing', 'organisation & service delivery', and 'clients & informal carers'. Seventy-four out of 5,133 potentially relevant studies met the inclusion criteria, providing information on 18 countries. Many focused on the characteristics of home care recipients and on the organisation of home care. Geographical inequalities, market forces, quality and integration of services were also among the issues frequently discussed. Home care systems appeared to differ both between and within countries. The papers included, however, provided only a limited picture of home care. Many studies only focused on one aspect of the home care system and international comparative studies were rare. Furthermore, little information emerged on home care financing and on home care in general in Eastern Europe. This review shows the need for more scientific publications on home care, especially studies comparing countries. A comprehensive and more complete insight into the state of home care in Europe requires the gathering of information using a uniform framework and methodology.
Proposed change to the fitness requirements for employees of services regulated by the Care Commission
- Author:
- SCOTLAND. Scottish Executive. Health Department
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2003
- Pagination:
- 4p.
- Place of publication:
- Edinburgh
This paper seeks views on proposals for an amendment to regulation 9 of the Regulation of Care (Requirements as to Care Services) (Scotland) Regulations 2002 (SSI 2002/114) and a similar amendment to regulation 7 of the Regulation of Care (Requirements as to Limited Registration Services) (Scotland) Regulations 2003 (SSI 2003/150). These Regulations provide that providers can only employ fit persons in, respectively, regulated care services and limited registration services for adults with incapacity.
Regulation of homecare: research report (abridged)
- Author:
- HEALTH INFORMATION AND QUALITY AUTHORITY
- Publisher:
- Health Information and Quality Authority
- Publication year:
- 2021
- Pagination:
- 124
- Place of publication:
- Dublin
This abridged research report outlines the main areas of interest that are contained in HIQA’s full research report on homecare. The research provides an overview of homecare provision in Ireland through summarising the current landscape of homecare policy and conducting research with providers to offer an overview of service provision. It also sets out the findings of a scoping review of what constitutes quality in homecare and summarises the international approaches to homecare provision while making recommendations that need to be taken into account when regulating homecare services in Ireland. It is evident that homecare operates in and under complex conditions influenced by funding, availability and geography. While there are many positive aspects that exist in the homecare sector, such as self-reported high standards and self-governance, there are also many challenges. These challenges are becoming more acute, and it is expected that this will continue to be the case, particularly when moving forward to deliver the ‘right care, right place, right time’. There was a general consensus among providers that there is a need to reform homecare services which may include the introduction of regulations and standards. While this report sets out some key issues in relation to homecare, of which regulation is one vital aspect, it must not be viewed as the only solution for homecare services reform. Rather, regulation should be viewed as a component for improving services together with collaboration between people delivering services and those in receipt of services, and providers’ ability to provide assurances that care is in compliance with any regulations and set standards. This needs to be embodied within a person-centred philosophy where the person in receipt of homecare is seen as an active participant, their voice is heard and their day-to-day experience is at the centre of service provision. (Edited publisher abstract)
Regulation of homecare: research report
- Author:
- HEALTH INFORMATION AND QUALITY AUTHORITY
- Publisher:
- Health Information and Quality Authority
- Publication year:
- 2021
- Pagination:
- 232
- Place of publication:
- Dublin
This report provides an overview of homecare provision in Ireland through summarising the current landscape of homecare policy and conducting research with providers to offer an overview of service provision. It also sets out the findings of a scoping review of what constitutes quality in homecare and summarises the international approaches to homecare provision while making recommendations that need to be taken into account when regulating homecare services in Ireland. It is evident that homecare operates in and under complex conditions influenced by funding, availability and geography. While there are many positive aspects that exist in the homecare sector, such as self-reported high standards and self-governance, there are also many challenges. These challenges are becoming more acute, and it is expected that this will continue to be the case, particularly when moving forward to deliver the ‘right care, right place, right time’. Within this report, there was a general consensus among providers that there is a need to reform homecare services which may include the introduction of regulations and standards. While this report sets out some key issues in relation to homecare, of which regulation is one vital aspect, it must not be viewed as the only solution for homecare services reform. Rather, regulation should be viewed as a component for improving services together with collaboration between people delivering services and those in receipt of services, and providers’ ability to provide assurances that care is in compliance with any regulations and set standards. This needs to be embodied within a person-centred philosophy where the person in receipt of homecare is seen as an active participant, their voice is heard and their day-to-day experience is at the centre of service provision. (Edited publisher abstract)
Regulation of homecare: a position paper
- Author:
- HEALTH INFORMATION AND QUALITY AUTHORITY
- Publisher:
- Health Information and Quality Authority
- Publication year:
- 2021
- Pagination:
- 12
- Place of publication:
- Dublin
This report sets out the Health Information and Quality Authority’s (HIQA’s) position on the future regulation of homecare services in Ireland. The challenges in homecare will become more complex and acute. Based on the research that HIQA has undertaken and its broad experience as a regulator, there are three options available. Option 1 – the first option is a ‘business as usual’ scenario. Here, the current landscape continues where there is uneven distribution of services across Ireland and people remain underserved, in need and potentially at risk of deterioration. However, given the commitment in Slaintecare to implement a statutory scheme for homecare this option is unlikely. Option 2 – the second choice is a ‘directionless or ‘bandage’ scenario where homecare continues on the same trajectory. This is where the HSE continues to develop and expand services in line with the needs of the population. In this scenario, the types and processes of homecare become more convoluted and complex and some groups of people in receipt of homecare are afforded a level of protection offered by regulation, but not all. Option 3 – the third option is the preferred choice. This is where there is a root and branch review of homecare — this will involve concerned stakeholders and engagement of all stakeholders at national, community healthcare organisation (CHO), service delivery and recipient level. A homecare framework will be developed that makes homecare available to everyone in need. Age is removed as a barrier to access, and homecare services are available throughout life in an integrated and needs-led fashion. Homecare includes services that support enablement and independence and provide services that maintain continuity. There is a clear funding framework to support this transition. Regulation in this scenario is one cog in the wheel of broader reform that seeks to drive quality in this sector. (Edited publisher abstract)
Personal protective equipment (PPE): care workers delivering homecare during the Covid-19 response
- Author:
- HEALTHCARE SAFETY INVESTIGATION BRANCH
- Publisher:
- Health Care Safety Investigation Branch
- Publication year:
- 2020
- Pagination:
- 14
- Place of publication:
- Farnborough
This national intelligence report provides insight into a current safety risk that the Healthcare Safety Investigation Branch (HSIB) has identified, relating to the use of personal protective equipment (PPE) by care workers when visiting a patient at home. It documents how concerns raised by HSIB were responded to by Public Health England, the body responsible for the development of guidelines for the appropriate use of PPE. The report finds that there are multiple Covid-19 guidelines for different care sectors. PPE guidelines should be used in conjunction with other guidelines, such as infection control guidelines, so that care providers can develop protocols for care delivery. This is challenging when guidelines are updated, or new guidelines are issued and there is a risk that guidance may be missed. The report argues that there is an opportunity to introduce a document management system for guidelines to ensure that the latest information is available. This would involve the design of a usable navigation system so that all related guidelines relevant to a particular care sector are visible and can be checked for completeness. (Publisher abstract)
Statutory guidance: for service providers and responsible individuals on meeting service standard regulations for care home services, domiciliary support services...
- Author:
- WALES. Welsh Government
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2019
- Pagination:
- 130
- Place of publication:
- Cardiff
- Edition:
- Version 2
Statutory guidance to help providers and responsible individuals of care home services, secure accommodation services, residential family centre services and domiciliary support services operating in Wales must meet . The guidance relates to Parts 3 to 20 of The Regulated Services (Service Providers and Responsible Individuals) (Wales) Regulations 2017, as amended. The guidance is also relevant to providers making an application for registration as a service provider under section 6 of the Act. It replaces requirements previously put in place under the Care Standards Act 2000 and the associated National Minimum Standards. (Edited publisher abstract)
Services and places regulated by CSSIW as at 31 March 2016
- Author:
- WALES. Welsh Government
- Publisher:
- Welsh Government
- Publication year:
- 2016
- Pagination:
- 12
- Place of publication:
- Cardiff
Statistical release providing information on the numbers of services and places that are regulated by CSSIW in Wales, including Adult Care Services (including care homes, home care, and adult placement), Children’s Services (including residential child care, residential special schools and fostering and adoption services) and Children’s Day Care as at 31 March 2016. The release also includes comparisons with results for previous years. Key results found that the number of services registered at any one time remains relatively unchanged. A total of 6,209 services with 108,699 places were registered with CSSIW as at 31 March 2016, a decrease of 54 services and an increase of 2,749 places since the same quarter the previous year. Results found a slight decrease in the number of adults' services and places registered compared to the previous year, with 1,582 adults' services and 25,642 service places registered at 31 March 2016. There was a slight increase in children's services, with 241 children's services and 2,217 places registered with CSSIW as at 31 March 2016. (Edited publisher abstract)