NATIONAL MINIMUM STANDARDS FOR DOMICILIARY CARE

1
NATIONAL MINIMUM STANDARDS FOR DOMICILIARY CARE

• DELIVERING STANDARDS OF PROTECTION

2
DELIVERING QUALITY STANDARDS

• Issues of protection underpin all standards
• The level of intentional abuse is relatively low
  in relation to the volume of dom. care delivered
  each day
• Meeting standards will safeguard against
  unintentional abuse ie disregarding the rights,
  privacy, dignity, wishes preferences of people
• Bad practice in the provision of dom care can all
  too easily become entrenched because of the lack
  of day to day supervision

3
PROTECTION

• Safe working practices
• Risk assessment
• Financial protection
• Protection of the person
• Security of the home
• Records kept in the home

4
SAFE WORKING PRACTICES

• Comply with the requirements of H S legislation
• Organisation has a comprehensive H S policy
• A competent person is appointed to assist the
  organisation comply
• All records are accurate and kept up to date

5
RISK ASSESSMENT

• Undertaken by a trained qualified worker prior
  to the care being provided
• Includes the risks associated with assistance
  with medication and other health related tasks
• Includes risks for service users associated with
  maintaining their independence and daily living
  in the home (Inc risk of falls NSF)
• Separate manual handling risk assessment
• A comprehensive plan to manage the risks is drawn
  up and agreed by all parties reviewed
• Limitations to chosen lifestyle or human rights
  to prevent self-harm or self neglect are recorded
  in full on the risk assessment plan for
  managing the risks (S9)
• Someone on call contactable at all times care
  staff are on duty

6
FINANCIAL PROTECTION

• Safe handling of service users money and property
• Clear information on what must NOT be done
• Not allowing care staff or managers to benefit
  from wills and bequests
• Recording of all financial transactions
• Register kept of any other care interests

7
PROTECTION OF THE PERSON

• Service users safeguarded from any form of abuse
  or exploitation
• Robust procedures inc. whistle blowing
• Training on prevention of abuse given to all
  staff within 6 months of employment and updated
  regularly

8
SECURITY OF THE HOME

• Protocols in place for entering and leaving the
  home
• Action to be taken if unable to gain entry and
  other emergency situations
• Identity cards inc. a photograph issued and used
  by all staff

9
RECORDS KEPT IN THE HOME

• The time and date of every visit
• Any changes in the users or carers circumstances,
  health, physical condition, care needs
• Any assistance with medication or other health
  related tasks inc. time and dosage
• Financial transactions undertaken on behalf of
  the Service User
• Any untoward incidents or accident to the service
  user and/or care worker

10
USER FOCUSSED SERVICES

• Information
• Ensure people have all the information they
  need to make informed decisions
• Care needs assessment
• Meeting needs
• Ensuring the ability of the organisation to meet
  the needs (inc specialist needs) of individuals
• Contract
• For people who are self funding
• Confidentiality
• Including circumstances under which
  confidentiality may be breached

11
USER FOCUSSED SERVICES

• Responsive services
• Respond flexibly to changing needs on a day to
  day basis
• Continuity of carer(s)
• Care workers only changed for legitimate reasons
  and service users are consulted about the change
  whenever possible.
• Care workers arrive at the home within the time
  band specified and work for the full amount of
  time allocated
• Service users kept informed on matters relating
  to their care at all times

12
PERSONAL CARE

• Service user plan
• Agreement between the service user and the care
  provider on what is to be done and how
• Privacy and dignity
• Provide the care in a way which respects the
  privacy and dignity of the person
• Service users addressed by their preferred name
• Sensitive and responsive to race, religion,
  culture, age, disability, gender sexuality
• Autonomy and independence
• Doing things WITH the person, not for them
• Inform about independent advocacy services

13
PERSONAL CARE

• Medication Health Related tasks
• Clear policy procedures which identify
  parameters circumstances
• Clear agreement by all parties if care workers
  undertake health related tasks
• Only undertake health related tasks if received
  the appropriate training
• The need for assistance should be identified in
  the care plan, form part of the risk assessment
  and detailed within the service user plan

14
MANAGERS AND STAFF

• Recruitment and selection
• Including checks references on temporary staff
• Requirements of the job
• Inc Code of Practice linked to GSCC Code
• Development and training
• Inc 3 day induction plus TOPSS induction
• Qualifications
• NVQ level 2/3 in Care for all new care staff
  management qualification for managers
• Supervision
• One to one quarterly including an annual appraisal

15
ORGANISATION AND RUNNING OF THE BUSINESS

• Business premises, management and planning
• Financial procedures
• Record keeping
• Service users have access to their personal
  records
• Policies procedures
• Complaints compliments
• Positive action taken to empower service users to
  use the complaints and compliments procedure
• Quality assurance
• Annual visit to all service users by a manager
• Annual survey to obtain views opinions on the
  service

16

• STANDARDS AND REGULATION IS NEVER AN END IN
  ITSELF, BUT THE MEANS TO AN END-
• ENSURING THE QUALITY OF PERSONAL CARE SERVICES
  PROVIDED TO PEOPLE WITH CARE NEEDS LIVING IN
  THEIR OWN HOME