CSCI National Minimum Standards - Dignity in Care

1 Care Homes for Older PeopleNational Minimum StandardsCare Homes Regulations3rd Edition11 CARE Standards ACT 2000 Care Homes for Older People National Minimum Standards Care Homes Regulations3rd 780113 226078 ISBN 0-11-322607-1 Department of HealthCare Homes forOlder PeopleNational Minimum StandardsandThe Care HomesRegulations 2001 London: TSOP ublished by TSO (The Stationery Office) and available from:OnlineMail,Telephone, Fax & E-mailTSOPO Box 29, Norwich, NR3 1 GNTelephone orders/General enquiries: 0870 600 5522 Fax orders.

2 0870 600 5533 Textphone 0870 240 3701 TSO Shops123 Kingsway, London,WC2B 6PQ020 7242 6393 Fax 020 7242 639468-69 Bull Street, Birmingham B4 6AD0121 236 9696 Fax 0121 236 96999-21 Princess Street, Manchester M60 8AS0161 834 7201 Fax 0161 833 063416 Arthur Street, Belfast BT1 4GD028 9023 8451 Fax 028 9023 540118-19 High Street, Cardiff CF10 1PT029 2039 5548 Fax 029 2038 434771 Lothian Road, Edinburgh EH3 9AZ0870 606 5566 Fax 0870 606 5588 TSO Accredited Agents (see Yellow Pages)and through good booksellersPublished with the permission of the Department of Healthon behalf of the Controller of Her Majesty s Stationery Office.

3 Crown Copyright 2003 All rights in the typographical arrangement and design is vested in The Stationery Office for reproduction should be made in writing in the first instance to the Copyright Unit,Her Majesty s Stationery Office, St Clements House, 2 16 Colegate, Norwich NR3 published 2002 Second edition 2003 ISBN 0 11 322607 1 Printed in the United Kingdom for the Stationery impression 2006ID 186986 C20 04/06E-mail: Minimum Standards forCare Homes for Older PeopleA statement of National Minimum Standards published by the Secretary of Statefor Health under section 23(1) of the Care Standards Act 2003iiiNational Minimum Standards forCare Homes for Older PeopleNoteThis document contains a statement of National Minimum Standards published bythe Secretary of State under section 23(1) of the Care Standards Act 2000.

4 Thestatement is applicable to care homes (as defined by section 3 of that Act) whichprovide accommodation, together with nursing or personal care, for older statement is accompanied, for explanatory purposes only, by an introduction tothe statement as a whole, and a further introduction to each group of individual standard is numbered and consists of the numbered heading andnumbered paragraphs. Each standard is, for explanatory purposes only, preceded bya title and an indication of the intended outcome in relation to that of HealthivvPageIntroductionviiAimsviiRegul atory ContextviiStructure and ApproachviiiContext and Purposex1 Choice of Home ( Standards 1 6)1 Information2 Contract2 Needs Assessment3 Meeting Needs4 Trial Visits4 Intermediate Care52 Health and Personal Care ( Standards 7 11)

5 6 Privacy and Dignity6 Dying and Death7 Service User Plan8 Health Care8 Medication9 Privacy and Dignity11 Dying and Death113 Daily Life and Social Activities ( Standards 12 15)13 Meals and Mealtimes13 Social Contact and Activities14 Community Contact15 Autonomy and Choice15 Meals and Mealtimes164 Complaints and Protection ( Standards 16 18)17 Complaints17 Rights18 Protection18 Contents5 Environment ( Standards 19 26)20 Premises21 Shared Facilities21 Lavatories and Washing Facilities22 Adaptations and Equipment23 Individual Accommodation: Space Requirements 24 Individual Accommodation: Furniture and Fittings 25 Services: Heating and Lighting 26 Services.

6 Hygiene and Control of Infection 276 Staffing ( Standards 27 30) 28 Staff Complement 28 Qualifications 29 Recruitment 29 Staff Training 307 Management and Administration ( Standards 31 38) 31 Day to Day Operations 31 Ethos 32 Quality Assurance 33 Financial Procedures 34 Service Users Money 34 Staff Supervision 35 Record Keeping 35 Safe Working Practices 36 Appendices391 Glossary 412 Bibliography 45 Care Homes Regulations 49 91

7 CONTENTSviCARE HOMES FOR OLDER PEOPLEviiAimsThis document sets out National Minimum Standards for Care Homes for OlderPeople, which form the basis on which the new National Care StandardsCommission will determine whether such care homes meet the needs, and securethe welfare and social inclusion, of the people who live National Minimum Standards set out in this document are core Standards whichapply to all care homes providing accommodation and nursing or personal care forolder people. The Standards apply to homes for which registration as care homesis broad in scope, these Standards acknowledge the unique and complex needsof individuals, and the additional specific knowledge, skills and facilities needed inorder for a care home to deliver an individually tailored and comprehensive of the Standards do not apply to pre-existing homes including local authorityhomes, Royal Charter homes and other homes not previously required to Standards do not apply to independent hospitals, hospices.

8 Clinics orestablishments registered to take patients detained under the Mental HealthAct 1983. Regulatory ContextThese Standards are published by the Secretary of State for Health in accordancewith section 23 of the Care Standards Act 2000 (CSA). They will apply from 1 June2003, unless otherwise stated in any Care Standards Act created the National Care Standards Commission (NCSC),an independent non-governmental public body, which regulates social and healthcare services previously regulated by local councils and health authorities.

9 Inaddition, it extended the scope of regulation significantly to other services notpreviously registered, including domiciliary care agencies, fostering agencies andresidential family CSA sets out a broad range of regulation making powers covering, amongstother matters, the management, staff, premises and conduct of social andindependent healthcare establishments and agencies. IntroductionUnder the Care Standards Act the Secretary of State for Health has powers to publishstatements of National Minimum Standards . In assessing whether a care homeconforms to the Care Homes Regulations 2001, which aremandatory, the NationalCare Standards Commission musttake the Standards into account.

10 However, theCommission mayalso take into account any other factors it considers reasonable orrelevant to do with National Minimum Standards is not itself enforceable, butcompliance with regulations is enforceable subject to National Standards being takeninto account. The Commission may conclude that a care home has been in breach of theregulations even though the home largely meets the Standards . The Commissionalso has discretion to conclude that the regulations have been complied with bymeans other than those set out in the National Minimum and ApproachThe National Minimum Standards for Care Homes for Older People focus onachievable outcomes for service users - that is, the impact on the individual of thefacilities and services of the home.