“I have used Residata for four years. The system used properly aids the user to access relevant client information promptly. It further emphasises the discipline to ensure client data is recorded accurately with the sequel of accountability.”

Gearing up for registration

Michelle Doyle of the Care Quality Commission reports.

The Health and Social Care Act 2008 introduced a new, single registration system that applies to both healthcare and adult social care (see Deborah Berger’s article in last month’s issue1). From 1 October 2010, adult social care and independent healthcare providers that carry on regulated activities must be registered with the Care Quality Commission (CQC). To be registered, providers must show that they are meeting new essential standards of quality and safety in all of the regulated activities that they provide.

Existing independent healthcare and adult social care providers that are not currently required to be registered under the Care Standards Act 2000 but who provide regulated activities must now complete the registration process for the first time.

Why a new registration system?

The new system ensures that essential standards of quality and safety apply across the whole care sector, creating a level playing field for providers. It means that people can expect services to meet the same essential standards that protect their safety, and respect their dignity and rights.

After initial registration, providers will be continuously monitored to ensure they are meeting essential standards, as part of a new, more dynamic system of regulation that places the views and experiences of people who use services at its centre.

What this means for supported housing

Some supported housing schemes are already registered under the Care Standards Act 2000 and will have received information from CQC about registering under the new system. Some other schemes that were not previously required to register may need to do so in future. This is due to changes between the Care Standards Act 2000 and the new Health and Social Care Act 2008 that extend the definition of ‘personal care’.

If staff in your service are prompting and supervising a person who is unable to make a decision for themselves (or provide care for themselves because of old age, illness or disability) in the place where they are living, the service will now need to register for the regulated activity of personal care.

Personal care

Within the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010, the definition of personal care now includes prompting, together with supervision of a person, in relation to a number of activities that are listed below.

The activities in personal care cover:

A: Physical assistance given to a person in connection with:

  • Eating or drinking (including the administration of parenteral nutrition)
  • Toileting (including in relation to menstruation)
  • Washing or bathing
  • Dressing
  • Oral care
  • The care of skin, hair and nails (with the exception of nail care provided by a chiropodist or podiatrist) and;

B: The prompting and supervision of a person to do any of the types of personal care listed above, where that person is unable to make a decision for themselves in relation to performing such an activity without such prompting and supervision.

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