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16 essential standards most directly related to quality and safety

By Lester James,2014-06-09 21:42
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16 essential standards most directly related to quality and safety

Essential standards of quality and safety

    The essential standards of quality and safety consist of 28 regulations (and associated outcomes) that are set out in two pieces of legislation: the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 and the Care Quality Commission (Registration) Regulations 2009.

For each regulation, there is an associated outcome the experiences we expect

    people to have as a result of the care they receive.

When we check providers’ compliance with the essential standards, we focus on the

    16 regulations (out of the 28) that come within Part 4 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 these are the ones that most

    directly relate to the quality and safety of care. Providers must have evidence that they meet the outcomes.

    These 16 regulations are set out below. (Note that the outcome numbers are different to the regulation numbers because we have grouped the outcomes into six overall themes. See our Essential standards of quality and safety publication for full details.)

Regulation* Outcome Title and summary of outcome

    9 4 Care and welfare of people who use services

    People experience effective, safe and appropriate care,

    treatment and support that meets their needs and

    protects their rights.

    10 16 Assessing and monitoring the quality of service

    provision

    People benefit from safe, quality care because effective

    decisions are made and because of the management

    of risks to people’s health, welfare and safety.

    11 7 Safeguarding people who use services from abuse

    People are safeguarded from abuse, or the risk of

    abuse, and their human rights are respected and

    upheld.

    12 8 Cleanliness and infection control

    People experience care in a clean environment, and

    are protected from acquiring infections.

13 9 Management of medicines

    People have their medicines when they need them,

    and in a safe way. People are given information about

    their medicines.

    14 5 Meeting nutritional needs

    People are encouraged and supported to have

    sufficient food and drink that is nutritional and

    balanced, and a choice of food and drink to meet their

    different needs.

    15 10 Safety and suitability of premises

    People receive care in, work in or visit safe

    surroundings that promote their wellbeing.

    16 11 Safety, availability and suitability of equipment

    Where equipment is used, it is safe, available,

    comfortable and suitable for people’s needs.

    17 1 Respecting and involving people who use services

    People understand the care and treatment choices

    available to them. They can express their views and

    are involved in making decisions about their care. They

    have their privacy, dignity and independence

    respected, and have their views and experiences taken

    into account in the way in which the service is

    delivered.

    18 2 Consent to care and treatment

    People give consent to their care and treatment, and

    understand and know how to change decisions about

    things that have been agreed previously.

    19 17 Complaints

    People and those acting on their behalf have their

    comments and complaints listened to and acted on

    effectively, and know that they will not be discriminated

    against for making a complaint.

    20 21 Records

    People’s personal records are accurate, fit for purpose,

    held securely and remain confidential. The same

    applies to other records that are needed to protect their

    safety and wellbeing.

21 12 Requirements relating to workers

    People are kept safe, and their health and welfare

    needs are met, by staff who are fit for the job and have

    the right qualifications, skills and experience.

    22 13 Staffing

    People are kept safe, and their health and welfare

    needs are met, because there are sufficient numbers of

    the right staff.

    23 14 Supporting workers

    People are kept safe, and their health and welfare

    needs are met, because staff are competent to carry

    out their work and are properly trained, supervised and

    appraised.

    24 6 Cooperating with other providers

    People receive safe and coordinated care when they

    move between providers or receive care from more

    than one provider.

* Regulation of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010

    The other 12 regulations relate more to the routine day-to-day management of a service. The information we receive in respect of these helps us to check that the

    service is being run appropriately and responsibly, and to monitor generally the

    provider’s compliance with the essential standards of quality and safety. However, we will make checks where concerns are raised with the 12 regulations.

Regulation Outcome Title and summary of outcome

    4* 22 Requirements where the service provider is an

    individual or partnership

    People have their needs met because services are

    provided by people who are of good character, fit for

    their role, and have the necessary qualifications, skills

    and experience.

    5* 23 Requirement where the service provider is a body

    other than a partnership

    People have their needs met because services are

    managed by people who are of good character, fit for

    their role, and have the necessary qualifications, skills

    and experience.

6* 24 Requirements relating to registered managers

    People have their needs met because services have

    registered managers who are of good character, fit for

    their role, and have the necessary qualifications, skills

    and experience.

    7* 25 Registered person: training

    People have their needs met because services are led

    by a competent person who undertakes the appropriate

    training.

12** 15 Statement of purpose

    People know that the Care Quality Commission is kept

    informed of the services being provided.

    13** 26 Financial position

    People can be confident that the provider has the

    financial resources needed to provide safe and

    appropriate services.

    14** 27 Notifications notice of absence

    People can be confident that, if the person in charge of

    the service is away, it will continue to be properly

    managed.

    15** 28 Notifications notice of changes

    People can be confident that, if there are changes to

    the service, its quality and safety will not be affected.

    16** 18 Notification of death of a person who uses services

    People can be confident that deaths of people who use

    services are reported to CQC so that, if necessary,

    action can be taken.

    17** 19 Notification of death or unauthorised absence of a

    person who is detained or liable to be detained

    under the Mental Health Act 1983

    People who are detained under the Mental Health Act

    can be confident that important events that affect their

    health, welfare and safety are reported to CQC so that,

    if necessary, action can be taken.

18** 20 Notification of other incidents

    People who use services can be confident that

    important events that affect their health, welfare and

    safety are reported to CQC so that, if necessary, action

    can be taken.

    19** 3 Fees

    People who pay for services know how much they are

    expected to pay, when and how, and what service they

    will get for the amount paid.

    * Regulation of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 ** Regulation of the Care Quality Commission (Registration) Regulations 2009

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