Office of the Chief Inspector Report of an inspection of a … 2019-10-01 · (Hillcrest/Ballyroan)...

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Office of the Chief Inspector Report of an inspection of a Designated Centre for Disabilities (Adults) Name of designated centre:

Centre 5 - Cheeverstown Community Services (Hillcrest/Ballyroan)

Name of provider: Cheeverstown House CLG

Address of centre: Dublin 6w

Type of inspection: Unannounced

Date of inspection:

09 and 10 July 2019

Centre ID: OSV-0003556

Fieldwork ID: MON-0027226

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About the designated centre

The following information has been submitted by the registered provider and describes the service they provide. This designated centre comprises of three two storey community residential houses, all located between two towns in Co. Dublin. The centre provides care and support to men and women with intellectual disabilities over the age of eighteen. The designated centre has capacity for 11 individuals in total. House 1 can provide full-time residential care for three male individuals. The house consists of four bedrooms with one bedroom having an en-suite bathroom, and a further shared bathroom and additional toilet facilities downstairs. There is a kitchen, dining room and sitting room with a garden area out the back. House 2 can provide residential care between Monday and Friday for three female individuals. The house consists of four bedrooms, a dining room, a kitchen and sitting room. One bedroom has an en-suite bathroom and there is a shared toilet and shower upstairs and a downstairs toilet. House 3 can provide full-time residential care for 5 individuals male and female. The house consists of seven bedrooms, a kitchen/dining area and a sitting room. There are two bathroom/shower rooms with toilets upstairs including a downstairs toilet. There is a garden area out the back. There is transport available on request for all houses. The person in charge shares their working hours between the three houses within the designated centre. There are staff nurses, social care workers and care assistants employed in this centre to support the residents. The following information outlines some additional data on this centre.

Number of residents on the

date of inspection:

9

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How we inspect

This inspection was carried out to assess compliance with the Health Act 2007 (as amended), the Health Act 2007 (Care and Support of Residents in Designated Centres for Persons (Children and Adults) with Disabilities) Regulations 2013, and the Health Act 2007 (Registration of Designated Centres for Persons (Children and Adults with Disabilities) Regulations 2013 - 2015 as amended. To prepare for this inspection the inspector of social services (hereafter referred to as inspectors) reviewed all information about this centre. This included any previous inspection findings, registration information, information submitted by the provider or person in charge and other unsolicited information since the last inspection.

As part of our inspection, where possible, we:

speak with residents and the people who visit them to find out their

experience of the service,

talk with staff and management to find out how they plan, deliver and monitor

the care and support services that are provided to people who live in the

centre,

observe practice and daily life to see if it reflects what people tell us,

review documents to see if appropriate records are kept and that they reflect

practice and what people tell us.

In order to summarise our inspection findings and to describe how well a service is

doing, we group and report on the regulations under two dimensions of:

1. Capacity and capability of the service:

This section describes the leadership and management of the centre and how

effective it is in ensuring that a good quality and safe service is being provided. It

outlines how people who work in the centre are recruited and trained and whether

there are appropriate systems and processes in place to underpin the safe delivery

and oversight of the service.

2. Quality and safety of the service:

This section describes the care and support people receive and if it was of a good

quality and ensured people were safe. It includes information about the care and

supports available for people and the environment in which they live.

A full list of all regulations and the dimension they are reported under can be seen in

Appendix 1.

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This inspection was carried out during the following times:

Date Times of

Inspection

Inspector Role

09 July 2019 09:30hrs to 18:00hrs

Jacqueline Joynt Lead

10 July 2019 10:00hrs to 15:00hrs

Jacqueline Joynt Lead

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What residents told us and what inspectors observed

Throughout the two days of inspection the inspector met and talked with six of the nine residents. Where appropriate, residents' views were relayed through staff advocating on their behalf. Residents’ views were also taken from the centres' feedback surveys, the centre's annual review and various other records that endeavoured to voice the residents' opinions.

The residents, who the inspector spoke with, advised the inspector that they were happy with the service provided to them and that overall, were happy to be living in their house. Residents advised the inspector that they enjoyed the choice of meals provided and informed the inspector of which was their favourite. Residents talked about the different activities and goals they were supported to take part in and enjoy .

Residents advised the inspector that if they wanted to make a complaint that they knew who they could go to. During the inspection the inspector observed the person in charge engage in a discussion with a resident around a matter the resident seemed unhappy about. The inspector observed the person in charge to be mindful, fair and considerate in the discussion. A rational and understanding was reached about the matter which resulted in the resident appearing satisfied with the outcome of the discussion.

Overall, family feedback noted that they felt the quality of service and care provided to their family members was good. However, in relation to adequate staff to meet the needs of residents and the physical surroundings of the centre, the feedback was mixed between positive and negative.

The inspector observed that residents' needs were well known to staff and management. The residents appeared very comfortable in their home and relaxed in the company of staff. The inspector observed that staff were kind and respectful towards residents through positive, mindful and caring interactions.

Capacity and capability

The inspector found that overall the registered provider and the person in charge were effective in assuring that a good quality service was provided to residents.

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There were clear lines of accountability at individual, team and organisational level so that all staff working in the centre were aware of their responsibilities and who they were accountable to.

Improvements that were required from the previous inspection had been implemented. However, the inspector found that on this inspection, improvements were required to the area of staffing to ensure that attachments were not disrupted and continuity of support and maintenance of relationships were promoted.

On the day of inspection staffing levels were not as stated in the centre's current statement of purpose. However, the inspector was informed by the person in charge that job offers had been sent out to applicants and that a full cohort of staff would soon be in place.

The inspector found that there had been a high dependency on relief staff in one of the houses. On the day of inspection the inspector found evidence of negative outcomes for a resident due to the lack of continuity of staffing. Furthermore, the inspector saw that a complaint had been submitted relating to unfamiliar staff working with residents in this house. However, the inspector was informed by the person in charge that where relief staff had been employed, for the most part they were staff who were known to the residents.

The inspector found that overall, governance and management systems in place ensured that service delivery was safe and effective through the ongoing auditing and monitoring of its performance however, in relation to the six monthly review of the quality and safety of the service being provided, improvements were required to ensure the effectiveness of the review.

The person in charge was familiar with the residents' needs and overall, ensured that they were met in practice. There was evidence to demonstrate that the person charge was competent, with appropriate qualification and skills and sufficient practice and management experience to oversee the residential service and meet its stated purpose, aims and objectives.

The inspector saw that overall the majority of staff had completed mandatory training which enabled staff provide care that reflected best practice. However, some improvements were required to ensure all staff training was up-to-date.

The registered provider had established and implemented systems to address and resolve issues raised by residents or their representatives. However, the inspector found that improvements were required to the documentation in place to ensure forms were completed in full and that satisfaction levels of the complainant were noted.

Systems were in place, including an advocacy service, to ensure residents had access to information which would support and encourage them express any concerns they may have. One of the residents spoke with the inspector about their involvement in an advocacy group which enable them support and advocate for their

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peers.

Regulation 14: Persons in charge

The inspector found that centre was managed by a suitably skilled person in charge who was engaged in the governance, operational management and administration of the centre on a regular and consistent basis.

Judgment: Compliant

Regulation 15: Staffing

On the day of inspection staffing levels were not as per the statement of purpose. The designated centre did not have their full compliment of contracted staff.

Lack of continuity of staffing had resulted in negative outcomes for residents.

There was a high dependency on relief staff.

The person in charge's hours were not recorded on the staff roster.

Judgment: Not compliant

Regulation 16: Training and staff development

Overall, the education and training available to staff enabled them to provide care that reflects up-to-date, evidence-based practice. On the day of inspection the inspector found that not all staff training was up-to-date, however dates had been scheduled within the next two months for staff to complete all training.

Judgment: Substantially compliant

Regulation 23: Governance and management

The annual report and six monthly review had been completed as required by regulations however, improvements were required to the effectiveness of the the six monthly review to ensure the safety and quality of care provided in the centre. For

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example, a number of actions outstanding from the annual report had not been addressed in the six monthly review.


Regulation 3: Statement of purpose

The statement of purpose was in place and included all information set out in the associated schedule. A copy of the statement of purpose was available to residents and their representatives.

Judgment: Compliant

Regulation 34: Complaints procedure

While there were appropriate policies, procedure and practices in place for complaints there were some gaps found in the documentation including ascertaining satisfaction levels of the complainant and incomplete sections on some forms.


Regulation 4: Written policies and procedures

Not all written policies and procedures were in place however, the inspector was informed that those that were not in place were currently being reviewed and were due to be completed shortly.


Quality and safety

Overall, the inspector found that residents well-being and welfare was maintained to a good standard.The residents living in the centre received care and support which was of a good quality.

The inspector found that residents' personal plans had been reviewed annually and

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that this review was in consultation with the resident, their keyworker, and where appropriate, allied health professionals and family members. However, the inspector found that improvements were required to the documentation relating to residents' goals and in particular how residents were supported to progress and achieve their goals. Furthermore, improvements were required to ensure that all residents’ plans were available in a format which was accessible to them.

Overall, appropriate healthcare was made available to residents having regard to their personal plan. The health and wellbeing of each resident was promoted and supported in a variety of ways including through diet, nutrition, recreation, exercise and physical activities. Residents were supported to live healthily and where appropriate, take responsibility for their health. However, the inspector found that improvements were required to the recording and documentation of healthcare matters. For example gaps were found in areas relating to residents' appointments and health screening follow ups.

Where appropriate, residents were actively supported and encouraged to connect with their family and to feel included in their local community. The residents were supported to engage in meaningful activities which promoted their personal development and independence. Residents advised the inspector of the different activities and goals they were involved in and how they were being supported by staff to plan and achieve them. For example residents told the inspector that they were involved in disc jockeying in the local club and on the local radio station. Other residents advised about flower arranging courses they had completed. Residents also informed the inspector of their employment in a local public house and volunteer work in a local animal shelter.

Residents were supported to be involved in the running of the house through meaningful household roles and tasks and by expressing themselves through personalised living spaces. Residents took it in turns and shared responsibility for weekly household tasks such as cleaning, cooking, laundry and recycling which in turn promoted their independence. Furthermore, the inspector saw evidence that each resident had been consulted in the design and layout of their bedroom which contained photographs and personal items that were of interest and importance to the resident.

The inspector found that for the most part, the design and layout of the premises ensured that the residents could enjoy living in an accessible, comfortable and homely environment. Overall, the centre was clean however, the inspector found that two of the houses required some improvements relating to decorative and structural repairs internally and externally. Furthermore, the inspector found that in two of the houses some of the furnishings and equipment located in communal spaces took away from the homeliness of the room.

The inspector found that the fire fighting equipment and fire alarm systems were appropriately serviced and checked and that there were satisfactory systems in place for the prevention and detection of fire. Daily, weekly and monthly checks of doors, lights and evacuation routes ensured precautions implemented reflected current best practice. Arrangements were in place for ensuring residents were aware

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of the evacuation procedure to follow. The inspector saw that in one house additional evacuation strobe lighting had been put in place to assist and support the specific needs of one of the residents living in the house.

Medicines used in the designated centre were found to be used for their therapeutic benefits and to support and improve each resident’s health and well-being. Medication was reviewed at regular specified intervals as documented in residents' personal plans. Overall, the practice relating to the ordering; receipt; prescribing; storing; disposal; and administration of medicines was appropriate however, some improvements were required to the documentation relating to administration of medicine and to the location and storage of refrigerated medicines.

Regulation 17: Premises

There was a number of structural and repair maintenance jobs to be carried out in two of the houses (internally and externally) however, the person in charge had reported the majority of these tasks to the maintenance team to be completed and was awaiting a response on same.

Two houses included staff office equipment in the residents' sitting rooms which took from the homeliness of the room.

Storage of some cleaning equipments required reviewing in two of the houses.


Regulation 26: Risk management procedures

The risk management policy included all required information. There was an effective system in place for the management of risk in the designated centre.

Judgment: Compliant

Regulation 28: Fire precautions

There were systems in place for the prevention and detection of fire. Audits ensured that overall, precautions implemented reflected current best practice. Fire drills were being carried out as appropriate.

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Judgment: Compliant

Regulation 29: Medicines and pharmaceutical services

The medicinal refrigerator was stored in the utility room and required relocation to a more appropriate place.

Improvements were required to the documentation in place to support and guide staff administer PRN medication (a medicine only taken as required).

The inspector found that not all residents were provided with an assessment of capacity relating to self-administering of medication.


Regulation 5: Individual assessment and personal plan

The inspector found that each resident had a personal plan that was reviewed annually and reflected in practice however, there were some gaps in the documentation that did not result in a medium to high risk to the residents. For example goals that had been discussed at the residents annual personal plan review meeting had not been included in their plan. Furthermore, the inspector found that in some personal plans the progress of the residents goals was not documented as per the centre's policy and procedures.

The inspector found that a number of residents were not provided with an accessible format of their personal plan so that they could be easily understood by the resident.


Regulation 6: Health care

The inspector found that there were some gaps evident in the maintenance of documentation but care was delivered to a high standard an did not result in a medium to high risk to residents. For example, some medical appointments were not documented in the residents' plans and in one case, follow up on a health screening appointment was not recorded in a consistent manner.


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Regulation 8: Protection

Staff had up-to-date safeguarding training. The residents were provided with an accessible format of safeguarding information and there was a photograph and contact details of the designated officer displayed in a communal area in each of the houses.

Judgment: Compliant

Regulation 9: Residents' rights

Overall, residents were facilitated to make decisions in their lives which maximised their autonomy. However, not all residents were provided with capacity assessments relating to financial matters.

On the day of inspection the inspector found documents in the kitchen of one of the houses, which contained personal identifiable information belonging to the residents, had not been stored in a locked and secure cupboard.


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Appendix 1 - Full list of regulations considered under each dimension This inspection was carried out to assess compliance with the Health Act 2007 (as amended), the Health Act 2007 (Care and Support of Residents in Designated Centres for Persons (Children and Adults) with Disabilities) Regulations 2013, and the Health Act 2007 (Registration of Designated Centres for Persons (Children and Adults with Disabilities) Regulations 2013 - 2015 as amended and the regulations considered on this inspection were:

Regulation Title Judgment

Capacity and capability

Regulation 14: Persons in charge Compliant

Regulation 15: Staffing Not compliant

Regulation 16: Training and staff development Substantially compliant

Regulation 23: Governance and management Substantially compliant

Regulation 3: Statement of purpose Compliant

Regulation 34: Complaints procedure Substantially compliant

Regulation 4: Written policies and procedures Substantially compliant

Quality and safety

Regulation 17: Premises Substantially compliant

Regulation 26: Risk management procedures Compliant

Regulation 28: Fire precautions Compliant

Regulation 29: Medicines and pharmaceutical services Substantially compliant

Regulation 5: Individual assessment and personal plan Substantially compliant

Regulation 6: Health care Substantially compliant

Regulation 8: Protection Compliant

Regulation 9: Residents' rights Substantially compliant

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Compliance Plan for Centre 5 - Cheeverstown Community Services (Hillcrest/Ballyroan) OSV-0003556 Inspection ID: MON-0027226

Date of inspection: 09/07/2019 and 10/07/2019 Introduction and instruction This document sets out the regulations where it has been assessed that the provider or person in charge are not compliant with the Health Act 2007 (Care and Support of Residents in Designated Centres for Persons (Children And Adults) With Disabilities) Regulations 2013, Health Act 2007 (Registration of Designated Centres for Persons (Children and Adults with Disabilities) Regulations 2013 and the National Standards for Residential Services for Children and Adults with Disabilities. This document is divided into two sections: Section 1 is the compliance plan. It outlines which regulations the provider or person in charge must take action on to comply. In this section the provider or person in charge must consider the overall regulation when responding and not just the individual non compliances as listed section 2. Section 2 is the list of all regulations where it has been assessed the provider or person in charge is not compliant. Each regulation is risk assessed as to the impact of the non-compliance on the safety, health and welfare of residents using the service. A finding of:

Substantially compliant - A judgment of substantially compliant means that the provider or person in charge has generally met the requirements of the regulation but some action is required to be fully compliant. This finding will have a risk rating of yellow which is low risk.

Not compliant - A judgment of not compliant means the provider or person in charge has not complied with a regulation and considerable action is required to come into compliance. Continued non-compliance or where the non-compliance poses a significant risk to the safety, health and welfare of residents using the service will be risk rated red (high risk) and the inspector have identified the date by which the provider must comply. Where the non-compliance does not pose a risk to the safety, health and welfare of residents using the service it is risk rated orange (moderate risk) and the provider must take action within a reasonable timeframe to come into compliance.

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Section 1 The provider and or the person in charge is required to set out what action they have taken or intend to take to comply with the regulation in order to bring the centre back into compliance. The plan should be SMART in nature. Specific to that regulation, Measurable so that they can monitor progress, Achievable and Realistic, and Time bound. The response must consider the details and risk rating of each regulation set out in section 2 when making the response. It is the provider’s responsibility to ensure they implement the actions within the timeframe. Compliance plan provider’s response:

Regulation Heading Judgment

Regulation 15: Staffing

Not Compliant

Outline how you are going to come into compliance with Regulation 15: Staffing: .5 WTE S/N vacancy has been identified with HR. This post has been advertised and is within the recruitment phase. The PIC when issuing the roster will include identified staff from the core support team as having suitable skills to meet the assessed needs of the individuals supported where they are required due to gaps related to staff long term sick leave. The roster available in each location, using the management information system will include the person in charge’s hours.

Regulation 16: Training and staff development

Substantially Compliant

Outline how you are going to come into compliance with Regulation 16: Training and staff development: Staff identified for refresher training are scheduled to attend: Safeguarding Vulnerable Persons Awareness Programme 14/08/2019 Management of Actual or Potential Aggression Refresher 15/08/2019 Management of Actual or Potential Aggression 22/10/2019 Fire safety 04/09/2019

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Regulation 23: Governance and management


Outline how you are going to come into compliance with Regulation 23: Governance and management: The nominated provider unannounced visit template will be reviewed and updated by the Quality & Compliance Manager to guide the nominated provider or delegate on what documents to consider prior to report completion and feedback. This will include review of previous inspection reports and end of year quality & safety report. 04/10/2019

Regulation 34: Complaints procedure


Outline how you are going to come into compliance with Regulation 34: Complaints procedure: The complaint documentation will be updated and reissued by the Complaint Officer/Quality & Compliance Manager. The updated documentation will clearly indicate the outcome of the complaint and the satisfaction level of the complainant. The documentation will include date for feedback to advocate if required.

Regulation 4: Written policies and procedures


Outline how you are going to come into compliance with Regulation 4: Written policies and procedures: All Schedule 5 policies and procedures that require a review for their relevancy and effectiveness have been time lined for completion with the consultation groups and will be recirculated for implementation and to guide staff practise.

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Regulation 17: Premises


Outline how you are going to come into compliance with Regulation 17: Premises: The glass in internal doors has been replaced 12/07/2019 Patio door glass replaced 23/07/2019 Kitchen counter top replacement .Completion 10/08/2019 Medication fridge moved from utility room 10/07/2019 Some internal painting completed in one location 02/08/2019 Application by the PIC to the executive team for a budget allocation will be made to acquire new office equipment that will be more appropriate for individuals homes and will not detract from the homeliness of the environment. The PIC will submit an internal and external maintenance audit and request for further maintenance works to the office of Director of Operations & Service Developments and Facilities, Catering and Safety manager. These requests are prioritised against the maintenance budget for the current year and the nature of the work that is required under safety, access, changing needs and other criteria that may affect a person day to day living.

Regulation 29: Medicines and pharmaceutical services


Outline how you are going to come into compliance with Regulation 29: Medicines and pharmaceutical services: Medicine refrigerator has been relocated to a more suitable location. Personal assessment for self-medication administration completed and included within each person’s personal plan. All PRN medications will have information/ plans to adequately guide staff practice on administration.

Regulation 5: Individual assessment and personal plan


Outline how you are going to come into compliance with Regulation 5: Individual assessment and personal plan: Refresher and upskilling training will be provided for staff to ensure the process is documented in a clear and concise way that can inform continuity of care by all staff. The individuals personal plan will be made available to the resident in a format including

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an accessible format that best suits their specific communication needs.

Regulation 6: Health care


Outline how you are going to come into compliance with Regulation 6: Health care: The PIC and staff will ensure that appropriate healthcare is made available for each resident based on their assessed needs. All residents’ healthcare needs and outcomes will be documented within the persons individual plan. Where medical treatment is recommended and agreed by the resident, the PIC with the staff team will ensure that there is appropriate follow up.

Regulation 9: Residents' rights


Outline how you are going to come into compliance with Regulation 9: Residents' rights: Arrangements will be put in place in each location to ensure the privacy of personal information in respect of each resident is respected and, therefore, kept confidential. In conjunction with the finance department the Person in charge and staff will establish what supports should be in place for residents to participate in opportunities to manage their own money’s.

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Section 2: Regulations to be complied with The provider or person in charge must consider the details and risk rating of the following regulations when completing the compliance plan in section 1. Where a regulation has been risk rated red (high risk) the inspector has set out the date by which the provider or person in charge must comply. Where a regulation has been risk rated yellow (low risk) or orange (moderate risk) the provider must include a date (DD Month YY) of when they will be compliant. The registered provider or person in charge has failed to comply with the following regulation(s).

Regulation Regulatory requirement

Judgment Risk rating

Date to be complied with

Regulation 15(1) The registered provider shall ensure that the number, qualifications and skill mix of staff is appropriate to the number and assessed needs of the residents, the statement of purpose and the size and layout of the designated centre.

Not Compliant Orange

04/10/2019

Regulation 15(3) The registered provider shall ensure that residents receive continuity of care and support, particularly in circumstances where staff are employed on a less than full-time basis.

Not Compliant Orange

04/10/2019

Regulation 15(4) The person in charge shall ensure that there is a planned and


Yellow

04/10/2019

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actual staff rota, showing staff on duty during the day and night and that it is properly maintained.

Regulation 16(1)(a)

The person in charge shall ensure that staff have access to appropriate training, including refresher training, as part of a continuous professional development programme.


Yellow

22/10/2019

Regulation 17(1)(b)

The registered provider shall ensure the premises of the designated centre are of sound construction and kept in a good state of repair externally and internally.


Yellow

30/09/2019

Regulation 17(4) The registered provider shall ensure that such equipment and facilities as may be required for use by residents and staff shall be provided and maintained in good working order. Equipment and facilities shall be serviced and maintained regularly, and any repairs or replacements shall be carried out as quickly as possible so as to minimise


Yellow

30/09/2019

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disruption and inconvenience to residents.

Regulation 17(7) The registered provider shall make provision for the matters set out in Schedule 6.


Yellow

30/09/2019

Regulation 23(1)(a)

The registered provider shall ensure that the designated centre is resourced to ensure the effective delivery of care and support in accordance with the statement of purpose.


Yellow

04/10/2019

Regulation 29(4)(a)

The person in charge shall ensure that the designated centre has appropriate and suitable practices relating to the ordering, receipt, prescribing, storing, disposal and administration of medicines to ensure that any medicine that is kept in the designated centre is stored securely.


Yellow

10/07/2019

Regulation 29(4)(b)

The person in charge shall ensure that the designated centre has appropriate and suitable practices relating to the ordering, receipt, prescribing, storing, disposal


Yellow

31/10/2019

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and administration of medicines to ensure that medicine which is prescribed is administered as prescribed to the resident for whom it is prescribed and to no other resident.

Regulation 29(5) The person in charge shall ensure that following a risk assessment and assessment of capacity, each resident is encouraged to take responsibility for his or her own medication, in accordance with his or her wishes and preferences and in line with his or her age and the nature of his or her disability.


Yellow

19/07/2019

Regulation 34(2)(d)

The registered provider shall ensure that the complainant is informed promptly of the outcome of his or her complaint and details of the appeals process.


Yellow

04/10/2019

Regulation 34(2)(f)

The registered provider shall ensure that the nominated person maintains a record of all complaints including details of any investigation into a complaint,


Yellow

04/10/2019

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outcome of a complaint, any action taken on foot of a complaint and whether or not the resident was satisfied.

Regulation 04(3) The registered provider shall review the policies and procedures referred to in paragraph (1) as often as the chief inspector may require but in any event at intervals not exceeding 3 years and, where necessary, review and update them in accordance with best practice.


Yellow

01/11/2019

Regulation 05(5) The person in charge shall make the personal plan available, in an accessible format, to the resident and, where appropriate, his or her representative.


Yellow

01/11/2019

Regulation 05(6)(c)

The person in charge shall ensure that the personal plan is the subject of a review, carried out annually or more frequently if there is a change in needs or circumstances, which review shall assess the effectiveness of the plan.


Yellow

08/11/2019

Regulation 05(7)(a)

The recommendations


Yellow

08/11/2019

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arising out of a review carried out pursuant to paragraph (6) shall be recorded and shall include any proposed changes to the personal plan.

Regulation 05(7)(c)

The recommendations arising out of a review carried out pursuant to paragraph (6) shall be recorded and shall include the names of those responsible for pursuing objectives in the plan within agreed timescales.


Yellow

08/11/2019

Regulation 06(1) The registered provider shall provide appropriate health care for each resident, having regard to that resident’s personal plan.


Yellow

27/09/2019

Regulation 09(2)(a)

The registered provider shall ensure that each resident, in accordance with his or her wishes, age and the nature of his or her disability participates in and consents, with supports where necessary, to decisions about his or her care and support.


Yellow

01/11/2019

Regulation 09(3) The registered provider shall


Yellow

30/08/2019

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ensure that each resident’s privacy and dignity is respected in relation to, but not limited to, his or her personal and living space, personal communications, relationships, intimate and personal care, professional consultations and personal information.

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