SOCIAL CARE, ENGLAND Citation, commencement and application 1 1 These Regulations may be cited as the Care Standards Act 2000 (Establishments and Agencies) (Miscellaneous Amendments) Regulations 2004 and shall come into force on 26th July 2004. 2 These Regulations apply in relation to establishments and agencies in England only. Amendment of the Care Homes Regulations 2001 2 1 The Care Homes Regulations 2001 are amended in accordance with the following provisions of this regulation. 2 In regulation 2(1) (interpretation), after the definition of “the Act”, insert— “the 1997 Act ” means the Police Act 1997; . 3 In regulation 18 (staffing)— a in paragraph (1)(c)(i), after the word “perform” insert “including structured induction training”; and b for paragraph (2), substitute— 2 The registered person shall ensure that— a persons working at the care home are appropriately supervised; and b for the duration of a new worker’s induction training— i a member of staff (“the staff member”), who is appropriately qualified and experienced, is appointed to supervise the new worker; ii as far as is practicable, the staff member is on duty at the same time as the new worker; and iii the new worker does not escort any service user away from the care home premises unless accompanied by the staff member. . 4 In regulation 19 (fitness of workers)— a for paragraph (1)(b), substitute— b subject to paragraphs (6), (8) and (9), he has obtained in respect of that person the information and documents specified in paragraphs 1 to 9 of Schedule 2; ; b in paragraph (4)— i at the beginning, insert “Subject to paragraph (4A),”; and ii in sub-paragraph (b)(i), for the words “1 to 7” substitute “1 to 9”; c after paragraph (4), insert— 4A In the circumstances to which paragraph (7) of regulation 12 of the Nurses Agencies Regulations 2002 applies, with the result that a criminal record certificate pursuant to section 113 of the 1997 Act, or an enhanced criminal record certificate pursuant to section 115 of that Act is not yet available in respect of a person to whom paragraph (2) applies, the registered person may allow that person to start work at a care home in a position to which paragraph (3) applies pending receipt of, and satisfying himself with regard to, that outstanding information. ; d in paragraph (5)(d)— i at the beginning, insert “subject to paragraphs (4A), (6), (8) and (9),” and ii in head (i), for the words “1 to 7” substitute “1 to 9”; e after paragraph (6) add— 7 This paragraph applies in respect of a person (“the existing worker”)— a who immediately before 26th July 2004 is employed to work at the care home in a care position; and b in respect of whom there has been obtained a criminal record certificate pursuant to section 113 of the 1997 Act or an enhanced criminal record certificate pursuant to section 115 of that Act. 8 Where paragraph (7) applies, paragraphs (1)(b) and (5)(d), in so far as they relate to the following provisions specified in paragraph 7 of Schedule 2, namely— i section 113(3C)(a) and (b) of the 1997 Act; or ii section 115(6B)(a) and (b) of that Act, shall not apply in relation to the existing worker for as long as he remains in the care position mentioned in paragraph (7)(a). 9 Where the conditions set out in paragraph (10) are satisfied, the registered person may permit a person (“the new worker”) to start work at a care home notwithstanding that paragraphs (1)(b) and (5)(d) have not been complied with in so far as they relate to paragraph 7 of Schedule 2. 10 The conditions are— a a criminal record certificate (“a criminal record certificate”) has been applied for in respect of the new worker pursuant to section 113 or, if applicable, section 115 of the 1997 Act; and b full and satisfactory information in respect of the new worker has been obtained in relation to paragraph 7 of Schedule 2 in so far as it relates, where applicable, to sections 113(3A) or 115(6A) of the 1997 Act and sections 113(3C)(a) and (b) or 115(6B)(a) and (b) of that Act. 11 Where a registered person permits a new worker to start work pursuant to paragraph (9) the registered person shall— a appoint a member of staff (“the staff member”), who is appropriately qualified and experienced, to supervise the new worker pending receipt of, and satisfying himself with regard to, the outstanding information in relation to a criminal record certificate; b so far as is possible, ensure that the staff member is on duty at the same time as the new worker; and c ensure that the new worker does not escort service users away from the care home premises unless accompanied by the staff member. . 5 For regulation 33 (fitness of workers) substitute— 33 Regulation 19 shall have effect as if, at the end of paragraph (5), there were added the following— and e his qualifications, skills and experience are suitable for the purpose of working with children. . . 6 For Schedule 2 (information and documents in respect of persons carrying on, managing or working at a care home), substitute the Schedule 2 set out in the Schedule to these Regulations. 7 In Schedule 4 (other records to be kept in a care home), in paragraph 6— a sub-paragraph (b) is omitted; and b after sub-paragraph (f), add— g a record of all training undertaken, including induction training. . 8 Schedule 6 (additional information and documents to be obtained in respect of persons working at a care home where children are accommodated) is omitted. Amendment of the Domiciliary Care Agencies Regulations 2002 3 1 The Domiciliary Care Agencies Regulations 2002 are amended in accordance with the following provisions of this regulation. 2 In regulation 2(1) (interpretation), after the definition of “the Act” insert— “the 1997 Act” means the Police Act 1997; . 3 In regulation 12 (fitness of domiciliary care workers supplied by an agency)— a in paragraph (1), at the beginning, insert “Subject to paragraphs (2), (4) and (5),”; b after paragraph (2), add— 3 This paragraph applies in respect of a person (“the existing worker”)— a who immediately before 26th July 2004 is supplied by an agency to work in a care position; and b in respect of whom there has been obtained a criminal record certificate pursuant to section 113 of the 1997 Act or an enhanced criminal record certificate pursuant to section 115 of that Act. 4 Where paragraph (3) applies, paragraph (1)(d), in so far as it relates to the following provisions specified in paragraph 13 of Schedule 3, namely— i section 113(3C)(a) and (b) of the 1997 Act; or ii section 115(6B)(a) and (b) of that Act, shall not apply in relation to the existing worker for as long as he remains in the care position mentioned in paragraph (3)(a). 5 Where the conditions set out in paragraph (6) are satisfied, the registered person may supply a domiciliary care worker (“the new worker”) to a service user notwithstanding that paragraph (1)(d) has not been complied with in so far as it relates to paragraph 13 of Schedule 3. 6 The conditions are— a a criminal record certificate has been applied for in respect of the new worker pursuant to section 113 or, if applicable, section 115 of the 1997 Act; and b full and satisfactory information in respect of the new worker has been obtained in relation to paragraph 13 of Schedule 3 in so far as it relates, where applicable, to sections 113(3A) or 115(6A) of the 1997 Act and sections 113(3C)(a) and (b) or 115(6B)(a) and (b) of that Act. 7 Where the registered person supplies a new worker pursuant to paragraph (5), and where the new worker is being supplied by the agency acting otherwise than as an employment agency, the registered person shall, pending receipt of the outstanding information in relation to a criminal record certificate (“the outstanding information”)— a appoint a member of staff (“the staff member”), who is appropriately qualified and experienced, to supervise the new worker; b so far as is possible, ensure that the staff member, or another suitably qualified staff member, is on duty at the same time as the new worker, and is available to be contacted; and c contact the service user, or any representative of the service user, at weekly intervals in order to monitor the service user’s satisfaction with the care provided by the new worker, and any complaints that may arise; d inform the service user, or any representative of the service user, of the position in relation to the outstanding information, including when the outstanding information has been obtained; and e terminate the supply of the new worker to the service user where the registered person considers that the outstanding information, when obtained, is not satisfactory. . 4 In regulation 15 (staffing), at the end, add— 5 Where an agency is acting otherwise than as an employment agency, the registered person shall ensure that— a a new domiciliary care worker (“the new worker”) is provided with appropriately structured induction training lasting a minimum of three full working days; b during that induction training— i the new worker is not supplied to a service user unless accompanied by another domiciliary care worker who is a suitably qualified and competent person; ii a member of staff (“the staff member”) who is suitably qualified and experienced, is appointed to supervise the new worker; iii the staff member (or another suitably qualified and competent person if the staff member is unavailable) will always be available to be consulted while the new worker is on duty; and iv subject to the consent of the service user, the staff member makes arrangements to observe, on at least one occasion, the new worker carrying out his duties. . 5 In regulation 17 (provision of information to service users)— a after paragraph (1), insert— 1A Where the agency— a is acting as an employment agency; and b has supplied a domiciliary care worker in the circumstances to which regulation 12(5) applies, the registered person shall inform the service user that there is outstanding information in relation to the criminal record certificate, and shall also inform the service user when that outstanding information is obtained. ; and b in paragraph (2), for the words “paragraph (1)” substitute “ paragraphs (1) and, where applicable, (1A)”. 6 In Schedule 4 (records to be maintained for inspection), after paragraph 4, add— 5 Where the registered provider is carrying on an agency other than an employment agency, details of the training undertaken by all employees including, where applicable, induction training. . Amendment of the Nurses Agencies Regulations 2002 4 1 The Nurses Agencies Regulations 2002 are amended in accordance with the following provisions of this regulation. 2 In regulation 2(1) (interpretation), after the definition of “the Act” insert— “the 1997 Act” means the Police Act 1997; . 3 In regulation 12 (fitness of nurses supplied by an agency)— a in paragraph (1), at the beginning, insert “Subject to paragraphs (4), (6) and (7),”; b after paragraph (4), add— 5 This paragraph applies in respect of a nurse (“the existing worker”)— a who immediately before 26th July 2004 is supplied by an agency to work in a care position; and b in respect of whom there has been obtained a criminal record certificate pursuant to section 113 of the 1997 Act or an enhanced criminal record certificate pursuant to section 115 of that Act. 6 Where paragraph (5) applies, paragraph (1)(d), in so far as it relates to the following provisions specified in paragraph 13 of Schedule 3, namely— i section 113(3C)(a) and (b) of the 1997 Act; or ii section 115(6B)(a) and (b) of that Act, shall not apply in relation to the existing worker for as long as she remains in the care position mentioned in paragraph (5)(a) . 7 Where the conditions set out in paragraph (8) are satisfied, the registered person may supply a nurse to a service user notwithstanding that paragraph (1)(d) has not been complied with in so far as it relates to paragraph 13 of Schedule 3. 8 The conditions are— a a criminal record certificate has been applied for in respect of the nurse pursuant to section 113 or, if applicable, section 115 of the 1997 Act; and b full and satisfactory information in respect of the nurse has been obtained in relation to paragraph 13 of Schedule 3 in so far as it relates, where applicable, to sections 113(3A) or 115(6A) of the 1997 Act and sections 113(3C)(a) and (b) or 115(6B)(a) and (b) of that Act. 9 Where paragraph (7) applies, and where the agency is acting as an employment business, the registered person shall— i pending receipt of the outstanding information in relation to a criminal record certificate (“the outstanding information”), take steps, where appropriate, to inform the service user, or the service user’s representative, that a full criminal record certificate has not yet been obtained in respect of the nurse; ii where appropriate, inform the service user, or the service user’s representative, when the outstanding information has been obtained; and iii terminate the supply of the nurse to the service user where the registered person considers that the outstanding information, when obtained, is not satisfactory. . 4 In regulation 14 (staffing), at the end, add— 6 Where the agency is acting as an employment business, the registered person shall ensure that a new nurse is provided with appropriately structured induction training. . 5 In regulation 16 (provision of information to service users)— a after paragraph (1), insert— 1A Where an agency— a is acting as an employment agency; and b has supplied a nurse in the circumstances to which regulation 12(7) applies, the registered person shall inform the service user, or the service user’s representative, that there is outstanding information in relation to the criminal record certificate, and shall also inform the service user, or the service user’s representative, when that information is obtained. ; and b in paragraph (2), for the words “paragraph (1)” substitute “ paragraphs (1) and, where applicable, (1A)”. Signed by authority of the Secretary of State for Health Stephen Ladyman Parliamentary Under Secretary of State, Department of Health 9th July 2004