Regulation and Care Inspectorates expectation of Care Services

1. Care Inspectorate Self Directed Support Regulation of Care ServicesHeather Dall – Development Officer

2. Regulation and Care Inspectorates expectation of Care Services Self Directed Support - options: • Employ Personal Assistant/s • Purchase a service from a care service • Mixture of the above

3. Personal Assistant/s v Registered Care Service Making choices – table discussion

4. Benefits of employing PA • Total control and responsibility to employ own staff • Personal and sole arrangements – not regulated • Can be helped with arrangements

5. Benefits of using care service • Choose which care service you want - that provides personalised services • No hassle with employing staff • No additional responsibilities • Service is subject to regulation - inspection and complaints

6. Option 3 – employing PA and services from an ‘agency’ • Employment law guidance Where providers are seen in law as being an agency, they may be subject to ‘Agency worker regulations 2010’ … seek advice.

7. Agency/support organisation Advertises possible PA’s Carries out background checks Offers service user range of suitable candidates for individual to employ Service user is responsible for employment issues Care Service - promotes personalisation Service supports service users to Choose staff/team. Staff employed by service provider (contract of employment) and has responsibility for sick leave, maternity and redundancy Service has responsibility for supervising, appraising and would discipline staff member Service in conjunction with service user – agrees support plan To register or not to register ..

8. Expectations of Care Service Providers • Care Service category is appropriate (otherwise and illegally operating service) • Provider informs SDS clients of boundaries and limitations of service – ensuring an informed choice is made • Adherence to regulations (Requirements) and keep in mind NCS (recommendations) • People choose registered care services as its regulated, have staff/contingencies • Care Inspectorate – Investigate complaints

9. Inspection of care services - continue to use: • Annual Returns • Self Assessments • PSR Act, Regulations and relevant NCS • Lay Assessors/Service user carers • Future – stakeholder feedback

10. Inspection and SDS • Monitoring SDS through CI Annual Returns • Advice to CI staff – include SDS clients in sample for Inspection activity • SDS – similar to as self funding service users where purchasing registered care service • Review service arrangements and registration

11. Questions for table top discussions • What are the anticipated benefits for people who wish to use SDS ? • What should the Care Inspectorate expect from Local Authorities ? 3. What are the issues/implications/concerns for care services supporting people using SDS ?