CARE QUALITY COMMISSION ESSENTIAL STANDARDS OF QUALITY AND SAFETY. Outcome 10 Regulation 11 Safety and Suitability of Premises

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1 CARE QUALITY COMMISSION ESSENTIAL STANDARDS OF QUALITY AND SAFETY Outcom 10 Rgulation 11 Safty and Suitability of Prmiss CQC Rf 10A 10A(1) Lad Dirctor / Lad Officr Rspons Impact Liklihood Lvl of Concrn Evidnc of complianc / action rquird Ensur th prmiss ar adquat Popl who us srvics and othrs who work in or visit th prmiss can b confidnt that in rlation to dsign and layout, th providr: Ensurs th prmiss ar suitabl for th rgulatd activity. Th DCHS Capital Programm, Estats Stratgy and Plannd Maintnanc Programm(s) nsur that our prmiss ar maintaind to an appropriat standard. 10A(2) Taks account of idntifid risks. Th Estats Dpartmnt maintain thir own risk rgistr on th DATIX Risk Managmnt Systm and hold quartrly Estats Risk Managmnt mtings. 10A(3) Mts th rquirmnts of th Halth and Safty at Work Act 1974 and associatd rgulations and th Rgulatory Rform (Fir Safty) Ordr 2005 and othr rlvant lgislation. H&S Workplac Risk Assssmnts ar in plac and ar auditd on an annual basis as a part of th H&S Annual Programm of Work rportd to th Safty Committ. A programm of fir risk assssmnts and audits is in plac, complaint with th Rgulatory Rform Ordr and Fircod Risks ar idntifid and includd on a prioritisd programm of prmiss improvmnts. Board approvd Capital Programm and updats to th Board on th Estats Stratgy Estats Risk Rgistr. Estats Risk Managmnt mting minuts. Risk assssmnt and audit programm and rports. Annual statmnt of fir safty. Rolling programm of improvmnt works. Capital invstmnt programm. Estats ISO 9001 and rgistrations. H&S Annual Rport. Fir Safty Annual Rport. Dat 1

2 Rf Lad Dirctor / Lad Officr Rspons Impact Liklihood Lvl of Concrn Evidnc of complianc / action rquird Dat 10A(4) Ensurs th prmiss protct popl s rights to privacy, dignity, choic, autonomy and safty. Privacy & Dignity Lad in plac rporting to th Assistant Dirctor of Quality & Patint Exprinc. Privacy & Dignity Champions Programm in plac. Patint Exprinc Committ monitoring of Privacy, Dignity and Choic. Patint & Staff safty is monitord by th Safty Committ and th work of th Safty Tam. Patint Satisfaction Survys. Essnc of Car Bnchmarking. Commnt books and Patint Diaris. Complaints & Complimnts. PPI & Privacy & Dignity Champions. Patint Exprinc Committ & Safty Committ minuts. 10A(5) Ensurs th prmiss hav spac, hating, lighting and vntilation that conform to rlvant and rcognisd standards. H&S Workplac Risk Assssmnts ar in plac and ar auditd on an annual basis as a part of th H&S Annual Programm of Work rportd to th Safty Committ. All prmiss conform to th rlvant HTM standards in rlation to spac, hating, lighting and vntilation. Unlikly H&S Annual Programm of Work. H&S Annual Rport HTM06 Elctrical Srvic HTM0301 (Part A) Dsign & Validation HTM0301 (Part B) Oprational Managmnt & Prformanc. 2

3 Rf 10A(6) 10A(7) 10A(8) 10A(9) Ensurs th prmiss ar accssibl to popl who nd to ntr th prmiss and mt th appropriat rquirmnts of th Disability Discrimination Act Ensurs th prmiss ar fr from prvntabl offnsiv odours. Ensurs th prmiss ar dsignd and opratd in a way that taks account of guidanc from xprt bodis in rlation to spcific nds. Taks account of th safty nds of popl who ntr or us th prmiss, including th safty of childrn and othr vulnrabl popl whr thy ar prmittd to ntr. Lad Dirctor / Lad Officr Rspons All nw builds conform to th rquirmnts of th DDA Act. Oldr prmiss mt th rquirmnts as far as is rasonably practicabl Th Estats Dpartmnt ar rsponsibl for monitoring Radon and rsponding to othr offnsiv odours via rports to th stats maintnanc hlpdsk. During th dsign procss, input is rquird from xprt bodis, g: Fir Safty Officr, Infction Control, Halth & Safty, Srvic Providr, Scurity Dsigns nsur safty nds. Advic takn from DCHS Safty Spcialist and on nw builds by th Polic Architctural Liaison Officr to nsur prmiss ar scurd by dsign. Impact Liklihoo d Lvl of Concr n Evidnc of complianc / action rquird Formal Audits carrid out on a yarly basis. Oprational group mt on a monthly basis to nsur buildings comply Extrnal Radon Rports rcivd and actiond by th Estats Dpt. Estats hlpdsk rqusts and works ordrs. Unlikly Dsign Brifs, Plans and Room Data Shts approvd by lad prson Rports providd by Polic and rcommndations includd in dsign. Safty Tam Rports and actions. Dat H&S Workplac Risk Assssmnts ar in plac and ar auditd on an annual basis as a part of th H&S Annual Programm of Work rportd to th Safty Committ. 3

4 Rf 10A(10) 10A(11) 10A(12) Ensurs thr is spac for a rlativ, carr or frind to b abl to b with a child who uss srvics. Ensurs that all safty prcautions ar in plac and tstd with rgard to all spcialist quipmnt and nginring systms that ar physically fixd to th prmiss. Ensurs car is takn to maintain a suitabl and comfortabl nvironmnt for tratmnt having rgard to th impact from quipmnt in us. Lad Dirctor / Lad Officr Rspons Room sizs conform to Halth Building Nots and allow for at last two popl in consulting aras. No inpatint bds for childrn All quipmnt and srvics ar tstd and srvicd as rquird in accordanc with th manufacturrs rcommndations, Halth Tchnical Mmorandums and Approvd Cods Of Practic and Guidanc by in hous staff or undr a maintnanc contract All dsigns tak into account a suitabl nvironmnt for tratmnt and spac taks into account any rquird quipmnt. Som bd spacs ar blow th rquird standard Impact Liklihoo d Lvl of Concr n Evidnc of complianc / action rquird Unlikly HBN12 Out Patint Car HBN22 A & E for adults and childrn Mdium Maintnanc contracts, srvic shts and rcords Plannd Prvntativ Maintnanc dockts and rcords Ths ar auditd annually as part of th Estats ISO 9001 and ISO rgistration Nw wards at Walton and Riply comply. Work is in progrss to nsur bd spac is incrasd to provid mor comfortabl nvironmnt. Bd modlling work is in progrss which will hlp to facilitat raching th rquird standard Dat Plannd Capital Schms 2011/12 4

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