Nursing Home Minimum Standards - Regulation and Quality ...

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Referral to community health and social care professionals Standard 9: There are arrangements for referring patients to community health and social care professionals as required. 9.1 Details of each patient’s registration with health and social care professionals, for example a GP, optometrist or dentist are recorded, and arrangements are in place for patients to be provided with information and support when applying for reregistration or new registration to these services. 9.2 The frequency of appointments for health screening, dental, optometry, podiatry and other community healthcare professionals are monitored and referrals are made as required. 9.3 The general health and welfare of patients is continually monitored and recorded, and referrals are made to, or advice sought from, appropriate health and social care professionals where necessary, and documented in the patient’s records. 9.4 Where appropriate, and with the patient’s consent, the patient’s representative is provided with feedback from health and social care appointments and informed about any follow up care required. 9.5 There are systems for maintaining patients’ spectacles, dentures, personal equipment and appliances, so that they provide maximum benefit for each patient. 24
Responding to patients’ behaviour Standard 10: Responses to patients are appropriate and based on an understanding of individual patient’s conduct, behaviour and means of communication. Criteria 10.1 The procedures for responding to patients’ behaviour promote positive outcomes for patients and are based on members of staff having knowledge and understanding of patient’s usual conduct, behaviour and means of communication. 10.2 When a patient’s behaviour is uncharacteristic and causes concern, a documented plan of care that meets the individual’s assessed needs and comfort is drawn up and agreed with patients, their representatives and relevant professionals, as required. 10.3 Behaviour management programmes are only implemented as a result of a multi-disciplinary team decision in agreement with relevant professionals, patients and their representatives, in accordance with good practice guidelines and procedures, with full details recorded in the individual’s care plan. 10.4 When employing behaviour management, nurses are appropriately trained to ensure they use the procedures to promote the well being and best interests of patients. 10.5 There are up to date guidelines on behaviour management programmes that are evidence based and in line with current best practice, as defined by professional bodies and standard setting organisations. 10.6 Team reviews of all behaviour management interventions are held and used to provide learning and practice development. 10.7 Restraint is only used as a last resort by appropriately trained staff to protect the patient or other persons when other less restrictive strategies have been unsuccessful. Records are kept of all instances when restraint is used. 25
Page 1 and 2: Nursing Homes Minimum Standards Jan
Page 3 and 4: 31. Volunteers 58 32. Premises and
Page 5 and 6: Regulation and Quality Improvement
Page 7 and 8: Privacy Patients have the right to
Page 9 and 10: Quality care Patients will experien
Page 11 and 12: a multi-professional team that is f
Page 13 and 14: Authority and of the arrangements f
Page 15 and 16: Admission to the home Standard 3: A
Page 17 and 18: Individual agreement Standard 4: Ea
Page 19 and 20: Nursing care Standard 5: Patients r
Page 21 and 22: Completion of case records Standard
Page 23: Nutrition Standard 8: Nutritional n
Page 27 and 28: Meals and mealtimes Standard 12: Pa
Page 29 and 30: Programme of activities and events
Page 31 and 32: Death and dying Standard 14: The dy
Page 33 and 34: allowances kept by the home on the
Page 35 and 36: Protection of vulnerable adults Sta
Page 37 and 38: 17.9 Complaints are investigated an
Page 39 and 40: When the home runs a scheme where t
Page 41 and 42: Resuscitation Standard 20: Resuscit
Page 43 and 44: Palliative care Standard 22: Patien
Page 45 and 46: Management of the home Quality care
Page 47 and 48: • A copy of the relevant statemen
Page 49 and 50: 25.8 Any change to: - • The state
Page 51 and 52: 25.24 There are arrangements in pla
Page 53 and 54: Management of records Standard 27:
Page 55 and 56: Staff supervision and appraisal Sta
Page 57 and 58: • The date of all meetings • Th
Page 59 and 60: Premises and grounds Standard 32: T
Page 61 and 62: Medical devices and equipment Stand
Page 63 and 64: 34.8 Hand hygiene must be a priorit
Page 65 and 66: 35.4 There is a designated member o
Page 67 and 68: Management of medicines Standard 37
Page 69 and 70: Medicines storage Standard 39 Medic
Page 71 and 72: process and outcomes are documented
Page 73 and 74: Registration This section sets out
Page 75 and 76:
A fire safety management plan that
Page 77 and 78:
Fitness of the registered manager T
Page 79 and 80:
Fitness of the premises - new homes
Page 81 and 82:
N14. Furniture and fittings in comm
Page 83 and 84:
N26. Furniture and fittings are saf
Page 85 and 86:
Clinical or treatment room N37. The
Page 87 and 88:
N55. There are separate recessed ar
Page 89 and 90:
E8. Patient/staff call points, acce
Page 91 and 92:
single room when one becomes availa
Page 93 and 94:
and Schedule 3 controlled drugs sub
Page 95 and 96:
E45. Secure facilities are provided
Page 97 and 98:
APPENDIX 2 Policies and procedures
Page 99 and 100:
Staff handover Staff induction Staf
Page 101 and 102:
Appendix 4 Glossary of terms - Nurs
Page 103:
Self-referred patient A patient who
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