- Page 1 and 2: Agenda Item Paper AGENDA RQIA Boa
- Page 3 and 4: RQIA Board Meeting Date of Meeting
- Page 5: they should advise the Committee Se
- Page 9 and 10: 11.123.5 The Board NOTED the Corpor
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- Page 13 and 14: RQIA Board Meeting Date of Meeting
- Page 15 and 16: 7 February; Along with Dr Stewart a
- Page 17 and 18: Name of Service Date of issue FTC /
- Page 19 and 20: As part of its on-going programme o
- Page 21 and 22: RQIA has been commissioned by the M
- Page 23 and 24: 4.2 Whistleblowing In January 2012,
- Page 25 and 26: Summary Financial Position Revenue
- Page 27 and 28: Revenue Financial Position Currentl
- Page 29 and 30: Prompt Payment Compliance The promp
- Page 31 and 32: Introduction Dental registration wa
- Page 33 and 34: RQIA Board Meeting Date of Meeting
- Page 35 and 36: Contents 1. INTRODUCTION 1 2. SUMMA
- Page 37 and 38: 2. Summary of Traffic Light Rating
- Page 39 and 40: By the end of Q3 regulation inspect
- Page 41 and 42: An Information and ICT Strategy was
- Page 43 and 44: Summary of Red and Amber Actions fr
- Page 45 and 46: D6.1.2 Maintain and review RQIA's P
- Page 47 and 48: CA1.1.4 Actions Progress Exception
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- Page 51 and 52: CA1.1.11 Actions Progress Exception
- Page 53 and 54: CA1.2 - Improved local and national
- Page 55 and 56: CA1.3 - Evidenced that the results
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CA2.2 - Use our information to prov
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CA3.2 - Incorporated and discharged
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CA3. 3 - Fulfilled RQIA's obligatio
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D1 - We engage effectively with our
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D2 - We maintain a robust governanc
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Actions Progress Exception Report:
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D4 - We manage our finances and ass
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D4.2 - Maintained and made best use
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Actions Progress Exception Report:
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D6.2 - Improved our performance thr
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D7.2 - Complied with best practice
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Actions Progress Exception Report:
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Actions Progress Exception Report:
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Actions Progress Exception Report:
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RQIA Board Meeting Date of Meeting
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CONTENTS Page Executive summary 3 R
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• any additional actions consider
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Risk Scoring Matrix IMPACT Risk Sco
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RISK Scoring MATRIX IMPACT Risk Sco
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RISK ACTIVITY CALENDARS Action by D
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Ref No. Description of Risk What wo
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Ref No. Description of Risk What wo
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Ref No. Description of Risk What wo
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approval from DHSSPS and DFP for th
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Recommendation/ Resolution Next ste
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Definitions Risk is an event or unc
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1.0 Introduction Managing Public Mo
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5.2 Audit Committee Responsibility
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5.6 Responsibility of All Staff All
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7.2 Risk Identification Risk identi
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Level of impact (Minor) Medium (Mod
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The relationship between the cost o
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5. Identify any gaps in “controls
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developed along with a summary of R
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Checklist for Identifying Risks App
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Corporate Risk Assurance Framework
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BUSINESS PLAN 2012-13 To be a drivi
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Foreword The Regulation and Quality
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The Strategy Map provides a visual
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to the delivery of corporate object
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1 Regulation Registering and inspec
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2 Review Assuring the quality of he
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3 Mental Health Order Oversight Del
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3 Mental Health Order Oversight Del
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4 Engagement & Communications Engag
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Policy and provide guidance to line
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6 Performance Managing and monitori
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8 Information Managing information
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8 Information Managing information
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Appendix 1 - Finance Section 1. Rev
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Strategic Objectives By 2015 we wil
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Strategic Objectives By 2015 we wil
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The Regulation and Quality Improvem
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Paper AC / min11 / Nov MINUTES RQIA
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Paper AC / min11 / Nov 4.2 4.3 4.4
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Paper AC / min11 / Nov 6.11 The Aud
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Paper AC / min11 / Nov members. Res
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Paper AC / min11 / Nov 14.2 The Aud
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Paper AC / min11 / Nov Action Minut
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appropriate and adequate as indicat
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CONTENTS Section Title Page 1 Backg
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1.3 Pre-Consultation Process 1.3.1.
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Consultation Questions The followin
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RQIA's Response • Where it thinks
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3. Q2: Have strategic objectives an
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RQIA under ‘Regulation’ of a ra
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point the ten recommendations publi
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3.3 Mental Health Order Oversight -
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from the reviews on MHLD facilities
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• Objective 2.3 ‘Documented evi
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5. Q4: Do you have any other commen
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RQIA notes the comment in relation
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NI Association for Mental Health NI
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Version 4_0 26
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Strategy have been summarised below
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Section Page Details of Change 3 Me
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Section Page Details of Change 10 R
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Section Page Details of Change 16 P
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RQIA Draft Corporate Strategy 2012-
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Contents Foreword .................
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guardianship order; and preventing
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Challenges Ahead This section ident
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undertaken against a changing lands
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The Vision for 2012-15 The vision,
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The successful delivery of our outc
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Bringing it together In this sectio
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Strategic Objectives By 2015 we wil
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2. Review Assuring the quality of h
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Strategic Objectives By 2015 we wil
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Strategic Objectives By 2015 we wil
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Strategic Objectives By 2015 we wil
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Strategic Objectives By 2015 we wil
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Strategic Objectives By 2015 we wil
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Strategic Objectives By 2015 we wil
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7. Evidence Underpinning our regula
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Strategic Objectives By 2015 we wil
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9. Governance Maintaining and promo
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Delivering the strategy and managin
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Glossary of Terms and Abbreviations
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Governance Guardianship Health and
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Mental Health Commission (MHC) Ment
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Quality Improvement Plan Regulated
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Contact us The Regulation and Quali
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• People in respect of gender, ag
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CONTENTS 1.0 Introduction 3-7 1.1 I
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During the period under review, res
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RQIA believes that the diverse need
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The following standards were used a
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1.3 Standard 10: Each child has the
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1.4 Standard 18: The required recor
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2.0 Boarding schools Article 176 of
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These inspections provided sound ev
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4. Each trust to implement robust c
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Tasks for the group include: Agree
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Over the course of 2011-12, RQIA’
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Appendix 1 2. EACH CHILD HAS THE RI
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Appendix 2 10. EACH CHILD HAS THE R
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10.9 A homework timetable is establ
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Appendix 3 18. THE REQUIRED RECORDS
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18. 11 Clothing. 1 2 3 4 18.12 Acti
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18.23 Procedure in event of fire. 1
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Foreword RQIA wishes to thank every
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1 The Regulation and Quality Improv
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2 The Work Programmes of RQIA RQIA
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• Follow-Up Review: Reducing the
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Page 22 of 21
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The Regulation and Quality Improvem
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1.0 Introduction Through its activi
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Private homes Voluntary/ independen
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1.1 Inspection work residential chi
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As illustrated above, achievement l
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Assessment, reviews and care plans
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Key records include: • Children's
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with the robustness of the selectio
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gained by the ETI, its 2011-12 educ
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On a practical level this has led t
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These meetings were very well atten
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APPENDICES 23
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2.3 Recording in the case file demo
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10.4 Disruption in schooling is kep
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10.14 Responsibility for a child's
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18.5 Young people's individual care
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18.17 Record of official visits. 1
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The Regulation and Quality Improvem
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patients’ who had difficulty swal
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An area that has been highlighted i
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Where issues of concern were highli
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The Regulation and Quality Improvem
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It should be noted that while figur
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Table 4: Establishments/Agencies De
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RQIA’s approach to regulation In
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5 Follow-Up Evidence from Previous
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Levels of Achievement The model use
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Regulatory Action Normally, where a
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Relationship between Achievement Le
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Provider workshops and feedback In
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Summary of the findings by register
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Standard 5: Provision of informatio
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and any equipment used is safe and
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elying on a questionnaire approach
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RQIA will issue a guidance document
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Standard Crit. N/A 5 6 8 12 Table 1
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achieved and 30% having substantial
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Criterion 12.10 Staff are aware of
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Overview Service providers were ask
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• The use of patients'/residents
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Residential care homes A residentia
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Table 14 Residential (RC) - Announc
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that the staff had not followed the
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In a majority of homes (86%) this c
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more importantly the outcome of com
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had made changes or improvements to
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Where inspectors observed poor prac
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Day care settings A day care settin
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Specific Commentary Standard 2 - Th
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Criterion 8.5 - When a service user
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awareness training regarding vulner
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production of documents which used
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Where issues of concern were highli
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RQIA Annual Regulation Adult Annual
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RQIA Board Meeting Date of Meeting
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MENTAL HEALTH AND LEARNING DISABILI
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Table 2 Breakdown by Trust and loca
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Emerging Trends arising from SAIs f
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Table 4 Analysis of Detention Forms
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Number of Inspections undertaken fr
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4. Review of Safeguarding of Childr
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Regional Overview of Guardianship a
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iv. A list of Patients for whom the
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Other organisations have included V
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REGISTRATION POLICY FOR THE REGULAT
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1.0 Introduction Background 1.1 The
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6.2 Specific regulations relating t
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10.0 Equality • Legislative frame
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Registration - Offences and Penalti
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Appendix 4 Flowchart of responsibil
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3. RQIA’s 2012-13 inspection prog
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2. The service user’s own home (a
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Exclusive possession includes the r
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Following this judgement, the Care
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The NDTi “Real Tenancy Test” ad
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5. Restrictive practices and physic
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RQIA’s regulatory function is ham
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(c) Conclusion It is generally ackn