SCHEDULE 1INFORMATION TO BE INCLUDED IN THE STATEMENT OF PURPOSE
1.
The aims and objectives of the agency.
2.
The nature of the services which the agency provides.
3.
The name and address of the registered provider and of any registered manager.
4.
The relevant qualifications and experience of the registered provider and any registered manager.
5.
The range of qualifications of the domiciliary care workers supplied by the agency.
6.
The complaints procedure established in accordance with regulation 20.
SCHEDULE 2INFORMATION REQUIRED IN RESPECT OF REGISTERED PROVIDERS AND MANAGERS OF AN AGENCY
1.
Proof of identity, including a recent photograph.
2.
Either—
(a)
(b)
in any other case, a criminal record certificate issued under section 113 of that Act,
3.
Two written references, including a reference relating to the last period of employment of not less than three months duration.
4.
Where a person has previously worked in a position which involved work with children or vulnerable adults, verification, so far as reasonably practicable, of the reason why he ceased to work in that position.
5.
Documentary evidence of any relevant qualifications and training.
6.
A full employment history, together with a satisfactory written explanation of any gaps in employment.
7.
Details of health record.
8.
Details of registration with or membership of any professional body.
9.
Details of any professional indemnity insurance.
SCHEDULE 3INFORMATION REQUIRED IN RESPECT OF DOMICILIARY CARE WORKERS
1.
Name, address, date of birth and telephone number.
2.
Name, address and telephone number of next of kin.
3.
Proof of identity, including a recent photograph.
4.
Details of any criminal offences—
(a)
(b)
in respect of which he has been cautioned by a constable and which, at the time the caution was given, he admitted.
5.
Two written references, including a reference relating to the last period of employment of not less than three months duration which involved work with children or vulnerable adults.
6.
Where the person has previously worked in a position which involved work with children or vulnerable adults, verification, so far as reasonably practicable, of the reason why he ceased to work in that position.
7.
Evidence of a satisfactory knowledge of the English language, where the person’s qualifications were obtained outside the United Kingdom.
8.
Documentary evidence of any relevant qualifications and training.
9.
A full employment history, together with a satisfactory written explanation of any gaps in employment and details of any current employment other than for the purposes of the agency.
10.
A statement by the person as to the state of his physical and mental health.
11.
A statement by the registered provider, or the registered manager, as the case may be, that the person is physically and mentally fit for the purposes of the work which he is to perform.
12.
Details of any professional indemnity insurance.
SCHEDULE 4RECORDS TO BE MAINTAINED FOR INSPECTION
1.
All information provided to the Commission for the purposes of registration in relation to the agency.
2.
Details of every allegation of abuse, neglect or other harm made against an employee of, or any domiciliary care worker who works for, the agency, including details of the investigations made, the outcome and any action taken in consequence.
3.
Details of any physical restraint used on a service user by a person who works as a domiciliary care worker for the purposes of the agency.
4.
The service user plan devised for each service user in accordance with regulation 14, and a detailed record of the personal care provided to that service user.