The purpose of our project was to create a registration system that was based on the needs of people using services, simplify and speed up registration and reduce red-tape for people running services.
Concerns about the use of categories have been raised by professional staff, commissioners and relatives.
What we did
- We commissioned Bangor University to undertake an independent study in respect of the impact this may have for people with dementia
- We ran a survey between November 2012 and February 2013 to assess the impact of removing categories
- We engaged with a number of number of representative organisations
The proposed Regulation and Inspection Bill is expected to be published in 2015. This could result in a new approach to registration so we have decided to postpone this work and take it forward in the future.
Changes we have made
We have made some changes as a result of the project. This includes more flexibility in relation to age ranges and a diagnosis of dementia.
A diagnosis of dementia does not automatically require a person to receive a care service from a service with dementia as a category of registration.
However if, during assessment it is evident that a person has significant needs as a result of having dementia and they require a specialised placement then a care service with dementia as a category of registration should be sought.
People making assessments and looking for placements need to make sure that a service is based on a person’s needs. Providers of services should also undertake their own assessments and only agree to provide a service if they are confident that they can meet a person’s needs.
We receive a number of applications for variations for people who are just under 65 and require a care service or are just over 65 who wish to remain in a service.
As long as the service is appropriate and in line with the needs and choice of the person requiring a service then registered persons do not have to apply for a variation in respect of individual service users because of their age. This only applies to registered adult services.
They may however need to apply for a one-off variation to change the overall age range of people that can be accommodated if the existing registration is prescriptive.