Care and Social Services Inspectorate Wales
Regulation 28 the Adult Placement Schemes (Wales) Regulations 2004
NOTIFICATION OF SERIOUS INJURY AND OTHER INCIDENTS
Mae'r ffurflen hon hefyd ar gael yn Gymraeg / This form is also available in Welsh
GUIDANCE - COMPLYING WITH NOTIFICATION 28 REQUIREMENTS
NOTIFICATION OF INCIDENTS
Regulation 28 of the Adult Placement Schemes (Wales) Regulations 2004 places a duty on registered persons to notify Care and Social Services Inspectorate for Wales (CSSIW) of the occurrence of the following incidents.
• any serious injury sustained by a relevant adult in the scheme premises or when in the care of an adult placement carer:
any incident which-
• i) occurs in the scheme premises or in connection with a placement, and
• ii) is reported to, or investigated by, the police; and
• any allegation of misconduct by the registered person, a member of staff or an adult placement carer.
The registered person must notify CSSIW within 24 hours of the registered person being informed, or otherwise becoming aware, that such an incident has taken place.
Any oral notification given in accordance with this regulation must be confirmed in writing to CSSIW. A contravention of Regulation 28 is a criminal offence.
The registered person must ensure that members of staff and adult placement carers are required to inform the registered person without delay of any of the incidents described above.
The aim of this guidance is to help registered persons comply with Regulation 28. It sets out the type of circumstances which CSSIW considers would fall within the events specified by the Regulation. The lists are however not exhaustive and registered persons are encouraged to notify their regional office of the Inspectorate of any incident which may appear to require notification.
According to the nature of the incident registered persons are reminded of the need to consider notifying other authorities. Particularly, there is a requirement to report certain incidents under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 (RIDDOR) whose website is found at (Tel: 0845 3009923). Consideration will have to be given to notifying the Police or Local Authority in appropriate circumstances.
Examples of serious injury
• fractures
• head injury
• dislocation of the shoulder, hip, knee or spine
• amputation
• chemical or any penetrating injury to the eye
• loss of sight (temporary or permanent)
• injury resulting from an electric shock or electrical burn leading to unconsciousness or requiring resuscitation or treatment in hospital
• any other injury leading to hypothermia, heat induced illness, burns, unconsciousness, requiring resuscitation or requiring treatment in hospital
• unconsciousness caused by asphyxia or exposure to harmful substance or biological agent
Examples of serious Incidents which should be reported to the police:
• Burglary
• Theft
• Fraud
• Assault
• Fire/Arson
Where there is any allegation of misconduct by a registered person, a member of staff or an adult placement carerthis includes any allegation of inappropriate care or behaviour contrary to the Social Care Wales’ Code of Practice
(Attached: Regulation 28 – Notification Form)
Care and Social Services Inspectorate for Wales
The Adult Placement Schemes (Wales) Regulations 2004:
REGULATION 28 NOTIFICATION FORM
Please ensure that this form is completed clearly in block capitals.
An additional sheet is included for your use if required.
Please indicate which of the following notification is relevant:(PLEASE TICK)
Serious injury sustained by a service user in the scheme premises or while in the care of an adult placement carer:
An incident which has occurred in the scheme premises and has been reported to, or is, or has been investigated by the police:
An incident which has occurred in connection with a placement which has been reported to, or is or has been investigated by, the police:
An allegation of misconduct by the registered person, a member of the scheme staff or an adult placement carer:
Name of service user: (if applicable)
Placement address:
Name and address of scheme:
Name of registered provider:
Date of Injury/Incident: / Time of Injury/Incident:
Where did the incident take place? (PLEASE TICK)
Adult Placement:
Scheme premises:
Other location: (please specify)
Nature of incident being reported; location of incident within (or outside of) building; how and when registered persons became aware (date and time); action taken:(please use additional sheet if necessary)
Name and designation of person reporting this incident:
Name and address of any witness to the event (where relevant):
Did this result in:
Treatment at A/E:
Hospital admission:
Who else has been notified of this injury/incident (e.g. Police, Local Authority, RIDDOR):
If allegation of misconduct - Name(s) and Professional Status of person(s): / State further action taken/to be taken:
Name of Person completing this form: / Designation:
Date:
Signature:*
(*Please note: where the completed form is submitted electronically it is not necessary to provide an additional ‘hard copy’ of the signature sheet).
Care and Social Services Inspectorate Wales
Declaration
Please note: In providing this information I understand that:
- CSSIW will use the information I have provided to update any records they hold.
- CSSIW will retain this information only where it is necessary for them to carry out their role; that it is stored securely and that it is only kept for as long as necessary, in line with their records retention schedule.
- CSSIW will share information with other organisations where required to do so by legislation or by the Courts where it is necessary and they are satisfied that this is in accordance with the terms of the Data Protection Act 1998.
- CSSIW will use the information collected to prepare statistical analyses (from which individuals cannot be identified), to provide information to Welsh Ministers, which will help them make decisions relating to policy changes and to maintain a public register of registered persons.
I am aware that I can find further information on why CSSIW collect personal information and how they will use it via their website.
Completed forms will often contain personal information and require adequate protection. Therefore forms should only be submitted using one of the following methods:-
- By secureemail to your local CSSIW regional office:
North Wales –
South East Wales –
South West Wales –
- By Recorded Delivery to your local CSSIW regional office:
CSSIW North Wales
Region
Government Buildings,
Sarn Mynach,
Llandudno Junction
LL31 9RZ
Fax:0872 437 7301 / CSSIW South East Wales Region
Welsh Government Building,
Rhydycar Business Park
Merthyr Tydfil
CF48 1UZ
Fax:0872 437 7302 / CSSIW South West Wales Region
Government Buildings
Picton Terrace
Carmarthen
SA31 3BT
Fax: 0872 437 7303
Important: Completed forms should not be sent directly to CSSIW staff.
Care and Social Services Inspectorate for Wales
REGULATION 28 NOTIFICATION FORM
(Please use this sheet if you need additional space to provide the information required):
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