PART 3Requirements in relation to Regulated Activities

SECTION 2Fundamental Standards

Good governance17

1

Systems or processes must be established and operated effectively to ensure compliance with the requirements in this Part.

2

Without limiting paragraph (1), such systems or processes must enable the registered person, in particular, to—

a

assess, monitor and improve the quality and safety of the services provided in the carrying on of the regulated activity (including the quality of the experience of service users in receiving those services);

b

assess, monitor and mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk which arise from the carrying on of the regulated activity;

c

maintain securely an accurate, complete and contemporaneous record in respect of each service user, including a record of the care and treatment provided to the service user and of decisions taken in relation to the care and treatment provided;

d

maintain securely such other records as are necessary to be kept in relation to—

i

persons employed in the carrying on of the regulated activity, and

ii

the management of the regulated activity;

e

seek and act on feedback from relevant persons and other persons on the services provided in the carrying on of the regulated activity, for the purposes of continually evaluating and improving such services;

f

evaluate and improve their practice in respect of the processing of the information referred to in sub-paragraphs (a) to (e).

3

The registered person must send to the Commission, when requested to do so and by no later than 28 days beginning on the day after receipt of the request—

a

a written report setting out how, and the extent to which, in the opinion of the registered person, the requirements of paragraph (2)(a) and (b) are being complied with, and

b

any plans that the registered person has for improving the standard of the services provided to service users with a view to ensuring their health and welfare.