Jersey Care Commission Annual Report 2021

R.106/2022

CONTENTS

2021 HIGHLIGHTS & ACHIEVEMENTS (AT A GLANCE)  2 INTRODUCTION  4 FOREWORD  5

PERFORMANCE SUMMARY  8

Performance Report 9 Regulation and Inspection 10 Professional Registration 16 Public Engagement 18 Information Governance and Responsiveness 20 Governance Framework  21 Planning  22

Providing independent

assurance, promoting best  KEPPYriority 1: Regulation and Inspectionriority 2: PPERFORrofessional RegistrMANCE INDICationATORS (KPI S)  22326283 practice and improving health  PPPriority 3: Priority 4: Information Governance and Responsivenessriority 5: Governance Frublic Engagementamework 2931 and social care outcomes for  Priority 6: Planning  33 the people of Jersey. [a]A CDCAOY UINN TTAHBEI LLI ITFYER EFPIOORNTA MCLAUGHLIN  3345

REGISTER OF INTERESTS  37 STATEMENT OF RESPONSIBILITIES OF THE CHAIR  38 STATEMENT OF RESPONSIBILITIES OF THE CHIEF INSPECTOR  39 THE WORK OF THE BOARD IN 2021  41 STAFF REPORT  42 SUSTAINABILITY REPORT  42 FINANCE REPORT  44

APPENDIX 1:  INSPECTIONS QUALITY ASSURANCE

  SUMMARY OF RESPONSES  48 APPENDIX 2: HEALTH CARE REGISTRATION:  54

Highlights & Achievements 2021 2021 at a glance

2021 OUR ROLE ACHIEVEMENTS

The Commission was appointed to:

provide the people of  

Jersey with independent  

assurance about the  Appointed  

quality, safety and  

effectiveness of their  one new  Registered health and social care  Completed  Commissioner 127

services

105 medical inspections of  practitioners

promote and support best  regulated activities (doctors) practice in the delivery of

health and social care by

setting high standards and

challenging poor

performance

Appointed

engage with service users  2 regulation officers  Successfully prthe renewals of the ocessed and their families and carto improve their experience ers  Registered  and 1 Administrative  registration of

of health and social care and  338 Assistant 2219 health/care achieve better outcomes professionals

health/care professionals

facilitate the registration of a range of health and social care professionals in order that they may lawfully practise in Jersey

Registered  

53 Successfully  

dental health  completed the  recruited a new Successfully undertake regulatory  professionals move to new  Chief Inspector

functions prRegulation of Carescribed by the e (Jersey)  Publishedinspection 73  office premises

Law 2014 and other laws reports

INTRODUCTION FOREWORD

The Jersey Care Commission, (the Commission), was established on 1st  I wish to express my sincere  I would commend all those employed in the front line of delivery of health and social care in Jersey

January 2019, with the enactment of the Regulation of Care (Jersey) Law  thanks and appreciation to the  for their continuing dedication and commitment to 2014 (the 2014 Law), and the Regulation of Care (Transfer of Functions)  Team and to Commissioners for  supporting the most vulnerable in society, sometimes

at considerable personal cost. Families too have (Jersey) Regulations 2018. their excellent contribution to the  made great personal sacrifices in abiding by the

visiting restrictions imposed on care Homes during work of the organisation over the  the height of the pandemic.

The Commission was appointed to: past year, particularly in light of  The Board held six scheduled meetings during 2021.

provide the people of Jersey with independent  facilitate the registration of a range of health  continuing challenges associated  Some werdistancing re held restrictions. During the second half of emotely, due to travel and social assureffectiveness of their health and social carance about the quality, safety and  e  and social carthey may lawfully pre professionals in oractise in Jerseyder that  with Covid-19.  the year Commissioners met in person, in Jersey.

services The minutes of our meetings are accessible on the  undertake regulatory functions prescribed  Commission's website.

promote and support best practice in the delivery  by the Regulation of Care (Jersey) Law 2014

of health and social care by setting high standards  and other laws; the regulatory responsibilities  In 2021 we bade farewell to our first Chief Inspector and challenging poor performance having been transferred from the Minister  who led the Team during the Commission's formative

for Health and Social Services to the  years and had established a firm foundation. The

engage with service users and their families and  Commission on 1st January 2019 search for a replacement concluded with the carers to improve their experience of health and  appointment of Becky Sherrington. Becky is a

social care and achieve better outcomes qualified nurse and an experienced healthcare leader. Before joining the Commission in December 2021,

Becky was responsible for the Covid vaccination

This is the Commission s third annual  programme in Jersey.

report and describes our performance

against the strategic and operational  We said farewell to Lisa Jacobs, our Island based objectives set out in our 2021 Business  Commissioner, and welcomed Lesley Bratch,

Plan.  appointed for a three-year term. Lisa had made a significant contribution since 2018, and we have

The impact of Covid-19 in Jersey  found an able replacement in Lesley. We appointed continued to be felt in respect of the  two new Regulation Officers and an Administrative Commission s operations throughout  Assistant.

2021. This report, whilst setting out our

achievements, describes the impact  In April, the Commission published an Overview

of the challenges associated with  Report of inspections of the seven registered care Covid-19 and identifies areas where  homes for children and young people in Jersey. further progress is needed in 2022. Much of the fieldwork was undertaken in 2020.

The report highlighted concerns about children

going missing from care, the quality of the monthly monitoring reports, recruitment records and staff accommodation.

In July, the Commission published a review of arrangements for the regulation and inspection of Independent Home Care Workers (IHCWs). Of the 35 registered IHCWs, 12 voluntarily cancelled their registrations and the remaining 23 successfully applied to have their registrations renewed. In August, we published Procedures for Registration, a step-by-step guide for healthcare practitioners required, under the Healthcare Registration (Jersey) Law 1995, to register with the Commission.

We invited senior officials to Board meetings. In January the Director General for Strategic Policy, Planning and Performance (SPPP) outlined the key challenges facing the Government in respect of Covid-19 and the Government's plans for the extension of regulatory oversight of Children's Services. In July, a Policy Principal introduced the proposed new Regulations for services for children and young people, coming into effect in 2022.

The Children's Commissioner, attended the Board in September and outlined the findings of the publication 'Life on the Rock', stories of 21 young people living in Jersey. The Children's Commissioner highlighted the need to provide suitable accommodation for children and young people who are Looked After by the State, and the provision of effective support for those leaving care.

All regulated activities received at least one planned inspection. Inspection reports identify best practice and areas for improvement and are accessible on our website. The Commission placed discretionary conditions on some care home and home care providers, where appropriate.

In the first half of the year the Commission responded to requests made under the Regulation of Care (Standards and Requirements) (Covid-19 Temporary Amendments) (Jersey) Regulations 2020, to temporarily suspend conditions for some providers experiencing staffing shortages.

Throughout the year we met with Ministers, the Chief Executive and with other senior representatives of the States of Jersey. We strengthened our Governance arrangements in accordance with the recommendations of an Advisory Audit, undertaken by BDO on behalf of Internal Audit.

The search for suitable office accommodation concluded with a move, in December, to the new offices in Church Street, which provide the Team with much needed additional space in an environment conforming to the access requirements of the Discrimination (Disability) (Jersey) Regulations 2018.

Looking forward, we are preparing to extend registration and inspection to social work services for children and young people, to include fostering, adoption, child and adolescent mental health services and some other associated activities.

I hope you find this report both interesting and informative.

Glenn Houston

Chair of the Jersey Care Commission

* Office of the Comptroller and Auditor General. Annual Reporting, A Good Practice Guide August 2020. Jersey Audit Office. Available at: https://www.jerseyauditoffice.je/wp-content/uploads/2020/08/CAG-Good-Practice-Guide-to-Annual-Reporting.pdf

PERFORMANCE SUMMARY

The pandemic continued to present obstacles, but the Commission  successfully completed the overwhelming majority of its scheduled  inspections, albeit with more announced inspections than it would have  preferred. Feedback from Providers and Managers from across the sector has  been positive, with most respondents commenting that the inspection process  is of benefit and has an impact in improving the quality-of-service provision.  

The Commission s Board met six times in 2021 and  An independent advisory audit of the Commission s  maintained strategic oversight of the work of the  governance arrangements was concluded in 2021  

Commission. The Board put arrangements in place  and led to a series of actions which have significantly  to ensure that the Commission continued to function  improved the Commission s ability to gather and  effectively between August and December 2021,  respond to information relating to the regulated sector.  

during the Chief Inspector vacancy.

The Commission incurred additional one off and  There have been several occasions when the  recurring expenditure during 2021, such as contracting

Commission s Escalation, Enforcement and Review  external consultants to lead and co-ordinate the search

Policy was utilised to hold providers of regulated  for a new Chief Inspector, administrative support for  Performance Report

activities to account, and approved Representation  projects, and office relocation and rental costs. These  The Commission s strategic focus is to develop a  5   ensure financial stability for the Commission to Procedures have been used on one occasion in 2021.  additional costs were discussed and agreed with the  comprehensive and effective regulatory infrastructure that  deliver its core functions and the extension of

Government sponsoring department, Strategic Policy,  protects and promotes the rights of people who use the  those functions to all other health and social care TJheers reeyghisatse rb oefe hn e kaeltpht aunpd t oc adraet ep,r owfieths saiopnpaliclsaitnions for  Planning and Performance, consequently additional  services it regulates.  services

funding was made available to cover these costs. The Commission had six key priorities throughout the

registration and renewal being processed promptly.

The register of medical practitioners allowed to practise  The Commission s existing Standards remain  course of 2021. These were to:

in Jersey needed to be revised and updated and action  appropriate, but feedback from both the sector and  1  deliver an effective system of regulation and  6  engage effectively with representatives of

has been taken to address this. This work will continue  the Commission s staff reflect a need for a review. In  inspection of health and social care services in  the Government of Jersey to develop robust

into 2022. addition, the Commission needs to develop Standards  Jersey Regulations and Standards for services new to

In respect of the Commission s profile, it is apparent  relating to statutory children s services, in order to  regulation.

regulate this new area of work in 2022.  2   maintain an accurate register of relevant health and

that providers and managers of regulated activities  social care professionals working in Jersey To enable the Commission to deliver its strategic

are aware of the Commission and its functions. The  priorities, it established six key business objectives for number of duty calls, and notifications is testament  3   raise the profile of the Commission by consulting  2021 2022 under the following headings:

to this. However, there is a need to raise the  and engaging with people who use and provide

Commission s profile more widely, to ensure that care  services and other stakeholders in all aspects of  Regulation and Inspection

receivers, their families and members of the public  our work  Professional Registration

have a clearer understanding of the role and functions  4   improve the Commission s capacity to gather,  Public Engagement

of the Commission. This is an area of development and  interpret and respond to information and  Information Management and Responsiveness work will be undertaken in 2022 to address this. intelligence regarding regulated activities and  Governance Framework

registered persons  Planning

The next section of the report will provide a detailed analysis of performance in respect of each of these priorities.

Carry out a planned annual programme of announced and unannounced inspections of all regulated services and activities for adults and children in Jersey and publish the associated inspection findings on our website.

How successful has this been so far? The Commission undertook four pre-registration The intended annual programme of inspections has  inspections to services which had applied to

been carried out successfully.  become registered in 2021. This process enabled

the service providers to fully understand the

A total of 105 inspections were undertaken in 2021,  requirements of the Regulation of Care (Jersey) Law Seven continued into early 2022. The Commission  2014 and the associated Regulations. It enabled

is required by law to undertake one annual  them to ensure that appropriate preparation was inspection of each regulated activity and more  made for registration and that the services would than one inspection at its discretion. In 2021, two  meet the Commission s Standards.

services were inspected more than once. Four pre-

inspection visits were undertaken in services which  What more needs to happen?

Maintain an effective system of regulatory oversight throughout the Covid-19  were newly registered in 2021. Of these services,  The Commission will continue to undertake a full

one closed in 2021, two were inspected and one  schedule of inspections of all regulated activities pandemic, continuing to adapt the inspection regime as necessary to  will be inspected in 2022. All services that were due  in 2022. It will continue to make appropriate

an annual inspection in 2021 have received at least  preparations for the regulation of statutory safeguard people and prevent the spread of infection. The Commission will  one.  children s services and intends to commence

also develop a plan of recovery from the Covid-19 pandemic. The Inspection Reports pertaining to each of these  inspection of some of these services in Quarter 4,

services, were published and are available on the  2022.

Commission s website.

How successful has this been so far? stakeholders, including the Jersey Care Federation.

The Commission developed a Covid-19 recovery  This group discussed and formulated strategic  An overview report of the Commission s regulation

plan which was reviewed periodically according  responses to ongoing Covid-19-related matters.  and inspection of the Government of Jersey s  

to changes in the rates of infection in Jersey. This  care homes for children and young people was  involved a combination of measures to ensure that  OConm3 mociscsaiosino nthsaitnd2u0e2t1o,pCroovviidd-e1r9s, nthoetiyfi ewdetrheeunable  issued to the Director General of Children, Young  

staff could work safely to undertake all scheduled  to meet certain conditions on their registration.  People, Education and Skills in March. The report  inspections due in 2021. In undertaking inspections,  Staffing shortages have been challenging and these  sets out several key findings from the inspections  Regulation Officers liaised with care home providers  have arisen mainly due to outbreaks in care homes,  completed in 2020, including concerns about  

to ensure that inspections were undertaken  staff testing positive for Covid-19 and/ or being  missing from care episodes, staffing arrangements,  

safely and with appropriate modification of the  identified as direct contacts. Staffing shortages  staff recruitment records and the role of the  inspection methodology. All planned inspections  led to a need for some care providers to source  Independent Person.  

were announced in the first half of 2021, although  additional staff at short notice to ensure continuity  The Commission continues to monitor information  unannounced inspections became more frequent as  of care. As a result of temporary amendments to  submitted by Children s Services in relation to  restrictions were eased.  Regulations, the Commission was able to respond  children s homes. This includes the reports of the  

promptly and effectively, by providing a report to both  visits undertaken monthly by the Independent  Dapuprirnogp ir niastpee PcPtiEon,hs,a Rd edguuel aretiog na r Od  ffifo cr e s ros c wia ol r  e  the Minister for the Environment and the Minister for  Person, notifications of incidents, manager  

distancing requirements and reduced the amount  Health and Social Services, with recommendations  absences, applications to vary conditions and  

included. In each of these circumstances, a  updates to Statements of Purpose.  

oThf ed iCreocmtcmoinstsaiocntt hhaesy bheaednwmithincdafurel oref ctheeiv neerse.d  to  satisfactory conclusion was achieved quickly, and  

balance such requirements against the requirement  normal working practices were resumed.  Aupptoosst-ixrecghisiltdrraetino nan indsypoeucntigo np eoof pal ecaargee hdo1m3ey rfso r  to assure the public of Jersey that inspections have  What more needs to happen?  18yrs, was undertaken in February. This facility  

remained sufficiently thorough and robust.  was the first and only care home for children and  

The Commission will continue to be alert to  

The Commission maintained its office duty system,  young people provided by the independent sector.  

government advice and direction and will make  

The purpose of the home was to provide short  

tforormemaacirno sasbtleh eto c raercee sive ec t ionfr, o arms wateioll n a sa  nb de i inngte allbigl ee n  ce  term (four week) placements for children and  

whatever adjustments are necessary to maintain a  

satisfactory level of inspection. Our focus will remain  

to respond promptly and effectively to queries and  young people experiencing emotional difficulties,  

on ensuring that the schedule of annual inspections  

requests for advice, guidance, and support. or addiction and substance misuse. The home  

is completed.

remained registered throughout 2021 but was  

The Commission provided input into the weekly  deregistered towards the end of the year.  

 Community Care Hub meetings, chaired by Health  

and Community Services and attended by a range of  

Apply the Regulations and Standards for all regulated activities as a framework to measure the quality, safety and effectiveness of these services.

How successful has this been so far?  Ongoing escalation process from 2020 Regulations and Standards continue to be applied  which culminated in the registration of a

in respect of all regulated activities. Where there  home care service being cancelled.

is clear evidence that a regulated activity is not  Decision to cancel the registration of an meeting the requirements of either the Regulations  individual home care worker.

or Standards, an area for improvement is

identified in inspection reports. This correlates to  Decision to issue an Improvement Notice in a requirement that the provider of the regulated  respect of staffing concerns affecting one activity provides details of how any requested  children s residential home.

improvement will be achieved.  There were also several examples of escalation

processes being applied, with matters being

Timhep rCoovemmmeinsst iaonnd s metosnaiptoprrsotphreiamteetaimsuersecsawlehsi cfohr  successfully concluded prior to formal

are taken to achieve the required outcome. This  enforcement becoming necessary.

includes a follow up visit to a service provider, as  What more needs to happen?

necessary. The Commission has further powers  The Commission welcomes feedback in respect

to ensure that any necessary improvement  of its existing Standards and will continue to

takes place and will take appropriate steps, in  develop them throughout 2022. The Commission accordance with its Escalation, Enforcement and  will develop new Standards in respect of ten Review Policy to ensure full compliance with the  areas of statutory children s services which are Regulations and Standards. new to regulation. The Commission needs to

There have been three occasions in 2021 when  develop Standards for the regulation of Supported enforcement processes were applied: Accommodation for young people.

Review the effectiveness of the existing Standards, incorporating the views of people who use and provide services.

Work with Government of Jersey policy leads in the development of new Regulations and Standards relating to children s social work, fostering and adoption services and Child and Adolescent Mental Health Services; ensuring the Commission has enough capacity to absorb any additional developmental work relating to these activities.

How successful has this been so far? Commission is in the process of developing new A period of consultation in relation to the draft  Standards which accord to these new Regulations.

Regulations associated with the regulation of  What more needs to happen?

statutory children s services, was completed in

The Commission is in the process of working with 2021. The Commission provided a response to the

an external consultant to consider how they might consultation and sourced independent legal advice

be able to support the Commission in preparing for to assist in the scoping of the work associated

the regulating of statutory children s services. with the new areas of regulatory activity. The

Source suitable alternative office accommodation to meet the existing and future needs and requirements of the Commission in facilities suitably adapted to provide access to people who use and provide services.

How successful has this been so far? The Commission worked with Jersey Heritage to The Commission moved to the new premises  ensure that documentation which needed to be in November 2021. The new premises are  retained was transferred to the Jersey Archive. centrally located, fully accessible and meet the  This was completed successfully.

requirements of the Discrimination (Disability)  What more needs to happen?

Jersey Regulations 2018 and will enable the

This project has been completed successfully. growth of the Care Commission team.

How successful has this been so far?

The Team developed a targeted approach to inspections in 2021, which means that specific standards can be focussed on, in line with the type and categories of care provided. The Commission determines at the outset of each year which of the Standards it will afford priority, during that year s inspection programme.

Whilst it has been difficult to gather the views of people who use and provide services, due to

the restrictions associated with Covid 19, the Commission has sourced feedback from providers and managers of regulated activities. A common theme is that the Standards would benefit from a review in 2022.

Recruitment of a Regulation Officer with specific  Hold service providers to account by taking corrective action when they fail to children s service experience was completed  comply with Regulations, or to conform to relevant Standards, in the delivery

in 2021. This has enabled work to commence

in developing new sets of Standards relevant to  of health and social care.

statutory children s services.

How successful has this been so far? Representation Procedures were approved by the What more needs to happen? Board in 2021. These needed to be applied for the Further developmental and collaborative work  Twhaes Easpcparloavteiodn,b Ey nthfoer cCeommemnitsasniodnRseBvioeawr dp oalnicdy   first time in the final quarter of 2021.

needs to take place with stakeholders to ensure  is publicly available on the website. The policy  What more needs to happen?

that the Standards remain appropriate, that people  continues to guide the Commission s practice

who use services are aware of and understand  and decision-making. In the main, there has been  The policy will remain under continuing review them, and that they are meeting the needs of  limited need for the Commission to take formal  and will be adapted and updated periodically as people who receive care. Depending upon the  enforcement action and it has usually succeeded  required. The Representation Procedures need outcome of this collaborative approach, the  in resolving matters of concern by escalation.  to be fully concordant with both the Policy and Standards will be reviewed and may be updated  In 2021, there have been two examples of  principles of natural justice. Advice from Law accordingly. enforcement action resulting in the cancellation of  Officers Department is being sourced, to ensure

that the Procedures are fully compliant. registrations. There has been one further example

of enforcement action which resulted in the issuing

of an Improvement Notice.

Professional   Ensure the health and social care workforce in Jersey is appropriately qualified, Registration rCeogmistmerisesdio ann cda fint tmo oprrea cetfifseec.t Diveelvye elospta tbhleis rhe fintenwesasls t op rporcaecstiss  ein. order that the

How successful has this been so far?

The Commission maintains the register and continues to process registrations of health and social care professionals in Jersey.

While there is no requirement to inspect registered

individual home care workers, a project has been Develop the use of the new IT portal to continue to maintain an accurate  established to engage each worker in a process of

public register of all registered health and social care professionals, removing  providing the Commission with assurances as to their

training and on-going fitness to practise. Following this lapsed registrations and ensuring that new registrants can register and renew  review, the Commission has made amendments to the

registration process, but the annual renewal process registrations electronically. has not been changed.

The Commission is engaged in a systematic

How successful has this been so far? What more needs to happen? cleansing of the medical practitioners register. This The Commission continues to process  The register relies upon input from the Government  is to ensure that the register can be relied upon to

registration and renewal applications and uses  of Jersey and from a private IT provider to enable  provide accurate and current information pertaining the existing system to do this. As the process  it to operate effectively. This poses difficulties  to medical practitioners who are registered to practise remains partially manual, this continues to  regarding the ability of the Commission to manage  in Jersey. Whilst this project is underway, the register constitute a significant demand on administrative  the annual renewal process independently.  has been temporarily removed from the Commission resources, particularly in the period between  Website.

The Commission has formulated a budget build

October to December each year. A significant

for 2022 which includes the provision of additional  On 26 February 2021, it became a requirement that all investment in developing an IT based solution

capacity to scope the requirements to construct an  dental nurses working in Jersey must register with the will be needed to facilitate the introduction of

electronic portal to enable registrants to complete  Commission. The Commission needed to satisfy itself a future Professional Registration Law.

the registration and renewal process online. It also  that all dental nurses were fully aware of the need to includes provision to increase the Commission s  become registered and wrote to every dental practice administrative capacity to ensure that the medical  accordingly. This resulted in a further increase in professionals register is refreshed and continuously  applications. All dental nurses will be required to renew updated.  their registrations on an annual basis.

The Commission s oversight of the ten Designated

Yellow Fever Centres was modified in 2020 on account

of the Covid-19 situation, this arrangement continued

into 2021. A report was issued to the Minister for Work with the Government of Jersey Policy Lead to prepare for the  Health and Social Services setting out the number

of registered designated Yellow Fever Vaccination implementation of the new Registration of Professionals Law. centres, the number of vaccines administered, and

the outcome of any inspections undertaken.

How successful has this been so far? What more needs to happen? What more needs to happen?

The Commission welcomes the introduction  The Commission will need to scope the impact of  The health care professionals renewals process

of a new law. This will ensure that health and  this legislation to be properly equipped to meet the  will remain unchanged until a new IT-build has been care professionals across Jersey are fully,  demands associated with any increase in workload. completed. The project to cleanse the medical

and appropriately registered, and that robust  A project plan and associated recruitment will  practitioners register will continue in 2022, with a view assurances can be provided to citizens in respect  be necessary to ensure the Commission can  to it being completed by the end of Quarter 1. The

of the quality of health and care provision. The  successfully implement the Professional Registration  revised and updated register will then be uploaded to Commission acknowledges that the enactment of  (Jersey) Law.  the internet.

this new legislation will require significant planning

and preparation. Currently there is no confirmed  The Commission will make sure that individual home timescale associated with this planned development.  care workers are aware of the requirement to become

and to remain registered with the Commission.

Public   Engagement

Ensure that, throughout all the work of the Commission, the voices of people  who use and provide services, their families and carers, and representatives  and those who deliver care services are heard.

How successful has this been so far? What more needs to happen?

The Commission ensures that each inspection  Feedback has been positive, and it is apparent that  

includes consultation with both care receivers  the inspection process is working well. However,  

and their relatives. The feedback is anonymised  although it is apparent that the Commission has

and included in inspection reports. In addition,  a relatively high profile with the services which it

managers and staff are consulted during  regulates, this is not as evident in respect of people

inspections, as are allied healthcare professionals.  who use services, their families, and members of

This feedback is captured within  the public. Consequently, raising the Commission s  Continue to raise the profile of the Commission with the organisations we inspection reports.  public profile will be a priority for 2022. regulate and with those who use services, and their carers/representatives,

through a planned programme of engagements.

How successful has this been so far?

The Commission has taken opportunities to engage Provide the public with access to relevant information about the Commission s  with the media on matters of relevance, for example

the publication of the Overview Report of inspections activities on the Commission s website and, where they cannot use a  of children s residential care services. Media

reporting has provided a public platform to raise website, to provide access to other appropriate methods of contacting the  the profile of the Commission. The Commission s

Commission. previous Annual Report received positive media

coverage.

Despite the difficulties presented by the pandemic, How successful has this been so far? are aware of the Commission and of its role and  the Commission has proactively responded to the

function. The Commission will continue to review the  needs of the sector by devising a Covid-19-specific All the Commission s inspection reports are publicly  information on its website and across social media  page on its website and keeping this regularly

awveabilsaibtele. aAnndin pfuobrmlisahteiodn o len a tflh ee t  Cwoams pmriosds uiocnesd in  to ensure that it remains current and relevant to the  updated with relevant information, including 2021, alongside the pre-existing complaints leaflet.  needs of the sector. It will also consider other ways in  legislation, policy, and guidance.

which information is provided.

What more needs to happen? The Commission provided the local media with

several press releases throughout the year, which Iutnisd aeprtpaakreennttoth eants fuurreth tehra wt morekm nbeeerds s o tof t bh ee public  resulted in media coverage of the publication of

inspection reports and concerns within the care

sector relating to the impact of Covid-19. Journalists and reporters sought the views of the Commission in respect of matters relating to the pandemic and how they affected the care sector.

Regulation Officers have consulted with a range of stakeholders including service providers, managers, and care receivers family members, and a range

of communication media were utilised by the Commission throughout 2021. The Commission provided periodic updates via email to the care sector.

What more needs to happen?

The Commission will review its Communications Strategy and devise a communications plan in the first quarter of 2022 with a view to implementing

it thereafter. In reviewing the effectiveness of its communications, the Commission is considering the use of a range of print and social media.

Information   Governance   Governance &  Framework

Responsiveness

Provide assurance that the Commission s Governance Framework and financial oversight is robust.

Implement an internal retention and disposal schedule to ensure that data is

processed in accordance with the General Data Protection Regulations and  How successful has this been so far? The Commission meets quarterly with the

the Data Protection Law. An Advisory Audit of the Commission s internal  Accounting Officer (Director General SPPP) and

governance arrangements was undertaken  with other representatives of SPPP and Treasury, as How successful has this been so far? What more needs to happen? by BDO Assurance. This audit made eleven  necessary.

recommendations, some of which have been  What more needs to happen?

A Retention and Disposal Schedule was devised by  The Commission s complaints process includes  resolved in full, whilst others require further input.

Jersey Heritage (the Jersey Archive) and has been  the ability for complaints to be made about the  The Commission s governance arrangements will applied in processing the Commission s sizeable  Commission itself. There were no formal complaints  Significant improvements continue to take place  continue to be reviewed and improved, and a three paper archive. The Commission sourced external  about the Commission in 2021. Where possible and  in respect of the Commission s governance  year financial plan will be developed in 2022. support to enable some of its documents to be  appropriate, any new complaint will be managed  arrangements. An example is the development of

scanned. This work was entirely completed prior to  in a stepped approach, by attempting informal and  the Commission s risk management framework and

the Commission s relocation to new office premises  or formal resolution at stage 1; it is acknowledged  integrated risk register.

in December 2021.  however that the Commission may need to source

an independent complaints reviewer in 2022, as

part of stage 2.

Appoint and retain the services of an independent solicitor / advocate to act Continue to provide prompt and detailed responses to consultations,  for the Commission in specific matters

correspondence from Ministers and Government of Jersey departments,

as required. How successful has this been so far? Department and seeks to limit its reliance as much The Commission continues to rely upon the  as possible. However, the need for legal services

Government of Jersey s Law Officers Department  will remain and the relationship will need to be How successful has this been so far? Tohf eInCfoormmmatiisosni oann dh aSsuabljseoc tr eAscpcoensdse Rde tqou aelslFtsr eweidthoinm  aCsoimtsmpirsinscioipnaslosuorucrecde ionfdleepgeanl addevnict lee;g Ina l 2 a 0d 2v 1ic, eth  e  term. Alongside this, the Commission will continue

reviewed to ensure that it is sustainable in the longer Tmhien iCstoemriamlrisessipoonnhsaess caosn rteinq uu ee ds t teod p.  rEoxvaidmep les  designated timescales.  on three occasions, where it was identified that  to source independent legal advice, as needed. The

include the consultation on the draft Regulations  What more needs to happen? a potential conflict of interest existed, were the  extent of this requirement and the associated costs for Children s Services, engagement with the  The Commission will continue to respond promptly  Commission to rely solely upon the Government of  are difficult to estimate. The Commission s 2022 Department of Health on the Ethical Care Charter  and efficiently to all such requests, as they are  Jersey s Law Officers Department.  Budget Build includes an estimated provision for and Assisted Dying and engagement with the  this.

received.

Health and Social Security Committee on the  What more needs to happen? The matter will remain under review.

Review of Maternity Services. The Commission is aware of the demands which

its operations may place on the Law Officers

KEY PERFORMANCE INDICATORS (KPI S)  

In 2021, 26 new KPIs were introduced. The KPI s for 2022 will reflect the learning achieved in 2021.

The following indicators, linked to our strategic and business objectives, described above, were used in 2021:

Planning

Priority 1: Regulation Formulate a three-year financial plan. & Inspection

It is a statutory requirement that each regulated activity will receive at least one How successful has this been so far? What more needs to happen? inspection within 12 months of having become registered.

The BDO Advisory Audit identified this as an area  The Commission will continue to work with the

where significant development is required. This  Government of Jersey, via SPPP and Treasury, to  

matter is currently being discussed with SPPP and  address the need for a comprehensive three-year  

KPI 1

Treasury, as the Commission is only able to plan on  financial plan. .

a 12 monthly cycle at present.

Develop operational links with local stakeholders that have a shared interest in the areas regulated by the Commission.

How successful has this been so far? The Commission has attended all meetings of the The Commission maintains informal links with a  Jersey Regulators Forum, which has membership range of local stakeholders, including the Jersey  across the various regulatory bodies throughout the Care Federation and the Jersey Disability Forum.  island.

The Commission has signed a Framework  What more needs to happen?

Agreement with the Government of Jersey.  The Commission will continue to strengthen links The Commission has a Memorandum of  with a range of key stakeholders, including the Understanding (MOU), with the Office of the  various UK professional regulatory bodies and with Children s Commissioner and a draft MOU has  other UK system regulators. .

been developed with the Safeguarding Partnership

Board.

The Commission will complete 100% of inspections in respect of each of the following regulated activities, as required in law:

Care Homes for adults

Children s Homes

Home Care services

Adult Day Care Centres

A total of 105 inspections were undertaken in 2021. Seven continued into early 2022.

The Commission is required in law to undertake one annual inspection of each regulated activity. It may undertake more than one inspection, at its discretion.

In 2021, two services were inspected more than once.

Four pre-inspection visits were undertaken to services which were newly registered in 2021. Of these services, one closed in 2021, two were inspected and one will be inspected again in 2022.

In total, the Commission undertook 97% of inspections of all regulated activities in 2021.

KPI 2 KPI 6

The Commission will ensure that no more than 50% of its inspections  The Commission will revisit areas for improvement in 100% of subsequent are announced. inspections.

This was difficult to achieve in 2021, as a consequence of the ongoing infection control guidance in place. As  Prior to each inspection, Regulation Officers review all documentation pertaining to the service, this includes restrictions eased, it became more feasible to undertake some unannounced inspections, from middle of the  the most recent inspection report. Any areas for improvement which were identified in the inspection report year onwards. A total of 16 (22%) inspections in care homes were unannounced*.  are reviewed during the subsequent inspection.

The Commission will record the length of time each inspection took to bring to completion and the length of  A sample of ten inspection reports demonstrated that in each case, the Regulation Officer reviewed time taken to both issue and publish (on the Commission s website) inspection reports. In accordance with  the previous inspection report and examined whether any areas for improvement had been thoroughly the Commission s Inspection Policy, it will commit to producing, in draft form, an inspection report within 28  addressed.

days of concluding an inspection.

KPI 3 KPI 7

The Commission will measure the number of escalation and enforcement The Commission will ensure than at least 80% of its inspection reports are  actions taken.

completed in draft form, within 28 days of an inspection having concluded.

Over the course of 2021, the Commission undertook escalation and enforcement action on seven

Of a total of 91 completed inspections, 87 were ready in draft form within 28 days of the inspection having  occasions. The type of action taken varied and included letters of escalation, mutual agreement that two concluded. This represents 97% of inspection reports. Therefore, the Commission has achieved this target. services would close, the issuing of an Improvement Notice and the convening of a Representation Panel.

KPI 4

The Commission will publish 100% of its inspection reports within 7 days of them being considered final.

This target has been comprehensively met, with 100% of inspection reports published within 7 days of being considered final.

KPI 5

The Commission will finalise applications for registration (of providers of regulated activities) within 4 weeks of a complete application having been received.

Of a sample of six applications for registration received in 2021, all were completed within 2 weeks.

Improvement Plans are created following an inspection, where there is evidence that Regulations and/or Standards are not being met.

* KPI 2 does not relate to home care services on the basis that it is not practicable to undertake inspections of these services unless a degree of notice/announcement is provided).

Priority 2: Professional  Registration

KPI 8

The Commission will ensure that no more than 50% of its inspections are  announced.

This was difficult to achieve in 2021, as a consequence of the ongoing infection control guidance in place.  As restrictions eased, it became more feasible to undertake some unannounced inspections, from middle  of the year onwards. A total of 16 (22%) inspections in care homes were unannounced*.  

The Commission will record the length of time each inspection took to bring to completion and the length  

of time taken to both issue and publish (on the Commission s website) inspection reports. In accordance  

with the Commission s Inspection Policy, it will commit to producing, in draft form, an inspection report  

within 28 days of concluding an inspection.

KPI 10

The Commission will complete 100% of registration applications from KPI 9 piercing and tattooing practitioners within 3 days of a completed

application being received.

The Commission will complete 100% of renewal applications from health  This target was achieved in 2021. Typically, such applications are processed on the day they are and social care professionals within 7 days of a completed application  received.

being received.  The Commission will complete 100% of registration applications relating to both piercing and tattooing premises and laser premises within 4 weeks of a completed application being received.

This target was ambitious and was not achieved in 2021.  These applications are more challenging to process because they involve a physical inspection of the Applications for renewals of registration are received in October each year and continue to be received  premises. However, this target was achieved in 2021.

until the end of the year (with a small number of applications being received in the first weeks of the

following year).

The overwhelming majority of applications for renewal were processed by the end of 2021.  KPI 11

The period of 7 days would be more appropriately expressed as no more than 7 working days between  

the date of application and date of renewal , and the KPI for 2022 will be adjusted to reflect this.  The Commission will complete 100% of annual inspections of Although this target was challenging at the outset of the renewals process, it became much easier  Designated Yellow Fever centres, as required by law.

to achieve over time, and by December most renewals were being completed on the day they were

received.  Inspections of Designated Yellow Fever centres are desktop inspections, as opposed to physical

inspections of premises. The Commission ensures that all documentation relating to these services is complete and up to date, including training records and that a registration fee is submitted. There are nine such establishments in Jersey.

At of the end of 2021, each of the applications for renewal of registration was in the process of being finalised but had not achieved completion. This is partly associated with the invoices for fees being sent out towards the end of each year. It was also associated with access to face-to-face training having become limited on account of the ongoing restrictions relating to the pandemic.

The renewals process continued into 2022, with four services completing renewal in January. The remaining five are on schedule to complete their renewal by the end of Quarter 1, 2022.

Priority 3:   Priority 4:   Public Engagement Information Governance

The Commission is committed to engage with the public about its role and  & Reponsiveness

function and to raising its profile.

KPI 15

KPI 12 The Commission will monitor and retain a record of the number of duty calls received throughout the year, including nature of the contact and

The Commission will maintain a record of the number and outcome  the response.

of consultations completed in respect of operational documentation,  Most of the duty correspondence relates to registered services. Each service e.g., a care home, has a including Standards. creolarrteinsgp oton dainn gin delievicdt uroanl sic e frovil cd ee r is w rheiccohr dinecdo rinp othraist efos l  da  ec ro. n Tt ha ec t R r ee gc uo lr ad t; i  oa nll  c Oa ffills c  ea rn ad l  lo ot ch ae ter  dco torr e es ap co hn sd ee rn vic ce e  

can monitor this correspondence, to determine whether there is a reason to make further enquiries, or to

The Commission is in the process of completing a set of Standards associated with the regulation of  take any other action.

ten areas of activity relating to statutory children s services. It has commenced a period of informal

consultation pertaining to the draft Standards and this process will continue into 2022 when it will be

concluded. KPI 16

KPI 13

The Commission will consult directly with care receivers, relatives/carers, staff members and external professionals in 100% of inspections.

A sample of ten inspection reports demonstrated that this consultation takes place routinely across all inspections. Where it is not possible to consult with relatives during inspections, Regulation Officers make contact separately by telephone. The feedback is fully incorporated within inspection reports.

KPI 14

The Commission will, as part of its quality assurance process, undertake post-inspection consultation from 10% of its annual inspections with providers/managers of regulated activities. It will publish a summary of

The Commission values feedback from the regulated sector about all aspects of its work and particularly about the inspection process.

Questionnaires were sent out to every provider/manager following an inspection in 2021. A total of 24 replies have been received. A summary of these responses has been provided as an appendix to this report.

The Commission will monitor and retain a record of the number of notifications received throughout the year, including the nature of correspondence and whether a response from the Commission was warranted.

The number and types of notifications received by the Commission are presented in the following table:

Adult Care Homes  Day Centres  Home care services  Children s homes Notifications received in total  1164* 3 553 494

22 fractured   1 fractured  neck of femur  neck of femur

15 fractures of   4 fractures of  

Incidents where harm occurred  other bones  0 other bones  36

153 where other  46 where other injuries injuries such as skin  such as skin tears, tears, bruises, grazes  bruises, grazes have have occurred  occurred

Pressure ulcer notification

1164** 0 310 0 (grade 2 and above)

Significant Restriction on Liberty

(SRoL) notifications (where significant

restrictions were lawfully imposed  201*** 0 10 0 in line with the Capacity and Self-

Determination (Jersey) Law 2016

Young Person missing from care home Not applicable Not applicable Not applicable 335

* NB doesn t include death notifications. NB The Commission has also received notifications of which include deterioration of care receivers health conditions, outcome of GP reviews, palliative care pathways, transfer of care environment etc

**  NB not always reflective of pressure ulcers developing in the care home. This relates to the number of notifications made to the Commission. This number incudes

pressure ulcers which have been identified upon admission to the care home, which developed in other care settings including the hospital

*** Including urgent and standard authorisations

KPI 17

The Commission will, in 100% of cases, respond to any complaints received within 3 working days.

No formal complaints about the Care Commission were received in 2021. Whilst this might be perceived as encouraging, there is also a possibility that it relates to the Commission needing to raise its profile with care receivers, their families and members of the public. As a result, the Commission will undertake work relating to raising its profile and enhancing its communications throughout 2022.

No formal complaints were received in 2021 relating to regulated activities, however, several concerns relating to the quality of care provision were received. The Commission was able to respond to and resolve many of these matters at an informal level.

Where intelligence relating to individual activities, e.g., a care home, was received, this enabled

the Commission to determine whether additional unannounced inspections were warranted. The Commission was able to undertake unannounced inspection visits and to discuss concerns with registered managers. Generally, this approach enabled the Commission to determine whether there was evidence to substantiate the concerns, and to take appropriate remedial action accordingly.

KPI 18

Priority 5:   Governance Framework

KPI 20

The Commission will retain a record of the number of occasions on which legal advice and guidance has been sought and will differentiate between independent input and input from the Law Officers Department.

The Commission has sought independent legal advice on three separate occasions. It has done this in instances where there would have been a perceived or actual conflict of interest, had the Government of Jersey s Law Officers Department been asked to provide this input.

Where there is no such conflict, the Commission continues to enjoy good working relations with the Law Officers Department, who provide legal advice as needed. The Commission sought advice from the Law Officers Department on approximately ten occasions and has needed to contact the Attorney General s Office on one occasion.

The Commission will retain a record of the number of data breaches

recorded within each year and will differentiate between those made by  KPI 21

Commission staff and those made by others. It will also retain a record  

of the number of data breaches referred to the Jersey Office of the  The Commission will, in line with its Supervision Policy, provide formal Information Commissioner. supervision to each of its staff members every 6 weeks.

The Commission maintains a Data Breach Register. In 2021, there were seven reported instances of a data  The Commission met this target fully until the departure of the previous Chief Inspector in August.

breach. Each of the breaches was considered to represent a low level concern, with minimal impact.  Thereafter, an interim arrangement was agreed whereby the Chair of the Commission undertook regular Four were internal errors and three were external (errors made by third parties). Of the four internal  one-to-one meetings with each staff member. In addition, informal and group supervision was provided breaches, all related to emails which were inadvertently sent to the incorrect recipient. In each case,  until the end of the year. The typical pattern of regular, formal supervision will resume from the beginning of immediate remedial action was taken to ensure that data was not shared further. Equally, in none of the  2022.

instances was the nature of information shared or the potential impact serious enough to warrant a referral

to the Office of the Information Commissioner.

KPI 22

KPI 19 The Commission will undertake an Annual Appraisal with The Commission will retain a record of the number and outcome of each of its staff members.

reports about health and social care services requested by the relevant  This target was met in full and all staff had an annual appraisal in 2021. Minister or panel (or initiated by the Commission itself).

Throughout 2021, there were no requests made of the Commission by Ministers. However, the Commission was asked to respond to specific areas of development within the health and care sector and submitted such responses accordingly.

KPI 23 Priority 6: Planning

The Commission will identify training and development needs as part of

Annual Appraisals and will formulate structured plans in respect of each  KPI 25 staff member to address these needs.

The Commission will meet with Treasury at least quarterly. Training and development needs are reviewed in formal supervision and annual appraisals. Where the need

for training is identified, the Commission has taken and will continue to take the appropriate steps to ensure  The Commission has benefitted from consistent support from Treasury and has met with a these needs are comprehensively met.  representative of this department on at least a bi-monthly basis throughout 2021, with additional

unscheduled meetings taking place as required.

KPI 24 KPI 26

The Commission will retain a record of the number of occasions when the  The Commission will retain a record of the proportion of fee support of an Independent Complaints Reviewer has been sought.  income received within statutory timescales.

The Commission did not require the support of an independent complaints reviewer in 2021. The Commission continues to retain these records and this target has been fully achieved.

A DAY IN THE LIFE  ACCOUNTABILITY REPORT FIONA MCLAUGHLIN CORPORATE GOVERNANCE

I have been working in the field of learning disabilities for 31  The Commission has both a strategic and an operational structure. Its work years. I qualified as a registered learning disability nurse in  is overseen by a Board of Commissioners who have a range of professional 1993 and moved to Jersey shortly afterwards. My roles have  and carer/service user experience. The role and responsibilities of the been varied during my career and in more recent times I have  Commission are set out in Schedule 2 of the Regulation of Care (Jersey) Law worked in social care settings. 2014. The Board usually meets six times a year. These meetings are open to

the public, although this has been made difficult to achieve on account of the Safe, effective care which is truly person- managers to develop and improve service

centred has been my motivation throughout  provision. This careful sourcing of information  pandemic and the increased reliance upon virtual meetings.

my career and it is this commitment which  about the quality-of-service provision is

prompted me to join the Commission as a  critical in enabling Regulation Officers to

Regulation Officer. The role of Regulation  produce detailed inspection reports. This  Towards the end of 2020, three additional  with the Government of Jersey is described in a Officer is an integral part in ensuring that all  forms a large part of the inspection process,  Cthoemrem wisesreiosneevresnwCeroemremcirsusiitoende, rws hinictho tmale. aInn 2tt0h2a1t,  the pre-existing Memorandum of Understanding.

Framework Agreement, dated May 2020 which replaced services meet the requirements of the Care  and it is these reports which enable care  one Commissioner resigned, and a replacement was

Standards. receivers, family members and members of  recruited, being appointed by the Minister for the  Ministerial responsibility for the Jersey Care

the public to be assured that the quality-of- Environment to serve for a three-year term. This has  Commission transferred from the Chief Minister to the The main purpose of my role is undertaking  Minister for the Environment in 2020.

care provision throughout Jersey remains of a  enabled the Board to retain its contingent of seven

annual inspections of Care Homes and Home  high standard.  members. In 2021, six meetings of the Board of Commissioners Care Agencies.  were scheduled to take place in Jersey. In practice,

The Board receives reports from officers employed

The best part of the job is meeting care  Of course, I do not undertake my role  travel restrictions made this impossible and it was

within the Commission, provides strategic leadership,

receivers and their families directly and  entirely on my own. I am well supported by  therefore necessary to facilitate some of the meetings

including governance and financial oversight, and

an experienced team of regulation officers,  virtually.

hearing their experiences first-hand. Even  maintains an integrated risk register of both strategic

when you are faced with negative situations,  administrators, and others, who provide  and operational risks.  The attendance of Board members is shown below

the challenge to address and resolve issues,  valuable advice and guidance every day. The Commission is accountable to the Government of  (table 1).

to produce better outcomes for care receivers  Jersey as an arms-length organisation. The relationship

and their families is worthwhile. I also enjoy

working collaboratively with registered  TABLE 1

Glenn Houston 6 out of 6

Alison Allam 6 out of 6

Si n Walker 6 out of 6

Lisa Jacobs 4 out of 4 (see note below) Jackie Hall 6 out of 6

Noreen Kent 6 out of 6

Angela Parry 6 out of 6

Lesley Bratch 1 out of 1 (see note below)

Note: Lisa Jacobs resigned her position in 2021. Lesley Bratch was appointed in 2021.

TABLE 2

Remuneration of Chair and Non Executive Board Members:

NOTES ON TABLE 2

1   Fees are stated in bands of £5,000 for the period from 01 January - 31 December 2021

2   The Chair and six of the Commissioners live outside Jersey and incur additional costs in respect of travel, accommodation,

and subsistence.

3   Commissioners were appointed for an initial term of 3 years.

4  Expenses are rounded to the nearest £100

5  Travel restrictions necessitated that Board meetings in January, March and May 2021 be held virtually. This had the effect

of travel and accommodation expenses being less than might otherwise have been expected. Although the meetings in July, September and November took place in Jersey, various restrictions and personal circumstances meant that some Commissioners attended virtually. This also had an impact on the need for travel and accommodation expenses.

6   The resignation of the Chief Inspector in August, resulted in Commissioners undertaking additional operational duties.

This resulted in an increase in expenses paid to Commissioners for time provided to support the Commission.

7   Ann Abraham was no longer a Commissioner by January 2021 but was due an outstanding subsistence payment which

was paid in 2021. This has been included, in the interests of transparency

The Commission also incurred the following expenses in 2021 which relate to the functioning of the Commission s Board: Hire of rooms: £1659

Training of Commissioners: £1683.

REGISTER OF INTERESTS

Each Board member has completed a Register of Interests which is reviewed and confirmed at every Board meeting. The Register of Interests is a public facing document, accessible on the Commission s website. This information is presented in Table 3 below.

The Commission s constitution requires that Board Members must ensure that no conflict of interest arises, or could reasonably be perceived to arise, between their public duties and private interests.

TABLE 3

Jersey Care Commission Register of Board Members Interests

Shareholding  

Unpaid office in related to

Board Member Paid employment/consultancy Company   Other public appointment charitable/other

Commission

body

business

Glenn Houston  Vice - Chair Disclosure and Barring Service Non-executive Chairperson (DBS)

Member, Human Tissue Authority

Date of appointment: None None None None 01/05/2017 Member, Northern Health and Social Care Trust

Member, Board of the Public Prosecution

Service, Northern Ireland

Dr Alison Allam  Non-clinical honorary contract, Royal Marsden  Trustee for the Non-executive Board  Hospital Pseudomyxoma member Survivor Charity.

Date of appointment: Associate at the Professional Records Standard  None None None Member of the 10/05/2017 Body (PRSB) management

committee of Chronic Illness Inclusion

Si n Walker -McAllister Independent Chair, Bath & North East Somerset Non-executive Board  Community Safety and Safeguarding Partnership, member Bath and NE Somerset Council

Associate, UK Local Government Association (LGA)

Date of appointment: Chair of Dorset, and Bournemouth, Christchurch &  None None None None 10/05/2017 Poole Safeguarding Adults Boards (2 Boards)

Joint Convenor of the National Safeguarding Adults Board Network (funding through the Care & Health Improvement Programme

Noreen Kent

Non-executive Board

member Greater Glasgow & Clyde Health Board, Nurse  None None None None

COVID-19 Vaccinator (Bank

Date of appointment:

16/12/2020

Angela Parry  Commissioning Consultant (APRA Management

Non-executive Board  Ltd.) - various UK based H&SC organisations and

member public bodies.

Trainer/Assessor None None None None Date of appointment: National Commissioning for Wellbeing Level 5 Cert.

16/12/2020 Various local authorities and commissioning groups.

Associate, UK Local Government Association (LGA)

Jackie Hall

Tribunal member, social entitlement chamber

Non-executive Board

member Director of social care Chailey Heritage Foundation None (PIP) None None

Tribunal Member Mental Health Review

Date of appointment:

Tribunal

16/12/2020

Lesley Bratch

Non-executive Board

member None None None None Committee member for

Enable Jersey.

Date of appointment:

1/10/2021

Details of each of the Commissioners is available at: https://carecommission.je/the-commissioners/

STATEMENT OF  STATEMENT OF RESPONSIBILITIES OF  RESPONSIBILITIES OF THE CHAIR THE CHIEF INSPECTOR

The Chief Inspector works closely with the Chair and Commissioners to The Chair provides leadership and direction to the Commission and

provide strategic leadership and expert technical knowledge and skills to a full list of duties and responsibilities is set out in Appendix 1 of the

ensure the effective and efficient delivery of the Commission s statutory, Framework Agreement.

regulatory and inspection functions in accordance with legislation.

The Chair s principal responsibilities are to:-

ensure that all Board members are fully briefed  assess the performance of individual  The Chief Inspector s duties are to: and receive appropriate training where required Commissioners on an annual basis; and

lead and develop the executive team on  ensure that the Commission s overall

advise the Department of Board vacancies and,  make recommendations to the Minister with  delivering the Commission s corporate plan,  governance framework and controls assurance in conjunction with the Department and the  regard to re-appointment and/or removal from  ensuring effective regulation of health and  structure, including risk management, financial Jersey Appointments Commission, undertake a  office. social care services and registration of care  management and policies and procedures are recruitment process professionals.  appropriate and effective.

build and sustain credibility with the public and  provide regular reports and management registered service providers by promoting a  information to assure the Commission that it is regulatory approach that ensures compliance  fulfilling its statutory responsibilities. with Regulations and Standards, challenges

lead and manage the Commission s executive

poor performance and supports continuous

functions, including business planning, improvement

data protection obligations, performance

   in consultation with the Chair and  management, risk management and audit Commissioners prepare: systems, responses to Freedom of Information

requests and complaints, individual staff

   a Corporate Strategy setting out the

review and appraisal, training and continual Mission, Vision and Values of the

professional development to secure continuous organisation

improvement in the Commission s performance.

   a Business Plan setting out the

ensure sound financial management

Commission s key business objectives,

and monitoring of budgets and advise operating model, and performance

Commissioners on budget planning, income indicators

generation and actions needed to maintain

   a corporate risk framework, including a  expenditure within budget.

risk strategy and risk registers

   an annual report describing progress

against the objectives set out in the Corporate Strategy and Business Plan.

Lead and develop a team of specialist and generalist Regulation Officers to ensure the effective regulation of health and social care services to protect, improve and safeguard the health, care and welfare of the local population.

Ensure consistent high-quality regulatory practice, with a focus on supporting service improvement, monitoring compliance and, where necessary, taking effective enforcement action.

Lead and develop the Commission s business and administrative staff to ensure efficient and effective administration of the Commissions regulatory responsibilities.

Build capacity and develop staff, ensuring the Car Commission acquires the skills and resources to respond to the projected expansion of the Commission s regulatory reach.

Take a lead role in working with States and Government departments and other key

stakeholders in matters related to the regulation of health and social care services and professional regulation. Positively promote the work of the Care Commission and act as a focal point of contact to enquiries from Ministers, government officers, care providers, the public, the media, and others, as appropriate.

Develop and facilitate relationships with people who use services and their families and carers to improve their experience of health and social care and achieve better outcomes.

Lead and support consistent high-quality practice within the staff team, promoting the health, safety, and welfare of employees, managing

e

performance, monitoring standards of work for all staff and promoting diversity and equality of opportunity.

THE WORK OF THE BOARD IN 2021

The Board met, as planned, on six occasions throughout the year.

At each of its meetings, the Board received the  Received and approved the Independent

following suite of documents: Advisory Audit on the Commission s Governance

arrangements.

Agenda

Contributed to an independent review of fees.

Board Minutes

Received and approved a paper relating to

Minute Summary

investigating complaints and concerns in respect of

Chair s Report registered professionals.

Glenn Houston

Appointed 2017. Reappointed 2020.

Lesley Bratch

Appointed 2021.

Si n Walker -McAllister

Appointed 2017.  Reappointed 2020.

Jackie Hall

Appointed 2020.  

Noreen Kent

Appointed 2020.

Angela Parry

Appointed 2020.

Chief Inspector s Update

Head of Governance, Policy and Standards Update

Budget Summary Report

Integrated Risk Register

Forward Look schedule

The Board received other documents as required.

Over the course of the year, the Board s achievements included:

Comprehensively reviewed and revised its Risk Management Framework and the format of the Risk Register, to better demonstrate risk mitigation and to effectively measure its impact.

Responded to written questions from States Members and requests for input into consultation exercises. This included consultation in respect of the establishment of an Ombudsman in Jersey, the Ethical Care Charter, Assisted Dying and the regulation of statutory children s services.

Completed a specification for the employment of an Independent Complaints Reviewer.

Engaged with the Children s Commissioner and Chair of the Safeguarding Partnership Board in respect of the Government of Jersey s approach

to safeguarding the rights of children (particularly children who are looked after by the Government of Jersey).

Completed the annual appraisals for all Commissioners.

Appointed one new Commissioner and the Chief Inspector.

Received an update report in the registration of Individual Care Workers.

Met with the Policy Principal in respect of the regulation of statutory children s services and contributed to the associated consultation.

Reviewed the Commission s existing policies and governance framework; approved the Representation Procedures.

Sanctioned a cleanse of the online medical Dr Alison Allam practitioners register.

Appointed 2017.   Invited to the Board or otherwise met with, the Reappointed 2020. Director General of the Department for Strategic

Policy, Planning and Performance (SPPP); the Head of Governance (SPPP); the Minister for

the Environment and the Minister for Health; the Children s Commissioner; representatives of the Care Federation, and others.

Details of each of the Commissioners is available at:

www.carecommission.je/the-commissioners/  Undertook engagement with the Care Commission

Team.

Received project updates in respect of a range of operational work and ensured that appropriate risk mitigation was in place.

Supported the Team with operational management and governance in the absence of a Chief Inspector.

Ratified an Information Leaflet, approved a communications plan and committed to a review of the Commission s website.

Approved the 2020 Annual Report, Business Plan and Budget Build documents.

STAFF REPORT

The staff working for the Commission are appointed to the Commission but are employed by the States Employment Board (SEB). The effect of this arrangement is that staff are posted to the Commission and are referred to as Commission staff.

The terms and conditions of employment of  Staff are paid in accordance with the Civil Service Commission staff are SEB standard terms and  pay scales. Annual salaries range from Civil Service conditions, including matters relating to pension,  Grade 15 to Civil Service Grade 6.

pay and associated pay increments, flexible working

The Commission will need to expand its workforce if it policies etc. Staff are paid via standard Government

is to meet the challenges associated with regulating of Jersey payroll arrangements.

new areas of activity. One additional Regulation

In 2021, there were 12 permanent staff members and  Officer will be required in 2022 and this is accounted two temporary administrative staff. Two Regulation  for in the Budget Build.

Officers were appointed in January and June 2021.

A new Chief Inspector, Becky Sherrington, was appointed in December 2021.

SUSTAINABILITY REPORT

This is the first sustainability report which the Commission has produced. Therefore, it is important to recognise that the Commission is at an early stage in managing its carbon footprint. The Commission intends to set out its intentions and to measure the extent to which it has achieved these on an annual basis.

In 2019, the States Assembly declared a climate  and their vehicles, the office accommodation and the emergency and in doing so recognised that climate  services which it delivers.

change could have profound effects in Jersey (www.

To manage its environmental performance and to gov.je)

reduce the impact on the environment caused by its As a result, the Carbon Neutral Strategy was  day-to-day operations, the Commission will mirror developed and was agreed by the States Assembly  the Government of Jersey s objectives, as set out in in February 2020. The Commission will therefore  its annual report (2020).

consider the impact on the environment of its staff

Specifically, the Commission will:

comply fully with the requirements of environmental legislation and approved codes of practice

reduce pollution, emissions and waste arising from our activities

reduce the use of all raw materials, energy and supplies

raise awareness among its staff of environmental matters

encouraging similar environmental standards from all regulated activities

participate in discussions about environmental issues

Transport and carbon emissions

The Commission does not own or lease any vehicles. Staff members use their own vehicles to visit regulated activities for the purposes of inspections and associated work. From 2022 onwards, the Team will consider ways in which to reduce the number and length of journeys by, for example, convening more meetings virtually and combining visits to lessen the number of journeys.

The impact of Covid-19 has been such that journeys by Commissioners residing outside of the island to Jersey have been fewer. This has had the overall impact of reducing the Commission s overall carbon footprint.

The International Civil Aviation Organisation (ICAO), has developed a methodology to calculate the

carbon dioxide emissions from air travel which enables the CO2 emissions per passenger to be calculated (https://www.icao.int/environmental-

protection/Carbonoffset). This has been relied upon to determine the Commission s overall carbon emissions in 2021 and a comparison has been made with the previous two years.

Consumption - Utilities

The Commission relocated to its new office accommodation towards the end of 2021 and cannot present a full years breakdown of heating and water use. It will ensure that this detail is provided in its 2022 report.

Consumption - Paper and Resources

The Commission has reduced its reliance on

the use of paper since it became established in 2019. Increasingly, documents are produced and shared electronically. The Commission s Board

no longer relies on documents being produced in printed format and uses electronic versions. More could be done to reduce the reliance on paper documentation, therefore, records pertaining to new service registrations will no longer be retained in printed format. The Commission aims to recycle paper documents that are no longer required for administrative purposes. Unless there is a pressing reason to retain original documents, these will be scanned and stored electronically, in line with the Commission s Data Retention Policy.

The processes associated with registrations

are being reviewed in order that individuals and organisations can complete the entire registration process electronically.

The Commission will ensure that all printer cartridges are recycled.

Although there is no provision in the Commission s premises to recycle glass, staff are asked to take any glass containers which they bring into the building, home in order that they may be recycled through the

staff member s parish recycling scheme.

FINANCE REPORT

Under the provisions of the Regulation of Care (Jersey) Law 2014 the Commission is required to: -

1. keep proper accounts and proper records in  The Commission prepares an Annual Business relation to the accounts; and Plan and associated Budget Build setting out objectives, targets and key performance indicators
2. prepare accounts in respect of each financial year

for discussion and agreement with the Accountable and a report on its operations during the year.

Officer. The Commission determines areas of

The arrangements governing the use of the  expenditure in accordance with its priorities and Commission s financial resources are set out in  commitments, as described in its Annual Business paragraphs 19-36 of the Framework Agreement  Plan.

between the Jersey Care Commission and the

The Commission cannot commit to any new Department of Strategic Policy, Planning and

expenditure unless it can be met from within available Performance.

funds, or from an additional recurring or non-

The accountability and assurance arrangements set  recurring allocation approved by the Government of out in this Framework Agreement are intended to  Jersey via SPPP.

reflect the Code of Practice Principles and accord

The Chief Inspector is required to complete an Annual with the Government of Jersey s Public finances

Financial Assurance Statement which should be Manual 2019.

approved by the Commission before being submitted Income forecasts and the expenditure budget are  to the Accounting Officer.

agreed at the beginning of each financial year with

The Government of Jersey provides a financial

the Accountable Officer, the Director General of SPPP.

management service to the Commission, including The duties and responsibilities of the Accountable

in relation to its core budget and fee income

Officer in respect of the Commission are set out in

(Commission funds).

paragraphs 25- 29 of the Framework Agreement.

Income Sources

Income is received from two sources. Fees are  In addition, the Commission received income from derived from healthcare professionals, regulated  fees prescribed by the Chief Minister at the point at activities, individuals, and premises. The  which the 2014 Law came into force.

Commission also receives a direct allocation which

These fees include: -

is provided from the Government of Jersey and

specified within the core budget.  Making an initial application for registration as a

provider or a manager (Article 4)

The Regulation of Care (Jersey) Law 2014 was

agreed by the States Assembly on the understanding  Replacement of registration certificates

that the former Inspection Team s budget would  (Article 8)

be grant-funded to the Care Commission and that  An annual fee for continued registration (Article 9) this would represent approximately 45% of the total

cost of administering the Law. These monies, the  Applying for a variation on conditions of

core budget, were transferred to a dedicated Care  registration (Article 17)

Commission business unit for financial accounting  Provision of printed copies of Commission purposes. reports (Article 38)

The division responsible for the provision and  The SPPP Department provides an HR framework for oversight of adequate financial and other resources  supporting staff employed by the Commission. required to support the function of the Commission

The main components of expenditure consist of pay, is the Department for Strategic Policy, Planning and

including staff salaries and pension contributions, Performance (SPPP), within the Government of

and non-pay, including goods and services.

Jersey.

Essential support services including information The Accountable Officer for the appropriate use

technology, payroll and legal services are provided of public funds, including the funding for the

directly to the Commission by the Government of Commission, is appointed in accordance with

Jersey at no direct cost. This represents part of the the Public Finances (Jersey) Law 2019, and is the

Government of Jersey s contribution to the overall Director General for SPPP. It is the responsibility of

operation of the Commission.

the Accountable Officer to ensure the Commission

represents value for money. The Commission is required to complete an Annual

Financial Assurance Statement.

Where the Accountable Officer has concerns relating

to fee income, the Accountable Officer will inform  The Commission s accounts for 2021 are audited the Chair and Chief Inspector and may report  as part of the whole of Government accounts and those concerns to the Treasury and Exchequer, the  are published in the Government of Jersey s Annual Comptroller and Auditor General. No such concerns  Report and Accounts for 2021.

arose or were reported in 2021.

The Accountable Officer delegates the management of funds to the Chief Inspector in accordance

with the Department s Scheme of Delegation and the Government of Jersey s Financial Directions. The Board of the Commission supports the Chief Inspector with scrutiny and oversight of financial performance.

JERSEY CARE COMMISSION Statement of Comprehensive

 Net Expenditure

2021 Budget  2021 Actual   2020 Actual

£ £ £

REVENUE

Fee Income  (325,000) (348,986) (338,432) Total Revenue (325,000) (348,986) (338,432)

EXPENDITURE

Staff Expenditure 611,000 625,077 574,895 Supplies and Services 73,000 170,869 74,308 Administrative Expenditure 5,000 4,574 3,796 Premises and Maintenance 1,000 34,780 2,796 Total Expenditure 690,000 835,300 655,794

Net Revenue Expenditure -

365,000 486,314 317,363 Funding Received from Government of Jersey

The Commission incurred one off and additional expenditure items during 2021, such as contracting external consultants to lead and co-ordinate the search for a new Chief Inspector, administrative support for projects, and office relocation and rental costs. These were discussed and agreed with the Government sponsoring department, Strategic Policy, Planning and Performance and additional funding was made available over and above the annual budget to cover these costs.

JERSEY CARE COMMISSION Budget Position

The budget reports an overspend, mainly relating  Professional Fees - (42,609) to operating expenditure.  The allocated budget was £10k

The overspends relate to each of the following  Rent - (27,219)

areas of activity: No designated budget was allocated in 2021

Advertising - (29,276)

No designated budget was allocated in 2021

Hired services - (21,720)

No designated budget was allocated in 2021

APPENDIX 1

Inspections Quality Assurance Summary of Responses

THE FEEDBACK  AREAS OF CONCERN... IS POSITIVE...

In general when areas for improvement ...particularly in relation  are identified during an inspection,

to how inspections are  these and their associated

undertaken.  timescales are perceived to be

reasonable.

24 GENUINE managerswere

BENEFITS

Providers and

RESPONSES  able to identify  HELPFUL RECEIVED  genuine benefits  SUPPORT INSPECTOR to the inspection

RECEPTION process.  When there has 17 care  been a need to homes Feedback  contact the

demonstrates that  Commission for

Inspectors invariably  advice or support 7 home  introduce themselves,  IMPROVEMENTS outside of

care  speak with staff, care  inspections, the services receivers & relatives  A varied range of  Commission is

and spend time with  responses were provided  perceived as

managers.  tpor ohcoews sth me iignhstp beec tion  helpful and improved. responsive.

AWARENESS

In most cases, respondents  did not believe that the  Commission has a high  PANDEMIC

enough profile or that its role  SUPPORT OPERATING

and function are clearly  IMPROVMENTS understood.  Although feedback indicates

that individual inspectors  Several suggestions

were supportive throughout  were provided about

the pandemic, the  how the Commission

organisation as a whole is  might improve how it LENGTH OF  criticised for not being  operates or do things

INSPECTIONS  sufficiently vocal or  differently.

VARIES WIDELY proactive.

The Commission values feedback from the regulated sector about all aspects of its work and particularly about the inspection process. In 2019-2020, the Head of Governance, Policy and Standards undertook a series of visits and virtual discussions with managers and providers, to source feedback. As this became less feasible as a result of restrictions associated with visiting services, a decision was taken to adopt an alternative methodology in 2021.

Questionnaires were sent out to every provider/ homes are provided by the Government of Jersey manager following an inspection in 2021. A total of  i.e., it is the same provider who has received the 24 completed questionnaires were received.  questionnaires.

Seventeen questionnaires were received from  As Regulation Officers are named in the feedback, care homes and seven from home care providers.  anonymity has been assured in this report, by

No responses were received from day centres or  substituting the word Inspector .

children s residential homes. However, there are

The questions are highlighted in bold type and few day centres, and it is important to note that the

precede a brief analysis and a summary of majority of day centres and children s residential

responses.

Was the inspection announced or unannounced?

Most responses indicate that the inspection was  inspection in a home care service than a care home. announced. However, this should be understood  Where inspections have been announced, providers in the following context. The Commission has  received limited notice (usually 24 hours). continued to operate with an adapted methodology

Providers and managers appear to have reacted on account of the ongoing pandemic; undertaking

positively to the announcing of inspections. Whilst more announced inspections than would usually

this is encouraging, there is a need to balance this be the case, in response to infection-related

against the public expectations that inspections be intelligence. It is also important to note that it

unannounced.

is more difficult to undertake an unannounced

If the inspection was announced, were you able to prepare for the inspection? How did you do this?

It is apparent that managers and providers were able  For efficiency, we prepared in advance all the to make use of the period of notice to ensure that  required paperwork, evidential records, and HR they were better prepared for the inspection. For  files.

example, relevant documentation could be collated. There was nothing to prepare, as all records are on I printed a copy safeguarding and recruitment  the computer. I made sure I was available.

policy. I also gave phone numbers of staff and  having the inspection announced (meant that) I some clients, as requested. was able to ensure that someone was (present at

Ensured files up to date, reviewed Statement of  the) home, also at the time I managed another two Purpose and had relevant documents ready i.e.,  homes, so I was also able to ensure that I was at mandatory training records (name of care home) for the inspection.

(CONTINUED)

Did the inspector introduce themselves on arrival and explain the purpose of the visit?  Did the inspector provide a summary of findings at the end of the inspection?

It is positive to note that the response to this  Yes, and also signed into the visitor s book. All respondents said that this happened. Summaries  that although it was perceived that the inspector question was unanimous and that this always  were provided verbally in most cases although  had indicated that there would be no improvements

happened. Responses included: Yes, both introduced themselves fully and outlined  occasionally this happened via email (this may have  required, the report included two.

how the inspection would be undertaken. been due to the manager not being on site at the

time of the inspection). One concern was noted in

Did the inspector speak with staff/care receivers/relatives?

The responses overwhelmingly indicate that this  also contacted other staff members by email  Did the inspection report accurately reflect the discussions/summary during the visit? happened, although feedback confirmed this was  and made contact with family members after the

sometimes difficult to achieve on account of Covid- inspection. All but one of the respondents indicated that the  the inspection report did not fully accord with the related restrictions. Responses included: Yes and also made notes of social workers that  report was fully aligned with the discussions during  visit, and that further discussion took place via MS Yes spoke to staff on shift and also care  have been involved so she could get feedback. the inspection visit. The one exception noted that  Teams and emails afterwards.

receivers in the house at the time. The inspector

Was the inspection report well-written? Did it make sense?

Did the inspector speak with the manager of the service?

The feedback was overwhelmingly positive.  need to challenge some areas but that this had not The responses were unanimous, and it was apparent  Comments included that reports were very  resulted in the change which they were wanting. that this took place on every occasion. comprehensive and well-written , well structured ,

 articulate . One respondent noted that they felt the

How long did the inspection last and was this length of time appropriate?

The responses varied widely. It is important to note that the types of services which the Commission inspects range from small home care providers to very large care homes. Consequently, it is likely that inspection methodology, including duration, will be tailored according to the needs of the service.

The shortest time cited was two hours. In this instance, the respondent expressed that, for this

Were any areas for improvement identified? Were the timescales for organisation, it was long enough to cover all  improvement appropriate?

requirements .

Where such areas were identified, the timescales  no consideration was given to the additional costs Tinspections lasted an inorhe feedback does not generdinate length of time, with ally suggest that  were considered to be reasonable , appropriate  associated with making the improvements.

most respondents commenting that inspections,  or manageable . One respondent commented that

lasting a few hours or up to one day, were of

appropriate length. In some cases, inspections

lasted for two or three days.  What has been the impact of the inspection upon the service? Was the inspection

process of benefit to the service?

Were any areas of concern noted by the inspector and discussed at the time?  A range of responses were provided in answer to Were these findings reasonable? these questions, and these demonstrate that various

positive changes have taken place as a result of the Some inspections did not identify any areas of  Yes, two areas of improvement were identified  inspection process.

concern. Where some were noted, it appears to be  and discussed, these were reasonable areas for  Inspection is an important part of the care industry the case that these were regarded and responded to  improvement and valuable to maintain standards.

positively by providers and managers, although there  Areas of concern were highlighted and discussed

were occasional areas of disagreement. with the Inspector, and these were all reasonable. Gave assurgoal of person focused carance that we are working towards our e for all relatives.

The following comments were received: Yes, Staff needing Advanced course in Autism,  Think it s beneficial and highly relevant to ensure No areas of concern, however the inspection  and update with Makaton, very reasonable, I am in  we are providing safe and effective care.

prompted useful discussions which is helpful to  agreement.

me as a new manager.

Absolutely, it gave the residents and staff support, reassurance that the upheaval they had been living through was going to be worth it and that higher standards are being and will continue to be achieved with their effort.

An external review is always of use to us as we are passionate about enhancing lives and continuous improvement of our services.

Yes of great benefit in terms of independent oversight and in providing leverage for implementing improvements.

(CONTINUED)

How can the inspection process be improved? This question generated many varied responses.

One respondent suggested that inspections be undertaken more frequently. Another commented that the inspection process had taken too long and should have been completed within a shorter period.

Other comments included:

Provision of agenda and timings i.e., management discussion, staff interviews, data reporting feedback, summary and feedback of initial findings. (N.B. This respondent felt that the inspection process should be more formalised with a specified agenda and timings for meetings).

Is there anything that the Commission could do to improve how it operates? Is there anything that we should do differently?

I am happy with the inspection process for

my areas. I don t feel there is any need for  This question generated a range of responses and  Possible meetings which could involve staff to improvement. suggestions, which were generally positive. provide feedback.

I feel that the inspection process works well by  No, I think it s important that they function as they  In our opinion the balance between the regulatory including the views of the relatives and staff.  do to remind Home Care workers / organisations  function and providing advice is right.

We feel the process is fair and the communication  why the need for regulation. The relationships

between service provider and inspector is good. are perfectly balanced as they are approachable  Give a chance to less experienced stafabout their answers, some of staff members f to think

and friendly but also very professional and honest  don t understand abbreviations.

ensuring that we are aware of their role and the

importance of regulating services. I am currently happy with the JCC and its ways of

operating, and support provided.

Perhaps more training/information/ open days for

the sector when the pandemic settles.

Have you needed to contact the Commission outside of inspections? Has the Commission been helpful?

Most respondents indicated that they had needed to, on occasions, contact the Commission. Where this had happened, the feedback was overwhelmingly positive.

Yes, I have (made contact with the Commission) several times. I ring for advice and to talk things through, this enhances the care delivery for all.

Yes to ask advice, and yes always get an informative and helpful reply.

I have made contact outside of inspections and have found the Commission to be very helpful and they respond in a timely manner.

Yes, I have several times, this for me is the most useful function of the Commission, to have access to an inspector just to ask their advice.

Yes, at times I have made contact and they have been very helpful with giving information in a professional, friendly manner.

Does the Commission have a high enough profile, and do you feel that people understand its role and function?

This question generated suggestions for improvement. The majority of respondents expressed that the Commission does not have a high enough profile and various respondents concurred that the Commission has not been sufficiently vocal throughout the pandemic. A minority of respondents believed that the Commission either has a high enough profile, or that the situation is improving.

There has been a lack of visible support for the Care Sector from the Commission as a body regarding the challenges service providers faced during the Pandemic. Inspectors leaving the Island to work remotely for months added to this perception.

I don t feel enough residents and relatives are aware of it. At a recent committee meeting with 2

residents and 2 relatives none had heard of it.

No, I believe the general public are not aware that they can contact the Care Commission with any concerns or complaints.

This could be promoted further. Provision of materials to share with staff would be helpful. Perhaps something to be shared on the website (of the organisation which was inspected), and Facebook etc

No, I do not think the role is clearly understood.

A higher profile certainly is needed. Effective communication to the general population and service providers would be seen as positive. Post Pandemic would be an ideal opportunity for this.

APPENDIX 2: Health Care Registration

Annual Renewals of Health Care Registrations

Health and Care Professionals are required to complete an annual renewal. Each year, some registrants do not renew (e.g., registrant no longer practising in Jersey).

Registrants renewed 1899 Registrants removed from register 320 Renewals Processed (Total) 2219

Medical Practitioner Registrations

Health and Care Professionals are required to complete an annual renewal. Each year, some registrants do not renew (e.g., registrant no longer practising in Jersey).

2021 Pending Applications 2020

Medical Practitioner 98

127 4

Medical Practitioner Registrations by month:

Health and Care Professionals are required to complete an annual renewal. Each year, some registrants do not renew (e.g., registrant no longer practising in Jersey).

Health Care Registrations by month:

A(CPONPTEINNUEDDI )X 2  APPENDIX 3

Professions which are registered by the Commission

Dental Registrations