1. Introduction
The intention of regulation 18 is to specify a range of events or occurrences that must be notified to CQC so that, where needed, CQC can take follow-up action.
Providers must notify CQC of all incidents that affect the health, safety and welfare of people who use services. The full list of incidents is in the text of the regulation.
All providers must send their notifications directly to CQC unless the provider is a health service body, local authority or provider of primary medical services and it has previously notified the NHS Commissioning Board Authority (now known as NHS England).
Injuries include those that lead to, or that if untreated are likely to lead to, permanent damage – or damage that lasts or is likely to last more than 28 days – to: a person’s sight, hearing, touch, smell or taste
- any major organ of the body (including the brain and skin)
- bones
- muscles, tendons, joints or vessels
- the development after admission of a pressure sore of grade 3 or above that develops after the person has started to use the service
- any injury or other event that causes a person pain lasting, or likely to last, for more than 28 days
- intellectual functions, such as
- intelligence
- speech
- thinking
- remembering
- making judgments
- solving problems.
- Injuries or events leading to psychological harm, including:post traumatic stress disorder
- other stress that requires clinical treatment or support
- psychosis
- clinical depression
- clinical anxiety
These lists are not exhaustive.
SCENARIO 1 – CATHY HAS A LOSS OF VISION
Cathy Briggs is a service user at a care home she is 24 with a pre-existing diagnosis of depression. She is in involved in an incident where she has lost her vision. This looks as if it will be a permanent loss of vision and her parents and members of her care team have been notified, should staff notify CQC?
SCENARIO 2 – ASHLEY AND THE STAIRS
Ashley Dod is a service user at a care home, he is 29 and has pre-existing diagnosis of Schizophrenia. He was running down the stairs out of excitement and sprained his ankle,m staff took him to the hospital to ensure there was no fracture, the doctor advised that the pain should subside after 5 days. Staff notified his family about the sprained ankle, should they notify CQC?
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