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Live-in, Night Care, and 24-hour Care in Domiciliary Care (Wales) Policy

Policy Statement

This policy is written to show how {{org_field_name}} organises its living-in/sleeping-in/24-hour care services in line with the requirements of the Regulated Services (Service Providers and Responsible Individuals) (Wales) Regulations 2017, where they apply.

It describes the arrangements made to ensure that {{org_field_name}} is providing safe and effective care for the people using the service and is meeting its responsibilities for the health and safety of the care workers involved, particularly where one-to-one care is being provided.

The policy applies to situations whereby {{org_field_name}} has agreed to:

The policy should be used with reference to other relevant care and staffing policies, particularly those concerning the safeguarding of people using the service and care service staff and where continuous supervision is required, human rights and deprivation of liberty.

{{org_field_name}}’s Lone Workers policy is particularly relevant for care workers engaged in living-in or sleeping-in duties on their own.

These services for the most part are provided to people living in their own homes or in supported living arrangements. More exceptionally the agency could be asked to provide a service to someone in a care home, where, for example, the home cannot provide all the resources needed to meet their care and support needs.

{{org_field_name}} is mindful of the fact that any living-in or sleeping-in arrangement will be intrusive to the way of life of the person receiving care and potentially stressful to the care workers involved. It always needs to be carefully planned and introduced. Because it involves a person receiving care and possibly other family members having strangers to live-in and share their home and a care worker being a stranger in another person’s home, adjustments will always be needed and there will inevitable compromises to be made in order to achieve the best possible outcomes for the person receiving care.

The agreed service could be provided as a private arrangement between person receiving care (or their representatives) and the agency as care provider or as a commissioned care programme planned and organised by health and/or local authority social care services.

Care-related Issues

The agency works on the basis that any living-in or sleeping-in arrangement will be an integral part of a person’s agreed care plan, decided from their needs and risk assessments. The care workers’ roles and tasks will be detailed in the person’s care plans and the contracts or service agreements that are entered into.

The care plan will include the personal care tasks to be carried out as “regulated activity” in line with the agency’s registration status and/or local commissioning requirements.

Where the care and support is being shared between more than on provider (including where the service is being provided to someone in supported living or a care home), {{org_field_name}} will ensure that the care plan clearly distinguishes the respective tasks of the different providers and that its own care workers are clear about their roles and responsibilities.

Any additional tasks to be carried out by care workers that lie outside the definition of regulated activity, but are part of general “living-in”, will be specified in the service agreement/contract. These could include: general housework, shopping, cooking, laundry and cleaning, emotional and social support, companionship and escorting in relation to social activities and outings, and help with pet care.

{{org_field_name}} will always ensure that it will provide staff who are both competent and committed to carrying out the proposed range of tasks, particularly those that are not formally defined as personal care.

The provision of {{org_field_name}}s to people in supported living arrangements, particularly where they have complex needs, will often be carried out by more than one worker as part of a shift pattern. In these instances, {{org_field_name}} ensures that there is good communication and continuity of the care and support provided.

In the event of providing its services to a resident of a care home, the agency recognises the importance of its staff developing good working relationships with the home’s staff with clear lines of responsibility and accountability built into the service agreement.

Making the Arrangements

{{org_field_name}} uses the term “live-in” care to apply to arrangements whereby one or more of its care staff will be available to the person receiving care over an agreed period of time as continuous day and/or night care that could extend to being on a 24-hour basis. The exact arrangements, including duration, the length of staffing shifts and times off, are worked out on a situation-by-situation basis. This reflects {{org_field_name}}’s commitment to providing flexible, responsive services tailored to individual needs and circumstances.

A “live-in” service will usually include some form of night care or “sleeping-in” duties, though night care or “sleeping-in” can be part of a separate care arrangement. Where 24-hour care is being provided, {{org_field_name}} will make sure that the sleeping arrangements and other facilities available for its care workers are adequate and acceptable to them and can ensure an appropriate and acceptable degree of privacy that does not, at the same time, compromise the privacy and dignity of the person receiving care.

{{org_field_name}} distinguishes between its provision of a “night care” service which involves having a carer being active and/or wakeful (with agreed periods of respite) throughout or for most of the night and “sleeping-in”, which requires the care worker to be only available to provide night care as needed, but otherwise being able to sleep.

{{org_field_name}} always ensures that the arrangements made will always reflect the individual’s care needs and will adjust its care workers’ terms and conditions of employment, including payments, to the work demands of the individual situation.

{{org_field_name}} is mindful of its duties of care to both people receiving care and its employees in making the arrangements and will put in place any safeguards needed to provide mutual protection.

Staff Support and Training

Staff who agree to be employed under a “living-in” or “sleeping-in” arrangement will be appropriately trained and well briefed and have support available at all times. The policy is to use only experienced, competent and committed staff for these purposes.

This applies particularly to the care of people living with dementia and only staff who have had dementia care training will be employed in these circumstances.

When on duty as lone workers, all risks to their health and safety will be assessed and risk management plans put in place as required in line with the service’s policy on lone working.


Responsible Person: {{org_field_registered_manager_first_name}} {{org_field_registered_manager_last_name}}

Reviewed on: {{last_update_date}}

Copyright ©2024 {{org_field_name}}. All rights reserved

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