Skills for Care NMDS-SC - Online Help Article - What are the types of Care Services provided?

Selecting the main service:

If the establishment is CQC (formerly CSCI) or Ofsted registered, the main service is the category which refers to the type of CQC or Ofsted registration applicable to the establishment.
If not CQC or Ofsted registered, the main service is the one that employs the most staff or, if equal, the one that requires the greater number of staff working hours.
Head offices should select as their main service the service which best describes the services the organisation provides. If managing residential care services this could be ‘Other adult residential care service’, if the head office is not CQC registered. If multiple services are provided it could be ‘Social work and care management’ or ‘Other adult community care services’.

Descriptions of care services

Where possible we have used National Minimum Standards to define the categories of care service.

Adult residential care service	Definition
Care home with nursing provision	Care home providing nursing. NMS category NC
Care home without nursing provision; care only	Care home providing personal care without nursing, and those not providing medication or medical treatments. NMS categories PC and NM
Adult placement home	Short or long term accommodation, care or support provided by an approved adult placement carer, working with a maximum of 3 adults. (Even if the service is non-registerable). NMS category AP Care home providing adult placement. Note that adult placement schemes come under adult community care
Sheltered housing	Provision of sheltered/very sheltered/extra care housing; assisted living; supported living for older people and adults aged 18+
Other adult residential care services	Other types of residential provision for older people and adults aged 18+ not described above. This category includes residential respite care.

Adult day care service	Definition
Day care or day services	Day care and day services for older people and adults aged 18+. Day services are where service users participate in activities, excursions etc. not at one centre only. Note that ‘employment related’ services come under “Adult community care services”.
Other adult day care	Any other types of day care provision not described above where service users are older people and adults aged 18+ e.g. Might be provision for Mental Health services.

Adult domiciliary care service	Definition
Domiciliary care / home care	A domiciliary care agency (including employment business) providing a service which consists of or includes arranging the provision of personal care in their own home for persons who by reason of illness, infirmity or disability are unable to provide it for themselves without assistance. Also includes employment agencies which act solely as introducers of workers with no further management role. (Service user pays worker directly)
Home nursing care	Operating as an employment business: hiring nurses directly to patients in their own home. May also provide similar services to others such as the NHS, private hospitals, nursing homes and directly to patients in their own home. Also includes employment agencies which act solely as introducers of workers with no further management role. (Service user pays worker directly)
Domestic services and home help	A service providing non-personal care services, such as cleaning, cooking, meal preparation, shopping, for older people and adults aged 18+
Meals on wheels	Meals on wheels for older people and adults aged 18+
Other adult domiciliary care service	Another type of domiciliary care provision not described above for older people and adults aged 18+ in their own home

Adult community care service	Definition
Carers’ support
Short breaks / respite care	Short breaks / respite care includes community respite care. Residential respite care is included in “Other adult residential care services”.
Community support and outreach
Social work and care management
Adult placement service	For older people and adults aged 18+. An adult placement scheme means a scheme carried on (whether or not for profit) by a local authority or other person for the purposes of: · recruiting and training adult placement carers; · making arrangements for the placing of service users with adult placement carers; and · supporting and monitoring placements. It does not include arrangements made by a person solely for the provision of care and support for his or her relative. Adult placement care homes come under “Adult residential care services”.
Disability adaptations, assistive technology services
Occupational /employment-related services
Information and advice services
Other adult community care service	Another type of community provision not described above for older people and adults aged 18+

Children’s residential care service	Definition
Care home / hostel	Includes any of the following services: · Children’s home (which is not in any of the categories below) NMS category CH · Children’s home providing accommodation for the purpose of restricting liberty (secure unit) NMS category SU · Half-way house children’s home (for children aged 16 or over preparing for independent living) NMS category HH · Refuge under section 51, Children Act 1989 NMS category RFG
Family centre (residential)	Provides accommodation for children and their parents to develop parenting skills, where the parents’ capacity to respond to the children’s needs and to safeguard their welfare is monitored or assessed, and the parents are given such advice, guidance or counselling as is considered necessary.
Residential school	· Residential special school (accommodating any child over 295 days a year) NMS category SCH · Boarding school (other than a special school – accommodating any child over 295 days a year) NMS category SCH
Other children’s residential care services	Any other type of residential provision for children aged under 18 not described above.

Children’s day care service	Definition
Full day care facility, e.g. day nursery	Provides day care for children under 8 for a continuous period of 4 hours or more per day in non-domestic premises. Includes day nurseries and children’s centres, and some family centres
Sessional day care facility e.g. play group/pre-school	Provides day care for children under 8 for a session which is less than a continuous period of 4 hours in any day in premises that are not domestic premises. Where 2 sessions are offered in any one day, individual children must not attend more than 5 sessions in a week
Out of school club	Provides day care for children, and operates before school and/or after school. The total care provided is for more than 2 hours in any day and for more than 5 days a year. Open Access Schemes are included
Holiday club	Provides day care for children, and operates during the school holidays. The total care provided is for more than 2 hours in any day and for more than 5 days a year. Open Access Schemes are included
Crèche	Provides occasional care for children under 8 on particular premises on more than 5 days a year. They need to be registered where they run for more than 2 hours a day, even when individual children attend for shorter periods
Childminder	Person registered to look after 1 or more children under the age of 8 to whom they are not related, on domestic premises, for reward and for a total of more than 2 hours in any day
Other children’s day care service	Any other type of day care provision for children and young people aged under 18, not described above. Social care in schools could be recorded here

Children’s domiciliary care service	Definition
Children’s domiciliary care	Any type of domiciliary care provision for children

Children’s community care service	Definition
Fostering or adoption service / agency	An agency discharging functions of one or more local authorities in connection with the placing of children with foster parents or a private or a voluntary organisation which places children with foster parents.
Child protection	For children and young people aged under 18
Family centre	For children and young people aged under 18 and their families
Social work and care management	For children and young people aged under 18
Family support	For children and young people aged under 18 and their families
Information and advice services	For children and young people aged under 18
Mental health	Children’s and Adolescents’ Mental Health Services (CAHMS)
Other children’s community care service	Any other type of community provision not described above for children and young people aged under 18

Healthcare	Definition
NHS Primary Care Trust	Part of the NHS Hospital and Community Health Services (HCHS)
Social Care NHS Trust	Part of the NHS Hospital and Community Health Services (HCHS). Combined Mental Health and Social Care Trusts should be included here.
Mental Health NHS Trust	Part of the NHS Hospital and Community Health Services (HCHS)
Other NHS Trust or NHS Foundation Trust	Part of the NHS Hospital and Community Health Services (HCHS)
Any other part of NHS Hospital and Community Health Services (HCHS)	Includes strategic health authorities, special health authorities and other statutory bodies which are part of NHS Hospital and Community Health Services (HCHS)
Any other part of the NHS	Any other NHS organisations not included in the above, e.g. GP surgeries, pharmacists, dentists, opticians employing staff via General Medical Services (GMS) or Primary Medical Services (PMS).
Independent acute or mental health hospital	A private, voluntary, not for profit or independent acute or mental health hospital.
Independent hospice	A private, voluntary, not for profit or independent hospice
Independent out-patient service, day service, clinic	A private, voluntary, not for profit or independent out-patient service, day service or clinic where services are provided by medical practitioners.
Other independent healthcare setting	Any other private, voluntary, not for profit or independent healthcare service not in the above three categories.

Other care services	Definition
Other care services	Any other types of care services for older people, adults or children not covered by any of the above descriptions

What are the types of Care Services provided?

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