Regulation 11

ensure that every approved permanent premises is operating at all times;

ensure that every approved permanent premises is sufficiently spacious and appropriately equipped to enable the nursing home service (including any essential life‑saving measure) to be provided to patients in a proper, effective and safe manner;

ensure that there is sufficient lighting and ventilation at every approved permanent premises;

ensure that every approved permanent premises is designed, built and equipped to enable and facilitate —

access to and from the approved permanent premises by elderly patients or patients with physical disability or mobility impairment; and

movement within the approved permanent premises by elderly patients or patients with physical disability or mobility impairment;

ensure that every approved permanent premises have wide passageways to enable and facilitate the movement of personnel, patients and bulky equipment including trolley beds, shower trolleys and wheel‑chairs;

ensure that adequate toilet and bathing facilities that are suitable for the use by elderly patients or patients with physical disability or mobility impairment, are available at the approved permanent premises or (where the approved permanent premises comprises 2 or more storeys) at each storey of the approved permanent premises where any patient is accommodated;

ensure that there are sufficient beds, mattresses, pillows, chairs and lockers at every approved permanent premises so as to enable the allocation of a suitable bed with mattress, pillow, chair and locker to every patient;

ensure that there are sufficient bed screens to safeguard every patient’s privacy;

establish and implement a patient-to-nurse communication system at every approved permanent premises to facilitate communication between a patient and any nurse at the nursing station, including when a patient is at his or her bed or in any toilet and bathing facilities;

ensure that any care or treatment (other than an essential life‑saving measure) is provided to a patient only in an area at the approved permanent premises that is sufficiently spacious, appropriately equipped and, if necessary, partitioned (whether on a permanent or temporary basis) from the other parts of the approved permanent premises to ensure the patient’s comfort, safety and privacy;

where the approved permanent premises consists of one or more storeys, ensure that at each storey where any patient is accommodated, there is —

at least one nursing station; and

at least one sluice room;

designate at least one area at every approved permanent premises where patients can have their meals or carry out recreational activities;

designate at least one area at every approved permanent premises where patients can receive rehabilitative service;

designate at least one area in every approved permanent premises for the accommodation of patients suffering or suspected to be suffering from an infectious disease specified in the First Schedule to the Infectious Diseases Act 1976, and ensure that the area is equipped with hand‑washing facilities;

ensure that the area mentioned in paragraph (n) is —

separate and isolated from the area at which all other patients are accommodated; and

designed, built and equipped to minimise the risk of the transmission of any infectious disease among the patients staying in that area, or from a patient staying in that area to any individual outside that area;

ensure that any room or equipment that has been used by a patient suffering or suspected to be suffering from any infectious disease is not used by any other patient unless it is adequately disinfected; and

implement measures to prevent unauthorised access to every approved permanent premises.