Ar ôl ymgynghori ac ymgysylltu eto â Choleg Brenhinol y Nyrsys, rydym wedi diwygio a chryfhau ein dull gweithredu ar gyfer staffio gan gyfeirio at Nyrsys Cofrestredig yn benodol. Mae’r gofynion newydd ar ddarparwyr gwasanaeth yng nghyswllt staffio yn adeiladu ar y sylfaen yr wyf wedi’i disgrifio uchod. Maent yn unol â’n dull gweithredu cyffredinol o ran rheoleiddio gofal a chymorth oherwydd nad ydynt, fel yr awgrymwyd, yn ymwneud â lleihau presenoldeb Nyrsys Cofrestredig mewn cartrefi nyrsio pan fo’u hangen, ond yn hytrach yn ymwneud â’i gryfhau drwy gysylltu hyn ag anghenion y preswylwyr.  Mae’r rheoliadau’n ei gwneud yn ofynnol i’r darparwr gael cymaint o nyrsys yn bresennol yn yr eiddo ag sy’n ofynnol yn ôl anghenion asesedig y preswylwyr, a’u bod yn gallu dangos sut maent wedi pennu’r nifer hwn.  Mae hyn yn cynnwys gofyn penodol, lle mae unigolyn wedi’i asesu yn rhywun y mae angen gofal nyrsio 24 awr y dydd arno, bod digon o nyrsys cofrestredig sydd â’r cymwysterau addas ar gael i weithio yn y gwasanaeth ar bob adeg.  Mae hyn er mwyn i ddarparwyr ystyried a gallu cyfiawnhau nifer y Nyrsys Cofrestredig ar y safle, a’r cymwyseddau craidd y mae gofyn iddynt eu cael, er mwyn gofalu am yr unigolion hynny sydd ag anghenion gofal nyrsio sy’n derbyn y gwasanaeth, mewn modd sensitif a chynhwysfawr.
After consultation and further engagement with the Royal College of Nursing, we have reviewed and strengthened our approach to staffing with reference to Registered Nurses in particular. The new requirements on service providers in relation to staffing build on the foundation which I have described above. They are in line with our whole approach to the regulation of care and support in that they are not, as has been suggested, about diluting the presence of Registered Nurses in nursing homes where these are needed, but rather about strengthening it by tying it to the needs of the residents. The regulations require the provider to have on the premises as many nurses in attendance as the residents’ assessed needs dictate, and to be able to demonstrate how they have determined this number. This includes a specific requirement that where an individual is assessed as needing 24 hour nursing care, there is a sufficient number of suitably qualified registered nurses deployed to work at the service at all times. This is so that providers consider and can justify the number of Registered Nurses on site, and the core competencies they are required to have, in order to care sensitively and comprehensively for those individuals with nursing care needs in receipt of the service.