4 | CANINE HYDROTHERAPY ASSOCIATION Quality Standards August 2023 C HA Version 2.7 08/2023 Canine Hydrotherapy Association ‘At renewal every member signs the CHA terms and conditions which says they HAVE read this document and will follow it. Most questions of: How do I? What should I do if? Which members ask are answered in this document. Please ask all of your team members to re-read this document during August/September before signing the renewal T’s and C's. Recent changes and sections which we suggest all members read carefully are highlighted in blue. (Oct 23) Pet © CHA Quality Sandards Vz7 01/08/23INDEX 1_| Introduction 2_| Becoming a Member 2.1 _| Criteria for membership 2.1.1 | Qualified Animal Physiotherapist, Velerinary Surgeon or Veterinary Nurse 22_| Other Regulations 23 Categories of Membership 24 Application Process 2.5 | Multi Centres 3__| Existing Members 7 3.1__ | Continual Professional Development (CPD) 3.1.1 | Policy Statement 3.12 | Purpose 3.13 _| Benefits 3.7.4 | Requirements 3.15 Standards 3.1.6] Audits 3.1.7 _| Sanetions 3.1.8 | Other— Cancelled CPD, registering as non-practicing and avolding CPD 3.1.8.4 | Cancelled CPD 3.1.8.2 | Registering as non-practicing 3.1.83 jance of CPD External CPD (Category 1) Internal CPD (Category 2) Personal Professional Development a2 THE STANDARDS 4 | Veterinary Liaison & Consent "4 41_| Consent Forms 42__| Vaccinations 42.1 | Unvacelnated animals 5 _| Treatment Methods 2 51_| Due Care and Attention 52_| Treatment Sessions 5.2.1 Treatment Records 522 | Treatment Times 5.2.3 _| Session cut short 5.3 Veterinary Reporting 5.3.1 Initial Hydrotherapy Assessment 5.3.2 Veterinary Progress Report 5.3.3 _| Repeat Consent Form 54__| Documentation Retention Periods 6 _| Water Quality Management 14 61 | UK Legislation Requirements 6.2 Risk to Service users & Staff 6.2.1 Duty to minimise the risk to service users & Staff 6.22 | Legionnaires Risk Assessment 62.3 _| Material Safety Data Sheets (MSDS) 6.2.4 | The Personal Protective Equipment (PPE) Regulations 2002 6.2.5 Safe Storage of Chemicals pe. 2 CHA Quality Sandards v2.7 01/08/23%3__ | Emergency Procedures — Action Plan 64 __| Water Testing 641 _| Sanitisers 6.4.2 | Water Testing Equipment 6.4.3 | Water Quality Levels and Ranges &5_| Water Temperatures 6.6 ___| Monthly UKAS Testing 7_| Equipment Specifications & Safety 6 7.1 [Requirements 7.2__| CHA Recommended Equipment 7.2.1 | Hoist 7.2.2 | Floatation Jackets 7.2.3 _| Restraint Harnesses 8 _| Normal Operating Procedures 7 6.1__| Health & Safety 8.2 Emergency Procedures 8.2.4 Requirements 9 | Centre Insurance 20 3.1 | Requirements 10 | Inspection & Certificates a 70.1_| Inspections 10.2_| Membership Certificates 10.2.1 _| Staff within the centre 10.3 | Adding an additional member to the team 10.4_| Reporting a long-term absence 10.5 _| Member returning to work or leaving the centre 11_| Website & Social Media 12_| Renewal Procedure 2 13_| Suspension Policy 14 [Version Control 2 pe. 3 CHA Quality Sandards v2.7 01/08/23,1. Introduction The Canine Hydrotherapy Association (CHA) is striving to raise and regulate the quality, standard and consistency of canine hydrotherapy in the UK. The need for regulation is twofold; firstly, there exists a real threat that unless the industry regulates itself, in time regulation will be forced upon it. Secondly, there are commercial benefits to be attained through regulated quality and standards, with both the insurance and veterinary professions having a method of identifying those centres with which it is safe to work. The CHA is committed to promoting its member centres and the use of canine hydrotherapy by regulated CHA members to dog owners, veterinary surgeons and others to aid greater understanding of the use of hydrotherapy for canine welfare and to that end we may release members’ relevant information where appropriate so to do. All centres wishing to hold CHA membership, and all individuals working within those centres, will have to comply with the quality standards detailed within this document. In order to add extra weight and credibility to these standards. Centres will be audited as part of the membership application process and from time to time thereafter; against these standards. The quality standards detailed in this document are in no way intended to replace or amend any legislative requirements. Centre Appearance/Professionalism Each centre should strive to achieve standards of hygiene, tidiness and professionalism which would be expected in a veterinary setting. This means on a day-to-day basis it is advisable to look around your centre and consider what actions you would want to take if you were given prior notice of an audit. 2. BECOMING A MEMBER 2.1, Criteria for membership The Canine Hydrotherapy Association represents most hydrotherapy centres in the UK and welcomes new members who are currently operating or imminently opening a canine hydrotherapy centre and formally agree to abide by the Quality Standards set by the CHA. Every centre must have at least one operative holding a minimum Level 3 Certificate in Hydrotherapy for Small Animals on the Qualifications and Credit Framework (OCN Midlands, ABC or OCNLR). From October 2019 any new application for a centre where an underwater treadmill is used at least one qualified operative must have undertaken and achieved additional Advanced treadmill qualifications. On the old ABC framework (prior to 2020) this may have formed part of your Diploma or you may have undertaken the Advanced Treadmill theory and practical modules. For OCNLR, OCN Midlands and the new ABC qualifications this now forms part of their L4 Awards. All new centres open for less than 12 months are required to undertake an Individual Assessment Day (IAD) with CHA nominated assessors (Depending on number of staff at the centre, this may need to be ‘over 2 days). We no longer accept IAD’s from training providers. Where the new applicant's nominated operative has a recognisable length and evidence of experience specific to canine hydrotherapy, they may be exempt from completing the IAD’s. At application stage additional information will be requested to identify if an IAD is required or not and membership will also be subject to a satisfactory centre inspection. All other regulations (2.2) will still apply. bea CHA Quality Sandards v2.7 01/08/23ied Animal Physiotherapist, Veterinary Surgeon or Veterinary Nurse For Veterinary professionals who have already obtained small animal qualifications they should liaise with their course provider regarding APL/RPL (approved prior leaming) as they may be offered APL/RPL to complete the Level 3 qualification in Hydrotherapy for Small Animals on the Qualifications and Credit Framework. For membership with the CHA the current minimum qualifications from such professionals will be: Veterinary/Nursing/Physiotherapy Degree Introduction to Hydrotherapy Practical Hydrotherapy units which will vary by exam board Water Management ‘Small Animal First Aid — Physiotherapist only Treadmill therapy - Where operating an UWT KKK In all cases, two IAD's will be required where the applicant is not sufficiently and specifically experienced in canine hydrotherapy. Alll other regulations (2) apply. Veterinary Physiotherapists (additional information) The Level 4 Certificate in Canine Hydrotherapy for Veterinary Physiotherapists (OCN London) is accepted as membership to the CHA where this has been undertaken by suitably qualified Veterinary Physiotherapists (ie, those who have undertaken a Degree, Post Graduate Cert/Diploma or MSc at a recognised UK University). As an association, we would not require suitably qualified Veterinary Physiotherapists to undertake the following Ofqual Units: Y/618/7226 Orthopaedic referrals for Canine Hydrotherapy and D/618/7227 Spinal and Neurological Conditions for Canine Hydrotherapy as these conditions are assessed and covered in more depth as part of Level 6/7 Veterinary Physiotherapy qualifications. Please speak to your training provider directly regarding this. 2.2. Other regulations: + All qualified operatives will be required to directly supervise the methodology and practice of all trainee/assistant Hydrotherapists and never allow them to work unsupervised * All qualified operatives will be required to complete a minimum of 25 hours continual professional development per annum of which 12 hours must be external CPD, |.e. Courses, conferences, lectures etc + Amaximum of § hours of personal development which can make up part of the intemal or extemal CPD. + The nominated CAT A retains overall responsibility for the actions of all its employees and events occurring at the centre. This means CAT A members should ensure that all of their members complete First Aid Renewal on time and their CPD with reflection during the year. + Allcentres will receive an spection/audit All centres will receive annual website and social media audits to ensure only quality hydrotherapy treatment is being delivered and in a safe manner. «Periodic audits of each centre either client paperwork and or the actual centre; which may be a remote or a drop in audit. 2.3. Categories of membership: ‘When applying for membership you will be required to identify the team into the following categories: bE5 G CHA Quality Standards v2.7 01/08/23CATA This member takes full responsi for the centre and ensures the team are working compliant with the CHA Quality Standards. CAT A-NP | This member takes full responsibility for the centre and ensures the team are working compliant with the CHA Quality Standards however are not qualified/ or previously qualified and will not be allowed to provide hydrotherapy treatment. CATB Qualified Hydrotherapist CAT STU _| Student member: «(actively studying and those working towards hydrotherapy qualification L3 or above may treat dogs under supervision of a CAT A or CAT B). + (actively studying and aspiring to become a hydrotherapist) may assist a CAT Aor CATB. Unable to treat dogs unless directly supervised by a CAT A Qualified or CAT B member. CAT ASS | Associate member (any other member of staff working within the hydrotherapy centre who is qualified non-practicing or non-qualified and does not intend to become qualified. These members are unable to treat dogs - qualified members who wish to provide cover in their centre should be registered as CAT B. This includes physiotherapists who are hands on in a hydrotherapy setting but do not do hydrotherapy treatments. Those who do must be either students who are supervised and studying to become a full member or if qualified a full member. 2.4. Application process — All applications send to 2pe.membership.cha@amailcom (Once you are happy your centre meets the above qualification criteria and you have identified the categories of membership, you can request a centre membership application form via the “Why Join the CHA” page of the CHA website. Once the membership application form has been completed it must be emailed back to along with all requested paperwork including CPD Development Plan. Centres open for more than 12 months will also need to submit the following: ‘© Daily water records for the last 4 weeks + Select 4 current client files and scan and submit: + Vet Consent Form + Clinical Reasoning session notes Vet reports — where appropriate but you must include one example. An application fee will be invoiced at this stage and all your paperwork approved prior to arranging the Audit Visit. CATA Centre Details * Centre Insurance Documents: © Public Liability ‘+ Professional Indemnity + Employers Liability — Where more than 5 staff members + Monthly Bacteria Testing reports + Photographs of Pool/Spa/Treadmill where applicable showing whether any UWTM is pool or tank fed pe 6 © CHA Quality Standards v2.7 01/08/23,Qualifie: + First Aid —L3 First Aid certificate + AILL3 or 4 Hydrotherapy Qualifications + Allother relevant qualifications ns: cPD + Development pian for the next 12 months CATANP | Centre Details * Centre Insurance Documents: + Public Liability ‘+ Professional Indemnity + Employers Liability — Where more than 5 staff members + Monthly Bacteria Testing reports + Photographs of Pool/Spa/Treadmill where applicable showing whether any UWTM is pool or tank fed Qualifications © __ First Aid Exemption form CATB Qualifications «First Aid — L3 First Aid certificate All L3 Hydrotherapy Qualifications + Allother relevant qualifications cPD «Development pian for the next 12 months CAT STU Qualifications + First Aid Exemption — Student + Development pian for the next 12 months CAT ASS First Aid Exemption Once all the above has been received and checked a centre inspection & IAD if required, day will then be arranged. A Board/Committee member will attend the inspection and ensure that all Quality Standards are in place and are being applied throughout treatments. A decision will then be made: «Accept membership + Additional AD day required + Mentoring program required for a set period of time We aim to help and support applicants to attain the CHA standards so that they can become members. Pe? © CHA Quality Standards v2.7 01/08/23,A detailed inspection report will be provided. This will specify any action points which need to take place before membership can be given. There are usually a few action points and they can usually be resolved through emailing evidence or a video call Re-inspections in the event of a failed inspection will be chargeable at the current rate and payable before the reinspection takes place. Where an IAD day or mentoring is required membership will be placed on hold until such time as the Board agrees that the centre now meets the standard set by the CHA. This may be 1 week or up to 12 months but the application process must be completed within 12 months or a new application with a new joining fee will be required. (Once membership has been approved and all membership fees have been paid a centre certificate will be issued detailing all staff working within the centre and at what level they can work at. A Skills+ Account will be set up for each member which they will then be responsible for maintaining 2.4, Multi Centres Where a CAT A owns or is responsible for more than one centre, they can apply for membership for each centre and identify all staff working within each centre via separate application forms. A joining fee will apply to each centre however the CAT A will only be invoiced for one membership fee once membership has been granted. Membership will be suspended for all centres if any of the centres are in breach of the Quality Standards as itis believed the same standard will apply across all. To prevent this happening the alternative option is to appoint a separate CAT A for each centre and to pay the appropriate membership fees. 3. EXISTING MEMBERS All centre members must have completed 2, Becoming a Member above and all centre members must have at least one fully qualified practitioner holding a minimum Level 3 Certificate in Hydrotherapy for Small Animals on the Qualifications and Credit Framework including a Level 3 Advanced Treadmill module where a treadmill is present. All hydrotherapists employed within the centre are to work and be trained under the guidance of this member of staff and this fully qualified practitioner must have direct supervision within the treatment room To maintain centre membership all qualified members must ensure the following is complied with; 3.1 Continual Professional Development (CPD) 3.1.1 Policy Statement The Canine Hydrotherapy Association are striving to ‘raise and regulate the quality, standard and consistency of canine hydrotherapy in the UK’ and therefore are fully committed to encouraging and supporting members to improve their knowledge and skills and skills through study or training to facilitate an improved service to the animals and owners using them. As the minimum standard for membership is the Level 3 29 credit (equivalent to half an A level), the CHA need ensure our CPD is of such quality that any extemal regulator would recognise and welcome the high standards required. Recognising this can lead to increased public confidence in individual professionals and their profession as a whole. 3.1.2 Purpose The purpose of Continued Professional Development (CPD) is to ensure that operators of canine hydrotherapy centres have the latest relevant skills and knowledge in order to provide the best, safest and most effective pe 8 CHA Quality Seandards v2.7 01/08/23treatment, Well planned and executed CPD ensures that individuals maintain and enhance the knowledge and skills they have in order to deliver a professional and safe service with benefits to the individual, their clients and the public. 3.1.3 Benefits Planning and undertaking regular and appropriate CPD assists you in managing your personal development throughout your career. The primary function is to help you to identify, record, review and reflect on your own leaming. This is necessary to identify your own personal strengths and gaps in your skill set and capabilities which you can then address through your development plan. CPD should be seen as a career lifelong learning plan. Each year you reflect and plan; writing your development plan. You complete each CPD activity and reflect ‘on your learning and how it changes your day-to-day practice. At the end of the year you begin again by reflecting on the plan you made and how it worked out and what areas of your practice you want to improve before writing your new plan. 3.1.4 Requirements The CPD year runs from October 1*— September 30". All qualified members and students* are required to complete and upload 25 hours CPD annually, of which 12 hours must be external (Category 1 - see 3.1.9 External CPD). This requirement is regardless of contracted working hours. “This has been extended to include all Cat STU — Student members. Students can evidence CPD through working towards their qualification, for example providing evidence of completed assignments/units, feedback from completed assignments, or an email from the course provider confirming completion of units within the CPD period. They could also use training provided by the centre to enable them to carry out their current role. Exceptions to the above are: > New members whose inception falls outside of the renewal period. In which case the requirement may be considered on a pro-rata basis. > Members who have taken a career break and or maternity/paternity leave. Such members will be required to undertake some CPD and submit the following: > ADevelopment plan for CPD for the year ahead > Aletter from the relevant Category A member detailing the following} 1) Whether the member utilised Keeping In Touch days - dates and times are required 2) What provision was made for re-induction into the working environment and updating the member of current developments/advancements 3) The number of hours the member has worked under direct supervision until they were deemed ‘competent by the Centre owner to safely undertake treatment without supervision. + KIT days are optional days where you can be paid to work during matemity leave without affecting matemity pay. x) © CHA Quality Seandards V2.7 01/08/233.1.5 Standards Agreeing to abide by the CHA’s Quality Standards (QS) as a member makes CPD requirements mandatory and the CHA can remove members who fail to meet these standards which impacts the centre as all staff must work within QS: 25 hours of CPD must be undertaken > > 12hours must be Category 1 (extemal) CPD > Up to 5 hours can be personal professional development. (intemal or extemal) > Ensure that CPD contributes to enhancing your skills and knowledge needed to deliver a professional, quality and safe service to your practice Ensure CPD is directly relevant to improving your knowledge and experience within hydrotherapy Maintain a continuous record of CPD by uploading on to skills+ and completing sufficient reflections throughout the year and in a timely manner, prior to renewal" > Ensure a development plan and critical reflection of the plan and the year’s CPD has been uploaded. vy Failure to upload all CPD throughout the year may result in a delay to your renewal being issued. Itis the Category A member's responsibility to support, encourage and ensure their team have participated in, ‘completed and submitted appropriate CPD which meets standards outlined above. Failure of any member to achieve the desired and appropriate standards will result in immediate suspension of membership for the Centre to which the member is linked. These are outlined in Section 7 Sanctions. Itis members and centre owner's responsibilty to maintain up to date and appropriate CPD records. Your CPD should reflect a range of activities. You should undertake a varied range of different CPD, repetitive CPD will not be accepted. * Giving lectures on the same topics multiple times will not qualify as CPD as this will not develop your skills or knowledge. Preparing to give a lecture for the first time could be appropriate for CPD but should only form part of a member's CPD. 3.1.6 Aur is All members CPD will be audited annually to ensure our requirements are being met. CPD will be endorsed during the year and by the 1* September many members will have completed their CPD and be ready to renew, with all CPD evidence loaded into Skills+. These members can count CPD activities taken between 1* ‘September to 30" September for the following year but will need to upload the activities after the 1" October into the next year. Members will be notified if the CPD does not fit within the CHA CPD policy. Any such activities will be endorsed as 0 hours and new activities will need to be undertaken to meet the full CPD requirements. 3.1.7 Sane! ns > Failure to submit FULL CPD records throughout the year Where members have not submitted and updated records throughout the year (but have submitted all required hours prior to renewal) to be endorsed, a delay can be expected in the process of their renewal, the centre to which they belong and any associated members. This delay will depend on the number of fully compliant renewals received at the time. pe 10 CHA Quality Sandards v2.7 01/08/23> Ifa member does not fulfil the requirements of CPD i.e 25 hours including 12 hours external Any member who does not fulfil the requirements of CPD in this policy will prevent members (and their associated centres) from renewing their membership (when the Skills Plus Audit is undertaken at renewal and the member fails, the centre or centres will also be suspended immediately). Centres Fined for CPD Reapplication for membership ‘Suspended members and centres will be able to re-apply for membership after a period of 6 months from the date of contravention of this policy. A suspended centre must submit the following on re-application.. > A£100 application/administration fee. > Evidence of completion of 25 hours CPD during the period of suspended membership (previous 6 months). This means that they will have caught up on the CPD which was not done and completed the majority of the current year. > Adevelopment plan for the CPD year ahead 3.1.8 Other - Cancelled CPD, registering as non-practicing and avoiding CPD 3.1.8.1 Cancelled CPD ‘Any member who has booked onto a CPD event which is subsequently cancelled must book another CPD event within the CPD year. If the event is cancelled within 2 months of renewal, the CHA must be notified in advance and an alternative CPD event booked to fulfil the requirement of 25 hours. 3.1.8.2 Registering as non-practicing. Any Category A member who has registered as non-practicing for the avoidance of submitting CPD will be immediately suspended pending disciplinary procedures highlighted in Section 7 3.1.8.3 Avoidance of CPD ‘Any member found to be actively pursuing ways to avoid appropriate CPD, or de-valuing CPD will be found to be in breach of this policy and disciplinary procedures will apply. 3.1.9 External CPD (Category 1) Members are required to undertake a minimum of 12 hours external CPD. This should be relevant to improving your clinical practice in hydrotherapy v ‘Shadowing other professionals not connected with your centre ~ i.e. you evidence working alongside nother professional outside of your normal place of work ‘Attending face to face courses/workshops/seminars Further education Higher Education Distance learning (where certificates of achievement and attendance are given) First Aid Qualification renewal courses Webinars with a certificate issued by a Company including CHA. 2 vvVvVVV beat G CHA Quality Standards v2.7 01/08/23,In exceptional circumstances the CHA may pre-approve other courses which are directly related to hydrotherapy and fulfil our criteria. This list is not exhaustive, if any members are unsure, they should seek advice from the CHA board. The CHA requires you to complete a Development Plan and recommends planning your CPD in advance; so booking courses etc so that you know what appropriate CPD you will be doing throughout the year. 3.1.10 Internal CPD (Category 2) Members are required to undertake a maximum of 13 hours internal/self-directed CPD. + Leaming by doing = Case studies «Reflective practice * Reviewing articles + Researching/planning course lectures* © Writing articles + Reading books/articles «Learning via TV, intemet or Webinars without a Certificate * Watching a recorded Webinar including CHA webinars. Researching and planning delivery of NEW content can be submitted on one occasion only and must be supplemented with the relevant research undertaken to complete this. Teaching, lecturing and delivery of any formal or informal course is NOT considered CPD — please do not submit this as it will be rejected. However, preparing material for the first time, can be appropriate CPD where it requires you to refresh and extend your knowledge of a topic before writing materials for the first time. Webinars are Internal CPD, if a member thinks a particular Webinar is suitable to stand as External CPD, they can email enquires for confirmation of this. 3.1.11 Personal Professional Development (External or Internal CPD) This list is not exhaustive, if any members are unsure, they should seek advice from the CHA board. The CHA recommends planning your CPD in advance and taking part in the extensive CPD provided as part of your membership. We aim to provide at least 12 hours of webinars for internal CPD and the conference which attended in person! watched ‘Live’ will be at least 6 hours of external CPD. This means that you can access 18/25 hours of your CPD requirement from your membership. 3.2 First Aid Qualification - You must rehtew BEFORE your certificate expires, First aid must be renewed every 2 years and new certificates must be immediately loaded onto Skills+ with the correct 2-year expiry date set. Every third course must be an in-person course. pe 12 CHA Quality Sandards v2.7 01/08/23“CHA approved Renewal of Qualification courses are those specifically offered by training establishments providing Level 3 (or above) hydrotherapy courses and other approved providers on the CHA list. This is provided on Renewal to all centres and available in the Members Area of the CHA website and saved as a file in the CHA Facebook group. This condition does not apply if the centre is run by a veterinary practice and there is a qualified practicing veterinary nurse or veterinary surgeon in attendance in the same building We do not accept third parties delivering First Aid on behalf of a training establishment unless this is organised directly with the establishment at their normal premises, i.e. A company/individual employed to deliver First Aid for a training provider cannot themselves claim to be CHA Approved in relation to delivering first aid outside that of the needs of the training establishment. Nor can a training establishment who uses a third party within their qualification give approval for the third party to provide qualification training 4. Veterinary ison & Consent All dogs are to be accepted with veterinary consent only; this includes those dogs attending for purely recreational purposes. Purpose * An accurate diagnosis of any condition being treated is known, together with details of any treatment, surgical procedure or medication that has been undertaken or administered to the dog. The dog's veterinarian has the opportunity to pass on any areas of danger or caution. A qualified veterinary surgeon has deemed that the dog's general state of health is such that it is safe for the animal to undergo hydrotherapy. Itis established whether the dog is up to date with their vaccinations at the time of treatment. The dog's veterinarian is kept informed of the progress of any dog undergoing hydrotherapy treatment. 4.1 Consent Form As a minimum the referral must include, but not be limited to: - The name and address of the client. The name and details of the dog. The name and address of the consenting vetipractice. Diagnosed condition of the dog. Details of any veterinary treatment or surgical procedure undertaken or administered Any areas of concern. Any medication currently being taken by the dog Expiry date on vaccination certificate where known A signed declaration that the veterinarian believes the dog to be of suitable overall state of health to undertake hydrotherapy. 4.2 Vaccinations All dogs are to be treated with an in-date vaccination certificate. For those dogs whose owners prefer to use alternative vaccination protocols treatment may only be given with the use of the following caveat: bes G CHA Quality Standards v2.7 01/08/23,4.2.1 Unvaccinated animals All clients must be made to sign the attached or similar disclaimer prior to any treatment taking place within the centre. ;claimer for unvaccinated animals I confirm | have been advised that due to the level of patients undergoing treatment at this hydrotherapy centre my unvaccinated dog is at risk particularly from Parvo virus, leptospirosis, distemper and hepatitis/adeno virus. | accept that whilst every effort is made to maintain- good hygiene this centre cannot be held responsible if for any reason my dog contracts any such virus or disease. Signed + Date. Owner of: 5 Treatment Methods Once section 4 is complete and has been received treatment can commence. 5.1 Due care and attention Centres and individuals involved in the hydrotherapy treatment of dogs operate showing due care and attention to the animal, taking into account the age and condition of each individual dog Atall times an animal undergoing treatment is under the direct supervision of the hydrotherapist. * The hydrotherapist must be in the pool at all times with each patient and the use of “fixed anchorage systems" (e.g. tri ropes) in the pool are no longer permitted * AHydrotherapist is permitted to be outside of the treadmill only in exceptional circumstances and where the justification has been clinically reasoned prior to treatment. Multi Dog Swimming Only one animal is to be treated in the hydrotherapy pool or water treadmill at any time. The practice of multi dog therapy is banned, irrespective of whether the animal is attending for rehabilitation treatment or ‘fun & fitness’. This applies to all members regardless of pool or treadmill size or if the patients are from the same family even if you have more than one therapist in the treatment room. For clarification: at no time will any of ‘our members be allowed to have more than one animal in the pool or treadmill. If "same family" dogs remain in the treatment room then a risk assessment must have been undertaken as to whether their presence could be detrimental to the therapy session being conducted. If they do remain then appropriate measures must be taken to ensure these dogs are under control at all times. Si ming Dogs Using a Pole Restraint or long line restraint The use of a pole attached to a collar, restraint hamess or floating device is banned. The use of a long line/lead attached to a restraint harness or collar in the pool is banned. Therapists should practice safe hydrotherapy and as such should not treat alone where they are unable to control the patient in the water. The use of any form of leadilong line attached to the animal patient in any way {including collar, harness or floating device) during swimming is prohibited. Where assessing protraction, Pe. 14 © CHA Quality Sandands V2.7 01/08/23retraction and flexion and extension through joints is restricted for any animal patient clinically reasoning and best practice requires two therapists to safely treat the animal patient. Treadmill: Use of a lead permitted for safe ont and exit into the treadmill and for motivational purposes only and Secondary Drowning Secondary drowning has been highlighted as a risk by a number of practitioners within our field, primarily by the use of SOFT water toys that have the capacity to hold water within them (very often the "favourite" toys brought in by the owner, e.g. teddies and the like) and as such soft water toys are banned. Although less so, a slightly smaller risk is still present with non-absorbent toys if the dog bites down into the water line and ingests water whilst so doing. There are, however, plenty of excellent, purpose made aquatic toys on the market and common sense should prevail Alltoys must be fit for purpose, in good condition and any risks highlighted should be managed to provide a safe environment for patients. Every hydrotherapist and hydrotherapy centre has a duty of care to its patients and must carry out a risk assessment with each patient and toy they propose to use. Whilst this risk assessment does not have to be a formal written one for each dog, hydrotherapy centres may find it beneficial to have a written protocol for such practice. The CHA recognise that toys can on occasion be used to motivate patients. CHA advise that toys should not be picked up from the water line by patients. 5.2 Treatment Sessions Purpose An audit trail of each treatment session and progress is kept retained on file and available for inspection for a minimum period of 5 years from the date of the last session 5.2.1. Treatment Records As a minimum, treatment records must include but not be limited to: ¥_ Name of owner. v Name, breed, sex & age of dog. ¥ Description of condition being treated, ¥ Initial assessment of the dog including: current diet, weight, daily exercise/ home environment, static assessment/palpation, movement assessment, goals and objectives. vate & time of session. ¥ Whether spa is used. ¥ Method of entry into pool. ¥ Duration of hydrotherapy, including time and power of anti-swim jets if used. N.B Number of laps in a pool is not adequate. v__ Relevant comments and observations, such as: range of movement to an affected limb, muscle bulk measurements, lameness scores, gait analysis, etc. 5.2.2 Treatment Times General guidance would suggest that the “aerobic exercise” content of initial treatment times should not exceed 2 minutes and such exercise should be increased conservatively over subsequent sessions, i. times should not be “doubled up". pais G CHA Quality Standards v2.7 01/08/23,However, there may be times when the aerobic exercise content could exceed these guidelines and timings should be based on: an individual basis; the initial assessment; muscle fatigue; gait patterning: surgical procedures individual ability KA6665 In such cases clear documentation of the clinical reasoning behind the treatment must be kept. In general dogs should not swim or treadmill for more than 5 minutes without a rest period and clear documentation must be kept as to the clinical reasoning for exceeding this guideline. If a complaint were to be received by the CHA regarding treatment times this may lead to a disciplinary procedure and you would be required to clinically reason with the CHA Board why your times exceeded these guidelines. 5.2.3 Sessions cut short In all cases where a dog appears to become distressed during treatment, treatment should be stopped immediately, the dog assessed and where necessary veterinary assistance obtained, and the event must be documented in detail within your treatment records including any advice given to the client. An email or telephone calll should be made to the vet the following day to check on the dog's wellbeing. Where deemed necessary Veterinary consent must be obtained again prior to treatment commencing, See 7.2 Emergency Procedures 5.3 Veterinary Reporting 5.3.1 Initial Hydrotherapy Assessment This must be sent to the consenting veterinary practice post initial assessment and must include details of your initial observations and your clinical reasoning for treatment and your hydrotherapy treatment plan. 5.3.2 Veterinary Progress reports Feedback on the dog's progress should be sent to the veterinarian as a minimum every 12 sessions unless there is a concem which must be reported back to the consenting vet immediately. For long-term treatmentmaintenance patients’ feedback should be sent to the veterinarian when deemed suitable by the practitioner, but at least every 6 months. At patient discharge a final report must be sent to the veterinarian detailing the treatment plan undertaken and findings. 5.3.3 Repeat Consent forms For long-term treatment/maintenance patients’ a new consent must be obtained every 6 months. Where a new/different condition is diagnosed and/or a new veterinary treatment or surgical procedure has been undertaken or where there is a deterioration or change in the patient's condition a new consent form must be obtained prior to commencing hydrotherapy and a new treatment plan prepared and reported on. Pe i6 © CHA Quality Standards V2.7 01/08/235.4 Documentation Retention Periods Veterinary referrals must be retained on file and be available for inspection for a minimum of 5 years after the last hydrotherapy session has occurred and in accordance with General Data Protection Regulations (GDPR) httos://www_gov.uk/qovernment/publications/quide-to-the-ceneral-data-protection-regulation 6. Water Quality Management Ifone person in a centre takes responsibility for the water management then they should be easily contactable during treatments. Purpose > Pools and any other water-based environments used in the hydrotherapy treatment of dogs are clean, safe and conducive to the well-being of patients, clients and staff (temporary and permanent) > The water in which dogs are treated is safe from bacteria, virus and harmful micro-organisms. > The level of chemical used to sanitise the water is kept to acceptable levels in order to minimise the chance of causing adverse effects to the dogs, owners and those working in centres. > The water is regularly checked using accurate means of measurement, ie. either a photometer or ‘comparator. 6.1 UK Legislation Requirements Members and operatives have a duty of care to ensure a safe environment for all users. The CHA follows the national guidelines set out by PWTAG in their document "Swimming Pool Water" (ISBN 0951700766) for best practice and the relevant UK legislation. It is fully understood that these are aimed at humans; however much still applies as clients and staff are exposed to the aquatic environment and, as such, will be used to provide the underpinning guidance. UK legislation states that pools (which will include UWTM and spa's) should be managed in accordance with the Health and Safety at Work regulations 1999 amongst others. Pool operators should be under no illusion that in the event of an issue/accident it is against these pieces of legislation/guidelines that their conduct will be judged along with CHA QS and Codes of Practice. PTWAG state that "management should define and document a policy for the general operation and safety of water treatment systems" going on to advise that "management should ensure that this policy is communicated, implemented and maintained” throughout the centre. This “policy” and risk assessment should be periodically reviewed and/or amended where a change occurs. CHA members need to be aware of and comply with (where appropriate) the following legislation/documents and their recommendations: Management of Public Swimming Pools. British Standards Institute BSI PAS 39.2003. Health and Safety at Work Act 1974. Management of Health and Safety at Work Regulations 1999. Legionnaires’ disease. The Control of Legionella Bacteria in Water Systems (L8) ISBN 0717617726. Managing Health and Safety in Swimming Pools (HSG179) 3rd Ed. ISBN 9780717626861 Control of Substances Hazardous to Health Regulations 2002 (COSHH). The Legionella Code of Practice & Gu9idance on Regulations (L8 Fourth Edition) including HSG274 and/or Health Technical Memorandum 04-01. vVvVVVVY Pe.17 © CHA Quality Sandands V2.7 01/08/236.2 Risk to service users and staff 6.2.1 Duty to minimise the risk to service users and staff Centres have a duty to minimise the risk to service users and staff. This is frequently in the form of risk assessments which need to be carried out as per UK legislation set out in "The Management of Health and Safety at Work Regulations 1999, 3242 Regulation 2" which states: (1) Every employer shall make a suitable and sufficient assessment of: - (a) the risks to the health and safety of his employees to which they are exposed whilst they are at work, and (b) the risks to the health and safety of persons not in him employment arising out of or in connection with the conduct by him of his undertaking. 6.2.2 Legionnaires Risk Assessment In addition to the normal risk assessments, the CHA strongly advises all its members to carry out a legionnaires risk assessment and follow any recommendations. This is a UK directive and a common expectation by investigative bodies. Legislative requirements for the control of legionella put the responsibilty for compliance clearly with the owner/operator of the water systems. The above acts set out your responsibilities, Regarding risks from legionella bacteria, all owner/operators of such systems have the responsibility to ensure that the risk is minimised and kept to an acceptable level. The Legionella Code of Practice and Guidance on Regulations (The control of Legionella bacteria in hot and cold water systems) stresses that while the tasks required to achieve compliance to the acts may be contracted to an external specialists, itis the owner/operator’s responsibility to ensure the competence of the service provider. The levels of service that should be expected from a service provider and an up to date copy of the Code of Conduct are available at www.legionella- conduct.co.uk 6.2.3 Material Safety Data Sheets (MSDS) An integral part of managing risk will be the information contained within Material Safety Data Sheets (MSDS) provided free by the suppliers of chemicals under the Chemical (CHIP) regulations 2002) Managers should be suitably qualified in water management and/or appoint someone who is, They should assess the risk of each chemical, its use and storage (especially where co-located with other chemicals as this may be dangerous) ensuring staff are suitably trained and deemed competent for a given task(s). 6.2.4 The Personal Protective Equipment (PPE) regulations 2002 The Personal Protective Equipment (PPE) regulations 2002 place a duty not only on all managers to provide the necessary PPE but also for all staff to wear and comply with reasonable instructions. Where centres have multiple staff, managers must monitor and ensure compliance to CHA Quality Standards and Code of Practice is adhered to by all operatives. Managers and operators should be aware of the idiosyncrasies that some equipment contain and would be reasonably expected to ensure adequate protocols are in place to deal with these. For example, on some aquatic treadmills the water contained in the treadmill chamber may not be fully drained, leaving some residue under the treadmill belt. During a normal working day this may be acceptable, but it may pose an increased hazard if left whilst the centre is not operational, i. closed for a number of days. Pe 18 © CHA Quality Standards V2.7 01/08/236.2.5 Safe storage of Chemicals The chemical store should have enough space and be well organised, well lit and well ventilated. The floor should be impervious and resistant to the chemicals used and easy to clean. Containers should be stored upright and all be clearly labelled and stored as per the MSDS sheet, All chemical containers must be waterproof and stored at room temperature in a locked metal cabinet. Health & Safety Chemical warming stickers should be on the cabinet to ensure individuals are aware of the dangers. All chemical storage units should be locked and clearly labelled as a chemical storage facility. All centres must comply with Control of Substances Hazardous to Health Regulations 2002 (COSHH) Access to the chemical store must be restricted At no times should chemicals be left out accessible to clients - particularly if children are allowed in the centre. 6.3 Emergency Procedures — Action Plan All CHA centres should ensure they have an emergency action plan covering all foreseeable emergencies which could affect any service user or staff members and ensure that this is reviewed regularly. Where appropriate staff should complete an incident form and consider whether itis a "notifiable incident" to the relevant authority. Centres should also have a list of chemicals on site (this may be in the form of the MSDS), where they are stored {in diagrammatic form, ie. a site plan) and ensure this is made available to any emergency services where required. This is a legal requirement. 6.4 Water Testing Water used for hydrotherapy treatment must be sanitised using a CHA approved sanitiser. Testing must be done using a CHA approved method and must be kept within CHA approved levels. Testing must be carried out a minimum of twice a day, although 3 times a day or more is recommended especially in busy centres. Photometers are the preferred method of testing water as opposed to comparators as they are more accurate. Water test records must be kept with all tests and remedial actions recorded. Test records must be retained on file and available for inspection for a minimum of 5 years. ‘As a minimum water test records must be handwritten, so acceptable if ever needed in court, and include, but not be limited to: Quality/Colour of the water Number of dogs treated between each test. Remedial action taken including chemicals added including Flocculant. > Date & Time of Test. > Tester’ Name. > Sanitiser Levels. > Alkalinity. > pH. > Temperature. > > > 6.4.1 Sanitisers: Acceptable sanitisers are: > Chlorine. Pe 19 © CHA Quality Sandands V2.7 03/08/23> Bromine. 6.4.2 Water Testing Equipment: Acceptable testing equipment is: > Photometer (preferred). > Comparator. 6.4.3 Water Quality Levels & Ranges FREE CHLORINE - Recommended range 2ppm to 4ppm. Levels higher than 4ppm are permitted for short period 4-6 hours. However, where levels rise above 6ppm the source of chlorine should be removed or chlorine production ceased until the level falls below 4ppm. If the level rises above 10ppm treatments must stop until the level falls back below 4ppm. Free chlorine levels should not fall below 1ppm. CHLORAMINES (COMBINE CHLORINE) - The ideal level is zero. In practice, levels should be kept as low as is feasibly possible and should never exceed 50% of the Free Chlorine. However, levels above 2ppm should be treated with super-chlorination (shocking) with levels over 4ppm addressed by dilution FREE ACTIVE BROMINE - Recommended range 4ppm to 6ppm. Levels higher than 6ppm are permitted for short periods 4-6 hours. However, where levels rise above 8ppm the source of bromine should be removed or bromine production ceased until the level falls below 6ppm. If the level rises above 10ppm treatments must stop until the level falls back below 6ppm. BROMAMINES - There is no recommended level since, these act as an active sanitiser. SUPER-CHLORINATION (shocking) - There is much confusion surrounding shocking. CHA general guidance is that it should only be carried out when necessary; for example when water quality is poor, bacteria has shown up on your bacteria test report or upon the recommendation of your own pool water engineer who will be familiar with your centre's water quality management protocols. This link to PWTAG's website http://pwtag.org/technicalnotes/superchlorination-of-swimming-pool-water gives examples of when shocking is required and exactly what process you need to go through for a number of different circumstances. It is well written, extremely clear and highly informative. We would strongly urge you to read it; particularly when you have an issue with your water cleanliness or clarity. pH - recommended range 7.2 to 7.6. Alkalinity - recommended range generally 80-120ppm or within parameters set by your own pool engineer with such discussions documented for reference. 6.5 Water temperatures Water used for hydrotherapy treatment must be heated within the temperature ranges shown below: Pools & Underwater Treadmills 28°C to 32°C - operating pools outside of this recommended temperature range should be done with the utmost care and all physiological parameters such as fitness, size, age, duration of activity and clinical conditions should be considered. Any such deviation should be recorded in writing and retained on the records. Spas 35°C to 40°C. Water in pools and underwater treadmills must be filtered in accordance with the manufacturer's instructions and in a manner appropriate to ensure compliance with the Quality Standards parameters laid down regarding Pe. 20 G CHA Quality Standards v2.7 01/08/23sanitisation. Spas should ideally be permanently filtered but where this is not possible the water must be changed after each patient. In either instance the water parameters are the same as pools. 6.6 Monthly UKAS Testing Microbial testing should be carried out by a UKAS accredited laboratory. A monthly bacterial test must be carried out as a minimum on each piece of equipment (pool, treadmill and spa) and should include the following as a minimum Pseudomonas aeruginosa (confirmed viable colony counts) E.Coli (confirmed viable colony counts). Coliforms. TVC result (Total Viable Count) - Optional viv Some labs also report presumptive Pseudomonas counts and the TVC result (Total Viable Count). Pools/Treadmill are routinely tested for TVCs at 376, the results for TVCs provide a general guide on the water quality and how well the treatment system is controlling bacteria growth; high TVCs are not necessarily harmful like E.Coli or Pseudomonas may be. There would not be any value in obtaining the presumptive Pseudomonas counts and these are not normally tested or required under the PWTAG guidance for commercial leisure pools. You must include the additional measure of TVC result (Total Viable Count) as this will give you an early indication on a potential water management issue. With regard to presumptive Pseudomonas aeruginosa counts members should decide whether they feel this is something they would like to be tested Each month a copy of the test report must be uploaded on receipt onto Skills+ by the 15th of the following month and we will endorse. Fines will be imposed for any centre failing to ensure a test is carried ‘out when they are open. Ifa test is missing due to deep cleaning being in operation the centre must be closed for that entire month and be able to evidence it for a missing test to be acceptable. Itis the responsibility of the centre to ensure the UKAS laboratory is aware of holiday periods and operational ‘opening hours to ensure no monthly test is missed. This satisfies part of the centres obligations under COSHH to assess and minimise exposure to hazardous substances. Centres would be well advised to ensure all personnel responsible for pool testing are appropriately trained/qualfied and a register maintained to record their qualificationsitraining Sanctions: Centres who have not uploaded their bacteria test by the 15" of the following month and pay the fine; to avoid centre suspension. Centres who fail to submit a test by the 22" of the following month will be contacted for an explanation. Centres who fail to submit a test twice will be temporarily suspended until a test has been submitted. Fines for missing tests are £50 per individual test, beat G CHA Quality Standards v2.7 01/08/23Centres who have bacteria certificates with contamination recorded are expected to follow the PWTAG guidelines which are the legal requirements under Health and Safety. Centres who fail to close when their tests results indicate that they should will be subject to disciplinary procedures. 7. Equipment Specification & Safety Purpose Equipment used is suitable for purpose and safe to use. 7.4 Requirements > __ Hoists and other equipment used for the lifting of dogs must be designed & built for purpose, with a tested weight loading of at least 100 kg. Alll hoist slings must have a four point pick up. > Hoists must be fixed in accordance with the manufacturer's instructions and specification and maintained in a good, serviceable condition. > _ Tracked hoists must either use tracking supplied by the hoist manufacturer for that purpose, or to the specifications defined by the hoist manufacturer. > Ameans of restraint must be wor by the dog undergoing hydrotherapy at all times. This is to facilitate removal of the dog from the pool/aquatic treadmill in the event of an emergency. It is unacceptable for dogs to be in the pool or aquatic treadmill without a means of restraint. Treatment records must include clinical reasoning as to why any patient may not be wearing a restraint harness in the pool or aquatic treadmill There are to be three categories of restraint: > Floatation device. > Hoist sling. > Restraint hamess. Hoist Slings must be specifically designed for the lifting of dogs thereby fit for purpose and safe. They must have a tested weight loading of at least 100kg and hold the dog in a safe and balanced way with a 4 point pick up providing adequate contact to support the dog. Flotation devices and restraint harnesses must be designed and manufactured specifically for their purpose. 7.2 CHA Recommended Equipment 7.2.1 HOIST SLINGS Westcoast - Dog Sling. Catac - Canine Hydrotherapy Sling, vy 7.2.2 FLOATATION JACKETS. Baltic pet buoyancy aid. Crewsaver Petfloat. Ezydog buoyancy jacket. Hurtta life jacket. Non-stop Dogwear - safe life jacket. Outward Hound — petsaver. vvVYVYV G CHA Quality Standards v2.7 01/08/23,> Ruffwear float coat > Vivaglory new sports style. > Westcoast - dog sling 7.2.3 RESTRAINT HARNESSES: Activate your dog, Akela Hamess. Orthopets Help ‘em Up. Ruffwear webmaster. Vivaglory dog hamess vvvvy 8. Normal Operating Procedures 8.1 Health and Safety > The environment at centres is safe for the dogs, clients and operators. > Members should be familiar and fully compliant with current legislation for all aspects of Health and Safety requirements at all times. Particular attention should be taken with regard to’ > Equipment and any electrical appliances, especially in or near to wet areas. > ___ Itis recommended that electrical installations and subsequent periodic testing is carried out by a person or persons recognised by the Electrical Safety Council in England or the Electro Technical Council for Ireland. > Safe storage and handling of chemicals, see 6.2.5 above 8.2 Emergency Procedures Not applicable if the centre is run as part of a veterinary practice A formal procedure is in place to deal with an incident occurring to a dog, whilst at the centre, in a timely and professional manner. Veterinary back up is available to provide the best and most timely assistance should an incident occur to a dog whilst at the centre. 8.2.1 Requirements > There must be a telephone in the treatment area at all times with the number of that phone prominently displayed. > Ifthe main means of communication is by mobile telephone, then the centre must ensure that the service is reliable and continuous. > During treatment times there must be at least one person in attendance that is qualified > There must be an emergency procedure agreed with a veterinary practice where a vet can be contacted by phone to give advice should an incident occur to a dog whilst at a centre. > Allclients should be briefed on the emergency procedure as part of the initial session. > The emergency procedure should be displayed in a prominent place in the centre at all times. > Anincident form must be easily accessible in the treatment room for all dogs undergoing hydrotherapy The form must include the following details but not be limited to: - > Name, sex, breed & age of dog. > Condition being treated. > Current medication. Pa 23 © CHA Quality Standards V2.7 01/08/23The incident form must also have space to record the following details:- Nature of Injury. Severity Time of Incident. Whether the dog is breathing or not. Whether the dog is conscious. Pulse rate Whether the dog is improving or not. vVvVYVVY 9. Centre Insurance Purpose ‘Adequate insurance is in place to provide protection and benefit for the client, operator and staff. 9.1 Requirements Centres must have valid insurance, which provides cover for, but is not limited to: > Employer's liability - The Employers Liability (Compulsory Insurance) Act 1969 makes Employers Liability insurance a legal requirement for any company that has employees or contractors whether full or part time. http://www.legislation.gov.uk/ukoga/1969/57/contents. This includes volunteers and students. > Public liability - This protects you if someone makes a claim against you for injury or damage to property suffered because of your business. > Professional Indemnity; this must include cover for animals whilst at the centre and whilst being treated as covers financial loss and injury resulting from your negligent act, error or omission while you're working for a client Avalid certificate of insurance must be uploaded to the CAT A’s Skills+ profile and renewed on expiry. Reminders. will be sent. Inspection & Certification Purpose CHA member centres and those individuals seeking registration to the CHA conform to the latest version of the CHA Quality Standards. 10.1 Audit Inspections > Centres must have passed a valid centre audit in order to join or retain membership of the CHA > Centres will be audited from time to time by either a physical or paper audit as requested by the Board with or without appropriate notice. Where we have cause for concern or are investigating a complaint about the centre no notice will be provided and non-compliance with any section of QS is likely to bring a routine audit forward. > The Canine Hydrotherapy Association reserves the right to require inspection of all its member centres at any reasonable time. > Rerinspections in the event of a failed audit or inspection will be chargeable at the current rate and Payable before the inspection takes place to ensure membership is not suspended pg. 24 G CHA Quality Standards v2.7 01/08/2310.2 Membership Certificates All centres must display a valid CHA Membership Certificate in a prominent and public place within their centre as this lists all staff working within the centre and at what level they are permitted to work. The certificates are non-transferable, Current First aid certificates may also be displayed but are not essential as the CHA certificate is evidence that al is in place. 10.2.1 Staff working within the centre 10.3 Adding an additional member to the team or change of membership Where you need to inform us of a new member to the team, you should go into the members area of the CHA website and download an “Application to add new member" form or change of membership form. Once completed email to app.membership.cha@gmail.com with the following documents. «+ Valid First Aid Qualification Certificate or exemption form «Awarding body hydrotherapy qualification and transcripts + Development plan 10.4 Reporting a long-term absence Where a member of the team is on long term sick or is due to start matemity leave, you must go into the members area of the CHA website and download a "Member CPD Pro Rata notification form’. Once completed email this to app.membership.cha@amail.com and this will be loaded onto the members CPD log and a note of leave date added to the members log. This will ensure a pro rata CPD allowance is applied otherwise a full 25 hours will be requested at renewal. 10.5 Member returning to work or lea’ g the centre Where a member returns or leaves it is important to email to advise this at the time to ensure your centre member list can be updated and where needed Skills+ accounts suspended. Email app.membership.cha@gmail.com. 11. Website and Social Media All centres websites and social media posts and content must show hydrotherapy practice in line with the CHA Quality standards and must not in any way damage the reputation of the CHA. All centre website and social media accounts will be monitored periodically and where it is found to damage the reputation of CHA copies will be made and held on centres file, centre will be asked to remove immediately and may be dealt with under the Complaints and Disciplinary procedure depending on the severity of the case. Members who provide photographs, videos or other media for use by the CHA need to submit a ‘permission to use media form’ which freely gives the CHA Board the free licence to use the media. This protects the CHA from creating expensive materials which then need to be replaced if the person or centre ceases to be a member. Should a centre be permanently suspended all identifiable images will be removed since the CHA would need to dis-associate from that Centre, despite any cost of replacing materials. 12. Renewal Procedure pes G CHA Quality Standards v2.7 01/08/23The CHA renewal year is October to September. CAT A members should ensure that all of their members are ready for renewal with their CPD completed. CAT A members can then submit their renewal by downloading the "Yearly Renewals T&C” form from the members area, completing it and then uploading on Skills+ on the CAT A profile, Centre tab. All forms required for renewal are held in the members area on the Canine Hydrotherapy Association Website. Centres will be able to upload this form from the 1° September subject to all members in the team having the following on Skills: Centre Details-CAT| > Valid Centre insurance Aonly > Bacteria tests from October to August are already loaded Qualifications > Valid FA certificate Or confirmed as RVNIRVS Student Associate member PD 12 hours extemal CPD evidence uploaded for period October to September Reflective learning uploaded covering all 25 hours of CPD Development plan for the next 12 months vyvivvy Once the CAT A has ensured all team members have correctly added the documents to Skills+, the "Yearly Renewals T&C’ form can be uploaded and sent for endorsement, this will then start the centres renewal process. 13. Suspension Policy and ary and Complaints Policy The CHA Suspension policy and Disciplinary and Complaints policy should be read alongside this document since failure to fulfil the requirements of Quality Standards will result in the application of the Suspension and Disciplinary and Complaints Policies where applicable. 14, Version Control Version Date Details of Change v2 December 2019 ‘Addition of application and renewal requirements Insert of CPD Policy agreed at AGM April 2019 V2.4 January 2020 Clarification on Individual Assessment Day (IAD) for new cenire membership applications v2.2 October 2020 Update to wording within: 5.1 - Due Care & attention 66 - Monthly UKAS Testing 12 - Renewal Procedure V2.3 June 2021 Inclusion on new Physiotherapy Qualification within: 2.1.1 Qualified Animal Physiotherapist, Veterinary Surgeon or Veterinary Nurse. Vv24 October 2027 ‘Addition of CPD for Student and Associate members Clarification on bacteria test uploads. Updated wording for insurance document. DE. 26 ‘© CHA Quality Standards v2.7 01/08/23V2.5 ‘September 2022 Review and minor amendments spelling etc — Associate members V26 February 2023 Clarification of wording. Addition of allowed inclusion of § hours of personal professional development. Addition of media use permission section. V27 ‘August 2023 ‘Amendments to bacteria test procedures and insurance submissions inc late submission fines. eg. 27 G CHA Quality Standards v2.7 01/08/23,