METHODIST HOMES DATA PROTECTION POLICY PURPOSE To provide underlying principles and specific procedures regarding the processing and protection of personal data and sensitive personal data contained within MHA’s paper and computerised records. It is aimed at ensuring compliance with the Data Protection Act 1998 (the “Act”) and our Values. SCOPE All members of staff. Also the following ‘data processors’: partner organisations, non-executive Board members, contractors, contracted service providers, agency staff and volunteers. VALUES This Policy has been developed in line with our Values and should be understood and implemented in that context. DEFINITIONS Data protection relates to information which is held in a filing system in such a way that living individuals may be identified. It should not be confused with: requests for access to records relating to someone who has died. Such a case is subject to the Access to the Health Records Act 1990 and our procedure is attached at appendix 1. any general information held by MHA the Freedom of Information Act 2000, which applies to public bodies only. If there is any doubt, a matter should be referred to MHA’s Data Protection Officer and considered by the appropriate Director and the Corporate Management Team if necessary. Terminology is defined at Appendix 2 1 DATA PROTECTION PRINCIPLES MHA will comply with the eight data protection principles which require that Personal Data should be: 1. 2. 3. 4. 5. 6. 7. 8. Fairly and lawfully processed Processed for specified purposes Adequate, relevant and not excessive for the above purposes Accurate and kept up to date Kept no longer than necessary Processed in accordance with the Data Subject’s rights Kept secure Transferred to countries outside the European Economic Area only with adequate protection This policy assumes MHA’s data processing remains within the EU geographical area. The Act stipulates more stringent conditions if this is not the case and any such instances must be referred to MHA’s Data Protection Officer. 1. Fair and Lawful Processing 1.1 MHA will notify the Data Subject advising that we will abide by the Data Protection Act and process their data accordingly. The notification for each grouping is as follows: Residents / Live at Home Members – Agreement Staff Members – Contract of Employment Volunteers – Induction Pack Donors - Website 1.2 MHA will process personal data where consent of the subject has been given and where it is deemed necessary to enter into and perform a contract with the subject . We will be mindful to ensure that the legitimate interests of Data Subjects do not suffer unwarranted prejudice as a result. 1.3 MHA will process sensitive personal data where consent of the subject has been given and/or where it is necessary: 1.4 To perform a legal obligation To protect the vital interest of the Data Subject or another person To establish, exercise or defend legal rights To enable confidential counselling, advice or support which cannot be carried out with the explicit consent of the Data Subject MHA’s Donors Privacy Statement clarifies our policy and procedure for donors. See appendix 5. MHA will not send unsolicited direct marketing communications to anyone who has indicated that they do not want it, and will not pass / share / sell personal data to third parties for their marketing purposes. 2 1.5 MHA’s use of Closed Circuit Television (CCTV) is for security and crime detection only. Details are included at appendix 6. 2. Processed for Specified Purposes 2.1 MHA will process personal data only for specified purposes. These purposes are disclosed to the Information Commissioner and listed in Appendix 3. 2.2 The Data Protection Officer authorises all personal data processing, submits applications for notification and completes an annual notification renewal to the Information Commissioner. 2.3 If a MHA staff member wishes to initiate a new system which would entail processing new personal data or existing data for a new purpose, then this must be referred to the relevant Director and MHA’s Data Protection Officer who will guide MHA staff members, with legal assistance if needed. 2.4 Breach of this policy by any employee is a disciplinary offence, which may result in dismissal. Breach of this policy by any other data processor will constitute a breach of contract with MHA and may result in the termination of the contract. If MHA breaches the Act, the Data Protection Officer must be advised immediately. Appropriate advice on how to manage the breach will be provided to the member of staff and, if necessary, the Data Protection Officer will advise the Information Commissioner of the matter. MHA will manage breaches in accordance with the Information Commissioner’s published guidance. Failure to act on the advice of the Data Protection Officer within the agreed timescale may result in disciplinary action being taken. 3. Efficient, Effective and Secure Processing 3.1 MHA will seek to ensure all personal data processed is adequate for the specified purpose and limited to only those items relevant. 3.2 MHA will seek to ensure all personal data processed is accurate initially and updated as necessary. 3.3 MHA will seek to ensure all personal data processed is stored / filed consistently and logically, and that data is retained only for relevant periods. 3.4 Details are attached in Appendix 4 regarding the responsible person for the efficient and effective processing of the different categories of data. 3.5 MHA will seek to ensure that the level of security is appropriate to the degree of damage or distress that would be caused to the Data Subject as a result of the loss, theft or damage of Personal Data As the Act obliges, MHA will take 'appropriate technical and organisational measures' to prevent the unauthorised or unlawful processing or disclosure of Personal Data. The measures we will take to protect against the loss of personal information will include: 3 Technical, eg o need-to-know access only to paper and electronic files o password protection o encryption o back-ups o mobile device security Organisational measures, eg o premises are secure o personal data is not left on desk but locked away o verify telephone caller identity before disclosing personal data o computers are turned off when not in use o procedures for mobile and home workers aimed at preventing Third Party access to information they are processing o staff leaver procedures o confidential data destruction o training o staff vetting, supervision and management systems. Responsible directors/managers should consider the implications of this requirement and ensure security measures are appropriate for the types of data they are processing and ensure records are disposed of securely and according to the timings stipulated in Appendix 4. Confidential paper records must be shredded or disposed of using a specialist confidential waste contractor using sealed bags. 4 Rights of Data Subjects 4.1 MHA will cooperate with the Data Subject as fully as possible. 4.2 On receipt of a request we will seek to clarify the exact purpose of the request so that we can target the most relevant data sources efficiently. If we are not able to do this verbally, we will expect the data subject to complete the Subject Access Request Form (Appendix 7). MHA will not charge a fee for a visual inspection, but may charge up to £10 for electronic or paper output and up to £50 for medical or educational information. A Data Subject is entitled to: Make a request to be granted access to, and be provided with a copy of, any Personal Data that MHA holds about him or her. This includes a right to be provided with information about the purposes for which MHA processes those Personal Data, and the source of the data, and the logic behind any automated decision making processes. However, Data Subjects are only entitled to access their own Personal Data. MHA must withhold Personal Data of Third Parties and not disclose it in response to a subject access request. MHA may ask Data Subjects to confirm their requests clearly, and in writing if necessary, particularly if staff members may need guidance from a senior manager/Director. 4 4.3 Prevent processing which is likely to cause the data subject damage or distress. Before MHA releases any data it must be established whether the identity of a third party might be revealed. If so, please refer to the flow chart below: Does the data contain information relating to another individual (3rd party) No DISCLOSE No DISCLOSE Yes DISCLOSE EDITED VERSION Yes DISCLOSE Yes Would the release of all the information reveal the third party’s identity? Yes Can the data be edited to exclude the identity of a 3rd party No Has the 3rd party consented to disclosure? No WITHHOLD DATA If MHA and the Data Subject fail to agree, the Data Subject may claim compensation, apply to the Court and/or make a Request to the Information Commissioner. Any such occurrence should be reported to the Data Protection Officer, who will record this in MHA’s Register of Disputed Information Requests. 5. Disclosures to someone other than the Data Subject 5.1 Before MHA can disclose Personal Data to someone other than the Data Subject we must have informed consent from the Data Subject, or other permission or exemption from the non-disclosure provisions. If we are not able to do this verbally, we will expect the data subject to complete the Subject Access Request Form (Appendix 7). MHA may charge a fee for dealing with a request dependent upon the circumstances. No charge for visual inspection if the request relates to data less than 40 days old. £10 for electronic or printed output Up to £50 for medical or educational output 5 5.2 The greatest complexity for MHA relates to residents’ (sensitive) personal data regarding their health and care. Wherever possible MHA will seek to clarify with the resident, or their relative / advocate / Deputy / Attorney, before s/he moves in, which individuals should be able to access their personal data. From 2013, we record in the Residential Care Agreement (Care Homes) and the Home Care Agreement (Retirement Living) the wishes of the resident and will rely on this in deciding whether or not to disclose personal data to any particular person. 5.3 If the resident is unable to give informed consent, we will seek to clarify their wishes (as in 5.2) with their formally-appointed representative or the relative/advocate acting as guarantor in the Care Agreement. If the resident has a formally appointed representative, MHA will verify the representative’s appointment. Appropriate representatives include someone with written authority to receive or supply Personal Data, a Court of Protection Deputy, an attorney or a trustee with appropriately wide powers. 5.4 If a request for (sensitive) personal data is made by a family member, and the requestee is not clearly authorised in the Care Agreement, then access should be declined. We should direct the requestee to the resident, formally-appointed representative or relative / advocate acting as guarantor. However if the resident is unable to give informed consent, and there is no person to act on their behalf, then we should disclose (sensitive) personal data to a family member, subject to our being satisfied that they are seeking to act in the best interests of the resident. Staff members should seek guidance from their senior manager and the matter should be referred to the Data Protection Officer if complicated. 5.5 Regulators / commissioners should be given access to information, subject to their acknowledging that we and they have responsibilities under the Data Protection Act, and subject to our being satisfied that it is in relation to their discharging their statutory duties. We should retain our information and provide copies on request (at nil charge). 5.6 The Police should be given access to personal data on request, subject to our being satisfied that it is in relation to a crime or legal proceedings. We should retain information and provide copies on request (at nil charge): we must retain copies if the originals are taken. 5.7 A health professional responsible for the clinical care of a resident ie GP, District Nurse or similar, can be granted access to the resident’s (sensitive) personal data subject to our being satisfied that it relates to the mental or physical health of the resident in order to ensure necessary medical care is provided. 5.8 Disclosures to other organisations 6 For disclosures to Data Controllers, once we have consent, permission or exemption and before disclosing the Personal Data, MHA will normally seek assurance that use of the Personal Data will be restricted to the scope of the permission held by MHA. 7 Appendix 1 Access to Health Records relating to someone who has died After death, the right to access records is governed by the Access to Health Records Act which provides that an individual is entitled to access the records if they are the administrator of the estate or have a claim arising from the death. Otherwise the documents are subject to confidentiality. The power conveyed by a Power of Attorney ceases on the death of the donor. Any such requests should be referred to the Director of Service Improvement who will seek to ascertain whether the individual is entitled to access the records as indicated above. 8 TERMINOLOGY DEFINED Appendix 2 The following terms are used throughout this Policy and its application. These definitions align with those used within the Act. Each term is defined as follows: 1. Data Controller A “Data Controller” is the person who determines the purpose, and the manner, in which personal data are processed. For Personal Data which is under MHA’s control this is MHA together with those within MHA who take the decisions about how and why personal information is to be processed. In some cases MHA receives Personal Data from another person, and we process it for their purposes and under their instruction. In such cases the other person is the Data Controller. 2. Data Processor A ‘Data Processor’ is a person who processes Personal Data on behalf of the Data Controller and as instructed by the Data Controller, but who is not an employee of the Data Controller. So any person, public authority or other body processing Personal Data on behalf of the Data Controller is a Data Processor. This includes electronic publishing and those who collect information on behalf of others. Examples of data processors: External researchers providing a service for MHA Independent tenant participation advisors who may have access to some information about other tenants Maintenance contractors who receive tenant contact and appointment details Builders and major works contractors who receive tenant contact and appointment details Managing agents acting for MHA External auditors (professional service providers) who may review customer records in the course of providing their services for MHA Regulators who may review customer records such as in the course of performing inspections Recruitment Agencies acting for MHA External payroll agencies who provide services to MHA 3. Data Protection Officer The ‘Data Protection Officer’ is the person nominated by the Chief Executive to take responsibility for corporate compliance: A Godfrey – [email protected] 4. Data Subject A “Data Subject” is any living individual who is the subject of Personal Data. There are no age restrictions on who qualifies as a Data Subject but the definition does not extend to individuals who are deceased. MHA’s Data Subjects include residents, Live at Home members, donors, volunteers and members of staff 9 5. Personal Data (and Sensitive Personal Data) ‘Personal Data’ are data which: o o form part of a Relevant Filing System, whether stored electronically or on paper relate to a living individual who can be identified from those data, (including accessible public records such as certain health or educational records; or from Data and other information which is in the possession of, or is likely to come into the possession of MHA) It includes any expression of opinion or view about an individual or his or her circumstances. It also includes any information on the intention of MHA towards the individual. Examples of personal data: Age Marital status Housing history of an individual Economic status of an individual An individual’s allowance, benefits and grants Support services received by an individual Medical data Attitudinal data Mailing lists Sensitive Personal Data The Act recognises that some items of data are more sensitive than others, and therefore require additional legal protection to ensure appropriate handling. Sensitive personal data includes information on: 6. race or ethnic origin; political opinions; religious beliefs or other beliefs of a similar nature; membership of a trade union; physical or mental health condition; sexual life the commission, or alleged commission, of any offence; the proceedings for any offence, or alleged offence Processing Of Personal Data The definition of ‘Processing’ sets the boundaries for the management of personal data. Processing includes any action that MHA, or a person acting on MHA’s instructions, takes that involves Personal Data and/or sensitive Personal Data. Processing can be manual or automated. 10 7. Recipient A “Recipient” is any person to whom personal data are disclosed, whether or not the disclosure is intentional or lawful. 8. Relevant Filing System ‘a Relevant Filing System’ means: 9. a set of information, stored electronically or on computer, which is structured, either by reference to individuals or criteria relating to individuals, in such a way that specific information about a particular individual is readily accessible. A useful rule of thumb in working out whether a file is likely to be covered is whether a temporary worker, who is not familiar with the filing system, if instructed to find a particular piece of information, would be able to do so easily and in particular without leafing through the whole file. Third Party “Third party” relates to any person other than the individual (the Data Subject) or MHA 11 Appendix 3 Data Protection Register – Entries MHA Purpose 1 Accounts and Records 2 Advertising Marketing & Public Relations 3 4 5 6 7 8 9 10 Staff Administration Administration of Membership Records Trading / Sharing in Personal Information Fundraising Legal Services – Income / Legacies / Power of Attorney Realising the Objectives of a Charitable Organisation or Voluntary Body Crime Prevention and Prosecution of Offenders Health Administration and Services HA Purpose 1 Accounts and Records 2 Advertising Marketing & Public Relations 3 4 5 6 7 8 9 10 11 Staff Administration Administration of Membership Records Trading / Sharing in Personal Information Fundraising Legal Services – Income / Legacies / Power of Attorney Realising the Objectives of a Charitable Organisation or Voluntary Body Crime Prevention and Prosecution of Offenders Health Administration and Services Property Management MHA Auchlochan Purpose 1 Staff Administration 2 Accounts and Records 3 Health Administration and Services 4 Crime Prevention and Prosecution of Offenders Key: GFD GDPCA GDCH GDRL Dept / Function Residents’ Income Supporter database Sales initiatives HR & Payroll N/A N/A Supporter database Legal Responsibility GFD GDPCA Legal GFD CCTV / Estates GDCH Care GDPCA Dept / Function Residents’ Income Supporter database Sales initiatives HR & Payroll N/A N/A Supporter database Legal Responsibility GFD GDPCA Legal GDRL CCTV / Estates GDCH Care Tenancies/Leasehold GDPCA GFD Dept / Function HR & Payroll Residents’ Income Care CCTV / Estates Responsibility GDPCA GFD GDPCA GDCH GDPCA N/A N/A GDPCA GFD GDPCA N/A N/A GDPCA GDRL Group Finance Director Group Director People and Corporate Affairs Group Director Care Homes Group Director Retirement Living 12 Appendix 4 MHA’s Personal Data Types and Responsible Director The responsible Director (as indicated below) should liaise with the Data Protection Officer in all matters referred to the Information Commissioner. Legal advice should be sought by the responsible Director from their usual lawyers. A member of CMT should be involved if there is any doubt or complication. These retention periods apply to paper, electronic (document or database) and email records. A Residents / Live at Home Members – Responsibility: Director of Service Improvement Record Residents’ records – England and Wales Residents’ records – Scotland Live at Home members’ records – Britain Details of Injuries or Accident Reports / Records Retention Time 3 Years 7 Years 3 Years 5 years from time of accident occurring – Responsibility: Director of Finance Record Residents’ finance records - Britain B Retention Time 7 Years Staff Members – Responsibility: Director of HR Staff Members’ Record Application Forms, CV’s and other unsuccessful applicants’ details, selection records. Employment records /details of terms and conditions Appraisal records /objectives / performance reviews or targets agreed Disciplinary and formal Capability records Pay & benefits information (Inland Revenue requirements) Development / training needs and records of completed activities Retention Time 7 months after applicant notified of outcome unless longer period requested by grant funder eg Big Lottery Fund 10 years after employee has left employment 7 months after employee has left employment - 7 years after the employee has left employment - but, is deemed inactive after 6/12 months from date of disciplinary or formal capability hearing (as per Discipline and Capability Policies) 7 years after employee has left employment 7 months after employee has left employment 13 Category of Worker: All staff employed in Homes All staff employed in Retirement Living Home Managers Retirement Living Managers Regional and Head Office staff Group Directors C Retained By: Home Manager in the Home’s administrative office Scheme Manager in the Scheme’s administrative office Group Director - Care Homes, Head Office Group Director – Retirement Living, Head Office Group Director or HR Director – Head Office Chief Executive – Head Office Volunteers – Responsibility: Director of HR All records pertaining to volunteers should be kept for the same length of time as indicated for staff members in A above. The records should be retained by the local home or scheme manager in the administrative office. D Donors / Potential Donors – Responsibility: Director of Communications All records held indefinitely – including donors who have indicated they wish no further contact with MHA. Individual record to be removed immediately on request by the donor (accepting that it is possible that they then may receive further mailings inadvertently thereafter). E CCTV Recordings – Responsibility: Director of Estates Record CCTV recordings Retention Time 1 month, unless being retained for evidential purposes. 14 Donors Privacy Statement Appendix 5 MHA is a member of the Fundraising Standards Board (FRSB) and adheres to the data protection guidelines of the Institute of Fundraising We have created this statement to demonstrate our commitment to your privacy. We do not collect personally identifying information about you, unless you choose to provide such information to us. Providing such information is strictly voluntary. This is your guide to how we will handle information we learn about you. 1. Your personal information. We take your privacy seriously. The information provided will be held securely by MHA. We need to hold this data to process your gift and record your wishes 2. Third parties MHA will not pass any of your information to any third party. 3. Use of Links Throughout our Web pages, we provide links to other servers which may contain information of interest to our readers. We take no responsibility for, and exercise no control over, the organizations, views, or accuracy of the information contained on other servers. Creating a text link from your Web site to our site does not require permission. If you have a link you'd like us to consider adding to our Web site, please send an email to [email protected] with the subject "Link request." 4. Use of Text and Images If you would like to publish information that you find on our Web site, please send your request to [email protected] Where text or images are posted on our site with the permission of the original copyright holder, a copyright statement appears at the bottom of the page. 5. Accessibility This Web site is designed to be accessible to visitors with disabilities, and to comply with guidelines concerning accessibility. We welcome your comments. If you have suggestions on how to make the site more accessible, please contact us at [email protected] 6. Reading or Downloading We collect and store only the following information about you: the name of the domain from which you access the Internet, the date and time you access our site, and the Internet address of the Web site from which you linked to our site. We use the information we collect to measure the number of visitors to the different sections of our site, and to help us make our site more useful to visitors. 7. Online Profile Updates and Donations If you complete the Profile update form, this information will be used only to provide you with more targeted content. We may use your contact information to send further information about our organization or to contact you when necessary. You may always optout of receiving future mailings; see the "Opt Out" section below. 15 8. Sending us an Email You also may decide to send us personally identifying information, for example, in an electronic mail message containing a question or comment, or by filling out a Web form that provides us this information. We use personally identifying information from email primarily to respond to your requests. We may forward your email to other employees who are better able to answer you questions. We may also use your email to contact you in the future about our programs that may be of interest. We want to be very clear: We will not obtain personally identifying information about you when you visit our site, unless you choose to provide such information to us. Providing such information is strictly voluntary. Except as might be required by law, we do not share any information we receive with any outside parties. If you sign up for one of our email lists, we will only send you the kinds of information you have requested. We won't share your name or email address with any outside parties. 9. Children and Privacy For children who visit our site, special rules apply. We do not request personal information about children, such as first and last name or street address and city. When children send email to us, their online contact information (email address) is not used to re-contact them and is not maintained in retrievable form. 10. Opt-Out or Change Your Contact Information MHA provides supporters with the opportunity to opt-out of receiving communications from us. You may choose to receive only specific communications or none at all. You may also update your contact information previously provided to us. You can not remove yourself from our database, but you can prevent unwanted communication. To opt out of receiving communications from MHA please contact us using the contact details below. 11. Questions If you have any questions about your dealings with MHA, you can contact us at: Email: [email protected] 16 Appendix 6 USE OF CCTV CCTV recordings are primarily used for security & crime detection, but can incidentally be used if they reveal activity that no employer can reasonably be expected to ignore. Recordings must record the date and time accurately and the accuracy of the system must be checked every 6 months Cameras must only cover areas deemed necessary CCTV signage should be placed so that the public are aware that they are entering a CCTV area and it should state, “Images are being recorded for the purpose of crime prevention and detection. The scheme is controlled by Methodist Homes Tel: 01332 296 200”. Access to images should be restricted to a manager or designated member of staff who will decide whether to allow requests for access by third parties in accordance with this policy. Live video feed screens should be placed so they are not be viewable from public areas. Any media containing recordings must be stored in a secure, lockable location. Access to recordings must be based on a date and time range. Access Requests should be referred to the Estates Manager and should be processed within 40 days Subject Access Requests must specify the date and time range to be searched and must be for security or crime detection purposes. In order to comply with the protection of other people the images or video may need editing before releasing to the Subject. Any third party doing the editing must provide a guarantee of privacy. 17 Appendix 7 METHODIST HOMES SUBJECT ACCESS REQUEST FORM To: From: Name Address Date: I am writing to request that you provide a copy of the following personal data which you may be holding in a filing system such that I may be identified: I understand that the information will be provided within 40 days of the above date. Date: Signed: For official use only Received Name Date Name Date Action: Supplied Page 18 of 18
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