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Dignity Matters
Jamie Rentoul, designate Director of Regulation & StrategyCare Quality Commission25 November 2008
Ensuring better care for people
What is CQC ?
What is CQC?
We will bring together and build on the excellent work of three commissions
As a new, combined and powerful regulator across health and social care, our work will touch the lives of everyone in England at some point
People who use services, their families and carers will be at the heart of everything we do
The CQC model of quality care
Safety and safeguarding
Outcomes, including clinical outcomes
Experience of people who use services
‘Functionality’, independence and quality of life
Access to services
Making best use of our resources
Our values
Put the people who use services first
Be independent, expert and authoritative
Champion joined-up care
Work with service providers and professions to agree definitions of quality
Be visible, open and transparent
Building on success – key functions
Registration
Provider assessment
Risk-based inspection
New enforcement powers
Commissioner assessment
Trusted, accessible information
Gatekeeping role
Knowledge to influence policy
How can CQC play its part in promoting dignity in health and
adult social care?
Not being given proper information
Being spoken about as if they were not there
Not seeking their consent and/or not following their
wishes
Being addressed in an inappropriate manner
Being left in soiled clothes
Being exposed in an embarrassing manner
Not being given food or help with eating/drinking
Being placed in a mixed sex accommodation
Being in a noisy environment at night thus causing lack of sleep
Being left in pain
Having to use premises that are unclean and smelly –
toilet and wards
Lack of protection of personal property including personal aids – hearing or visual
Being subjected to abuse and violent behaviour
I don’t believe it.!!!
There is no standard definition of ‘dignity’.There is no standard definition of ‘dignity’.
How do people define dignity?
How good is existing care?
‘State of social care’ – personal dignity & respect:- 74% of councils ‘good’ or ‘excellent’;- 88% of care homes meet relevant standards.Surveys of people in healthcare settings:- 78% always treated with dignity in acute hospitals;- Over 80% treated with respect & dignity in community mental health
services;- 93% of those seeing a GP treated with dignity ‘all of the time’; but…- 20% of those needing help to eat did not get it;- Significant proportion still sharing accommodation when first admitted
or sharing bathrooms later on;- Considerable variation between providers of care.
Dignity in care – the golden thread
Dignity is an integral part of providing care in any care setting.
Dignity is central to the personalisation agenda.
Maintaining dignity does not always require resources, small changes can make a big difference to people.
Dignity is fundamental to CQC’s human rights based approach
Caring for dignity – building blocks
Involving people in their care A culture focussed on delivering personal care in a way that ensures dignity for the person using services
A workforce that is equipped to deliver good quality care
Strong leadership at all levels Supportive environment
Source: “Caring for Dignity”, Healthcare Commission 2007
Who has a role in improving quality?
Commissioning
Performance Management
NHS Constitution
Professional accreditationPersonalisation
Quality Accounts
Quality Framework
National Quality Board
Other Regulators
NHS Litigation Authority
3rd Sector
NPSA
Audit Commission
NICE
Improvement Agencies
PROMs
GSCC
RIEPs
ADASS
NMC
GMC
Human Rights
E&D
DCLG
Political landscape
DH
CAA
JSNA
Quality observatories
CommissionersDarzi review
NHS Choices
Staff
SCIE
ProvidersJIPs
LAA
Topics for registration requirements
Department of Health consultation:Making sure people get the nourishment they needMaking sure people get care & treatment in safe, suitable places which
support their independence, privacy & personal dignityUsing equipment that is safe & suitable for people’s care & treatment and
supports people’s independence, privacy & personal dignityInvolving people in making informed decisions about their care & treatmentResponding to people’s comments & complaintsSupporting people to be independentRespecting people and their families & carers – people’s privacy, autonomy
& dignity are safeguarded and their human rights & equality are respected. Where appropriate, people are assisted to maintain their private and family lives and social support networks
How can regulation help?
Giving people using services & their carers a stronger voiceEnsuring that all providers meet registration requirementsAssessing performance of all providersAssessing performance of Local Authorities and Primary Care
Trusts as commissioners of careGiving people trusted information that helps them & their carers
make decisions on their care
We need your help to ensure our work reflects what is important to people
Your questions ?