Click here to load reader

Kathy Fodey Director of Regulation & Nursing Regulation and Quality Improvement Authority

  • View
    216

  • Download
    0

Embed Size (px)

Text of Kathy Fodey Director of Regulation & Nursing Regulation and Quality Improvement Authority

  • Slide 1
  • Kathy Fodey Director of Regulation & Nursing Regulation and Quality Improvement Authority
  • Slide 2
  • THREE KEY QUESTIONS THE REGULATOR WILL ASK
  • Slide 3
  • WHAT WE DO
  • Slide 4
  • The Role of RQIA
  • Slide 5
  • Registered Establishments and Agencies
  • Slide 6
  • HOW DO WE GATHER INFORMATION
  • Slide 7
  • C7
  • Slide 8
  • inspectengagemonitorreport Against regulations and standards Speak to service users, cares, families, staff Professional judgement HSC Trusts, HSC Board, PHA, DHSSPS, PCC, COPNI, Joint Protocol Incidents, complaints, duty calls, whistleblowing Publish reports and reviews, develop guidance
  • Slide 9
  • Pre-Inspection: What do we know? Previous inspections/intelligence Self -assessment of standards Complaints Care management reviews Information that may trigger an unscheduled inspection Duty calls from family, staff, others Letters from family or staff HSC trust-led vulnerable adult investigations Media reports
  • Slide 10
  • Slide 11
  • Slide 12
  • RQIA Inspections Review of previous requirements/recommendations Interviews with patients, staff, relatives Assessment of care needs Assessment against standards /themes Review of care and management records Observations environment culture/ambience staffing/patient interactions routines
  • Slide 13
  • Whistleblowing A notable increase in whistleblowing to RQIA The winterbourne affect Guidance available on RQIA website May lead to safeguarding investigations Increased inspection monitoring activity Improvements to safety and quality of care
  • Slide 14
  • Slide 15
  • Slide 16
  • Cherry Tree House: Recommendations
  • Slide 17
  • HOW DO WE PROTECT AND DRIVE IMPROVEMENT
  • Slide 18
  • Slide 19
  • Slide 20
  • Number of recommendation and requirements by service category
  • Slide 21
  • Post-2012: Current Enforcement Activity www.rqia.org.uk/inspections/enforcement_activity.cfm urrent Enforcement Activity Why we use enforcement Service and Provider name Copy of notice Date of issue, compliance required Link to previous enforcement action Summary of issues Explanations of types of enforcement Link to inspection reports
  • Slide 22
  • REGULATION BREACHES 2014-15
  • Slide 23
  • Domiciliary Care Agencies Reg. 15:Provision of services x 4 Reg. 13:Fitness of workers x 4 Reg. 21:Records x 3 Plus 6 other regulations x 1 each
  • Slide 24
  • Dental Practices Reg. 15: Quality of treatment relating to decontamination x 5
  • Slide 25
  • Nursing Homes Reg. 14:Further requirements for health and welfare x 6 (choice, hazards, risk, training) Reg. 18:Facilities and services x 5 Reg. 13:Health and welfare x 5 (infection prevention, privacy & dignity, medicines management) Reg. 20:Staffing x 4 Plus 8 other regulations x 16 times in total
  • Slide 26
  • Residential Care Homes Reg. 13:Health and welfare x 3 Reg. 12:Quality of service x1 Reg. 15:Assessment of residents Reg. 21:fitness of workers x 1 Plus 2 other regulations x 1 each
  • Slide 27
  • WHAT MORE CAN WE DO
  • Slide 28
  • A need to move from being heard to being listened to To hear = to be capable of perceiving sound To listen = to pay attention to what is being said
  • Slide 29
  • We wont reinvent the wheel
  • Slide 30
  • but we may improve it!
  • Slide 31
  • Three key questions Is care safe Is care effective Is care compassionate
  • Slide 32
  • New inspection focus Analysis of intelligence and risk Safe Effective Compassionate
  • Slide 33

Search related