Upload
harold-sims
View
221
Download
3
Embed Size (px)
Citation preview
Care Quality Matters- A compliance Masterclass
Sughra Nazir Care Excellence Partnership
Introductions
Care homes or domiciliary care?
About me
Welcome
Outcomes
Impact
Exercise - Your care essentials
Looking ahead information from CQC about proposed changes
Move onto look at specifics
Plan for today
CQC. New questions ◦ Fundamentals of care◦ Quality ratings
Council Links to occupancy /business development
and growth
Internet Social media
Compliance- why it matters
−− Are they safe? −− Are they effective? −− Are they caring? −− Are they responsive to people’s needs? −− Are they well-led?
Internal compliance needs to answer these questions
New CQC questions
7
CQC top ten proposed changes
More systematic use of people’s views and experiences, including complaints
Inspections by expert inspectors, with more experts by experience and specialist advisors
Tougher action in response to breaches of regulation, particularly services without a registered manager for too long
Checking providers who apply to be registered have the right values and motives, as well as ability and experience
Ratings to support people’s choice of service and drive improvement
1
2
3
4
5
8
CQC top ten proposed changes (2)
Better data and indicators to help us target our efforts
New standards and guidance to underpin the five key questions
Avoid duplication of activity with local authorities
Focus on leadership, culture and governance with a different approach for larger and smaller providers
Frequency of inspection to be informed by ratings
6
7
8
9
10
New inspection process
Surveillance
10
Better use of technology to capture people’s views and experiences
Specific guidance on our expectations for the induction and training of staff who work in adult social care services
How we might encourage services to be more open and better integrated with local communities, creating an open culture
Allowing providers to pay for additional inspections if they believe the quality of their service has improved
Finding a better way of regulating supported living schemes
Potential use of mystery shoppers and hidden cameras to monitor care
Other ideas from CQCss
11
Developing a ratings system
One overall rating for a service, always based on inspector’s professional judgement
Four point ratings scale – outstanding; good; requires improvement; inadequate – but more work needed on the descriptions
To be outstanding, it must feel outstanding to people who use the service, their families and carers.
We are considering whether to offer providers the opportunity to pay for an additional inspection
The things we look for will develop over time as people’s needs and aspirations change
12
Timelines
Co-production and development to shape consultation proposals
Oct 2013 – March 2014
Consultation on regulatory approach, ratings and guidance
March 2014
Wave 1 pilot inspectionsMarch –
May 2014 Evaluation; guidance
and standards refined
July – Sept 2014
Wave 2 pilot inspections and initial ratings of some services
June 2014
Oct 2014
New approach fully implemented and indicative ratings confirmed
March 2016
Every adult social care service rated
How will you evidence
−− Are they safe? −− Are they effective? −− Are they caring? −− Are they responsive to people’s needs? −− Are they well-led?
So what does that all mean?
Doing a care plan audit
Doing a medication audit
Doing a staff file audit
Safe, effective, caring, responsive and well-led
Before lunch
Care plan audit
Medication audit
Staff file audit
Feedback from audits
What to include Timescales Named contacts Social services CQC? Ombudsman
Complaints
Learn lessons??
Some examples coming up
1) list the issues and action you would take to investigate (10 minutes)
2) draft the letter of response (10 minutes)
3) consider any changes needed to systems processes, policies and practice (10 minutes)
2 complaints
1 Care home example
2 Domiciliary care example
Feedback from complaints exercise
Paragraphs 1, 2 and 3
What Action would you take straight away?
What would you investigate and how?
What changes need to be made and what steps will you take to make sure the changes are made and implemented?
The next challenge
Paragraph 1
Paragraph 2
Paragraph 3
Feedback
Recruitment
Induction
Supervision
Team meetings
Implementation tips – behaviours
Care plans – are they ever really up-to-date?
Medication – the missing gap
Food and fluid charts
Consistent and good quality daily records
Implementation tips - documentation
Audits – what to do if you find a gap
Staff awareness
Timing of audits
Person who is doing the audits
Links with performance/supervision
Implementation tips – checks and audits
Look at draft regulations Look at current practice Independently audit
Sughra Nazir Care Excellence Partnership 07737633500 [email protected]
Next steps
Any questions?
Any individual issues?
Questions and individual issues