CARE Mick Feather Care Business Manager Improving care
CARE Mick Feather Care Business Manager
Improving care ratings and keeping visible quality
CQC Latest Ratings As at 31 July 2017 out of 21, 256 rated services…. 3, 952 303 356 16, 645 (2%) (78%) (19%) (1%) OUTSTANDING GOOD REQUIRES IMPROVEMENT INADEQUATE
CQC Latest Ratings
Size Matters Large service Small service 50 + 10 + residents Nursing Home
CQC changes ASC • Assessment frameworks reducing from 11 to 2 – ASC and Healthcare • Changes to KLOEs, prompts and characteristics of ratings • Change of the Provider Information Return (PIR) to a Provider Information Collection (PIC) • Inspection frequency changes • Registration changes • Complex services • Fit and proper persons
• • • New KLOEs • • SAFETY 1 How do systems, processes and practices safeguard people from abuse? SAFETY 6 Are lessons learned and improvements made when things go wrong? EFFECTIVE 1 Are people’s needs and choices assessed and care, treatment and support delivered in line with current legislation, standards and evidence-based guidance to achieve effective outcomes? WELL-LED 2 Does the governance framework ensure that responsibilities are clear and that quality performance, risks and regulatory requirements are understood and managed? WELL-LED 3 How are the people who use the service, the public and staff engaged and involved?
New KLOEs Total 112 changes to KLOEs and prompts 5 New KLOEs 11 Substantive changes to KLOEs 36 New prompts 18 Substantive changes to prompts in SAFE 20 Substantive changes to prompts in EFFECTIVE 3 Substantive changes to prompts in CARING 9 Substantive changes to prompts in RESPONSIVE 10 Substantive changes to prompts in WELL-LED New KLOEs http: //www. cqc. org. uk/sites/default/files/20171020 -adult-social-care-kloes-prompts-andcharacteristics-final. pdf Sources of evidence http: //www. cqc. org. uk/sites/default/files/20171020 -asc-assessment-framework-with-sourcesof-evidence. pdf
• • Significant Changes Infection Control is now mandatory More emphasis on the Equality Act and Protected characteristics. • Continual improvement • Technology • Leadership
• Significant Moves • • • Challenging behaviours moves from EFFECTIVE to SAFE (E 2 to S 2. 7) Discrimination moves from SAFE to EFFECTIVE (S 1 to E 1. 2) Transition between services moves from RESPONSIVE to EFFECTIVE (R 2 to E 4. 1) End of Life Care moves from CARING to RESPONSIVE (C 4 to R 3)
Outstanding Services
Outstanding Services “Put the people you care for at the centre of what you do. ”
Outstanding Services “Listen to employees’ views and concerns – and act on them. ”
Outstanding Services “Create a personcentred culture of fairness, where employees are proud of the service and care they provide. ”
Outstanding Services “Learn from accidents, incidents, complaints and feedback, and use them to drive necessary improvements. ”
Outstanding Services “Make sure you have a robust quality assurance system in place, that allows you to effectively monitor the standards of your service. ”
Outstanding Services “Make sure you have comprehensive risk assessments in place for employees and people in your care. ”
Outstanding Services “Make sure your service is inclusive and recognises different cultures and religions, and that this is evident in food choices, cultural events and activities. ”
Outstanding Services “Your vision and values should be at the heart of your service, so make sure they’re supported by appropriate policies, procedures and employee handbooks. ”
Outstanding Services “Consider gaining membership of your local care association, so you’ve a platform to share best practices and the latest guidance. ”
Outstanding Services “Have a structured ‘plan, do and review’ process in place to sustain improvements and positive outcomes for the people in your care. ”
Preparing for CQC inspection
Preparing for CQC Inspection • Remain calm – inspectors are human! • Paperwork up to date • If it is not written down it didn’t happen! • Complete any outstanding analysis of information, trends or patterns
Preparing for CQC Inspection • Record incidents and accidents, analyse and improve • Remind staff about safeguarding, whistleblowing, consent, mental capacity act etc. • FRA & compliance
Preparing for CQC Inspection • Staff dealing with medication adequately trained • Robust infection control practices in place • Appropriate H&S checks done
Preparing for CQC Inspection • Policies & procedures reviewed & communicated • Staff files complete, including DBS checks • Staff training records up to date • Details of healthcare professionals you work with
• Good leaders • Positive culture • High Quality Care Summary Treating people as people: Person centred-care, tailored activities • Visible managers • Valuing staff • Vision and values • Good Quality Assurance systems • Surveys “The State of adult social care services 2014 -2017” July 2017
Any Questions?
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