CARE Mick Feather Care Business Manager Improving care
CARE Mick Feather Care Business Manager
Improving care ratings and keeping visible quality
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 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 Total 112 changes to KLOEs and prompts Substantive changes to prompts in WELL-LED
• • 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
Round table discussions Group activity –best practices Tables come up with 2 or 3 outcome-focused ideas Outstanding Guide Equally Outstanding Guide Local partnerships/Community Tables pick 1 idea to feedback and which they will go away and adopt
Any Questions?
- Slides: 27