Compliance Masterclass

Report
Sughra Nazir
Care Excellence Partnership
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Introductions
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Care homes or domiciliary care?
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About me
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Outcomes
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Impact
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Looking ahead information from CQC about
proposed changes
Move onto look at specifics
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CQC. New questions
◦ Fundamentals of care
◦ Quality ratings
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Council
Links to occupancy /business development
and growth
Internet
Social media
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Are
Are
Are
Are
Are
they
they
they
they
they
safe?
effective?
caring?
responsive to people’s needs?
well-led?
Internal compliance needs to answer these
questions
More
1
systematic use of people’s views and experiences,
including complaints
Inspections
2
by expert inspectors, with more experts by
experience and specialist advisors
Tougher
3
4
5
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
7
6
Better
efforts
7
8
New
standards and guidance to underpin the five
key questions
Avoid
9
10
data and indicators to help us target our
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
8
Surveillance
Other ideas from CQCss
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
10
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
11
Oct 2013 –
March
2014
March
2014
Co-production and
development to shape
consultation proposals
Consultation on regulatory
approach, ratings and guidance
March –
May
2014
Wave 1 pilot inspections
June
2014
Evaluation; guidance and
standards refined
July –
Sept
2014
Wave 2 pilot inspections
and initial ratings of some
services
Oct
New approach fully
2014
implemented and indicative
ratings confirmed
March Every adult social
care service rated
2016
12
How will you evidence
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Are
Are
Are
Are
Are
they
they
they
they
they
safe?
effective?
caring?
responsive to people’s needs?
well-led?
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Doing a care plan audit
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Doing a medication audit
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Doing a staff file audit
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Safe, effective, caring, responsive and wellled
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Care plan audit
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Medication audit
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Staff file audit
What to include
 Timescales
 Named contacts
 Social services
 CQC?
 Ombudsman
Learn lessons??
Some examples coming
up
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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)
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1 Care home example
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2 Domiciliary care example
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Paragraphs 1, 2 and 3
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What Action would you take straight away?
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What would you investigate and how?
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What changes need to be made and what
steps will you take to make sure the changes
are made and implemented?
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Paragraph 1
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Paragraph 2
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Paragraph 3
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Recruitment
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Induction
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Supervision
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Team meetings
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Care plans – are they ever really up-to-date?
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Medication – the missing gap
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Food and fluid charts
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Consistent and good quality daily records
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Audits – what to do if you find a gap
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Staff awareness
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Timing of audits
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Person who is doing the audits
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Links with performance/supervision
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Look at draft regulations
Look at current practice
Independently audit
Sughra Nazir
Care Excellence Partnership
07737633500
[email protected]
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Any questions?
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Any individual issues?

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