Transcript PCA
P rovider Compliance Assessments
Helen Pettengell Judi Burwood
System entry
Application made Application assessed Judgement made Judgement published
Ongoing monitoring compliance
Information Capture Judgement On risk Information analysis Regulatory judgement Regulatory response
Happy Days Retirement Home, Nowhere in Hertfordshire AL1 1CR Summary of our latest checks on the standards you have the right to expect Standards of treating people with respect and involving them in their care Standards of providing care, treatment & support, which meets people’s needs Standards of caring for people safely and protecting them from harm Improvements required Improvements required Standards of staffing Standards of management Improvements required
What are you expected to comply with ?
Two pieces of legislation.
Health & Social Care Act 2008 (Regulated Activities) Regulations 2010.
CQC (Registration) Regulations 2009.
28 Regulations.
Essential Standards translate the regulations into expected outcomes and are legally required.
A different Approach from CQC
Compliance inspectors are now generic across ALL services.
Focus on outcomes rather than inputs.
All visits to a service includes observation.
Policies & Procedures not examined as a matter of routine.
A service should be compliant with the regulations at ALL times.
Monitoring Compliance
Focus of compliance will be on the 16 essential standards. Level of compliance determines level of review and regulatory action within CQC.
Planned reviews & responsive reviews.
Review of compliance report.
Provider compliance assessment.
Current Focus
CQC are now currently ensuring ALL social care providers have a compliance visit.
More likely to be focused Will not routinely request PCAs
Encouraging responsibility
A service should be compliant with the regulations at ALL times. Provider is responsible for identifying & managing non compliance.
Making improvements.
Quality of the care provided.
Provider Compliance Assessment
The PCAs relate to 16 out of 28 regulations that relate directly to the quality and safety of care.
Providers must have evidence that they meet the outcomes.
Essential Outcome Areas
Outcome 1 – Respecting & involving people who use services.
Outcome 2 – Consent to care & treatment.
Outcome 4 – Care & welfare of people who use services.
Outcome 5 – Meeting nutritional needs.
Outcome 6 – cooperating with other providers.
Outcome 7 – safeguarding people who use services from abuse.
Outcome 8 – Cleanliness & infection control.
Outcome 9 – Management of medicines.
continued
Outcome 10 – Safety & suitability of premises.
Outcome 11 – Safety, availability & suitability of equipment.
Outcome 12 – Requirements relating to workers.
Outcome 13 – Staffing.
Outcome 14 – Supporting workers.
Outcome 16 – Assessing & monitoring the quality of service provision.
Outcome 17 – Complaints.
Outcome 21 – Records.
Essential Standards of Quality & Safety
The judgement Framework
The Purpose of the PCA
Self Assessment tool Use it routinely or Ad Hoc Not mandatory Detail compliance/non compliance
Provider Compliance Assessments
Will not routinely request prior to a review Can request some or part of a PCA Request should not exceed 5 PCAs Must submit within the specified timescale
Provider Compliance Assessment continued
Do not have to use CQC tool Each PCA should ONE location only You do NOT need to complete a PCA for each regulated activity.
How to complete the PCA
Focuses on outcomes.
Peoples experiences & views.
Involved & listen to.
What is outcome evidence?
Evidence that centres on what it is like for the person receiving services The impact of policies, procedures & systems Evidence relating directly or indirectly from the people who use the services
Summary
Download PCAs - do not need to use CQCs format Work on them in word Tell the truth Repetitive Keep them updated
Future Consultation
Current consultation on the judgement & enforcement policy Simplifying the regulatory model More targeted - swift action if non compliant
Consultation continued:
CQC will continue to make scheduled, responsive & themed inspections of services Unannounced & at least an annual inspection Targeted QRP Setting the Bar incorporated into judgement framework
Continued:
Compliant or non compliant Focus on identifying areas of non compliance Where non compliance found judgement on impact on people will be made after Confidence in provider Escalating scale of enforcement Level of impact on people for each regulation deemed non compliant.
Will publish a summary of warning notices
Other reviews of methodology
The government was consulting on the scope of registration Proposal for new form of notice
Future themed inspections
On top of the planned & responsive reviews: More inspections on dignity and nutrition in 2012 Themed inspection programme of home care services.
Outcome 1:
Respecting and involving people who use services (Regulation 17).
Outcome 4:
Care & welfare of people who use services (Regulation 9)
Outcome 6
Cooperating with other providers. People receive safe and coordinated care when they move between providers or receive care from more than one provider (Regulation 24).
Outcome 7:
Safeguarding people who use services from abuse (Regulation 11).
Outcome 9:
Management of Medicines (Regulation 13)
Outcome 16: Quality & Management
Assessing & monitoring the quality of service (Regulation 10)
How to contact us
07960 602059 – Helen Pettengell 07960 602069 – Judi Burwood