Transcript Document

Quality Framework
2012- 2013
Historical Context of the QPA
award in Shropshire
• First introduced in 2004 for
Residential and Nursing care,
2008 for Domiciliary care
• Aims to improve and reward
quality
• Based on CQC ratings
• Linked to annual fee negotiations
• Built on the pre-placement
contract implemented by the
Council
• Based on Independent
accreditation
How much do Care
Homes receive?
• Initially an additional £14 per
week per bed was awarded
based on a weighted score.
• Then moved to a differential
scheme of 3 tiers paying £15, £20
and £25 per bed per week.
Paying a higher premium for
higher quality services.
Payments 2012-2014
• Built into fee negotiations
• Does not recognise homes with a
poor rating
• Continues to reward higher
quality services
• Focus on Nursing and EMI
Care Home Payments
2012 to 2014
Year 1 Uplift table
Residential & Nursing
Star
0
Nursing EMI
Residential EMI
Nursing Non EMI
Residential Non
EMI
tbc
tbc
tbc
tbc
1
2.75%
1.50%
2.75%
2.75%
2
4.50%
2.50%
3.50%
3.00%
3
6.00%
3.00%
4.50%
3.50%
Year 2 Uplift table
Star
0
Nursing EMI
Residential EMI
Nursing Non EMI
Residential Non
EMI
tbc
tbc
tbc
tbc
1
1.00%
1.00%
1.00%
1.00%
2
1.75%
1.50%
1.75%
1.50%
3
2.50%
2.00%
2.50%
2.00%
The Impact on
Care Home Ratings in
Shropshire
2007
2008
2009
2010
% rated
Poor
6.9%
4.6%
2.3%
1.5%
% rated
Acceptable
9.9%
8.3%
7.6%
6.1%
% rated
Good
46.7% 54.8% 47.3% 46.6%
% rated
Excellent
28.0% 31.2% 40.5% 42.0%
Source: CRILL overall analysis 2007 and 2008
Shropshire snapshot 2009 and 2010
The system now:
Providers who believe they have
improved their services since CQC
rating ended can apply for the QPA.
The process is provider driven and
includes
• Application/ Self Assessment
• Safeguarding checks
• Contract monitoring
Accreditation
The application will be accredited
by a Panel process being developed
by the local authority, membership
to include:
- Elected Members
- Head of Service
- Contracts Officer
The panel process will also be
used by the Council to withdraw
QPA from an individual Provider
1) Was it a continuously 2 or 3 star rated service under
CQC for the period 2008 – 2010?
No
Is this a
new
service?
Yes
Yes
No
Cannot receive
a premium
before 4/2013
) Has it been assessed as being fully compliant by CQC
under the new inspection regime? Has the organisation
self-assessed as being fully compliant in all outcomes?
 If you have not been inspected by CQC complete the
quality form to summarise your evidence.
 If you have been inspected by CQC please list the
outcomes reviewed and complete the quality form to
summarise your evidence.
2
Yes
No
Cannot receive a
premium before 4/2013
Quality Rating Self Assessment Audit.
Organisations that were deemed as excellent by CQC prior to
1st October 2010 will retain this rating providing there has
been no significant change to owners/management or
information leads the Local Authority to have a reason to reevaluate the rating.
Organisations in the Adult Protection Process for Institutional
Abuse cannot be recognised by the quality framework.
Organisations that are currently not recognised as being
excellent but wish to be recognised as “excellent” must
complete a submission evidencing why they consider they
now offer an “excellent “service.
The important factor is what has changed and how have
you evaluated the change?
The key themes:
Choice and control over decisions
Good relationships
Meaningful activity
Organisational factors
Organisations that have been inspected and rated by CQC
but wish to have improvements recognised with a new
rating.
Organisation:
Site:
Proprietor (s):
Registered Manager:
Date of Registration:
If manager is not yet registered please state the date appointed
as manager:
Quality Risk Profile – CQC rating
Choice and control over decisions
This may include: choice over who they live with, who
supports them, how and when they are supported and daily
routines.
Supporting people to make informed decisions, take risks
(mental capacity act), provide information in an appropriate
format, access advocacy services when appropriate and
support any disagreements to an acceptable and speedy
resolution.
• Managers that lead by example are approachable and
available.
• Staff training and recruitment
• Involves everyone in consultations when designing and
managing services.
What has changed?
List of supplementary evidence
Good Relationships:
• Respect and promote human rights
• Treat everyone with dignity and respect
• Enable contact with people who are important to the people
you support
• Sensitive and pro active to meet religious/cultural and
personal needs
•
• Managers that lead by example are approachable and
available.
• Staff training and recruitment to provide a positive and
competent workforce
• Strong Community presence
What has changed?
List of supplementary evidence:
Meaningful Activity to consider:
This can mean providing task orientated activities in a person
centred approach, thereby making daily activities meaningful. (
Domiciliary Care)
Support people to be independent
Supporting people to make informed decisions, take risks
(mental capacity act), find out what is important to them and
enable activities.
Be creative and flexible to meet the aspirations of the service
users.
Managers that lead by example are approachable and available.
Staff training and recruitment to provide a positive and
competent workforce
What has changed?
List of supplementary evidence:
Organisational Factors to consider
Deliver positive outcomes for people and evidence this over a
long period of time.
Develop skills and knowledge of the workforce
Embed a culture that supports and enables people to achieve
individual aims and objectives.
Review and develop values, promoting respect, dignity and
independence.
Continuous learning and consultation
Record keeping and recording processes that evidence actual
delivery of the service.
What has changed?
List of supplementary evidence:
Any other information
Signed:
Date:
Position:
The Way Forward
2013/14
• Include an Independent
Assessment e.g. Healthwatch
• Review and evaluation locally of
the process so far
• Will become more focused on
gathering service user feedback
• Will be more outcome-focused
Debbie Price
Ruth Houghton
Shropshire Partners
in Care
Shropshire Council
6 Farriers Business Centre
Annscroft
Shrewsbury
SY5 8AN
Shirehall
Abbey Foregate
Shrewsbury
SY2 6ND
01743 860011
01743 253093
Assessment & Eligibility