Transcript Document

Trainers Network
26th February 2015
Care Certificate
It is still planned that the Care Certificate will be
introduced in March 2015, replacing both the National
Minimum Training Standards and the Common Induction
Standards.
The official launch will be in March 2015 for employers to
start using the Care Certificate as of April 2015.
Materials to support employers in preparing for the
Certificate, including revised standards and guidance are
now available for use
Transition – CQC “proportionate approach”- demonstrate planned implementation
All new staff from 1st April
http://www.skillsforcare.org.uk/Standards/Care-Certificate/Care-Certificate.aspx
Overall goal of the Care Certificate
provide clear evidence to employers, patients and people
who receive care and support that the health or social
care support worker in front of them has been assessed
against a specific set of standards and has demonstrated
they have the skills, knowledge and behaviours to ensure
that they provide compassionate and high quality care and
support.
The approach used to deliver the learning
required to meet the outcomes of the Care
Certificate Framework and ensuring that there is a
record of the assessment decisions that is
auditable would be determined by the individual
employer.
Observation:
Assessment Vs Training
Accountability for signing off
The Care certificate standards are:
1. Understand Your Role
2. Your Personal Development
205 separate requirements
3. Duty of Care
Within these
4. Equality and Diversity
All must be achieved to receive
5. Work in a Person Centred Way
Care Certificate
6. Communication
7. Privacy and Dignity
8. Fluids and Nutrition
9. Awareness of Mental Health, Dementia and Learning Disability
10. Safeguarding Adults
11. Safeguarding Children
12. Basic Life Support
13. Health and Safety
14. Handling Information
15. Infection Prevention and Control
Who Should Undertake the Care Certificate?
Health Care Assistants, Assistant Practitioners, Care Support Workers and those giving
support to clinical roles in the NHS where there is any direct contact with patients.
Care Support Workers means Adult Social Care workers giving direct care in residential and
nursing homes and hospices, home care workers and domiciliary care staff.
These staff are referred to collectively as Healthcare Support Workers (HCSW) / Adult
Social Care Workers (ASCW) in this document.
Other roles may be included where achievement of all of the standards is possible.
As some of these roles would be very different in health and social care it is up to the
employer to decide whether the Care Certificate is appropriate.
However, to be awarded the Care Certificate the person must meet all of the outcomes
and assessment requirements for all 15 standards.
Guidance on Meeting Fundamental Standards
Extract from PIR
5k. Staff training and qualifications
5k(i) How many of your current staff have completed the Skills for Care Common
Induction standards?
Employers may want to use the self-assessment tool prior to health
and social care workers commencing their induction. Induction can
then be tailored, based on the workers self- assessment. The tool is
not designed to be used as part of the selection process and can be
used for both new starters and where the employer wishes to award
the Care Certificate to existing staff or if necessary identify additional
training needs.
The checklist is just a tool and is not evidence that you are
competent against the Care Certificate. The decision on whether you
meet the Standards for the Care Certificate will be made by your
manager, employer or assessor using the self-assessment, any other
appropriate evidence and in line with the guidance set out for the
Care Certificate.
Who can Assess?
In order to be an Assessor the person must themselves be
competent in the standard they are assessing. For almost all
assessors this will be by virtue of holding a qualification related to
the role. However, this doesn’t mean that in every case the same
person is competent to assess every standard. For example it may
be necessary to use a different assessor to assess Standard 12 –
Basic Life Support to any of the other Standards.
There is no requirement for assessors of the
Care Certificate to hold any assessor
qualification; the employer must be confident
that the person with this responsibility is
competent to assess.
National Occupational Standard LSILADD09
Assess learner achievement
Assessment
The assessment of the Care Certificate should be as rigorous as the
assessment of any formal qualification.
Evidence must be:
• Valid – relevant to the standards for which competence
is claimed
• Authentic – produced by the learner
• Current – sufficiently recent for assessors to be confident
that the learner still has that same level of skills or
knowledge
• Reliable - genuinely representative of the learner’s
knowledge and skills
• Sufficient – meets in full all the requirements of the
standards
Performance Vs Knowledge & Understanding
Assessment of Performance
Evidence of performance prefixed with words such as ‘demonstrate,’
‘take steps to,’ ‘use’ or ‘show’ must be undertaken in the workplace
during the learners real work activity and observed by the assessor
unless the use of simulation is expressly allowed
Assessment of Knowledge and Understanding
Assessment of knowledge and understanding is prefixed with verbs
such as ‘describe,’ ‘explain,’ ‘define,’ ‘list,’ or ‘identify’ and can be
undertaken using written or verbal evidence such as the workbook,
written questions, case studies or sound files.
Certificates of Attendance, attendance on study
days or e-learning without assessment of what has
been learnt is not evidence toward achievement of
the Care Certificate.
Recording Assessment Decisions
Documentation of assessment and evidence of practice is the responsibility of the
HCSW/ASCW and their employer; the evidence may recorded in a workbook,
portfolio or on line. This document will be used in gathering evidence for the Care
Certificate and in terms of portability can be used as evidence when changing
roles or moving between employers.
By my calculations
49 out of 205 Requirements need to be observed
Management/Leadership
Development Programme
CQC Update
Guidance on Meeting Fundamental Standards Published 10th February
Parts still subject to consultation & parliamentary process
Very different look and feel to Essential Standards
Guidance
Legislation
Guidance
How to Use Our Guidance
We publish two main types of
information for care providers: our provider
handbooks and our guidance to help
providers and managers meet the regulations,
which come into effect on 1 April 2015.
http://www.cqc.org.uk/content/regulations-service-providers-and-managers
Specific References to Training in components of the Regulations
12(2)(b) Safe care and treatment
12(2)(e) Safe care and treatment
13(2) Safeguarding service users from abuse and improper treatment
13(4)(b) Safeguarding service users from abuse and improper treatment
15(1)(a) Premises and equipment
18(2)(a) Staffing
19(1)(b) Fit and proper persons employed
20(1) Duty of candour
“Competent” – 19 specific requirements
Checklists
Extract from PIR
5k(iii) Percentage of current staff who have received training in the last 24 months in the
following key areas:
5k(iii)(i) Dementia care
5k(iii)(ii) Dignity/Respect/Person Centred Care
5k(iii)(iii) Equality, diversity and human rights training
5k(iii)(iv) Fire safety
5k(iii)(v) First aid
5k(iii)(vi) Food hygiene/handling
5k(iii)(vii) Health and safety
5k(iii)(viii) Malnutrition care and assistance with eating
5k(iii)(ix) Medication safe handling and awareness
5k(iii)(x) Mental Capacity Act and Deprivation of Liberty Safeguards
5k(iii)(xi) Moving and handling
5k(iii)(xii) Palliative care / End of Life
5k(iii)(xiii) Prevention and control of infection
5k(iii)(xiv) Control and restraint
5k(iii)(xv) Positive behaviour support
5k(iii)(xvi) Safeguarding adults
5k(iii)(xvii) Emergency aid awareness
5k(iii)(xviii) Leadership and management
5k(iv) Other training
Safeguarding
• Safeguarding now has a statutory base (from 1st April)
• Local authorities are required to:
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Make enquiries
Set up a Safeguarding Adults Board
Arrange for an independent advocate where appropriate
Co-operate with each of its relevant partners
Safeguarding Six Key Principles
• Empowerment – personalisation, presumption of person-led
decisions and informed consent
• Prevention – it is better to take action before harm occurs
• Proportionality – proportionate and least intrusive response
• Protection – support and representation for those in greatest
need
• Partnership – local solutions through services working in their
communities
• Accountability – accountability and transparency in delivery
New MAP’s Coming (Had hoped by now)
Will require policy & procedure update
Training Programme Revision
Training implications for staff?
SCA Workshop:
Preparing for the changes in Safeguarding with Christine MacLean
Wednesday 22nd April 2015 from 9.45am until 4.00pm
Space is limited to 25 delegates,
This workshop will highlight and explain:
key changes the Care Act brings in relation to Safeguarding Adults
the role and responsibility of the Provider within the revised Safeguarding response
how the local authority will respond to a safeguarding concern
explore how adults at risk should receive a safeguarding response that is personal
explore changes that need to be considered within an organisation's
Safeguarding Policy and procedures
Safeguarding – provider requirements
• Policies and procedures which cover:
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Statement of purpose
Roles and responsibilities
Procedure for dealing with allegations of abuse
Points of referral and how to access
How to record allegations, enquiries and actions
A list of sources of expert advice
Full description of channels of inter-agency communication
List of services which might offer access to support or redress
How professional disagreements are resolved
http://learnfromothers.skillsforcare.org.uk/
Palliative care
One area that has caused particular concern is that
of palliative care. For the purpose of this guidance,
we consider palliative care to be concerned with the
last few weeks of life.
The first thing to say here is that if a person receiving
palliative care has the capacity to consent to the
arrangements for their care, and does consent, then
there is no deprivation of liberty.
Deprivations of liberty in the community
I’m sure you will be aware that on 17 November 2014, a new
streamlined process went live for applications to the Court
of Protection to authorise deprivations of liberty outside of
care homes and hospitals. This is known as the “Re X
procedure” and is supported by a new Court of Protection
application form and a new practice direction. The following
guide produced by 39 Essex Street is a useful reference and
contains links to the relevant documents:
http://www.39essex.com/docs/newsletters/judicial_depriva
tion_of_liberty_authorisations_guide.pdf