Compliance Masterclass
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Transcript Compliance Masterclass
Sughra Nazir
Care Excellence Partnership
Introductions
Care homes or domiciliary care?
About me
Outcomes
Impact
Looking ahead information from CQC about
proposed changes
Move onto look at specifics
CQC. New questions
◦ Fundamentals of care
◦ Quality ratings
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?
Doing a care plan audit
Doing a medication audit
Doing a staff file audit
Safe, effective, caring, responsive and wellled
Care plan audit
Medication audit
Staff file audit
What to include
Timescales
Named contacts
Social services
CQC?
Ombudsman
Learn lessons??
Some examples coming
up
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)
1 Care home example
2 Domiciliary care example
Paragraphs 1, 2 and 3
What Action would you take straight away?
What would you investigate and how?
What changes need to be made and what
steps will you take to make sure the changes
are made and implemented?
Paragraph 1
Paragraph 2
Paragraph 3
Recruitment
Induction
Supervision
Team meetings
Care plans – are they ever really up-to-date?
Medication – the missing gap
Food and fluid charts
Consistent and good quality daily records
Audits – what to do if you find a gap
Staff awareness
Timing of audits
Person who is doing the audits
Links with performance/supervision
Look at draft regulations
Look at current practice
Independently audit
Sughra Nazir
Care Excellence Partnership
07737633500
[email protected]
Any questions?
Any individual issues?