Transcript Welcome to the - Surrey Care Association

Managers Network
28/10/14
Sector News/Updates
New Handbooks – now published following consultation
New Approach operational from 1st October
Recruitment & Retention Strategy
New Resources
CQC Update
Inspections in Surrey – six month summary
Report
Total
DCC
CHS
(OP)
CHN
CHS
(LD)
March
87
23/5
22/7
16/4
23/4
LD MCA, OP Environment/Infection Control, DC
April
59
16/2
16/2
11/3
12/0
OP Environment/Infection Control, DC Staff Records/Checks
May
22
9/2
3/2
3/2
4/2
LD MCA, OP Environment/H&S, DC Staff Records/Checks
June
18
5/1
4/2
1/0
8/2
LD Medication, OP Training, DC Safeguarding
July
21
7/2
4/1
2/1
8/4
LD MCA, OP Staffing Numbers, DC Recruitment
August
11
1/0
5/2
4/2
1/0
OP Recruitment Practice/Records
N/C Outcome Areas
Most prevalent
Supervision/Appraisal
Practice/Records
September Report
+ 1 Follow-up Inspection related to Enforcement Action
All relate to one home
General CQC Update
Change process continues:
Inspections and Reports Piloting New Model & PIR
Recap
There are 11 new regulations that set out
the fundamental standards of quality and
safety.
These replace the current 16 regulations.
These new regulations are clearer
statements of the standards below which
care should never fall
Fit and proper persons requirement for
directors and duty of candour for NHS
bodies – October 2014
• All regulations for all health and social
care services – April 2015
On 25th September CQC published the final versions of the key lines of enquiry
(KLOE) for both residential care homes and home care. At the same time they
published a ratings characteristics documents for residential and community
services and they will begin inspecting against these documents on 1 October.
You can see these documents at www.cqc.org.uk/content/adult-social-care
They also published details about the new approach to inspection on:
www.cqc.org.uk/content/our-new-approach-regulating-and-inspecting-servicesguide-providers
Now included in Provider Handbooks
Outlines the HOW
The process and procedure
Appendix A:
Outlines what Inspectors
Could look for as evidence
Appendix B:
Describes what a service in
Each rating looks like
Appendix C:
Ratings Principles
Training is referenced on pages:
6,7,9,11,12,13,19,20,34,36,37
? Competency Vs Training
Our approach to guidance on regulations
In the guidance, we explain the intention of each regulation. We then consider
each element of the regulation in turn, setting out the implications for providers in
terms of how they could demonstrate compliance.
For each regulation, we then signpost key legislation and guidance that
providers may want to consider in deciding how they will ensure that they meet
the regulation.
The hyperlinks to legislation and guidance relate specifically to each regulation.
They are not meant to be exhaustive.
We expect providers to meet the requirements of all relevant legislation, even if
not hyperlinked in the guidance.
We also expect providers to take account of other relevant guidance that might
be specific to the services they deliver. For example, we would generally
expect providers to be aware of and take into account nationally recognised
guidance – such as that produced by:
National Institute for Health and Care Excellence
the former National Patient Safety Agency
NHS England
Skills for Health
Skills for Care
and relevant clinical and professional bodies, and those organisations that
either have a national remit for producing guidelines or are recognised as
producers of high-quality guidance recognised by the professions and services.
Overview of enforcement guidance
Our proposed guidance on enforcement is set out in part B of this document.
The guidance proposes that when we use our enforcement powers, it will be for
one or both of two purposes:
• To protect people who use regulated services from harm and the risk of harm.
• To hold providers and individuals to account for failures in how the service is
provided.
When a service falls below the required standards, we will consider both
purposes.
We will often act to hold providers and individuals to account at the same time
as we act to secure improvement in the service.
There are two particular new features of the enforcement guidance.
• From April 2015, when the new regulations come into force, CQC may
prosecute without first issuing a warning notice. This will significantly increase
the ability to prosecute breaches of regulations that place people who use
services at risk of harm.
• It signals an approach to coordinating CQC powers with other oversight
bodies where organisations are failing, where this will be more effective than
acting on their own. An example of this is the special measures regime that
CQC operates for NHS bodies with Monitor and the NHS Trust Development
Authority.
Sample Extract
Wave 3 Pilot sites
Appears more comprehensive than
Previous reporting model.
Gives better guidance
Probably worth thinking about before
Becomes a requirement
This return is being used as a pre-inspection questionnaire and we would like
you to fill it in and return it to us by the deadline stated in the email to you.
We won't tell you in advance when your inspection will be, and the date you
receive or return the form will not decide the date we visit your service.
The information you include in your return will help inspectors decide on the
areas they need to look at during their visit. Some of the content may also be
used to inform national reporting. When we use information in this way, it won't
be attributed to any provider.
You might find it helpful to use the return as part of your quality assurance
process and as a way of understanding and reviewing how well you are meeting
the five ‘key questions’.
Guidance Document
PIR
Sector Update
http://learnfromothers.skillsforcare.org.uk/Selection
http://www.skillsforcare.org.uk/Standards/Care-Quality-Commission-regulations/Recommendations-for-CQC-providers-guide.aspx
CQC inspection areas and SCIE products and services
SCIE have mapped some of their key products and services against CQC's
areas for inspection
Safe
View all of SCIE’s work on safeguarding adults
Key resources and services are outlined below.
Learning Together to safeguard adults and children
SCIE’s Learning Together programme supports learning and improvement. It includes: systems approach to analysis of
local practice, access to accredited safeguarding case reviewers, and building in-house capacity.
Adult safeguarding: elearning
An interactive resource looking at what adult safeguarding means and considering how safeguarding is everyone's
responsibility.
Managing risk, minimising restraint: elearning
eLearning resources that explore the nature of managing risk and minimising restraint when working with older people in
care homes.
Safeguarding adults: Social Care TV films
A series of short films on how to safeguard adults in practice.
Mental Capacity Act and Deprivation of Liberty Safeguards
eLearning, films, resources and face to face training on supporting people who lack capacity.
Training and consultancy
Training on key safeguarding issues, MCA and DOLS for staff, managers and partners. Consultancy service on policies,
procedures and practice.
Coming soon on safeguarding
SCIE is developing a range of resources to help local authorities and care providers to comply with the new safeguarding
responsibilities within the Care Act 2014.
For details see The Care Act: safeguarding adults
Effective
All of SCIE’s work is based around knowledge about what works and what is
effective. Key resources for care providers include:
Dementia gateway
A comprehensive online resource for anyone who wants to understand
dementia better. It includes: written information, films, activities, and e-learning.
GP services for older people: a guide for care home managers
The purpose of this guide is to support managers and staff of care homes to
work in partnership with GPs and primary care teams, with a view to improving
access for residents to good medical services.
Integration – step by step
This is an online tool designed to support health and social care practitioners
and managers in developing effective integrated working practices. The tool
provides a forum with guided discussion for working through and agreeing
methods, processes and procedures.
NICE Collaborating Centre for Social Care (NCCSC)
The NCCSC develops guidance about social care and helps to disseminate that
guidance and quality standards on behalf of NICE. Guidance in development
includes: home care; social care of older people with multiple long-term
conditions; transition from hospital; and transition between children’s and adults’
services.
Caring
Dignity in Care
Comprehensive guide and practice examples for care home, hospital and home
care staff. Includes the factors that support treating people with dignity and
respect.
End of life care
Information and links for those supporting people who are approaching the end
of their lives. Includes a guide to supporting people to die at home, short films on
Social Care TV and ideas from practice.
Responsive
Personalisation: a rough guide
This guide explores what personalisation is and what it means for different social
care stakeholders.
Personalisation: Social Care TV films
A series of short films that illustrate personalisation in action
Coproduction
A range of resources, advice and support about how to involve people who use
services and carers in designing, delivering and co-producing care services.
Well-led
View all of SCIE’s work on developing skills and services, including
leadership
Key resources include:
Effective supervision in a variety of settings
Research and good practice guide to supervision
Short-notice care home closures: a guide for local authority
commissioners Aimed at commissioners, this guide also provides useful
information for care home managers and owners on issues to manage when a
care home has to close at short notice.
Care Skillsbase
This resource is for employers and managers of care and support staff to help
them address communication and number skills in the workplace
Skills for Care – Social Care Commitment
The Social Care Commitment is a voluntary agreement about workforce quality.
‘A promise to keep’ – when you make the commitment you will put your values into
practice by selecting at least one task for each statement. Online resources are there to
help you, including a development plan.
Your CQC Provider Information Return (PIR) requires you to provide evidence against the
key question ‘Is the service caring?’.
You are currently specifically asked (depending on your service type) to indicate if you
have signed up to the SCC or to answer the following questions
3a. What do you do to ensure the service you provide is caring?
3b. What improvements do you plan to introduce in the next 12 months that will make
your service more caring, and how will these be introduced?
3c(i) In the last 12 months, please list any awards or recognition your service, or
individual staff members have received for the quality of care and support provided to
people that use your service.
3c(ii) Please list any good practice or accreditation schemes/initiatives/networks you
are currently a member of?
Signing up to the Social Care Commitment and sharing your development plan will
provide you with evidence to share with CQC.
SCOIAL CARE COMMITMENT -Employer statements
KLOE in residential care statements
CQC Fundamental Standards for Care
I will take account of potential employees’ values, attitudes and behaviours when recruiting new
staff.
CQC KLOE: WL3, WL6
CQC Standards: 1, 2, 3, 4, 5, 6 & 11
CQC KLOE: S3, E2, WL3, WL6
CQC Standards: 1, 2, 3, 4, 5, 6 & 11
I will provide timely, appropriate and accessible education, training and development opportunities
to enable my employees to develop and strengthen their skills and knowledge.
CQC KLOE: S3, WL3, WL6
CQC Standards: 1, 2, 3, 4, 5, 6 & 11
I will encourage everyone I employ to sign-up to the Sector Compact and to commit to any codes,
standards or registration systems applicable to their job role.
CQC KLOE: S2, WL3, WL6
I will take responsibility for the values, attitudes and behaviour that my employees display during
their work, including upholding and promoting equality, diversity and inclusion.
CQC KLOE: S3, S4, C1, WL3, WL6
I will regularly monitor the skills and behaviour of everyone I employ, ensuring that feedback is
gathered from anyone they support or have direct contact with, including families and carers.
CQC KLOE: S1, S2, S4, S6, S7, E2, E3, E5, C1, C2, C3, C4, C5, R1, R2, WL3, WL6 CQC Standards: 1, 2, 3, 4, 5, 6 & 11
I will work to ensure a positive culture and working environment where all employees are supported
to meet their commitments under the Sector Compact.
CQC KLOE: WL1, WL3, WL5, WL6
CQC Standards: 1, 2, 3, 4, 5, 6, 8, 9 & 11
I will always take responsibility for the things I do or fail to do.
CQC KLOE: S1- S7, E5, R1 – R3, WL1, WL5, WL6
CQC Standards: 1, 2, 3, 4, 5, & 8
I will always promote and uphold the privacy, dignity, rights, health and well-being of the
person/people who I support and their carers/family.
CQC KLOE: S2, E3, C1, C3, C5, R1, R2, WL1, WL2
CQC Standards: 1, 2, 3, 4, 5, & 8
I will work co-operatively with others involved in providing care and support to ensure the delivery
of high-quality, safe and compassionate care to people who need care and support and their
families.
CQC KLOE: S1, S2, C2, C5, R1, R2, WL1, WL2, WL4, WL5, WL6
CQC Standards: 1, 2, 4 & 6
I will communicate in an open, transparent and effective way to promote the well-being of people
who need care and support.
CQC KLOE: S2, E2, C1, C2, C4, RI, R2, WL1, WL4, WL5
CQC Standards: 1, 2, 3, 4, 5 & 8
CQC KLOE: C3, E3, R3
CQC Standards: 1, 2 & 3
CQC KLOE: S4, WL3, WL6
CQC Standards: 4
CQC KLOE: S1, S2, E1, C1-C5, R1 – R3
CQC Standards: 1 & 2
I will provide thorough induction for all new staff and for those changing job roles.
CQC Standards: 1, 2, 3, 4, 5, 6 & 11
Employee statements
I will respect a person’s right to confidentiality, protecting and upholding their privacy and dignity.
I will improve the quality of the care and support I provide by constantly reflecting on and updating
my own knowledge, skills and experience.
I will promote equality, diversity and inclusion by treating all people fairly and without bias.
The Skills Academy Graduate
management Training Scheme
looks for individuals who have the drive
and the values to become future leaders
and managers in adult social care – a
diverse, challenging and uniquely
rewarding sector.
Graduates are not required to have a
background in social care; instead they
must be passionate about the sector and
committed to innovation and excellence in
care.
Placements are available with a variety of
pioneering host organisations including
care providers, third sector organisations,
strategic bodies, and local authorities.
In order to apply for the Scheme,
graduates are required to have (or be
predicted) a minimum of 2:2 degree or
above.
Specific Actions Under Each Priority Area