February 2016
How we are making a differenceCare Home
Quality Assurance
Presentation Overview
• Background• Key Achievements• Quality Monitoring Process• CQC Process• An example of what we look at…• Next Steps • Questions
BackgroundPre Francis Post Francis
Passive
Proactive – looking for signs of concern
Reliant on provider self-declarations
Independent triangulations which tests provider’s self-declaration
Little patient involvement
Patient experience key to quality assurance
Few effective levers to create change
A range of levers for CCGs to intervene and
ensure improvement
Summary and comparison of NHS changes pre/post Francis (2013)
Key AchievementsIncreased
intelligence Sharing
Improvement programme underway
Multi-disciplinary unannounced visits
now in place
Multi agency decision making
bodies
Dedicated input from NHS Quality & Local Authority
Teams
We have a much more joined-up,
coordinated approach
Website and listening events
undertaken
Quality Monitoring database in place
Regular discussions with GP & CHC
teams
Care Home Quality Monitoring/Escalation Process
• Action Plan
Agreed
• Default applied
• Concerns Received
• No Concerns raised
Routine Unannounced
Quality Review
Unannounced Quality Review
Issues Identified
On going Concerns
Proactive Approach to Quality Assurance
6
New Operating Model
Surveillance
Next Steps
• Home Hygiene Award Pilot • Reviewing emergency admissions • Working smarter• Improvement programme • Supporting Care Homes• Reducing the regulatory burden
Any questions?
Kate Phillips Commissioning [email protected]
Fiona [email protected]
Julia Curtis, Service Delivery Manager (Quality)[email protected]