p rovider compliance assessments helen pettengell judi burwood
TRANSCRIPT
Provider Compliance Assessments
Helen Pettengell
Judi Burwood
Informationanalysis
Information Capture
Application made
Application assessed
Judgement made
System entry
Judgementpublished
Ongoing monitoring compliance
JudgementOn risk
Regulatoryjudgement
Regulatoryresponse
Happy Days Retirement Home, Nowhere in Hertfordshire AL1 1CR
Summary of our latest checks on the standards you have the right to expect
Standards of treating people with respect and involving them in their care
Standards of providing care, treatment & support, which meets people’s needs
Standards of caring for people safely and protecting them from harm
Standards of staffing
Standards of management
Improvements required
Improvements required
Improvements required
What are you expected to comply with ?
Two pieces of legislation. Health & Social Care Act 2008 (Regulated
Activities) Regulations 2010. CQC (Registration) Regulations 2009. 28 Regulations. Essential Standards translate the regulations
into expected outcomes and are legally required.
A different Approach from CQC
Compliance inspectors are now generic across ALL services.
Focus on outcomes rather than inputs. All visits to a service includes observation. Policies & Procedures not examined as a
matter of routine. A service should be compliant with the
regulations at ALL times.
Monitoring Compliance
Focus of compliance will be on the 16 essential standards. Level of compliance determines level of review and regulatory action within CQC.
Planned reviews & responsive reviews. Review of compliance report. Provider compliance assessment.
Current Focus
CQC are now currently ensuring ALL social care providers have a compliance visit.
More likely to be focused
Will not routinely request PCAs
Encouraging responsibility
A service should be compliant with the regulations at ALL times.
Provider is responsible for identifying & managing non compliance.
Making improvements. Quality of the care provided.
Provider Compliance Assessment
The PCAs relate to 16 out of 28 regulations that relate directly to the quality and safety of care.
Providers must have evidence that they meet the outcomes.
Essential Outcome Areas
Outcome 1 – Respecting & involving people who use services.
Outcome 2 – Consent to care & treatment. Outcome 4 – Care & welfare of people who use
services. Outcome 5 – Meeting nutritional needs. Outcome 6 – cooperating with other providers. Outcome 7 – safeguarding people who use services
from abuse. Outcome 8 – Cleanliness & infection control. Outcome 9 – Management of medicines.
continued
Outcome 10 – Safety & suitability of premises. Outcome 11 – Safety, availability & suitability of
equipment. Outcome 12 – Requirements relating to workers. Outcome 13 – Staffing. Outcome 14 – Supporting workers. Outcome 16 – Assessing & monitoring the quality of
service provision. Outcome 17 – Complaints. Outcome 21 – Records.
Essential Standards of Quality & Safety
The judgement Framework
The Purpose of the PCA
Self Assessment tool
Use it routinely or Ad Hoc
Not mandatory
Detail compliance/non compliance
Provider Compliance Assessments
Will not routinely request prior to a review
Can request some or part of a PCA
Request should not exceed 5 PCAs
Must submit within the specified timescale
Provider Compliance Assessment continued
Do not have to use CQC tool
Each PCA should ONE location only
You do NOT need to complete a PCA for each regulated activity.
How to complete the PCA
Focuses on outcomes.
Peoples experiences & views.
Involved & listen to.
What is outcome evidence?
Evidence that centres on what it is like for the person receiving services
The impact of policies, procedures & systems
Evidence relating directly or indirectly from the people who use the services
Summary
Download PCAs - do not need to use CQCs format
Work on them in word Tell the truth Repetitive Keep them updated
Future Consultation
Current consultation on the judgement & enforcement policy
Simplifying the regulatory model
More targeted - swift action if non compliant
Consultation continued:
CQC will continue to make scheduled, responsive & themed inspections of services
Unannounced & at least an annual inspection Targeted QRP Setting the Bar incorporated into judgement
framework
Continued:
Compliant or non compliant Focus on identifying areas of non compliance Where non compliance found judgement on impact
on people will be made after Confidence in provider Escalating scale of enforcement Level of impact on people for each regulation
deemed non compliant. Will publish a summary of warning notices
Other reviews of methodology
The government was consulting on the scope of registration
Proposal for new form of notice
Future themed inspections
On top of the planned & responsive reviews: More inspections on dignity and nutrition in
2012 Themed inspection programme of home care
services.
Outcome 1:
Respecting and involving people who use services (Regulation 17).
Outcome 4:
Care & welfare of people who use services (Regulation 9)
Outcome 6
Cooperating with other providers. People receive safe and coordinated care when they move between providers or receive care from more than one provider (Regulation 24).
Outcome 7:
Safeguarding people who use services from abuse (Regulation 11).
Outcome 9:
Management of Medicines (Regulation 13)
Outcome 16: Quality & Management
Assessing & monitoring the quality of service (Regulation 10)
