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Lisa Slack - ECO 20: Empowering care homes through innovation and improvement


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Presentation by Lisa Slack, Head of Quality, Contracts and Safeguarding Adults, Lancashire County Council at ECO 20: Empowering care homes through innovation and improvement on Wednesday 25 September at Liverpool Hotel Hilton.

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Lisa Slack - ECO 20: Empowering care homes through innovation and improvement

  1. 1. Lisa Slack Sue Shannon Head of Service Senior Quality Improvement Practitioner Patient Safety and Safeguarding Regulated Care Perspectives from Lancashire County Council 25 September 2019
  2. 2. Patient Safety & Adult Safeguarding Portfolio • Care Navigation • Contracts Team – Community • Contracts Team – Residential • Quality Improvement • Infection, Prevention & Control • Provider Failure • Adult Safeguarding
  3. 3. National Picture National challenges to sustaining good care; • access • quality • workforce • demand & capacity • funding & commissioning
  4. 4. Lancashire Position • The County Council Vision & Market Position Statement. • Partnership working with the ICS – CCGs, CQC, Providers & Healthwatch.
  5. 5. Lancashire Quality Strategy • Key priorities: – Management and leadership in care homes – Improved relationships – Systems and tools that support the sector • Improving CQC ratings, but we can do better • Since Strategy has been in place we have seen a 10% increase in number of homes rated good and outstanding in Lancashire.
  6. 6. Lancashire Quality Strategy September 2019 Residential Social Care Lancashire North West England Inadequate 2% 1% 2% Requires Improvement 15% 17% 16% Good 80% 79% 79% Outstanding 3% 2% 4% Total Care Homes 409 1825 15050
  7. 7. Lancashire Quality Strategy 0 50 100 150 200 250 300 2017/18 2018/19 No. of residents affectedby care home closure No. of residents affected by care home closure
  8. 8. What do we want to achieve? Increase in numbers of homes rated Good and Outstanding in Lancashire We want to do this by: • Ensuring that there is equitable choice of quality provision across Lancashire. • Sharing and learning from good practice to develop a skilled workforce and culture change. • Developing excellent working relationships with providers and strong leadership. • Working together to deliver person centred care that makes a positive difference to people, their families and carers. • Ensuring that people are supported to maintain activity, their wellbeing and community connections.
  9. 9. Lancashire Radar & Quality Performance Improvement Process • The intention of the ‘Radar’ group is to inform decision making and next steps on how best to support a provider where concerns are apparent. • The QPIP Process, is an early intervention, supportive in nature and partnership based, with the aim of improving quality for residents and their families.
  10. 10. Feedback from level 2 Quality and Performance Improvement Planning I feel that the QPIP process has really helped my business and it has helped me focus on the improvements that needed applying to my business. On the whole the QPIP process was a positive and enabling experience the team were professional and supportive throughout. The level of monitoring and feedback was thorough. Many hours and team members were dedicated to the success of the home and it was greatly appreciated.
  11. 11. Themes • Impact of effective and stable Management on quality • Issues with staff recruitment and retention (including Manager) • Medication Management • Staff training compliance • Poor quality care planning and review process • Inaccurate recording on supplementary charts e.g. food and fluid and repositioning • Lack of evidence of effective risk assessment and management • Provider understanding and application of Mental Capacity Act principles.
  12. 12. Quality Improvement Workstreams • A range of collaborative care home forums and practice groups • New Contract monitoring framework • Implementation of contract and quality monitoring tool • Committed to proactive monitoring visits • Co-ordinate workshops and deliver training in key areas such as person centred care, sepsis, falls prevention, pressure ulcer prevention • Produce tools and guidance to share best practice and support improvements – How and when to raise a safeguarding alert, hydration toolkit • My Home Life Professional Support Programme for Care Home Managers • Develop monitoring of out of area care homes
  13. 13. Any Questions ? If you would like any further information about the work being undertaken in Lancashire, and to share ideas, please contact;-