REGULATORY                   FRAMEWORK        STEVE ORMEIMPROVEMENT & DEVELOPMENT
Adult            Domiciliary  18 – 65            StandardsStandards
BACKGROUND1984     Registered Homes Act1990     Community Care Act1990 –   Inspection & Registration Service2002April    N...
Adults 18-65 Standards            Registered Care Homes are monitored on 43 standardsStandards are divided into 8 areasCho...
How are the standards assessed ?Currently• Appointed CSCI Inspector• Unannounced Inspections – Requirements & Recommendati...
How are the standards assessed ?          2007 Changes – ‘Inspecting for Better Lives : A Quality Future’• Star rating of ...
How are the standards assessed ?              2007 Changes – ‘Inspecting for Better Lives : A Quality Future’        Ratin...
Domiciliary Care Standards           Domiciliary care agencies are monitored on 27 standards     Information          Medi...
How are the standards assessed ?• Completion of Self assessment Log – Based on 27 standards• Domiciliary Care Inspection –...
Office of the Deputy Prime MinisterBackground      ‘ Support services which are provided to any person for the            ...
What does Supporting People Fund ?           Housing-related Support activities           Ancillary Support activitiesDoes...
How are we monitored ?Quality Assurance Framework [QAF]Self Assessment of service, ratified through Supporting People Revi...
How are we monitored ? – Changes in 2007Monitoring of Service user OutcomesOutcomes based on :   Department of Health’s ‘ ...
How are we monitored ? – Changes in 2007Contract Monitoring Meeting (Annual)– Replace Supporting People Review    •   Qual...
Contract Monitoring - How are we monitored?Meet with Joint Commissioners in relation to service contractsExamines :       ...
Staffing Training Requirements        Understanding          Understanding              Maintaining          principles   ...
Health & Safety Regulations        Health & Safety at        Work Act 1974 +        Amendments                            ...
Statutory Legislation                        Social Care                        Legislation   EqualOpportunities Legislati...
Corporate Regulation• Regulated by the Financial Services  Authority since the demise of the  Registrar of Friendly Societ...
S          N        IO  EST UQ
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Regulatory framework

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Regulatory framework

  1. 1. REGULATORY FRAMEWORK STEVE ORMEIMPROVEMENT & DEVELOPMENT
  2. 2. Adult Domiciliary 18 – 65 StandardsStandards
  3. 3. BACKGROUND1984 Registered Homes Act1990 Community Care Act1990 – Inspection & Registration Service2002April National Care Standards Commission2002 Care Standards Act 2000April Commission for Social Care Inspection2004 Health and Social Care (Community Health and Standards) Act 2003
  4. 4. Adults 18-65 Standards Registered Care Homes are monitored on 43 standardsStandards are divided into 8 areasChoice of Home (1-5) Concerns & Complaints (22-23)Individual Needs & Choices (6-10) Environment (24-30)Lifestyles (11-17) Staffing (31-36)Personal & Healthcare Support Conduct & Management of the Home(18-21) (37-43)
  5. 5. How are the standards assessed ?Currently• Appointed CSCI Inspector• Unannounced Inspections – Requirements & Recommendations• Registration of Managers• Notification of Incidents/Occurrences at Registered services (Reg.37)
  6. 6. How are the standards assessed ? 2007 Changes – ‘Inspecting for Better Lives : A Quality Future’• Star rating of social care services based on inspections• Rating based on outcomes linked to current standards & theDepartment of Health’s publication ‘ Our Health, Our Care, Our Say’ Quality of Life Freedom for discrimination & harassment Exercising Choice & Control Improve Health & Emotional well-being Making a Positive Contribution Economic Well-being Personal Dignity & Respect Leadership & Management
  7. 7. How are the standards assessed ? 2007 Changes – ‘Inspecting for Better Lives : A Quality Future’ Rating status will have effects on frequency of inspection 4 star – Key inspection every 3 years 3 star – Key inspection every 2 years 2 star – Key inspection annually 1 star – Key inspections twice yearly and aboveIn addition Annual Service Review ( Paper-based, and Consultation) Themed Inspections Random Inspections
  8. 8. Domiciliary Care Standards Domiciliary care agencies are monitored on 27 standards Information Medication & Health Development & Training ActivitiesCare Needs Assessment Safe Working Practices Qualifications Meeting Needs Risk Assessment Supervision Contract Financial Protection Business Premises, Management & Planning Confidentiality Protection of the Person Financial procedures Responsive Services Security of the home Record keeping Service User Plan Records kept in the home Policies & Procedures Privacy & Dignity Recruitment & Selection Complaints & Compliments Autonomy & Job Requirements Quality Assurance Independence
  9. 9. How are the standards assessed ?• Completion of Self assessment Log – Based on 27 standards• Domiciliary Care Inspection – Requirements & Recommendations Announced At the Domiciliary Care Agency Assessment of Self-Assessment Log Visits to named Domiciliary services Stakeholder Feedback
  10. 10. Office of the Deputy Prime MinisterBackground ‘ Support services which are provided to any person for the purpose of developing that person’s capacity to live independently in accommodation or sustaining his capacity to do so’. 2003 Replaced Housing Management Grant Monitoring of Supported Living Services (Non-Registered) Monitored by Local Supporting People Teams
  11. 11. What does Supporting People Fund ? Housing-related Support activities Ancillary Support activitiesDoes not fundPersonal Care ActivitiesHousing Management Activities
  12. 12. How are we monitored ?Quality Assurance Framework [QAF]Self Assessment of service, ratified through Supporting People ReviewStrategic Relevance QuestionnaireServices links to Local Supporting People strategy, Local Authoritystrategy, National Initiatives, etalQuarterly Performance IndicatorsMeasurement of Service Output & Input including service utilization,availability & throughput. Changes in 2007Value For MoneyService cost and links to Strategic relevance of serviceSupporting People ReviewAssessment of service based on above, with additional feedback soughtfrom service users, staff, and stakeholders
  13. 13. How are we monitored ? – Changes in 2007Monitoring of Service user OutcomesOutcomes based on : Department of Health’s ‘ Our Health, Our Care, Our Say’ Department of Education’s ‘ Every Child Matters’  Economic well-being Safety & Security Being Healthy Social & Civic Participation Enjoying & Achieving
  14. 14. How are we monitored ? – Changes in 2007Contract Monitoring Meeting (Annual)– Replace Supporting People Review • Quality Assurance Framework [QAF] • Strategic Relevance Questionnaire • Quarterly Performance Indicators (Existing KPIs & Outcomes) • Value For MoneySupporting People ReviewNew Supporting People serviceConcerns over service provision Star Rating of Supporting People Services
  15. 15. Contract Monitoring - How are we monitored?Meet with Joint Commissioners in relation to service contractsExamines : • Service user Reviews ( Frequency & issues) • Service user diversity • Service user organisational & community involvement • Staffing ( vacancy levels, qualifications & training • Maintenance Issues • Budgetary Issues • POVA Issues • Complaints & Compliments • Service Developments
  16. 16. Staffing Training Requirements Understanding Understanding Maintaining principles the organisation safety at of care and role of the work worker Recognising & Communicating responding effectively to abuse & neglect Developing as a workerMandatory Trainingrequirements
  17. 17. Health & Safety Regulations Health & Safety at Work Act 1974 + Amendments COSHH RIDDOR 2002 1995Manual HandlingRegulations1992/2002 Food Hygiene Regulations
  18. 18. Statutory Legislation Social Care Legislation EqualOpportunities Legislation Employment Legislation
  19. 19. Corporate Regulation• Regulated by the Financial Services Authority since the demise of the Registrar of Friendly Societies• Light touch – one annual return• Too light a touch?• Charities Act when implemented will require IPS without another major regulator to register with the Charity Commission
  20. 20. S N IO EST UQ

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