Findings from CQC's Dementia report
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David Behan, Chief Executive of the Care Quality Commission (CQC), presents findings from 'Cracks in the pathway', CQC's report looking at people's experiences of dementia care as they move between care homes and hospitals. Rachel Bowes, Inspector, and Ann Macfarlane, Expert by Experience, members of the inspection teams that took part in this programme, went on to share their perspectives on the work of CQC in inspecting health and care services used by people living with dementia. This presentation was given at the UK Dementia Congress in Brighton on 12 November 2014.
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Findings from CQC's Dementia report
- 1. Findings from CQC’s Dementia report David Behan, Chief Executive Rachel Bowes, Inspection Manager Ann Macfarlane OBE, Expert by Experience and Disability Equality and Independent Living Consultant
- 2. 2 The new approach
- 3. 3
- 4. 4 Aim of report To examine: the quality of care provided to support people living with dementia to maintain their physical and mental health and wellbeing how care supports reducing admissions to hospital from care homes, and avoids unnecessary lengths of stay in hospital how providers of care work together when there is a need for people to move between services
- 5. 5 Inspection Teams Care Homes Hospitals Total Expert by Experience 123 (95%) 20 (100%) 143 (96%) Specialist Advisor 39 (30%) 18 (90%) 57 (38%)
- 6. 6 Variable quality and transitions The quality of dementia care is variable – not everyone is meeting the standards we expect Across more than 90% of care homes and hospitals visited, we found some variable or poor care Transitions between services should be improved People are likely to experience poor care at some point
- 7. 7 Findings
- 8. 8 Findings
- 9. 9 Findings
- 10. 10 Good care is out there
- 11. 11 Ann Macfarlane OBE CQC Expert by Experience Disability Equality and Independent Living Consultant
- 12. 12 Feeling safe and confident Listening and language Heat and noise Activity and community engagement Food and mealtimes Creativity
- 13. 13 We cannot change the diagnosis of dementia We can make a difference - - - Time and task or choice and control? Look beyond the cracks and find ways to heal!
- 14. 14 Rachel Bowes Inspection Manager
- 15. 15 Outcomes Current outcomes of the themed inspection programme include: An impact on the quality of care experienced by people at services we visited How we approach all inspections Increased awareness amongst CQC staff at all levels of the organisation
- 16. 16 What will we do? Find poor dementia care and take action Appoint a new national specialist adviser for dementia care to provide advice across all relevant teams Train inspectors across all teams to understand what good dementia care looks like so their judgments are consistent and robust
- 17. 17 What will we do? Add a section to hospital inspection reports that shows how well the hospital cares for people living with dementia Continue our focus on dementia - we will look at the experience of people who we know are likely to have a poor experience at the end of life, including people with dementia http://www.cqc.org.uk/content/themed-review-end-life-care
- 18. 18 Questions and Discussion
- 19. www.cqc.org.uk enquiries@cqc.org.uk @CareQualityComm 19 Thank you