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Care Home Quality Assurance Process
- 1. February 2016 How we are making a difference Care Home Quality Assurance
- 2. Presentation Overview • Background • Key Achievements • Quality Monitoring Process • CQC Process • An example of what we look at… • Next Steps • Questions
- 3. Background Pre 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)
- 4. Key Achievements Increased 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
- 5. 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
- 8. Next Steps • Home Hygiene Award Pilot • Reviewing emergency admissions • Working smarter • Improvement programme • Supporting Care Homes • Reducing the regulatory burden
- 9. Any questions? Kate Phillips Commissioning Manager Kate.Phillips@cheshireeast.gov.uk Fiona Bryan Fiona.Bryan@cqc.org.uk Julia Curtis, Service Delivery Manager (Quality) julia.curtis2@nhs.net
Editor's Notes
- 2479 Nursing and Residential Beds in the Eastern Cheshire CCG area 31 Summary and comparison of NHS changes pre/post Francis (2013) Collectively Cheshire East Council, Eastern Cheshire and South Cheshire Clinical Commissioning Groups, all have an interest in and responsibility for people living in residential or nursing homes and utilising the services of domiciliary providers. Although the strategic priority is to support people to live independently for as long as possible, we know that there are approximately 3,500 older people living in residential or nursing homes in Cheshire East. It is anticipated that by 2030 this number will have increased to 5,500. In addition there are about 250 people with learning disabilities receiving services in residential or nursing care, 91 of whom are in long term accommodation The CCG therefore has a joint responsible for quality assuring the care provided in Care Homes commissioned by the CCG and as part of the CCG quality improvement programme has further committed to improving the quality of services being delivered to our population in all sectors including Care Homes & Domiciliary Care providers. Care Home Quality Assurance is a key deliverable with the CCG Plan on a Page Continuous Quality Improvement Programme alongside a number of quality improvement programmes e.g. a reduction in the incidence of Pressure Sores.
- Programme of quality visits commenced from Sept 14 following a number of serious concerns at a couple of care homes within the area. Visits became fully integrated with East Cheshire LA in 2015. We now have an active process to pull together – triangulate the data and monitor care homes working…