course material

1. Managing Qualiity in health and social care
Managing Qualiity in health and social careManaging Qualiity in health and social
careManaging Qualiity in health and social care Order Descriptionthe CQC report is that of a
care home not hospital you can use any care home CQC report from the interne LO1 LO2
LO3 LO4 with introduction and conclusion with Harvard referencing system, can you tittle
the essay with the essay questions Eg 1.1, 1.2, 1.3 so on, read the all case study and the
essay brief thank you, Rules and regulations: Plagiarism is presenting somebody else’ s
work as your own. It includes: copying information directly from the Web or books without
referencing the material; submitting joint coursework as an individual effort; copying
another student’ s coursework; stealing coursework from another student and submitting
it as your own work. Suspected plagiarism will be investigated and if found to have
occurred will be dealt with according to the procedures set down by the College. Please see
your student handbook for further details of what is / isn’ t plagiarism. Coursework
Regulations 1 Submission of coursework must be undertaken according to the relevant
procedure – whether online or paper-based. Lecturers will give information as to which
procedure must be followed, and details of submission procedures and penalty fees can be
obtained from Academic Administration or the general student handbook. 2 All coursework
must be submitted to the Academic Admin Office and a receipt must be obtained. Under no
circumstances can other College staff accept them. Please check the Academic Admin Office
opening hours. 3 Late coursework will be accepted by Academic Admin Office and marked
according to the guidelines given in your Student Handbook for this year. 4 If you need an
extension (even for one day) for a valid reason, you must request one. Collect a coursework
extension request form from the Academic Admin Office. Then take the form to your
lecturer, along with evidence to back up your request. The completed form must be
accompanied by evidence such as a medical certificate in the event of you being sick. The
completed form must then be returned to Academic Admin for processing. This is the only
way to get an extension. 5 General guidelines for submission of coursework: a) All work
must be word-processed and must be of “ good” standard. b) Document margins shall not
be more than 2.5cm or less than 1.5cm c) Font size in the range of 11 to 14 points
distributed to including headings and body text. Preferred typeface to be of a common
standard such as Arial or Times New Roman for the main text. d) Any computer files
generated such as program code (software), graphic files that form part of the course work
must be submitted either online with the documentation or on a CD for paper submissions.
e) The copy of the course work submitted may not be returned to you after marking and

2. you are advised to have your personal copy for your reference. f) All work completed,
including any software constructed may not be used for any purpose other than the purpose
of intended study without prior written permission from St Patrick’ s International College.
Merit Descriptors Indicative characteristics/evidence needed Contextualised Indicative
characteristics (All the characteristics need to be achieved) M1 Identify and apply strategies
to find appropriate solutions Complex problems with more than one variable have been
Explored Explored health or social care factors and analysed different concepts of quality in
relation to Royal United Hospital. (Opportunities to meet in section 1) 1.1,1.2,1.3 M2
Select/design and apply appropriate methods/ techniques A range of sources of
information has been used Has used a range of sources of information in the exploration of
strategies for achieving quality throughout the assignment. (Opportunities to meet in
section 1,2,3 and 4) 1.1,1.2,1.3,2.1,2.2,2.3,3.1,3.2,3.3,4.1 4.2 M3 Present and communicate
appropriate findings The appropriate structure and approach has been used Has used
appropriate Report structure and various approaches in the evaluation of systems, policies
and procedures in a specific health or social care setting in relation to achieving quality
systems. (Opportunities to meet in LO3 and LO4) 3.1,3.2,3.3,4.1 4.2 Outcomes and
assessment requirements Learning Outcomes Assessment requirements To achieve each
outcome a learner must demonstrate the ability to: LO1 Understand differing perspectives
of quality in relation to health and social care services 1.1 Explain perspectives that
stakeholders in health and social care have regarding quality 1.2 Analyse the role of
external agencies in setting standards 1.3 Assess the impact of poor service quality on
health and social care stakeholders LO2 Understand strategies for achieving quality in
health and social care services 2.1 Explain the standards that exist in health and social care
for measuring quality 2.2 Evaluate different approaches to implementing quality systems
2.3 Analyse potential barriers to delivery of quality health and social care services LO3 Be
able to evaluate systems, policies and procedures in health and social care services 3.1
Evaluate the effectiveness of systems, policies and procedures used in a health and social
care setting in achieving quality in the service(s) offered. 3.2 Analyse other factors that
influence the achievement of quality in the health and social care service 3.3 Suggest ways
in which the health and social care service could improve its quality LO4 Understand
methodologies for evaluating health and social care service quality. 4.1 Evaluate methods
for evaluating health and social care service quality with regard to external and internal
perspectives 4.2 Discuss the impact that involving users of services in the Evaluation
process has on service quality. Distinction Descriptors Indicative characteristics
Contextualised Indicative characteristics (All the characteristics need to be achieved) D1
Use critical reflection to evaluate own work and justify valid conclusions Conclusions have
been arrived at through synthesis of ideas and have been justified/ self-criticism of
approach has taken place The learner has clearly justified or given a self-criticism of the
approaches taken when evaluating the methods, approaches and effectiveness of quality
service, systems, policies and procedure in health and social care setting. (Opportunities to
meet in section 2,3 and 4) 2.2,3.1,4.1 D2 Take responsibility for managing and organising
activities Substantial activities, projects or investigations have been planned, managed and
organised/the important of interdependence has been recognised and achieved/ Has

3. substantially investigated and explored strategies for achieving quality in health and social
care setting (given case study or work experience) and recognised the importance of
interdependence. (Opportunities to meet in section LO3 and LO4). 3.1,3.2,3.3 4.1 4.2 D3
Demonstrate convergent/lateral/creative thinking Problems have been solved/ self
evaluation has taken place/innovation and creative thinking have been applied Has
recommended problem-solving initiatives for poor quality of care services and new
innovation and creative thinking to improve quality in a health and social care setting.
(Opportunities to meet in section 3) 3.3 Summary of grades In order to achieve a pass
Learners will have meet the assessment requirements for all learning outcomes and
associated assessment criteria. In order to achieve a merit Learners will have to submit a
REPORT, and meet the Pass and all merit grade descriptors (M1,M2,M3) In order to achieve
a distinction Learners will have to submit a report that meets the Pass, Merit and
requirements for distinction descriptors D1, D2 and for D3. . NB: A copy of a REPORT format
will be made available to students. Case Study Royal United Hospital Bath NHS Trust: CQC
Quality report Date of inspection visit: 5-6 and 14 December 2013 Date of publication:
February 2014 Summary of findings The Royal United Hospital Bath NHS Trust (RUH Bath)
provides acute treatment and care for a population of around 500,000 people in Bath and
the surrounding towns and villages of North East Somerset, North and West Wiltshire,
Somerset (Mendip) and South Gloucestershire. The trust provided 595 beds and a
comprehensive range of acute services, including medicine and surgery, services for women
and children, accident and emergency services, and diagnostic and clinical support services.
The trust had an annual budget of around £230 million and employed 4,600 staff. The trust
had faced significant challenges in the past year, particularly over the last winter period of
December 2012 to March 2013: There was a high demand for trust services and the trust
did not have sufficient capacity to cope with emergency admissions. The trust had three
periods of ‘ black escalation’ in January, February and March 2013. Patients were waiting
in the corridors of the accident and emergency (A&E) department for treatment. The day
surgery unit was being used for overnight stays. The trust received £2.35 million of NHS
winter pressures funding to improve services. • The NHS patient safety indicators on falls,
catheter and urinary tract infections, blood clots and pressure sores were above the
national average and incident report rates were low compared with other trusts. • Elective
surgical procedures were being cancelled and patients had long waiting times for surgery;
this was worse than other trusts. • The staff survey results identified that the level of staff
engagement was in the bottom 20% of trusts. • Patient complaints and concerns increased
during this time. • The trust was not meeting standards and there were compliance actions
following several CQC inspections for respecting and involving service users, care and
welfare, safeguarding, and assessing and monitoring the quality of service provision. • We
served a Warning Notice after our inspection in June 2013 because the trust did not meet
standards for Regulation 20 (1) (a) and (2) (a) (b) (Records) of the Health and Social Care
Act 2008. The trust also had positive areas of practice: ? Surgical procedures were safe and
the trust had not had a ‘ never event’ for 18 months. ? Infection control rates were similar
to those of other trusts. ? Overall mortality rates were similar to those of other trusts. The
hospital standardised mortality ratio (HSMR) is a measure for deaths in hospital for specific

4. conditions and procedures. This was significantly lower than other trusts and there was no
difference between weekday and weekend mortality. ? The trust participated in national
clinical audit and could demonstrate many areas where national guidelines were adhered
to. ? The trust was supportive of innovation in services, for example, in dementia and end of
life care. ? Patient feedback from surveys and NHS Choices was largely positive. From this
inspection, the trust has demonstrated that it could lead significant change effectively. It
had been open and transparent with partners about challenges and funding had been used
to support innovative changes. It had engaged the national Emergency Care Intensive
Support Team (ECIST) to change services in both the trust and across the local health and
social care community to improve the management of patient admissions and discharge.
The changes had significantly improved how the trust managed the demand for its services
and ensured that patients received good quality and safe care. Staff told us there had been a
tangible shift in culture over the past few months from a corporate to a patient focus, and
the trust was in a better position to manage winter pressures and unexpected demand for
services. Patients received safe and effective care. Surgical services were safe, for example,
and infection rates were similar to those of other trusts. Patients were being treated
according to national guidelines and clinical outcomes for them were good. Patients told us
staff were caring and that they were treated with dignity and respect. Services were more
responsive to patients’ needs and the trust had made changes to improve how it handled
and responded to complaints. The trust was making progress in providing a seven-day
service, and new models of care in A&E, medicine and surgery had meant patients were
receiving quick and effective treatment and their length of stay in hospital was reduced. The
environment on two wards, Combe Ward and the neonatal unit, had been redesigned and
refurbished to reduce anxiety and improve the comfort of patients with dementia and of
children and parents, respectively. The CQC standards identified in the Warning Notice, and
all but one of the compliance actions from our inspection in June 2013, had now been met.
The Warning Notice has now been lifted. We also identified a number of areas where the
trust needed to improve. Staffing levels were safe but needed to improve in some areas,
particularly in the critical care and neonatal units. Incident reporting had improved but
information was not shared effectively so that staff could learn from mistakes. Patients were
safeguarded, but more staff need appropriate safeguarding training to protect children, and
some staff needed a clearer understanding about the rights to independence of patients
who are at risk of wandering. Staff were caring, but at busy times in busy areas, such as
admission and short stay wards, patients’ care needs were not always being met. Patients
still had long waiting times for some planned surgery and outpatient appointments, and
there were discharge delays for some patients with complex needs. The trust needed to
engage with staff in lower pay bands who spend much of their time with patients and in
patient areas, such as cleaners, who told us they did not feel valued or listened to. The trust
was well-led but it needed to further improve how it assessed and monitored its quality and
safety procedures. We identified actions for the trust to take to improve its services. Click
the link below to access the full report:
http://www.cqc.org.uk/sites/default/files/new_reports/AAAA0780.pdf Description of the
problem to be solved: The CQC report identified some improvements and a need to further

5. improve how the hospital assessed and monitored its quality and safety procedures. As a
health and social care practitioner (Quality Manager) you are required to provide a report
explaining the systems, policies and actions that can be taken to tackle the identified
shortfalls. Assignment Based on the Case Study above you are required to provide a Report
of approximately 3,000 words. (The word count is set here as a guide.) You should refer to
the assessment criteria and the relevant unit content, when preparing your evidence of
assessment. The report should aIDress the following four tasks below which relate to the
learning outcomes. Section 1 In section1 of your report you are required to show an
Explanation of perspectives that stakeholders in health and social care have regarding
quality; Analysis of the role of external agencies in setting standards and Assessment of the
impact of poor service quality on health and social care stakeholders. You need to refer to
the case study provided to cover all the assessment criteria. (1.1, 1.2, 1.3 and also
opportunities to meet M1 and M2). Section 2 In section 2 of your report, you need to show
that you understand strategies for achieving quality in health and social care services. This
will be achieved by analysing potential barriers to delivery of quality service; evaluating
different approaches to implementing quality systems and finally explaining the standards
that exist for measuring quality at The Royal United Hospital. (2.1, 2.2, 2.3 and also
opportunities to meet M2 and D1) Section 3 In section 3 of your report, you are required to
evaluate systems, policies and procedures in The Royal United Hospital. You are required to
Evaluate the effectiveness of systems, policies and procedures used in The Royal United
Hospital in achieving quality in the service(s) offered. You should also analyse other factors
that influence the achievement of quality, and lastly suggest ways in which quality could be
improved. NB: You must identify the specific systems, policies and procedures that you are
evaluating in this section. This can include any systems, policies and procedures mentioned
in the CQC REPORT or /and other policies as seen on stponline folder named ‘ RUH CQC
Report and Policy documents’ . (3.1, 3.2, 3.3 and also opportunities to meet M2, M3, D1, D2
and D3) Section 4 In section 4 of your report, you are required to evaluate methods for
evaluating quality with regards to external and internal perspectives and discuss the impact
that involving users of services in the evaluation process has on service quality. (4.1 and 4.2
and also opportunities to meet M2, M3 AND D1) Formative Submission Formative
assessment will take place to advise you on your progress within the term (during the 4th
week) and the ways in which you could improve before the final (summative) submission.
The feedback is for your benefit and is not part of your final grade for the unit. Formative
feedback may, however, not be as detailed as the final feedback you receive, and may be in
verbal and/or written form (at the lecturer’ s discretion). You will be asked to submit your
work for formative feedback in electronic or hard copy form to which you will receive
verbal and/or written feedback. Final (Summative) Submission You need to submit the
report covering all the 4 sections which relate to all the assessment requirements in this
unit via www.stponline.co.uk on or before 19th December 2014. Example feedback form:
Feedback Strengths: Note: Summative Submission will be made via stponline.co.uk and
summative feedback will be provided via Turnitin. Areas for Improvement Grade Awarded:
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