for 2015/16. market oversight reportdemocracy.rochdale.gov.uk/documents/s47125/market oversight...
TRANSCRIPT
Market Oversight Report for 2015/16.
Market Oversight
www.rochdale.gov.uk 1
The information provided below shows commissioning activity for Quarters 1- 4 2015/16
Contents include:
Quality Assurance Reviews
CQC Ratings
Market Oversight feedback
Satisfaction results
Market Oversight
www.rochdale.gov.uk 2
Service Providers reviewed by Quarter 2015/16 for all client groups
42
7 6 52
44
23
7
4
1415
38
7
3 0
30
21
2 3 0
Older People Learning Disability Mental Health Physical Disability Prevention0
10
20
30
40
50
Quarter 1 (Apr- Jun) Quarter 2 (Jul- Sep) Quarter 3 (Oct- Dec) Quarter 4 (Jan- Mar)
Providers reviewed by quarter
Reviews broken down by In Borough & Out of Borough
Quarter 1 (Apr-Jun) Quarter 2 (Jul-Sep) Quarter 3 (Oct-Dec) Quarter 4 (Jan-Mar)
In Borough
Out of Borough
In Borough
Out of Borough
In Borough
Out of Borough
In Borough
Out of Borough
Older People 18 24 8 36 7 8 25 5Learning Disability 7 - 23 - 38 - 21 -Mental Health 6 - 5 2 3 4 1 1Physical Disability 3 2 4 - 3 - 3 -Prevention Services 1 - 14 - 0 - 0 -
Learning Disability, Mental Health, Physical Disability and Prevention Services do not differentiate between in borough and out of borough reviews. These are classed as one.
Market Oversight
www.rochdale.gov.uk 3
CQC Inspections split by individual ratings (Apr- Mar 2016) for all client groups
In borough Out of boroughOutstanding 1 0Good 24 22Requires improvement 26 17Inadequate 0 2
1
2426
00
22
17
2
Outstanding Good Requires improvement
Inadequate0
5
10
15
20
25
30
In borough Out of borough
Overall CQC ratings Apr- Mar 16
Market Oversight
www.rochdale.gov.uk 4
CQC Apr- Mar 16Service name Authority
Where Services are
Delivered
Overall rating
Safe Effective Caring Responsive Well led
Homecare Support - Human Support group Rochdale Good Good Good Good Good Good
Four Seasons Care Home (Bolton)
Bolton Inadequate Inadequate Inadequate Inadequate Inadequate Inadequate
Rosemary Care Home Rochdale Requires Improvement
Requires Improvement
Requires Improvement
Good Requires Improvement
Requires Improvement
Stansfield Hall Rest Home Rochdale Good Requires Improvement
Good Good Good Good
Littleborough HFE Rochdale Good Good Good Good Good Requires Improvement
Brookfield Care Home Prestwich Requires Improvement
Requires Improvement
Good Good Good Requires Improvement
MENCAP Rochdale Good Good Good Good Good GoodWalshaw Hall Care Home OOB
Bury Requires Improvement
Requires Improvement
Good Good Good Requires Improvement
Market Oversight
www.rochdale.gov.uk 5
Briarmede Rest Home Rochdale Requires Improvement
Requires Improvement
Requires Improvement
Good Requires Improvement
Requires Improvement
Burrswood House Bury Requires Improvement
Requires Improvement
Good Good Good Requires Improvement
Chestnut Court Care Home
Bury Requires Improvement
Requires Improvement
Good Good Good Requires Improvement
2 Arbury Avenue Rochdale Good Good Good Good Good Good
Pendleton Care Ltd t/a Potens Rochdale Good Good Good Good Good Good
Braeside Dual Home Rochdale Good Good Good Good Good Good
Abbeywood Tottington Limited
Bury Good Good Requires Improvement
Good Good Good
Browfield Residential Home Limited
Bury Requires Improvement
Requires Improvement
Requires Improvement
Good Good Good
Highfield House Rochdale Requires Improvement
Requires Improvement
Good Good Requires Improvement
Good
Ashgrove House Care Limited
Oldham Requires Improvement
Requires Improvement
Good Good Good Requires Improvement
High Barn Rochdale Good Good Good Good Good Good
Lyndhurst Residential Care Home
Rochdale Requires Improvement
Requires Improvement
Requires Improvement
Good Good Requires Improvement
Market Oversight
www.rochdale.gov.uk 6
The Willows Salford Requires Improvement
Inadequate Requires Improvement
Good Requires Improvement
Requires Improvement
Holt House Bury Good Good Good Good Good Good
Rookwood Residential Care Home
Bury Good Good Good Good Good Good
Marland Court Rochdale Good Good Good Good Good Good
Alternative Futures Group Limited
Rochdale Good Good Good Good Good Good
Thorne House Doncaster Good Good Good Good Good Good
Ashbourne House Nursing Home
Rochdale Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Good Requires Improvement
Harelands House Rochdale Good Good Good Good Good GoodCambian - The Fields Sheffield Good Good Requires
improvementGood Good Good
Four Seasons Bolton Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Wilsic Hall College Doncaster Good Requires Improvement
Good Good Good Good
Heritage Homecare Services
RochdaleRequires
ImprovementRequires
ImprovementRequires
ImprovementGood Requires
ImprovementRequires
Improvement
Home Instead Rochdale Good Good Good Good Good Good
Avonbloom Blackpool GoodRequires
improvement Good Good Good Good
Market Oversight
www.rochdale.gov.uk 7
Bridge House (Bury) Bury Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Good Good
Lakeside Dual Home Rochdale Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Leonard Cheshire (Windermere) Cumbria Good Requires
Improvement Outstanding Good Outstanding Good
The Rowans Cheshire East Requires Improvement
Requires Improvement
Requires Improvement Good Good Requires
Improvement
Newmark (Previously Roshni Respite)
Rochdale Good Good Good Good Good Good
Belvoir Dual Reg Home Rochdale Good Good Good Good Good GoodHeightside House Lancashire Requires
ImprovementRequires
ImprovementRequires
ImprovementRequires
ImprovementRequires
ImprovementRequires
Improvement
Crossroads Home Care Rochdale Good Good Good Good Good GoodHonresfeld Cheshire Home
Rochdale Requires Improvement
Requires Improvement
Requires Improvement
Good Good Requires Improvement
Asquith Hall Calderdale Good Good Good Good Good Requires Improvement
Gorsey Clough Private N.H
Bury Requires Improvement
Good Requires Improvement
Good Requires Improvement
Good
Heathcote (Middleton) Rochdale Requires Improvement
Requires Improvement
Requires Improvement
Good Requires Improvement
Requires Improvement
Belgravia House Blackpool Good Requires improvement
Good Good Good Good
Market Oversight
www.rochdale.gov.uk 8
Meadow View Care Home Rochdale Requires Improvement
Requires Improvement
Good Good Requires improvement
Good
Almond Villas Blackburn Good Good Good Good Good GoodDarnton House Tameside Inadequate Inadequate Inadequate Inadequate Inadequate InadequatePossAbilities - Leighton House
Rochdale Good Requires improvement
Good Good Good Good
Langfield Dual Home Rochdale Good Good Good Good Good GoodCastlerock Care Services Rochdale Requires
ImprovementRequires
ImprovementGood Good Requires
ImprovementRequires
Improvement
Dawn Charlesworth & Cheryl Ince- PARK VIEW
Bury Good Good Good Good Good Good
Passmonds Dual Reg Home
Rochdale Requires Improvement
Good Requires Improvement
Good Good Requires Improvement
Brookvale Home Bury Good Good Requires Improvement
Good Good Good
Thorncliffe Grange Nursing Home
Tameside Good Good Good Good Good Good
The Fountains Nursing Home
Salford Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Carders Court - BUPA Rochdale Requires Improvement
Requires Improvement
Requires Improvement
Good Good Good
PossAbilities - LD Community Support Team
Rochdale Outstanding Good Good Outstanding Good Outstanding
Market Oversight
www.rochdale.gov.uk 9
PossAbilities - Shared Lives
Rochdale Outstanding Good Good Outstanding Good Outstanding
Shared Lives - Adult Placements
Rochdale Outstanding Good Good Outstanding Good Outstanding
Shared Lives - Supported Placements
Rochdale Outstanding Good Good Outstanding Good Outstanding
Grassendale Liverpool Good Good Good Good Good GoodCleggsworth Care Home Rochdale Good Requires
improvementGood Good Good Good
PSS St Helens Good Good Good Good Good GoodBriar House Rochdale Requires
ImprovementRequires
ImprovementRequires
ImprovementGood Good Good
York House Wakefield Requires Improvement
Requires Improvement
Good Good Good Requires Improvement
20 Manor Mill Close Rochdale Requires improvement
Requires improvement
Good Good Requires improvement
Requires improvement
42 Mount Street Rochdale Requires Improvement
Requires Improvement
Good Good Requires Improvement
Requires Improvement
Flat 13, Charles Mews, Charles Lane
Rochdale Requires Improvement
Requires Improvement
Good Good Requires Improvement
Requires Improvement
Millfield Dual Home Rochdale Requires Improvement
Requires Improvement
Good Good Good Requires Improvement
Wellesley House Bury Good Good Good Good Good GoodApsley House Rochdale Good Good Good Good Good Good
Market Oversight
www.rochdale.gov.uk 10
Ashbourne Dual Reg Home (Norden)
Rochdale Requires Improvement
Inadequate Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Heywood Court Nursing Home
Rochdale Requires Improvement
Requires Improvement
Requires Improvement
Good Good Good
Belgravia Care Blackpool Good Requires Improvement
Good Good Good Good
Carders Court Rochdale Requires Improvement
Requires Improvement
Requires Improvement
Good Good Good
Deafness Support Network
Rochdale Requires Improvement
Good Good Good Requires Improvement
Requires Improvement
Chaffinch Residential Care Hme
Bury Good Good Good Good Good Good
Wellesley House Bury Good Good Good Good Good GoodBlackcliffe Ltd- The Lakes Tameside Requires
ImprovementRequires
ImprovementGood Good Requires
ImprovementRequires
Improvement
Four Seasons Rest Home Rochdale Requires Improvement
Requires Improvement
Requires Improvement
Good Good Requires Improvement
Homecare4U Rochdale Rochdale Good Good Good Good Good GoodChadderton Total Care Unit Limited
Oldham Requires Improvement
Requires Improvement
Requires Improvement
Good Requires Improvement
Requires Improvement
Market Oversight
www.rochdale.gov.uk 11
The Fountains Nursing Home
Salford Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Requires Improvement
Little Heaton Care Home Rochdale Requires Improvement
Good Requires Improvement
Good Requires Improvement
Requires Improvement
Community Careline Services
Rochdale Good Requires Improvement
Good Good Good Good
Springbank Rest Home Rochdale Good Requires Improvement
Good Good Good Good
Newhey Manor Residential Care Home
Rochdale Requires Improvement
Requires Improvement
Requires Improvement
Good Good Good
Parklands Residential Care Home
Cheshire East Requires Improvement
Requires Improvement
Requires Improvement
Good Requires Improvement
Requires Improvement
Bury DCA Rochdale Good Good Good Good Good GoodSpringfield Park Nursing Home
Rochdale Requires Improvement
Requires Improvement
Requires Improvement
Good Requires Improvement
Good
Greave Project Rochdale Good Requires Improvement
Good Good Good Good
Sevacare - Oldham Oldham Good Good Good Good Requires Improvement
Good
Moor Park House Limited Lancashire Good Good Good Good Good Good
Market Oversight
www.rochdale.gov.uk 12
Adult Care Market Oversight feedback
Adult Care Commissioning Team record issues regarding commissioned services. A summary of the information for April to March 2016 is included in the table below:
COMMISSIONING TEAM INFORMATION Quarter 1 Quarter 2 Quarter 3 Quarter 4
Number of complaints received 7 67 52 48
Complaints resolved 5 37 28 20
Outstanding complaints 0 18* 10 6
Complaints transferred to other departments external to the Commissioning team
2 12 14 22
Compliments to Adult Care Commissioning about providers 0 0 0 0
Market Oversight
www.rochdale.gov.uk 13
75 0 2
67
37
1812
52
28
10 14
48
20
6
23
Number of complaints received
Complaints resolved Outstanding complaints
Complaints transferred to other
departments external to the
Commissioning team
010203040506070
Quarter 1Quarter 2Quarter 3Quarter 4
Commissioning Complaints log
There has been a considerable increase in the volume of concerns received since Quarter 2, the reason for this is that processes have been put in place to systematically log concerns sent to the Commissioning Complaints inbox which then feed into our Complaints database. Previous to this, minor concerns were resolved on an informal basis. The Commissioning Complaints inbox has been widely promoted as a point of contact within the Care Management teams; this could be a contributory factor in the increase.
*Of the outstanding concerns raised, the majority are around issues with care management, missed visits, late visits, failure to meet care standards, missed medication, inefficient/ ineffective staff and poor service delivery. The table below gives a more detailed breakdown of the themes reoccurring:
Market Oversight
www.rochdale.gov.uk 14
The issues being raised have been investigated with care providers to support them to address the concerns raised. Contract Managers continue to work with providers to ensure high standards of care provision for service users.
Reoccurring Themes Missed visits/ Late visits 29%Carers 17%Medication 7%Hygiene 6%Incidences in the home 3%Procedures not followed 2%Management of the home 3%Care Management 16%Food/ Meal times 3%Safeguarding 1%Care Plans not followed 2%Fee increase requests 1%Faulty equipment 1%Neglect 1%Staffing 1%Other 9%
30
17
7 6
3 2 3
16
3 1 2 1 1 1 1
9
Missed vi
sits/
Late vi
sitsCare
rs
Medicatio
n
Hygiene
Incidence
s in th
e home
Procedures n
ot follo
wed
Manag
ement of th
e home
Care M
anag
ement
Food/ M
eal tim
es
Safegu
arding
Care Plan
s not fo
llowed
Fee in
crease
requests
Faulty
equipment
Neglect
Staffin
gOther
05
101520253035
Reoccuring themes
Market Oversight
www.rochdale.gov.uk 15
Commissioned Provider Concerns
Adult Care Commissioning Team collects information from providers about the concerns that they receive and manage internally. This has been done on an annual basis as part of the quality monitoring process.
144 emails were sent out to providers within the Rochdale region with a response rate of 30%, 43 responses were collated, which is a reduction of 2 from the previous quarter. Responses are low but we will continue to aim for an increased number of responses in future reports however obtaining the information from providers has been very difficult.
A summary of the information for April to March 2016 is below:
PROVIDER INFORMATION Quarter 1
Quarter 2
Quarter 3
Quarter 4
Number of complaints received 81 45 45 43
Number of complaints resolved 69 42 39 34
Number of outstanding complaints 12 3 5 10*
Compliments to providers 301 227 169 110
81
69
12
45 42
3
4539
5
44
34
10
Number of complaints received
Number of complaints resolved
Number of outstanding complaints
0
10
20
30
40
50
60
70
80
90
Quarter 1Quarter 2Quarter 3Quarter 4
Provider Complaints information
Market Oversight
www.rochdale.gov.uk 16
*Of the 10 outstanding concerns in Quarter 4, issues have been around staff attitude, care management, failure to meet standards and a lack of communication.
Since quarter 2, we have begun to ask providers to categorise the complaints they receive. Of the providers that have attempted to do this, the graph below illustrates the kind of concerns being raised:
ThemesQuarter
2Quarter
3Quarter
4Staff attitude 6 9 5Ineffective/inefficient staff 3 6 4Service change/denial 0 0 2Failure to meet standards 2 1 3Inadequate facilities 0 0 2Lack of communication 4 3 4Abuse/ill treatment 2 0 1Other 6 8 5
Of the 5 that have been categorised as ‘Other’, these complaint have been around incidences and ill feelings around the home, such as service user belongings being misplaced, unhappy with the interior decoration and furniture being unhygienic, service users not happy with room changes and carers.
6
3
0
2
0
4
2
6
9
6
01
0
3
0
8
54
23
2
4
1
5
Staff a
ttitude
Ineffecti
ve/in
efficien...
Servi
ce ch
ange
/denial
Failu
re to m
eet stan
dards
Inadequate
facili
ties
Lack
of communica
tion
Abuse/ill tr
eatment
Other 0123456789
10
Quarter 2 Quarter 3 Quarter 4
Number of complaints recieved by type
Market Oversight
www.rochdale.gov.uk 17
Satisfaction Questionnaires Q1-4 (Apr- Mar)
Questionnaires Count % responseFamily 109 16%Service User 230 33%Staff 351 51%
109
230
351
0 50 100 150 200 250 300 350 400
Family
Service User
Staff
Number of questionnaires recieved
The intelligence gained from gathering satisfaction data helps determine the Quality Assurance Officers focus for the quality assurance visits.
Market Oversight
www.rochdale.gov.uk 18
A sample of the responses from the 15-20 questions in the Satisfaction questionnaires is illustrated in the table below.
Service User Satisfaction % satisfied % fairly satisfied % dissatisfied
The support I get works well 83% 16% 2%
I feel safe where I live 91% 8% 1%
Staff listen to me and what I want 80% 20% -
The people who support me understand me 81% 18% 1%
Families Satisfaction Always Sometimes Never
The support my family member receives works well 81% 18% 1%
My family member feels safe where they live 92% 8% 0%
Staff listen to my family member and what they want 92% 9% 0%
I am able to be involved in developing support plans and reviewing them with my family member if I want to 73% 18% 10%
Market Oversight
www.rochdale.gov.uk 19
Staff Satisfaction Always Sometimes Never
I have access to clear records on how a client wants to be supported and I consistently use this on a day to day basis and update this regularly
93% 6% 1%
I am part of a team which believe that people should have maximum choice and control in their lives, as part of a local community
89% 10% 1%
I can see that staff are carefully matched to people and rotas are personalised to all clients
60% 36% 3%
I work in a way that ensures that risk are thought through in a person centred way, with the person and family centrally involved
90% 10% 0%
I receive training and personal development in areas that I need to do my job
91% 8% 1%