Managers Network28/10/14

Sector News/Updates

New Handbooks – now published following consultationNew Approach operational from 1st October

Recruitment & Retention Strategy

New Resources

CQC Update

Inspections in Surrey – six month summary

Report Total DCC CHS(OP)

CHN CHS(LD)

N/C Outcome AreasMost prevalent

March 87 23/5 22/7 16/4 23/4 LD MCA, OP Environment/Infection Control, DC Supervision/Appraisal

April 59 16/2 16/2 11/3 12/0 OP Environment/Infection Control, DC Staff Records/Checks

May 22 9/2 3/2 3/2 4/2 LD MCA, OP Environment/H&S, DC Staff Records/Checks

June 18 5/1 4/2 1/0 8/2 LD Medication, OP Training, DC Safeguarding

July 21 7/2 4/1 2/1 8/4 LD MCA, OP Staffing Numbers, DC Recruitment Practice/Records

August 11 1/0 5/2 4/2 1/0 OP Recruitment Practice/Records

September Report

+ 1 Follow-up Inspection related to Enforcement Action

All relate to one home

General CQC Update

Change process continues:

Inspections and Reports Piloting New Model & PIR

There are 11 new regulations that set out the fundamental standards of quality and safety.

These replace the current 16 regulations. These new regulations are clearer statements of the standards below which care should never fall

Recap

Fit and proper persons requirement for directors and duty of candour for NHS bodies – October 2014• All regulations for all health and social care services – April 2015

On 25th September CQC published the final versions of the key lines of enquiry (KLOE) for both residential care homes and home care. At the same time they published a ratings characteristics documents for residential and community services and they will begin inspecting against these documents on 1 October.

You can see these documents at www.cqc.org.uk/content/adult-social-careThey also published details about the new approach to inspection on: www.cqc.org.uk/content/our-new-approach-regulating-and-inspecting-services-guide-providers

Now included in Provider Handbooks

Outlines the HOWThe process and procedure

Appendix A:Outlines what InspectorsCould look for as evidence

Appendix B:Describes what a service inEach rating looks like

Appendix C:Ratings Principles

Training is referenced on pages:6,7,9,11,12,13,19,20,34,36,37

? Competency Vs Training

Our approach to guidance on regulations

In the guidance, we explain the intention of each regulation. We then consider each element of the regulation in turn, setting out the implications for providers in terms of how they could demonstrate compliance.

For each regulation, we then signpost key legislation and guidance that providers may want to consider in deciding how they will ensure that they meet the regulation.

The hyperlinks to legislation and guidance relate specifically to each regulation. They are not meant to be exhaustive.

We expect providers to meet the requirements of all relevant legislation, even if not hyperlinked in the guidance.

We also expect providers to take account of other relevant guidance that might be specific to the services they deliver. For example, we would generally expect providers to be aware of and take into account nationally recognised guidance – such as that produced by:

National Institute for Health and Care Excellencethe former National Patient Safety AgencyNHS EnglandSkills for HealthSkills for Care

and relevant clinical and professional bodies, and those organisations that either have a national remit for producing guidelines or are recognised as producers of high-quality guidance recognised by the professions and services.

Overview of enforcement guidance

Our proposed guidance on enforcement is set out in part B of this document.The guidance proposes that when we use our enforcement powers, it will be for one or both of two purposes:

• To protect people who use regulated services from harm and the risk of harm.• To hold providers and individuals to account for failures in how the service is provided.

When a service falls below the required standards, we will consider both purposes.

We will often act to hold providers and individuals to account at the same time as we act to secure improvement in the service.

There are two particular new features of the enforcement guidance.

• From April 2015, when the new regulations come into force, CQC may prosecute without first issuing a warning notice. This will significantly increase the ability to prosecute breaches of regulations that place people who use services at risk of harm.

• It signals an approach to coordinating CQC powers with other oversight bodies where organisations are failing, where this will be more effective than acting on their own. An example of this is the special measures regime that CQC operates for NHS bodies with Monitor and the NHS Trust Development Authority.

Sample Extract

Wave 3 Pilot sites Appears more comprehensive thanPrevious reporting model.

Gives better guidance

Probably worth thinking about beforeBecomes a requirement

This return is being used as a pre-inspection questionnaire and we would like you to fill it in and return it to us by the deadline stated in the email to you.

We won't tell you in advance when your inspection will be, and the date you receive or return the form will not decide the date we visit your service.

The information you include in your return will help inspectors decide on the areas they need to look at during their visit. Some of the content may also be used to inform national reporting. When we use information in this way, it won't be attributed to any provider.

You might find it helpful to use the return as part of your quality assurance process and as a way of understanding and reviewing how well you are meeting the five ‘key questions’.

Guidance Document

PIR

Sector Update

http://learnfromothers.skillsforcare.org.uk/Selection

http://www.skillsforcare.org.uk/Standards/Care-Quality-Commission-regulations/Recommendations-for-CQC-providers-guide.aspx

CQC inspection areas and SCIE products and servicesSCIE have mapped some of their key products and services against CQC's areas for inspectionSafeView all of SCIE’s work on safeguarding adults Key resources and services are outlined below.Learning Together to safeguard adults and children SCIE’s Learning Together programme supports learning and improvement. It includes: systems approach to analysis of local practice, access to accredited safeguarding case reviewers, and building in-house capacity.Adult safeguarding: elearning An interactive resource looking at what adult safeguarding means and considering how safeguarding is everyone's responsibility.Managing risk, minimising restraint: elearning eLearning resources that explore the nature of managing risk and minimising restraint when working with older people in care homes.Safeguarding adults: Social Care TV films A series of short films on how to safeguard adults in practice.Mental Capacity Act and Deprivation of Liberty Safeguards eLearning, films, resources and face to face training on supporting people who lack capacity.Training and consultancy Training on key safeguarding issues, MCA and DOLS for staff, managers and partners. Consultancy service on policies, procedures and practice.Coming soon on safeguardingSCIE is developing a range of resources to help local authorities and care providers to comply with the new safeguarding responsibilities within the Care Act 2014.For details see The Care Act: safeguarding adults

EffectiveAll of SCIE’s work is based around knowledge about what works and what is effective. Key resources for care providers include:Dementia gateway A comprehensive online resource for anyone who wants to understand dementia better. It includes: written information, films, activities, and e-learning.GP services for older people: a guide for care home managersThe purpose of this guide is to support managers and staff of care homes to work in partnership with GPs and primary care teams, with a view to improving access for residents to good medical services.Integration – step by stepThis is an online tool designed to support health and social care practitioners and managers in developing effective integrated working practices. The tool provides a forum with guided discussion for working through and agreeing methods, processes and procedures.NICE Collaborating Centre for Social Care (NCCSC)The NCCSC develops guidance about social care and helps to disseminate that guidance and quality standards on behalf of NICE. Guidance in development includes: home care; social care of older people with multiple long-term conditions; transition from hospital; and transition between children’s and adults’ services.

CaringDignity in Care Comprehensive guide and practice examples for care home, hospital and home care staff. Includes the factors that support treating people with dignity and respect.End of life care Information and links for those supporting people who are approaching the end of their lives. Includes a guide to supporting people to die at home, short films on Social Care TV and ideas from practice.ResponsivePersonalisation: a rough guide This guide explores what personalisation is and what it means for different social care stakeholders.Personalisation: Social Care TV films A series of short films that illustrate personalisation in actionCoproduction A range of resources, advice and support about how to involve people who use services and carers in designing, delivering and co-producing care services.

Well-ledView all of SCIE’s work on developing skills and services, including leadershipKey resources include:Effective supervision in a variety of settings  Research and good practice guide to supervisionShort-notice care home closures: a guide for local authority commissioners Aimed at commissioners, this guide also provides useful information for care home managers and owners on issues to manage when a care home has to close at short notice.Care Skillsbase  This resource is for employers and managers of care and support staff to help them address communication and number skills in the workplace

Skills for Care – Social Care CommitmentThe Social Care Commitment is a voluntary agreement about workforce quality.‘A promise to keep’ – when you make the commitment you will put your values into practice by selecting at least one task for each statement. Online resources are there to help you, including a development plan.

Your CQC Provider Information Return (PIR) requires you to provide evidence against the key question ‘Is the service caring?’. You are currently specifically asked (depending on your service type) to indicate if you have signed up to the SCC or to answer the following questions      3a. What do you do to ensure the service you provide is caring?      3b. What improvements do you plan to introduce in the next 12 months that will make your service more caring, and how will these be introduced?     3c(i) In the last 12 months, please list any awards or recognition your service, or individual staff members have received for the quality of care and support provided to people that use your service. 3c(ii) Please list any good practice or accreditation schemes/initiatives/networks you are currently a member of? Signing up to the Social Care Commitment and sharing your development plan will provide you with evidence to share with CQC.

SCOIAL CARE COMMITMENT -Employer statements KLOE in residential care statements CQC Fundamental Standards for Care

I will take account of potential employees’ values, attitudes and behaviours when recruiting new

staff.

 

 CQC KLOE:  WL3, WL6

 

CQC Standards:  1, 2, 3, 4, 5, 6 & 11

I will provide thorough induction for all new staff and for those changing job roles.

 

 CQC KLOE:  S3, E2, WL3, WL6

 

CQC Standards:  1, 2, 3, 4, 5, 6 & 11

I will provide timely, appropriate and accessible education, training and development

opportunities to enable my employees to develop and strengthen their skills and knowledge.

 

 CQC KLOE:  S3, WL3, WL6

 

CQC Standards:  1, 2, 3, 4, 5, 6 & 11

I will encourage everyone I employ to sign-up to the Sector Compact and to commit to any codes,

standards or registration systems applicable to their job role.

 CQC KLOE: S2, WL3, WL6

 

 

 

 

I will take responsibility for the values, attitudes and behaviour that my employees display during

their work, including upholding and promoting equality, diversity and inclusion.

 

 CQC KLOE: S3, S4, C1, WL3, WL6

 

CQC Standards: 1, 2, 3, 4, 5, 6 & 11

I will regularly monitor the skills and behaviour of everyone I employ, ensuring that feedback is

gathered from anyone they support or have direct contact with, including families and carers.

 

 CQC KLOE:  S1, S2, S4, S6, S7, E2, E3, E5, C1, C2, C3, C4, C5, R1, R2, WL3, WL6

 

CQC Standards: 1, 2, 3, 4, 5, 6 & 11

I will work to ensure a positive culture and working environment where all employees are

supported to meet their commitments under the Sector Compact.

 CQC KLOE: WL1, WL3, WL5, WL6

 

CQC Standards: 1, 2, 3, 4, 5, 6, 8, 9 & 11

Employee statements    

 

I will always take responsibility for the things I do or fail to do.

 

 CQC KLOE: S1- S7, E5, R1 – R3, WL1, WL5, WL6

 

CQC Standards: 1, 2, 3, 4, 5, & 8

I will always promote and uphold the privacy, dignity, rights, health and well-being of the

person/people who I support and their carers/family.

 

 CQC KLOE: S2, E3, C1, C3, C5, R1, R2, WL1, WL2

 

CQC Standards: 1, 2, 3, 4, 5, & 8

I will work co-operatively with others involved in providing care and support to ensure the delivery

of high-quality, safe and compassionate care to people who need care and support and their

families.

 CQC KLOE: S1, S2, C2, C5, R1, R2, WL1, WL2, WL4, WL5, WL6

 

CQC Standards: 1, 2, 4 & 6

I will communicate in an open, transparent and effective way to promote the well-being of people

who need care and support.

 

 CQC KLOE: S2, E2, C1, C2, C4, RI, R2, WL1, WL4, WL5

 

CQC Standards: 1, 2, 3, 4, 5 & 8

I will respect a person’s right to confidentiality, protecting and upholding their privacy and

dignity.

 CQC KLOE: C3, E3, R3

 

CQC Standards: 1, 2 & 3

 

I will improve the quality of the care and support I provide by constantly reflecting on and

updating my own knowledge, skills and experience.

 CQC KLOE: S4, WL3, WL6

 

CQC Standards: 4

 

I will promote equality, diversity and inclusion by treating all people fairly and without bias.

 

 CQC KLOE:  S1, S2, E1, C1-C5, R1 – R3

 

CQC Standards: 1 & 2

The Skills Academy Graduate management Training Schemelooks for individuals who have the drive and the values to become future leaders and managers in adult social care – a diverse, challenging and uniquely rewarding sector.Graduates are not required to have a background in social care; instead they must be passionate about the sector and committed to innovation and excellence in care.Placements are available with a variety of pioneering host organisations including care providers, third sector organisations, strategic bodies, and local authorities.In order to apply for the Scheme, graduates are required to have (or be predicted) a minimum of 2:2 degree or above.

Specific Actions Under Each Priority Area