February 2016

How we are making a differenceCare Home

Quality Assurance

Presentation Overview

• Background• Key Achievements• Quality Monitoring Process• CQC Process• An example of what we look at…• Next Steps • Questions

BackgroundPre 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)

Key AchievementsIncreased

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

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

6

New Operating Model

Surveillance

Next Steps

• Home Hygiene Award Pilot • Reviewing emergency admissions • Working smarter• Improvement programme • Supporting Care Homes• Reducing the regulatory burden

Any questions?

Kate Phillips Commissioning ManagerKate.Phillips@cheshireeast.gov.uk

Fiona BryanFiona.Bryan@cqc.org.uk

Julia Curtis, Service Delivery Manager (Quality)julia.curtis2@nhs.net