Proud to Care Group Wednesday 2 November 2016 Larkbeare House, Exeter “Quality Counts” A discussion and sharing of ideas on quality monitoring and measuring client outcomes / impact
Quality Monitoring
Quality Monitoring
Quality Monitoring Listening Reflecting Learning Improving Staff Induction, training and supervision Day to day activities Service monitoring QA systems Your quality monitoring system The quality of your service Listening Reflecting Learning Improving Seniors Professional oversight Service monitoring QA systems Managers Leadership / culture Service monitoring QA systems Service Improvement Planning
Measuring Outcomes & Impact A person centred approach Personal needs / preferences Fundamentals of care, cultural / religious beliefs, meaningful activities Personal goals and outcomes (quality of life) Care planning and delivery Day to day interactions, daily recording Regular (min. monthly) care plan reviews Periodic analysis and review of goals and outcomes Quality Assurance
Measuring Outcomes & Impact Listening, reflecting, learning & improving Listening to service users, carers, staff and visiting professionals – a team approach Daily recording, day to day interactions Staff meetings Residents meetings Encouraging feedback from visitors, responding positively to complaints Open events Periodic surveys Consider the CQC Inspection Framework
Measuring Outcomes & Impact Research scie http://www.scie.org.uk/ PSSRU ASCOT http://www.pssru.ac.uk/ascot/ Social Care Related Quality of Life (SCRQol) Adult Social Care User Experience Survey School for Social Care Research http://sscr.nihr.ac.uk/PDF/MR/MR6.pdf
PSSRU – ASCOT Domain Definition Control over daily life The service user can choose what to do and when to do it, having control over his/her daily life and activities Personal cleanliness and comfort The service user feels he/she is personally clean and comfortable and looks presentable or, at best, is dressed and groomed in a way that reflects his/her personal preferences Food and drink The service user feels he/she has a nutritious, varied and culturally appropriate diet with enough food and drink he/she enjoys at regular and timely intervals Personal safety The service user feels safe and secure. This means being free from fear of abuse, falling or other physical harm and fear of being attacked or robbed Social participation and involvement The service user is content with their social situation, where social situation is taken to mean the sustenance of meaningful relationships with friends and family, and feeling involved or part of a community, should this be important to the service user Occupation The service user is sufficiently occupied in a range of meaningful activities whether it be formal employment, unpaid work, caring for others or leisure activities Accommodation cleanliness and comfort The service user feels their home environment, including all the rooms, is clean and comfortable Dignity The negative and positive psychological impact of support and care on the service user's personal sense of significance
Tools Available to Support Providers Care plan Structure, templates, prompts Managers QA tools Managers tasks list Monthly checklist Annual checklist Survey forms PEN website https://new.devon.gov.uk/providerengagementnetwork/tools_and_templates/ Advice & Support – Quality Assurance & Improvement Team (QAIT) qualityimprovement-mailbox@devon.gov.uk