Trainers Network 26 th February 2015

Care Certificate It is still planned that the Care Certificate will be introduced in March 2015, replacing both the National Minimum Training Standards and the Common Induction Standards. The official launch will be in March 2015 for employers to start using the Care Certificate as of April Materials to support employers in preparing for the Certificate, including revised standards and guidance are now available for use Transition – CQC “proportionate approach”- demonstrate planned implementation All new staff from 1 st April

Overall goal of the Care Certificate provide clear evidence to employers, patients and people who receive care and support that the health or social care support worker in front of them has been assessed against a specific set of standards and has demonstrated they have the skills, knowledge and behaviours to ensure that they provide compassionate and high quality care and support.

The approach used to deliver the learning required to meet the outcomes of the Care Certificate Framework and ensuring that there is a record of the assessment decisions that is auditable would be determined by the individual employer. Observation: Assessment Vs Training Accountability for signing off

The Care certificate standards are: 1. Understand Your Role 2. Your Personal Development 3. Duty of Care 4. Equality and Diversity 5. Work in a Person Centred Way 6. Communication 7. Privacy and Dignity 8. Fluids and Nutrition 9. Awareness of Mental Health, Dementia and Learning Disability 10. Safeguarding Adults 11. Safeguarding Children 12. Basic Life Support 13. Health and Safety 14. Handling Information 15. Infection Prevention and Control 205 separate requirements Within these All must be achieved to receive Care Certificate

Who Should Undertake the Care Certificate? Health Care Assistants, Assistant Practitioners, Care Support Workers and those giving support to clinical roles in the NHS where there is any direct contact with patients. Care Support Workers means Adult Social Care workers giving direct care in residential and nursing homes and hospices, home care workers and domiciliary care staff. These staff are referred to collectively as Healthcare Support Workers (HCSW) / Adult Social Care Workers (ASCW) in this document. Other roles may be included where achievement of all of the standards is possible. As some of these roles would be very different in health and social care it is up to the employer to decide whether the Care Certificate is appropriate. However, to be awarded the Care Certificate the person must meet all of the outcomes and assessment requirements for all 15 standards.

Guidance on Meeting Fundamental Standards Extract from PIR 5k. Staff training and qualifications 5k(i) How many of your current staff have completed the Skills for Care Common Induction standards?

Employers may want to use the self-assessment tool prior to health and social care workers commencing their induction. Induction can then be tailored, based on the workers self- assessment. The tool is not designed to be used as part of the selection process and can be used for both new starters and where the employer wishes to award the Care Certificate to existing staff or if necessary identify additional training needs. The checklist is just a tool and is not evidence that you are competent against the Care Certificate. The decision on whether you meet the Standards for the Care Certificate will be made by your manager, employer or assessor using the self-assessment, any other appropriate evidence and in line with the guidance set out for the Care Certificate.

Who can Assess? In order to be an Assessor the person must themselves be competent in the standard they are assessing. For almost all assessors this will be by virtue of holding a qualification related to the role. However, this doesn’t mean that in every case the same person is competent to assess every standard. For example it may be necessary to use a different assessor to assess Standard 12 – Basic Life Support to any of the other Standards. There is no requirement for assessors of the Care Certificate to hold any assessor qualification; the employer must be confident that the person with this responsibility is competent to assess. National Occupational Standard LSILADD09 Assess learner achievement

Assessment The assessment of the Care Certificate should be as rigorous as the assessment of any formal qualification. Evidence must be: Valid – relevant to the standards for which competence is claimed Authentic – produced by the learner Current – sufficiently recent for assessors to be confident that the learner still has that same level of skills or knowledge Reliable - genuinely representative of the learner’s knowledge and skills Sufficient – meets in full all the requirements of the standards

Performance Vs Knowledge & Understanding Assessment of Performance Evidence of performance prefixed with words such as ‘demonstrate,’ ‘take steps to,’ ‘use’ or ‘show’ must be undertaken in the workplace during the learners real work activity and observed by the assessor unless the use of simulation is expressly allowed Assessment of Knowledge and Understanding Assessment of knowledge and understanding is prefixed with verbs such as ‘describe,’ ‘explain,’ ‘define,’ ‘list,’ or ‘identify’ and can be undertaken using written or verbal evidence such as the workbook, written questions, case studies or sound files.

Certificates of Attendance, attendance on study days or e-learning without assessment of what has been learnt is not evidence toward achievement of the Care Certificate. Recording Assessment Decisions Documentation of assessment and evidence of practice is the responsibility of the HCSW/ASCW and their employer; the evidence may recorded in a workbook, portfolio or on line. This document will be used in gathering evidence for the Care Certificate and in terms of portability can be used as evidence when changing roles or moving between employers.

By my calculations 49 out of 205 Requirements need to be observed

Management/Leadership Development Programme Management/Leadership

CQC Update Guidance on Meeting Fundamental Standards Published 10 th February Parts still subject to consultation & parliamentary process Very different look and feel to Essential Standards

Guidance Legislation Guidance How to Use Our Guidance

We publish two main types of information for care providers: our provider handbooks and our guidance to help providers and managers meet the regulations, which come into effect on 1 April 2015.

Specific References to Training in components of the Regulations 12(2)(b) Safe care and treatment 12(2)(e) Safe care and treatment 13(2) Safeguarding service users from abuse and improper treatment 13(4)(b) Safeguarding service users from abuse and improper treatment 15(1)(a) Premises and equipment 18(2)(a) Staffing 19(1)(b) Fit and proper persons employed 20(1) Duty of candour “Competent” – 19 specific requirements Checklists

Extract from PIR 5k(iii) Percentage of current staff who have received training in the last 24 months in the following key areas: 5k(iii)(i) Dementia care 5k(iii)(ii) Dignity/Respect/Person Centred Care 5k(iii)(iii) Equality, diversity and human rights training 5k(iii)(iv) Fire safety 5k(iii)(v) First aid 5k(iii)(vi) Food hygiene/handling 5k(iii)(vii) Health and safety 5k(iii)(viii) Malnutrition care and assistance with eating 5k(iii)(ix) Medication safe handling and awareness 5k(iii)(x) Mental Capacity Act and Deprivation of Liberty Safeguards 5k(iii)(xi) Moving and handling 5k(iii)(xii) Palliative care / End of Life 5k(iii)(xiii) Prevention and control of infection 5k(iii)(xiv) Control and restraint 5k(iii)(xv) Positive behaviour support 5k(iii)(xvi) Safeguarding adults 5k(iii)(xvii) Emergency aid awareness 5k(iii)(xviii) Leadership and management 5k(iv) Other training

Safeguarding Safeguarding now has a statutory base (from 1 st April) Local authorities are required to: – Make enquiries – Set up a Safeguarding Adults Board – Arrange for an independent advocate where appropriate – Co-operate with each of its relevant partners

Safeguarding Six Key Principles Empowerment – personalisation, presumption of person-led decisions and informed consent Prevention – it is better to take action before harm occurs Proportionality – proportionate and least intrusive response Protection – support and representation for those in greatest need Partnership – local solutions through services working in their communities Accountability – accountability and transparency in delivery

New MAP’s Coming (Had hoped by now) Will require policy & procedure update Training Programme Revision Training implications for staff? SCA Workshop: Preparing for the changes in Safeguarding with Christine MacLean Wednesday 22nd April 2015 from 9.45am until 4.00pm Space is limited to 25 delegates, This workshop will highlight and explain: key changes the Care Act brings in relation to Safeguarding Adults the role and responsibility of the Provider within the revised Safeguarding response how the local authority will respond to a safeguarding concern explore how adults at risk should receive a safeguarding response that is personal explore changes that need to be considered within an organisation's Safeguarding Policy and procedures

Safeguarding – provider requirements Policies and procedures which cover: – Statement of purpose – Roles and responsibilities – Procedure for dealing with allegations of abuse – Points of referral and how to access – How to record allegations, enquiries and actions – A list of sources of expert advice – Full description of channels of inter-agency communication – List of services which might offer access to support or redress – How professional disagreements are resolved

Palliative care One area that has caused particular concern is that of palliative care. For the purpose of this guidance, we consider palliative care to be concerned with the last few weeks of life. The first thing to say here is that if a person receiving palliative care has the capacity to consent to the arrangements for their care, and does consent, then there is no deprivation of liberty. Deprivations of liberty in the community I’m sure you will be aware that on 17 November 2014, a new streamlined process went live for applications to the Court of Protection to authorise deprivations of liberty outside of care homes and hospitals. This is known as the “Re X procedure” and is supported by a new Court of Protection application form and a new practice direction. The following guide produced by 39 Essex Street is a useful reference and contains links to the relevant documents: tion_of_liberty_authorisations_guide.pdf