Personalisation, Quality & Safeguarding Julie Bateman Assistant Director of Personalisation, Quality & Safeguarding February 2013

“ A nation’s greatness is measured by how it treats its weakest members” Mahatma Ghandi

Quality & Safety- A Wake Up Call Winterbourne View Inquiry ECHR Enquiry into Older People & Home Care Francis Report- Enquiry into Mid Staffordshire Hospital

Is this a Watershed Moment?

Why do things go wrong? Dignity Agenda Caring with Compassion Person Centred Practice Family and Friends Test Valuing People Now…

What doesn’t work QA systems alone do not Safeguard People Clauses in contracts do not Safeguard People Comprehensive policies and procedures do not Safeguard People Monitoring in itself does not necessary improve the quality of care

Common features of a failing/unsafe service Culture of fear Culture of secrecy Lack of recognition of peoples human rights Culture of rules and inflexibility Poor training and workforce development Acceptance of poor standards Lack of consistency and continuity Over focus on time and task

What does work Listening to, involving and engaging with families Involvement of local communities Active collation of autobiographies and stories Maintaining identity Relationship centred care Recognition of emotional and physical demands of work Experienced and well trained staff Managers as role models and leaders

What do we know about Quality & Safety in Suffolk?

Contract & Quality Monitoring Information Formal SuspensionsVoluntary Suspensions Currently suspended 2 1 Reaccredited since April Suspension ended since April Home closed 1Homes closed0 Flagged ServicesCQC 32 providers (of which 16 are res care, 11 are nursing homes and 4 Dom care) currently have multiple non compliance issues (non compliant in 2 or more areas Currently flagged 2 Flag removed since April Homes Closed 0

Top Ten Concerns Through CQM Visits/Feedback 1.Care plans 2.Risk Assessments 3.PEEP 4.End of life 5.Staff numbers 6.MUST/Nutrition 7.Recording 8.Money and handling 9.DoLs/MCA 10.Environment/H&S 1.Inconsistent visit times 2.Missed visits 3.Too many different carers 4.Carers not staying full time 5.Visits too early 6.Visits too late

Safeguarding Referrals February 2012 to January 2013

In % breakdown

Location of abuse

Outcome by area

DoH Survey Findings Question 1 All - Overall, how satisfied or dissatisfied are you with the care and support services you receive? I am extremely or very satisfied I am quite satisfied I am neither satisfied or dissatisfied I am quite dissatisfied I am extremely or very dissatisfied ENGLAND EASTERN Suffolk

Question 7a - Which of the following statements best describes how safe you feel? I feel as safe as I want Generally I feel adequately safe, but not as safe as I would like I feel less than adequately safe I don’t feel at all safe ENGLAND EASTERN Suffolk Question 8a - Thinking about how much contact you’ve had with people you like, which of the following statements best describes your social situation? I have as much social contact as I want with people I like I have adequate social contact with people I have some social contact with people, but not enough I have little social contact with people and feel socially isolated ENGLAND EASTERN Suffolk

Raising the Bar What will make the biggest impact? What can CQC do? What can Healthwatch do? What can the local authority do? What can the care sector do?

Crisis in Care Loss of confidence in Care Sector Lack of trust and support Defensiveness, stress & anxiety Focus on control, tasks, orders to prevent mistakes Creates environment we want to avoid

Shift our focus to…. Promoting Relationship Based Practice Support & Supervision, space to reflect Excellent managers and leaders Great training & development opportunities

ASPIRE VALUES Shift from Enforce to Enable and EMPOWER RESPECT your own ability and motivation to continually improve Focus more of our resources and energies on the offer of SUPPORT to help you ACHIEVE and be the best you can be

The Way Forward……? GEM awards and Dignity Ambassadors My Home Life Progress with Providers iPlanit Provider Forums

Does it sound like the right direction? Are the right things on the list? What might be more helpful? What will the sector do itself? ?