1. 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

2. Quality Monitoring

3. Quality Monitoring

4. 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

5. 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

6. 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

7. Measuring Outcomes & Impact Research
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PSSRU
ASCOT
Social Care Related Quality of Life (SCRQol)
Adult Social Care User Experience Survey
School for Social Care Research

8. 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

9. Tools Available to Support Providers
Care plan
Structure, templates, prompts
Managers QA tools
Managers tasks list
Monthly checklist
Annual checklist
Survey forms
PEN website
Advice & Support – Quality Assurance & Improvement Team (QAIT)