1. Ms. Maria Lordan Dunphy, Assistant National Director, Quality Improvement Division October 2015 Q UALITY I MPROVEMENT E NABLEMENT P ROGRAMME S UPPORTING C ARE I MPROVEMENTS IN R ESIDENTIAL S ERVICES FOR A DULTS WITH I NTELLECTUAL D ISABILITIES Partnership between the Social Care Division and Quality Improvement Division

2. Project Update Aim & Objectives Aim: Work with residential services for adults with ID to advise and support the enhancement of structures and processes to improve the delivery of quality and safe person-centred outcomes and services. Objectives: 1. Work with services on HIQA self-assessments and QIPs to address National Standards. 2. Support / advise services on how to address issues identified. 3. Direct services towards the relevant and specific supports. 4. Support SCD to sustain and spread improvements beyond project, share learning. Project Team jointly resourced from QID and SCD

3. Project Update – Phase 1A Preliminary Visits March 2015 - June 2015 - Preliminary Service Visits HSE residential services for adults with ID: 148 units, 1,054 HIQA beds  Engaged with staff and observed structures / practices  Shared information about the Project  Discussed / identified priority areas for improvement  Shared tools and resources  Completed service reports  Flagged operational issues, where observed, to managers/CHOs  Validated data.

4. Project Update – Phase 1A Preliminary Visits Priority Areas for improvement identified 1. Leadership / Governance for Quality 2. Engaging and Enabling Service Users 3. Engaging and Enabling Staff 4. Measuring and Sharing Learning Systemic issues brought to the attention of SCD- Disability Services

5. Project Update – Phase 1A Supports to Services 7 Briefing papers: Medication Management, Supervision, PPPGs, Key Worker System, Risk Management, Leadership and Governance Liaising with internal and external stakeholders to organise supports for services Since August 2015: Ongoing support in specific services identified by SCD Project Toolbox

6. Project Update – Phase 1A Project Toolbox

7. SCD and CHOs to strengthen governance structures :  CHO Quality & Safety Lead for SCD  CHO Quality & Safety Committee for SCD  Service–level Quality & Safety Teams  Strengthen Project Oversight Group SCD subgroups to develop action plans re: 7 Briefing Papers National workshop for PICs, and CHO-area workshops Mobilise specific training i.e. Safeguarding, Leading in Uncertain Times Next Steps - Phase 1B Supports to Services

8. SCD/QID Project Team aligned to CHOs to coach, mentor and guide:  Review available info – HIQA reports, self-assessments, etc  Agree and prioritise areas for improvement in QIP  Support gaining traction in QIP Examples of areas the Project Team can support:  Strengthen leadership & governance structures  Improve relevant person-centred documentation  Engage with staff and service users  Signpost tools / resources / further supports ND SCD requested local support for certain priority services Next Steps - Phase 1B

9. Next Steps - Phase 1B Deliverables / Timelines DeliverableTimelineResponsibility Subgroups to follow up on briefing papers, develop action plans Q3 – Q4 2015SCD Governance structures strengthened at Division, CHO, local level Q3 2015SCD and CHOs National and CHO workshopsQ4 2015SCD, QID, CHOs, ID Services Follow-up support by SCD/QID Project Team to residential services Q3 2015 – Q3 2016 SCD, QID, CHOs, ID Services Service improvement / QI projects in residential services Q4 2015- Q3 2016 SCD, CHOs, ID Services Phase One Project ReportQ4 2016SCD and QID