Cracks in the pathway: People’s experiences of dementia care as they move between care homes and hospitals – Care Quality Commission [UK] – 13 October 2014

Posted on October 24, 2014. Filed under: Aged Care / Geriatrics | Tags: |

Cracks in the pathway: People’s experiences of dementia care as they move between care homes and hospitals – Care Quality Commission [UK] – 13 October 2014

Press release: Review of dementia care services shows too much variation – Care Quality Commission – 13 October 2014

“A major review into the care provided to people living with dementia by the Care Quality Commission found an unacceptable gap in the quality of care that means people are at risk of experiencing poor care as they move between care homes and hospitals.

The CQC carried out a themed review of dementia services in 129 care homes and 20 hospitals across England, looking specifically at four areas: how people’s care needs were assessed; how care was planned and delivered; how providers worked together and how the quality of care was monitored.”

… continues on the site

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Evaluating our hospital inspection model: Report by Manchester Business School and The Kings Fund – 30 July 2014

Posted on August 1, 2014. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

Evaluating our hospital inspection model: Report by Manchester Business School and The Kings Fund – 30 July 2014

Evaluation helps hospital inspection development – Care Quality Commission – 30 July 2014

“A report we have published today evaluates the first two waves of our new style hospital inspections.

The report covers inspections carried out in 18 hospital trusts between September 2013 and April 2014.

The evaluation, by researchers from Manchester Business School and The King’s Fund was commissioned by us as part of our ‘learning by doing’ approach.

The authors found that the new approach commands strong credibility, in particular through the use of specialists to inform assessments, and the granular detail of ratings within services rather than at provider level, with the report stating:

“Overall CQC’s new acute regulatory model receives more or less universal endorsement from stakeholders, not least from the hospitals themselves, and is seen as transformative in comparison with the form of regulation it replaces. It is regarded as much more credible, authoritative, rigorous and in-depth and much less likely to miss any issues of significant concern.”

The new inspection method was evolving even as the evaluation was carried out, and will continue to evolve. The report will inform that evolution.”

… continues on the site

 

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From the pond into the sea: children’s transition to adult health services – Care Quality Commission [UK] – June 2014

Posted on June 10, 2014. Filed under: Child Health / Paediatrics | Tags: |

From the pond into the sea: children’s transition to adult health services – Care Quality Commission [UK] – June 2014

Summary report – From the pond into the sea: children’s transition to adult health services – Care Quality Commission [UK] – June 2014

News release: Teenagers with complex health needs lack support as they approach adulthood – 8 June 2014

“The findings from our recent review show that young people with complex health needs do not always receive the necessary care and support when they move on to adult care services.

The transition process can be a vulnerable time for young people and their families. During this period, they stop receiving health services that they may have had since a young age (such as care to support mobility, breathing, swallowing or pain) and move on to equivalent adult services which can be structured and funded differently.”

… continues on the site

 

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Evaluating the Care Quality Commission’s acute hospital regulatory model: emerging findings – Care Quality Commission – 14 March 2014

Posted on March 26, 2014. Filed under: Acute Care, Clin Governance / Risk Mgmt / Quality | Tags: , |

Evaluating the Care Quality Commission’s acute hospital regulatory model: emerging findings – Care Quality Commission – 14 March 2014

“In September 2013, the Care Quality Commission asked a team from Manchester Business School and the King’s Fund to undertake a formative evaluation of CQC’s new acute hospital regulatory model.

The design of the new acute hospital regulatory model is described in the inspection framework [1] and guidance, and in other CQC documents such as the logic model [2]. It is an almost complete departure from the approach used by CQC in recent years. The key differences– as described in those documents and to us in interviews – are:”

… continues on the site

Review of our new approach to inspecting hospitals – Care Quality Commission – 19 March 2014

“We commissioned the Kings Fund and Manchester Business School to carry out this evaluation and will use this information to improve the way it inspects. The full report will be published in May.

The paper published today explored whether the new approach provides a better analysis of the performance of an acute hospital – whether:

the measures used are valid and reliable.
the data is meaningful.
it adds significantly to what is already known.
it helps to not just assess performance but to understand the causes of performance variation.

It also explored:

whether the new model works in practice.
how the inspections are prepared, carried out and reported.
whether it could be done more effectively.

Author Professor Kieran Walshe presented themes from the paper at our board meeting today. The report says:”

… continues on the site

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Equality counts – Care Quality Commission [UK] – 30 January 2014

Posted on January 31, 2014. Filed under: Clin Governance / Risk Mgmt / Quality, Health Mgmt Policy Planning | Tags: |

Equality counts – Care Quality Commission [UK] – 30 January 2014

“Our progress on promoting equality

We’ve published our annual equality information report, called ‘Equality counts’, which sets out how we have promoted equality and tackled inequality both for people who use health and social care services and for our staff.”

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Our strategy and business plan – Care Quality Commission [UK] – 18 April 2013

Posted on April 22, 2013. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: |

Our strategy and business plan – Care Quality Commission [UK] – 18 April 2013

“We are making radical changes to the way we inspect and regulate services to make sure they provide people with safe, effective, compassionate and high-quality care, and to encourage them to make improvements.

We will make sure that above all else, we are always on the side of people who use care services and always put their interests first.

The changes we’re making include:”

… continues on the site

 

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Experiences of inpatient services in NHS hospitals – Care Quality Commission – 16 April 2013

Posted on April 17, 2013. Filed under: Patient Participation | Tags: |

Experiences of inpatient services in NHS hospitals – Care Quality Commission – 16 April 2013

“We have published the results of a survey that looked at the experiences of over 64,500 patients who were admitted to an NHS hospital in 2012.

Between September 2012 and January 2013, 850 inpatients at participating NHS trusts were sent a survey asking about the care they received.

We have published the results showing how each trust performed in the survey.

The technique we used to analyse the results allows us to identify whether the trust performed ‘better’, ‘worse’ or ‘about the same’ as other participating trusts.”

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Accident and emergency 2012 – Care Quality Commission – 7 December 2012

Posted on January 4, 2013. Filed under: Emergency Medicine | Tags: |

Accident and emergency 2012 – Care Quality Commission – 7 December 2012

“Read the results of our latest survey which asked people about their experiences of accident and emergency (A&E) departments in 2012.”

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The safer management of controlled drugs. Annual report 2011 – Care Quality Commission – July 2012

Posted on August 1, 2012. Filed under: Pharmacy | Tags: |

The safer management of controlled drugs. Annual report 2011 – Care Quality Commission – July 2012

Controlled drugs

“This section provides information about our role and the legal responsibilities of healthcare providers that handle controlled drugs.

You can also download the Self assessment tools for primary care trusts (PCTs) and acute NHS trusts or independent hospitals.”

…  continues

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Inpatient survey 2011 – Care Quality Commission, NHS – 24 April 2012

Posted on April 26, 2012. Filed under: Patient Participation | Tags: , |

Inpatient survey 2011 – Care Quality Commission, NHS – 24 April 2012

“Read our findings from the Inpatient survey 2011, which looked at the experiences of over 70,000 people who were admitted to NHS hospitals around England.

The results of the survey will be used by NHS Trusts to improve their performance and to understand their patients’ experiences, and we will use the results to support our regulatory, compliance and monitoring activities.

View the A-Z list of inpatient survey results by NHS Trust to find out how your care service performed.”

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Meeting the health care needs of people in care homes – Care Quality Commission [UK] – 7 March 2012

Posted on March 13, 2012. Filed under: Aged Care / Geriatrics, Clin Governance / Risk Mgmt / Quality | Tags: |

Meeting the health care needs of people in care homes – Care Quality Commission [UK] – 7 March 2012

“The Care Quality Commission (CQC) has today published the results of a review of how the healthcare needs of care home residents are met.

It addresses how older people and people with learning disabilities living in care homes access healthcare services, whether they have choice and control over their healthcare and whether they receive care that is safe and respects their dignity.

Inspection teams visited a small sample of care homes, interviewing managers, residents and staff, observing care and examining case files.

Emerging themes of non-compliance will influence future detailed CQC thematic inspections including the dignity and nutrition review for care homes being undertaken in summer 2012.

A summary of the data can be found in the accompanying key findings document and the full data is on our website.”

… continues on the site

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Performance and capability review of the Care Quality Commission – UK Department of Health – 23 February, 2012

Posted on February 29, 2012. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: |

Performance and capability review of the Care Quality Commission – UK Department of Health – 23 February, 2012

“Today the Department has published the report of its Performance and Capability Review of the Care Quality Commission (CQC).

The review is intended to provide robust assurance to the public, the Department and Parliament that CQC is improving its performance and that action will be taken to build and sustain its capability for the future.

The review ran from October 2011 to February 2012, and was led by a panel of senior departmental officials and external reviewers, chaired by the Permanent Secretary. The review gathered evidence from a range of external stakeholders and CQC staff. It also considered findings of the recent reports from the Health Select Committee and the National Audit Office.

The review sets out recommendations to challenge CQC and support its continuing improvement by providing clearer strategic direction, strengthening the CQC board and developing and delivering the regulatory model. These recommendations will be important to ensure that CQC builds and sustains its capability for the future. The review also recognises that the Department has more to do as a sponsor and work is underway to strengthen accountability arrangements across all the Department’s arms length bodies.”

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The Care Quality Commission: Regulating the quality and safety of health and adult social care – National Audit Office – 2 December 2011

Posted on December 7, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

The Care Quality Commission: Regulating the quality and safety of health and adult social care – National Audit Office – 2 December 2011

“The Care Quality Commission had a difficult task in establishing itself and has not so far achieved value for money in regulating the quality and safety of health and adult social care in England, according to a report by the National Audit Office today. The Commission missed deadlines for registering health and social care providers, other than NHS trusts, at the same time as levels of compliance and inspection activity were falling significantly.

The Commission, formed in 2009, had to merge three existing regulators to establish a new organisation and implement a new regulatory approach, which for the first time integrates health and social care. The Commission’s budget is less than the combined budget of its predecessor bodies, even though it has more responsibilities. Even so, it underspent against budget in both 2009-10 and 2010-11. This was partly because it had a significant number of staff vacancies. At the end of September 2011, 14 per cent of staff positions were vacant. The Commission was unable to fill vacancies as quickly as it might, because of government-wide recruitment constraints.”

… continues

 

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A critical analysis of the CQC Dignity and Nutrition Inspections of 100 hospitals in England – Action on Elder Abuse – October 2011

Posted on October 26, 2011. Filed under: Aged Care / Geriatrics, Patient Safety | Tags: , |

A critical analysis of the CQC Dignity and Nutrition Inspections of 100 hospitals in England – Action on Elder Abuse – October 2011

“According to the CQC, regulation and inspection of social and healthcare is intended to ‘put people first, stand up for their rights, and act quickly to remedy bad practice’. But analysis of the DANI inspection reports (which CQC summarised on Thursday) questions these assertions.

While inspectors witnessed practices that were variously illegal, cruel or heartless, they took no immediate action to guarantee the safety of the patients affected. Instead, the hospitals with the poorest record of care were often given 28 days to devise a plan, and then were not monitored until many months later.

Unlike the response to nursing and care home abuse, there were no immediate protection plans, suspension of admissions, or ongoing monitoring to ensure immediate patient safety. And, as Paget Hospital recently demonstrated, leaving it to the Trusts gave no certainty of improvement.

During the visits, inspectors recorded health staff falsifying food and drink records to give the impression that uneaten meals had been consumed, a patient left for 30 hours without sustenance because medical notes had been ‘misread’, barrier nursing of an isolation ward ignored, patients being squeezed into extra beds without the necessary equipment to allow adequate nursing, high risk patients without nutrition plans implemented, and patients with their genitals, underwear or incontinence pads exposed.  Inspectors even described some patients as being ‘at risk’, but still the deemed the hospitals compliant with the standards.
Despite this, the CQC did not make a single adult safeguarding referral or refer any staff member to their professional body or to the Independent Safeguarding Authority.

We are all rightly concerned about the sub-standard care provided on some of these wards, which degraded older people and put a number of them at obvious risk. But we also need to consider what the regulator did, or rather did not, do in response. A large number of these hospitals were deemed ‘compliant’, but had requirements placed on them which meant that they were in fact not compliant at all. This misleads the public. And the CQC have proclaimed the fact that no hospital had a ‘major’ concern around dignity. But, the definition they used made it impossible to record such a ‘major concern’, so this too misleads the public.

Of particular concern was the casual disregard of the national guidance on ‘Do Not Attempt Resuscitation Notices’.  In some cases these were routinely inserted into patient files on admission. In others the decision was left to junior doctors, who never consulted the patients or their families. In one case Inspectors found a notice from a previous admission, still wrongly active in a patient’s files. This is a dangerous situation, as evidenced by the case of Peter Carter who died in 2010 when a nurse assumed a blank DNAR notice meant he should not be revived. Inspectors noted these issues in hospital reports but the regulator then took no further action.

The quality of care is obviously the responsibility of the hospitals and the Trusts. But the public expect a regulator to take immediate action when it discovers neglect or abuse, and to ensure that patients or residents are immediately safe and protected, today and tomorrow. The CQC did not do this. This leaves the unpalatable question as to how many older patients continue to be neglected and abused in these 100 hospitals, and others throughout the NHS. We need better quality NHS care, and we need better regulation too.”

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Equality and human rights in the essential standards of quality and safety: An overview – Care Quality Commission [UK] October 2011

Posted on October 18, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Patient Safety | Tags: , |

Equality and human rights in the essential standards of quality and safety: An overview – Care Quality Commission [UK] October 2011

Guidance for compliance inspectors and registration assessors

Extract from the introduction:

“This guidance acts as a flexible resource from the Equality and Human Rights Commission (EHRC) and the Care Quality Commission (CQC) for inspectors who would like clarification of equality and human rights issues when monitoring compliance of health and adult social care services under the Health and Social Care Act 2008.

It is primarily to support inspectors, but it will be useful for other CQC staff carrying out the regulation of health and social care providers, for example in registration, enforcement and methodology development.

This guidance (referred to as the overview guidance) provides you with:
• An overview of human rights and equality legislation and how such legislation impacts upon CQC’s regulatory role.
• Information about CQC’s approach to equality and human rights.
• Information about what you should do if you have a concern that a provider may be in breach of equality or human rights law.”

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Dignity and nutrition inspection programme: National overview – Care Quality Commission [UK] – October 2011

Posted on October 17, 2011. Filed under: Aged Care / Geriatrics, Dietetics | Tags: |

Dignity and nutrition inspection programme: National overview – Care Quality Commission [UK] – October 2011

“In December 2010, the Secretary of State for Health Andrew Lansley MP asked CQC to carry out an inspection programme to look at dignity and nutrition in NHS hospitals.

We carried out unannounced inspections at 100 NHS acute hospitals in England between March and June 2011, using teams made up of CQC inspectors, a practising and experienced nurse, and an ‘expert by experience’ – someone with experience of caring or receiving care, trained and supported by Age UK.”

… continues

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Community mental health services survey 2011 – Care Quality Commission [UK] – released 9 August 2011

Posted on August 11, 2011. Filed under: Mental Health Psychi Psychol | Tags: |

Community mental health services survey 2011 – Care Quality Commission [UK] – released 9 August 2011

Media release:  Survey of people who use community mental health services will help to assess changes in experience of care  9 August 2011

“The results of the 2011 survey of people who use community mental health services, published today (9 August) by the Care Quality Commission (CQC), are set to play an important role in the Government’s new mental health outcomes strategy.

The experiences of more than 17,000 people who use services across the 65 NHS mental health trusts in England are reflected in the survey, which asked them questions about their care during the past 12 months.

They received care and support from mental health services outside hospital, such as those offered by outpatient clinics and local teams providing crisis home treatment, assertive outreach, early intervention for psychosis, and generic community mental health services.”

… continues

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The safer management of controlled drugs – Annual report 2010 – Care Quality Commission [UK] – August 2011

Posted on August 8, 2011. Filed under: Pharmacy | Tags: |

The safer management of controlled drugs – Annual report 2010 – Care Quality Commission [UK] – August 2011

“Annual report published in August 2011 which made recommendations on how chief executives and accountable officers could better aid the safer management of controlled drugs.”

 

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Supporting life after stroke: A review of services for people who have had a stroke and their carers – Care Quality Commission (UK) – January 2011

Posted on January 18, 2011. Filed under: Neurology | Tags: , , |

Supporting life after stroke: A review of services for people who have had a stroke and their carers – Care Quality Commission (UK) – January 2011

“Stroke can be a devastating and life changing event for people. However, our review found that the extent to which they are supported to cope with life after stroke varies significantly across England. The best services are built around the individual – with their care being planned to take account of the needs, circumstances and preferences of the person who has had a stroke, their carers and family. People in these areas are more likely to experience a smooth and coordinated return home from hospital and to have access to a broad range of services to help them recover from, and cope with, the effects of stroke.”

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Analysis of consultation on assessments of quality in 2010/11 Feedback report September 2010 – Care Quality Commission [UK]

Posted on September 21, 2010. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: |

Analysis of consultation on assessments of quality in 2010/11 Feedback report September 2010 – Care Quality Commission [UK]

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Working together to prevent and control infections – A study of the arrangements for infection prevention and control between hospitals and care homes – Care Quality Commission (UK) – September 2009

Posted on December 14, 2009. Filed under: Infection Control | Tags: |

Working together to prevent and control infections – A study of the arrangements for infection prevention and control between hospitals and care homes – Care Quality Commission (UK) – September 2009

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Swine flu pandemic advice – UK Care Quality Commission – 12 August 2009

Posted on August 17, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: , |

Swine flu pandemic advice – UK Care Quality Commission
12 August 2009

“We have developed advice for care providers during the swine flu pandemic.

Health and adult social care regulations continue to apply during a flu pandemic, unless otherwise announced by the Department of Health. This situation is being kept under review and may change.

Please refer to the National Pandemic Flu Service for all the latest information and advice on swine flu:

We have also developed some specific questions and answers for care providers:

* information for social care providers
* information for healthcare providers

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Coercion and consent: monitoring the [UK] Mental Health Act 2007-2009 – July 2009

Posted on July 22, 2009. Filed under: Mental Health Psychi Psychol | Tags: , |

Coercion and consent: monitoring the Mental Health Act 2007-2009

The Mental Health Act Commission have published a final report on the Mental Health Act and the care provided to people detained under the Act. The report claims that while there were good examples of people receiving good care during their visits to services there were variation across services. The Care Quality Commission (CQC) have published a response to this report.

CQC – publications

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The new registration system for health and adult social care – UK – NHS Confederation May 2009

Posted on May 20, 2009. Filed under: Health Professions, Workforce | Tags: , |

The new registration system for health and adult social care

“From April 2010, a new system of regulation for health and adult social care in England comes into force for the NHS. This will require all providers of certain health and adult social care activities to register with the Care Quality Commission in order to provide services. The Department of Health is now consulting on the draft regulations. This briefing summarises the main proposals and their implications for providers of NHS care and its commissioners.”

NHS Confederation – publications

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Survey of adult inpatients 2008 – Care Quality Commission, UK – May 2009

Posted on May 18, 2009. Filed under: Patient Participation | Tags: |

Survey of adult inpatients 2008 – Care Quality Commission, UK – May 2009

This national survey of the views of adult inpatients asked about the experiences of people who have been admitted to hospital overnight or for longer. The questions in the survey cover the issues that patients consider important in their care and would like to be included in national assessments. The survey offers an insight into their experiences and uses this information in the assessment of NHS trusts.

CQC – publications

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(UK) The Healthcare Commission 2004-2009: regulating healthcare – experience and lessons

Posted on April 17, 2009. Filed under: Clin Governance / Risk Mgmt / Quality, Patient Safety | Tags: , |

(UK) The Healthcare Commission 2004-2009: regulating healthcare – experience and lessons

The Healthcare Commission ceases to exist at the end of March 2009. A new, integrated regulator of health, mental health and adult social care – the Care Quality Commission – takes over on 1 April 2009. This report looks at the lessons that have been learned from the work of the Healthcare Commission over the last five years. Its objective is to inform the continuing debate about the place and role of regulation as it relates to health and healthcare in England.

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The Health and Social Care Act 2008: Code of Practice for the NHS on the prevention and control of healthcare associated infections and related guidance

Posted on April 8, 2009. Filed under: Infection Control | Tags: , |

The Code, which comes into force on 1 April 2009, sets out how the Care Quality Commission will assess compliance with the requirements set out in the Health and Social Care Act 2008 and provides guidance on how providers can meet the registration requirements relating to healthcare associated infections.  The January 2008 version of the Code will remain in force until 1 April 2009.

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