Improving regulation for people with challenging behaviour
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Improving regulation for people with challenging behaviour. 4 October 2011. Dame Jo Williams Chair, CQC. Palette of Regulation. Inspection. Analysis. Voices. Scheduled inspections Themed inspections Responsive inspections . Themed reviews Quality Risk Profiles Other data sources.

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Improving regulation for people with challenging behaviour l.jpg

Improving regulation for people with challenging behaviour

4 October 2011

Dame Jo Williams

Chair, CQC


Palette of regulation l.jpg
Palette of Regulation

Inspection

Analysis

Voices

  • Scheduled inspections

  • Themed inspections

  • Responsive inspections

  • Themed reviews

  • Quality Risk Profiles

  • Other data sources

  • Website feedback

  • Telephone or written feedback

  • Third party feedback

  • Whistleblowing

  • Safeguarding


Since winterbourne view l.jpg
Since Winterbourne View …

  • Inspected all 23 Castlebeck services

  • Found four services to be of serious concern; seven services were not compliant with essential standards; twelve services were compliant

  • Themes identified:

  • lack of staff training;

  • inadequate staffing levels;

  • poor care planning;

  • failure to notify relevant authorities of safeguarding incidents;

  • failure to involve people in decisions about their own care


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Learning Disability inspections …

  • CQC conducting review of 150 learning disability services

  • Focus on: care and welfare of people using services; and safeguarding people using services from abuse

  • Same methodology as dignity and nutrition inspections: inspector; professional expert; expert by experience

  • Six pilot inspections conducted in early September

  • Will publish a report on each location visited and a national overview report. Reports will also be available in easy read versions

  • Set up advisory group to provide advice on these inspections. Chaired by Jo Williams and made up of stakeholders from charitable, voluntary and other sectors


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Learning and improving …

  • Conducted early assessment of CQC’s actions in Winterbourne View

  • Conducting in-depth management review of actions since Winterbourne View was registered

  • Management review will be CQC contribution to serious case review, chaired by independent person, Margaret Flynn

  • Department of Health review of roles of all agencies involved in Winterbourne View. Advised by: Mark Goldring; Professor Jim Mansell; Anne Williams

  • Ministers will report to Parliament when findings known; then decide any further action necessary


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Role of information

  • Essential to share appropriate information at local level with commissioners from Primary Care Trust and Local Council

  • Share information at national level with other regulators eg. Monitor, NHS Commissioning Board; professional regulators

  • Quality and Risk Profiles

  • Provider profiles

  • Information for people who choose and use services - clear and accessible


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How the new website will look

  • Homepage

  • Consumer focused

  • Clear about what we do/can offer the public

  • Focused on ability to look up location level reports/see major action we’re taking

  • Information for providers and corporate information clearly signposted

7


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  • Thank you

  • Care Quality Commission

  • www.cqc.org.uk

  • Tel: 03000 616161


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