How CQC will inspect staffing in its new approach to hospital inspections
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How CQC will inspect staffing in its new approach to hospital inspections. 1. Our purpose and role. Our purpose We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve Our role

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How CQC will inspect staffing in its new approach to hospital inspections

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How cqc will inspect staffing in its new approach to hospital inspections

How CQC will inspect staffing in its new approach to hospital inspections

1


How cqc will inspect staffing in its new approach to hospital inspections

Our purpose and role

Our purpose

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve

Our role

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find, including performance ratings to help people choose care

2


The chief inspector of hospitals task

The Chief Inspector of Hospitals’ task

  • To inspect all acute NHS hospital Trusts/FTs by December 2015

  • To assess whether a Trust is Safe, Effective, Caring, Responsive to patients’ needs and Well-Led

  • To provide a rating on each Trust:

    OutstandingGoodRequires improvementInadequate

  • To re-inspect when necessary and to undertake focused reviews in response to specific concerns

  • Programme is now extended and includes mental health and community service and in Q2 2014 independent sector and ambulance trusts


The new cqc hospital inspection programme staffing

The new CQC hospital inspection programme - staffing

  • We will consider

  • The steps taken to ensure there are sufficient numbers of suitably qualified, skilled and experienced persons who:

  • Receive support, training, professional development, supervision and appraisal

  • Are enabled to obtain further qualifications appropriate to the work they do

  • Are enabled to provide evidence of meeting professional standards to professional regulators


Cqc s approach

CQC’s approach

  • 3 phases:

    • Preparation

    • Site visits

    • Report


Phase 1 preparation

Phase 1: Preparation

  • Development of a data pack combining

    • Intelligent Monitoring(Safety, Effectiveness, Caring, Responsiveness, Well-Led)

    • Local data from the Trust

    • Data from other sources(e.g. CCG, NHS England, HEE, Health watch, Royal Colleges, Professional regulators)

  • Development of Key Lines of Enquiry (KLOEs)

  • Recruitment of inspection team members


Phase 2 site visits

Phase 2: Site visits

  • Announced and unannounced components

  • Announced

    • Interviews: CEO, MD, DoN, COO, Chair + NEDs

    • Focus Groups: Doctors (senior/junior), nurses/midwives (registered/student/ HCA), AHPs, Governors, admin + others

    • Patient and public listening event

    • Direct observation (e.g. wards, A+E, OPD)

  • Unannounced visit – will pick up on issues identified at the announced visit and review care out of hours


Kloe what good looks like staffing safety

KLOE, what good looks like staffing Safety

  • Staffing establishments (levels and skill mix) are set and reviewed at ward and board level using nationally recognised tools and guidance and reflect current professional expert body guidance in all areas i.e. National Quality Board Guidance (NQB)

  • The right staffing levels and skill mix across all clinical and non-clinical functions is sustained at all times of the day and week to support safe, effective and compassionate care and levels of staff well-being. Staffing levels and skills are responsive to changing needs and circumstances


Kloe what good looks like staffing safety1

KLOE, what good looks like staffing Safety

  • Staff know how to activate escalation processes which work well, for example drafting in additional staff to cover increasing levels of demand or respond to warning signs of rapid deterioration of patients.

  • There is an effective infra structure and programme of support to enable all staff to develop their understanding of practical skills in patient safety and service improvement.

  • All staff know what to do in an emergency situation and these are practised regularly

  • Every patient has a named member of staff who is responsible and accountable for that patient’s care


Kloe what good looks like staffing effective

KLOE, what good looks like staffing Effective

  • The organisation makes sure that all permanent and temporary staff are appropriately qualified and competent at the right level to carry out their role safely and effectively in line with best practice

  • The organisation has a process in place to identify the learning needs of staff. There re opportunities for professional development beyond mandatory training. The organisation can demonstrate that training programmes impact on patient outcomes


Kloe what good looks like staffing caring well led

KLOE, what good looks like staffing Caring & Well led

  • Caring

  • Patients are supported by trained staff to cope emotionally with their care and treatment during their stay in hospital. This support is available when patients need it

  • Well led

  • Board assurance and robust actions re safe staffing, visible all levels

  • Mechanisms to support staff and promote their positive well being

  • HR practice, induction, training & development, organisational vision, values and strategy

  • Staff all levels demonstrate actively encouraged to identify risk and make suggestions for improvement


Summary

Summary

  • The new approach to inspecting hospitals represents a radical change

  • Quality is genuinely be at the heart of everything we do

  • Having sufficient numbers of suitability qualified and experienced staff is key in providing good quality safe care

  • Staff must receive support, training, professional development, supervision and appraisal and work in a supportive environment


Conclusion

Conclusion

  • Sir Professor Mike Richards, Chief Inspector of Hospitals

  • committed with Jane Cummings, Chief Nursing Officer

  • to ensure that the new model of inspection considers the National Quality Board (NQB) guidance to support the inspection process in reviewing staffing levels within organisations

  • and “Hard Truths Commitments” DH January 2014 are considered within the new inspection framework


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