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Agenda

Review of the HIQA Inspection Process Preliminary Findings Prospectus Strategy Consultants June 16 th 2010. Agenda. 1. Objectives & Methodology. Objective of the Review.

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Agenda

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  1. Review of the HIQA Inspection ProcessPreliminary FindingsProspectus Strategy Consultants June 16th 2010

  2. Agenda

  3. 1. Objectives & Methodology

  4. Objective of the Review • To independently assess the strengths and weaknesses, at a high level, associated with the current inspection process managed / delivered by HIQA • To develop recommendations to further improve the inspection process for the ultimate benefit of residents and service users

  5. 4-stage Review Process

  6. 4-stage Review Process Step 1 – Collation of Review Inputs • Review of sample of HIQA inspection reports • Design and management of questionnaire Step 2 – Consultation & Analysis of Findings • Focus Group • Consultation with HIQA / service providers • Analysis of inputs / feedback received Step 3 – Development of Recommendations Step 4 – Completion of Review Report

  7. 2. Preliminary Findings

  8. Questionnaire – Profile of Respondents Type of Nursing Home Location of Nursing Home

  9. Strengths of the Existing Process / Report • An effort has been made by HIQA to recognise good practice within the nursing home sector • The opportunity to return feedback to HIQA through the providers response section of the report is a welcome addition • The existing methodology offers a more comprehensive and balanced approach in comparison to that previously overseen by the HSE • The existing methodology has also offered an increased prospect of a more consistent and objective approach to assess compliance • The HIQA inspection process has raised standards overall and is far more resident-focussed than previous attempts • The process encourages providers to routinely self-assess and forces one to constantly identify areas for potential improvement • A format and timeframe has been provided to achieve necessary improvements through the inclusion of the Action Plan approach

  10. Preliminary Findings (a) The Inspection Methodology

  11. The process used by inspectors involves a mix of observation, conversation and documentation. How satisfied are you that this works in each of the following areas:

  12. How satisfied are you with the level of…..

  13. Three classifications are used to provide compliance feedback – how appropriate and useful are these?

  14. Are you satisfied that a balance of feedback is provided across the three classifications?

  15. Preliminary Findings (b) The HIQA Inspection Team

  16. How satisfied are you with (a) the level of competency shown by inspectors and (b) that they undertook duties as per the Code of Conduct?

  17. Preliminary Findings (c) Inspection Timescales

  18. How appropriate are the following timescales?

  19. Preliminary Findings (d) Feedback & Engagement

  20. How satisfied are you that you had sufficient opportunity to discuss initial findings of the inspection with inspectors?

  21. How satisfied are you that your feedback was given due regard by the HIQA Inspection Team?

  22. How satisfied are you that factual inaccuracies (where included) were rectified and amended by the Inspection Team within the final report?

  23. Preliminary Findings (e) Other

  24. How challenging are the administration requirements of the inspection process?

  25. How valuable is the action plan as a means to improve the overall service provided?

  26. How valuable is the Fit-person Entry Programme as a means to self-assess ones fitness to deliver high quality services?

  27. Are you satisfied that the national standards / regulations are being interpreted and applied consistently across Ireland?

  28. Preliminary Findings (f) Conclusion

  29. How satisfied are you that the inspection process and report serve to assist service providers to improve their centres for all residents?

  30. Overall, how satisfied are you that the inspection report….

  31. Priority Areas for Improvement / Refinement

  32. 3. Discussion

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