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21 ST JANUARY 2009 SOCIAL CARE AND ADULT SERVICES SCRUTINY PANEL. RESIDENTIAL CARE QUALITY ASSESSMENT TONY PARKINSON. FACTS AND FIGURES. Middlesbrough Council Purchases Long Stay Elderly Residential Placements 311 Long Stay Older People (OPMH) Residential Placements 123

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21 st january 2009 social care and adult services scrutiny panel

21ST JANUARY 2009SOCIAL CARE AND ADULT SERVICESSCRUTINY PANEL

RESIDENTIAL CARE QUALITY ASSESSMENT

TONY PARKINSON

facts and figures
FACTS AND FIGURES
  • Middlesbrough Council Purchases
    • Long Stay Elderly Residential Placements 311
    • Long Stay Older People (OPMH) Residential Placements 123
    • Long Stay Elderly Nursing Placements 72
    • Long Stay OPMH Nursing Placements 33
    • Elderly/OPMH Continuing Health Care Placements 53
    • Short Stay/Respite Placements equating to Long Term

Placements 33

TOTAL 625

  • Total number of clients supported is 831
accommodation how the provision is regulated and monitored
ACCOMMODATIONHOW THE PROVISION IS REGULATED AND MONITORED

CSCI

Registration

CSCI

Inspection

Complaints

Own Residents

Surveys

Care Home

Adult

Protection

Social Care

Residential Care

Quality Assessment

Local

Informal

Intelligence

Social Care

Contractual

Obligations

Social Care

Inspections

quality assessment components
QUALITY ASSESSMENT COMPONENTS
  • Quality of Accommodation 45%
  • Service User Perspective 22.5%
  • Family Member/Advocate Perspective 22.5%
  • Staff 10%
  • TOTAL 100%
grading
GRADING
  • Quality Linked to Price

Grade 5 95%+ £440

Grade 4 86.3% - 94.0% £430 * FPC

Grade 3 77.2% - 86.2% £420

Grade 2 68.6% - 77.1% £410

Grade 1 0% - 68.5% £400

accommodation
ACCOMMODATION
  • Survey which identifies
    • En-Suite facilities available
    • Shared bedrooms
    • Room size
    • Internal communal living space
    • External communal space
    • Accessibility
service users representatives
SERVICE USERS & REPRESENTATIVES
  • Surveys gaining perception of care delivered, focused upon:
    • Admission process
    • Meeting individual needs
    • Dignity and Respect
    • Medical issues
    • Activities
    • Food
    • Complaints
    • Cleanliness and Hygiene
    • Staffing
    • Quality of service/care
    • Top Ups
staff
STAFF
  • Survey which provides information regarding:
    • Recruitment and Retention
    • Training and Qualifications
    • Induction and Supervision
    • Involvement in Care Planning process
    • Specific training initiatives
    • Provision of Equipment
outputs
OUTPUTS
  • Grading for each Home (1 – 5)
  • Assessment report for each Home
  • Strategic issues report
  • Service User Brochure
grade 1 2 homes
GRADE 1 & 2 HOMES
  • Quality Issues
    • Staff Quality/Training
    • Involvement
    • Overall Care Quality
    • Dealing with Complaints
  • Each Provider is given a report highlighting areas of good practice and areas for improvement
  • Providers determine response
  • Not to be confused with Contractual Service Quality Issues
dignity and respect
DIGNITY AND RESPECT

Service User perception of their Homes approach to maintaining their Dignity and Respect

contractual service quality
CONTRACTUAL SERVICE QUALITY
  • Full inspection every 3 years using specifically designed audit tool
  • Unannounced thematic inspections
  • Inspections are based upon risk management framework
  • Detailed reports provided with recommendations for improvements within timescales
  • Follow up inspections determine whether or not recommendations fully implemented
contractual service quality1
CONTRACTUAL SERVICE QUALITY
  • Non compliance or serious quality issues can result in:
    • Action plan and programme of business meetings
    • Suspension of placements for as long as deemed necessary
    • Suspension of payments
    • More frequent inspection and monitoring regime
    • Service users moved to better quality provision
    • Closure of service/termination of contract
    • Invoking Adult Protection procedures

In all cases liaison is undertaken with the regulatory body CSCI – soon to be the Healthcare Commission