Monitoring for Quality &
Outcomes
Guy Pettengell
Regional Strategic Procurement
Manager (East of England)
The Regional Role
The 5 Work streams:
1. Contracting (& Procurement Best Practice).
2. Supplier Relationship Management (SRM) Tools.
3. Information & Intelligence (inc. Developing Care
Markets for Quality & Choice).
4. Collaborative Projects.
5. Training.
Today’s Workshop:
Ensuring Consistency in
Monitoring Outcome Focused
Care Standards.
Key Aims & Objectives
• Consistency; common tools & approach.
• A focus on outcomes.
• A risk based approach to make best use of
resources.
• Ability to benchmark and rate providers
– locally, regionally / regional quality mark (PQP).
• Ability to share valuable information.
• Synergy with existing legislation.
The Quality Monitoring Framework
Setting the Standard
Specification
& Standards
Developed standard
Specifications
& a set of outcome
focused core standards
for all care services
The Structure: 16 Standards in 5 Domains
Domain 1
Domain 2
Domain 3
Domain 4
Domain 5
Involvement &
Information
Personalised
Care and Support
Safeguarding &
Safety
Suitability of
Staffing
Quality of
Management
1
Respecting &
Involving Service
Users
3
Care & Welfare
of Service Users
6
Safeguarding
People who use
the Service from
Abuse
11
Requirements
Relating to Staff
14
Assessing &
Monitoring the
Quality of
Service
provision
2
Consent
4
Meeting
Nutritional
Needs
7
Cleanliness &
Infection Control
12
Suitability of
Staffing
15
Complaints
5
Co-operating
with other
Providers
8
Management of
Medicines
13
Supporting Staff
16
Records
9
Safety &
Suitability of
Premises
10
Safety,
Availability &
Suitability of
Equipment
So how is each
standard structured?
EAST OF ENGLAND SERVICE OUTCOMES AND
STANDARDS OF CARE
DOMAIN 1
Involvement & Information
Standard 1
Respecting & Involving Service Users
(CQC Outcome 1)
What can people who use your services expect?
Service users understand the care and support choices
available to them. They are encouraged to express their
views and are always involved in making decisions about
the way their care and support is delivered. Their privacy,
dignity and independence are respected and their (or
their carer's) views and experience are taken into account
in the way in which the service is provided.
To achieve this the Service Provider will:
EAST OF ENGLAND SERVICE OUTCOMES AND
STANDARDS OF CARE
DOMAIN 1
Involvement & Information
Standard 1
Respecting & Involving Service Users
(CQC Outcome 1)
What can people who use your services expect?
Service users understand the care and support choices
available to them. They are encouraged to express their
views and are always involved in making decisions about
the way their care and support is delivered. Their privacy,
dignity and independence are respected and their (or
their carer's) views and experience are taken into account
in the way in which the service is provided.
To achieve this the Service Provider will:
To achieve this the Service Provider will:
1.1
Treat service users with respect, recognise their diversity, values and human rights and have
systems in place that uphold and maintain the Service User’s privacy, dignity and independence.
1.2
Encourage and support service users to always express their view, choices and preferences about
the way their care and support is delivered.
Put service users at the centre of their care by giving them adequate information to enable them
to make informed decisions about the care and support they receive.
Take account of their choices and preferences and discuss and explain their care and support
options with them.
1.3
1.4
1.5
Encourage and support service users to give them feedback about how they can improve their
services and act on the feedback given.
1.6
Support them to play an active role in their local communities as far as they are able and wish to
do so.
1.7
Provide appropriate support to service users so that they can enjoy a variety of activities and
social opportunities based on their preferences and strengths as part of everyday life within the
service.
The Provider will ensure that:
They have appropriate policies, training and arrangements in place to support equality and
diversity.
They have appropriate mechanisms in place to monitor compliance with the required standards
of practice.
Making Best Use of Resources
Preassessment
Tool
Risk based assessment
tool used to help focus
resources and decide
where & when to
monitor
Monitoring for Outcomes
Monitoring Tools to
assess and rate the
provider’s performance
and share data on Key
providers
Monitoring
Tool
Consistent Monitoring for Outcomes and
Standards of Care
Monitoring Tools, the journey so far…..
Ann C Knought MBE
Central Bedfordshire council
The Central Bedfordshire Experience
•
•
•
•
•
•
Clearer Focus
Clearer on the Risk
Best use of Resources
Saving Time
VFM
Enable Central Bedfordshire Council to
pay based on performance
Firm Foundation in place for collaboration
• Capability to Regionally Benchmark all
providers
• Consistent monitoring across the Region
• Common Language for Providers
• Cross boundary Monitoring
• Additional training in place
Providers from Central Bedfordshire
update
Making a Difference
Develop a
methodology for
improving services
(Inc. suspending or
terminating contracts)
Action
planning and
Improvement
Process