Practice No.
305
Version 3
HCC AS 10/06 206
HCC AS 10/06 300
HCC AS 10/06 301
HCC AS 10/06 424
Reference:
10/06
Page 1 of 2
Last up-dated
February 2011
CQC Provider
Compliance Assessment
STAFF MEETINGS AND MANAGEMENT REVIEWS
This summarises the arrangements within the home for holding regular Staff and
Quality Management Review meetings. It is the expectation that all staff will attend
staff meetings:
1.
ROUTINE STAFF MEETINGS:
1.1
The manager is responsible for convening staff meetings on a regular
basis and no less than bimonthly.
1.2
The objectives of these meetings will be to:
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2.
Review staff / resident relationships
Provide staff with an opportunity to express their views
about any matter relevant to the running of the home
Review progress in the achievement of the home’s
Statement of Purpose and Quality Policy objectives
To explore ways in which staff can assist in achieving
these objectives.
1.3
The manager may delegate a staff member to take minutes of the
meeting. These minutes can be a written summary of matters
discussed, or may be summarised on a special form used for Quality
System Management Review Meetings (see part 2 below).
1.4
These staff meetings may form the basis of the more formalised
Quality System Management Review Meetings.
QUALITY MANAGEMENT REVIEW MEETINGS:
2.1
A Quality Management Review meeting will be convened on a regular
basis. This meeting may be an extension of a routine staff meeting
reference part 1 above. The manager is responsible for preparing an
appropriate agenda.
2.2
Staff attending Quality Review Meetings should be the same as those
attending the routine staff meetings.
2.3
The Agenda for the meeting will include the following:
2.3.1
Results of latest Self-Assessment (Internal Quality Systems)
Audit performed, with preventive / corrective action
requirements, as appropriate (See guideline No. 300).
2.3.2
Results of any external inspections carried out by the Care
Quality Commission and other statutory bodies, with preventive
/ corrective action requirements.
2.3.3
Supplier Performance Standards (See guideline No 424 ).
2.3.4
Review of Complaints Record Log relevant to complaints
received from residents, family, staff and the Care Quality
Commission (See guideline No. 301).
2.3.5
Review of any amendments to published standards (legislation
and regulations) which may affect the managerial operation of
the Home.
2.3.6
Review of the Quality Manual (as appropriate) and Policies and
any proposed changes.
2.3.7
Up-date of staff training needs through review of the continuing
validity of staff training plans and in reference to the Training
tracker database.
2.3.8
Review of any Resident, Relatives and Visitor Questionnaires
completed since the last Review Meeting with the view to
possible preventive / action requirements.
2.3.9
Review of the Equalities Action Plan. (See guideline No. 206)
2.3.10 Up-date of incidents reported under the Incident Reporting
System
2.4
The manager is responsible for preparing minutes of the meeting,
which will be summarised on a Staff / Management Review Meeting
summary sheet and circulated to staff. This form will identify issues
requiring preventive / corrective action, appropriate responsibility
assignments and completion dates, and will also be used to record
details of the action taken and resulting follow-ups to verify
effectiveness.
2.5
All action plans will be recorded in the Provider compliance
Assessment for evidence to the Care Quality Commission.