QUALITY IMPROVEMENT ENABLEMENT
PROGRAMME
SUPPORTING CARE IMPROVEMENTS IN RESIDENTIAL SERVICES FOR ADULTS WITH
INTELLECTUAL DISABILITIES
Partnership between the
Social Care Division and Quality Improvement Division
M s . M a r i a L o r d a n D u n p h y,
A s s i s t a n t N a t i o n a l D i r e c t o r, Q u a l i t y I m p r o v e m e n t D i v i s i o n
October 2015
Project Update
Aim & Objectives
 Aim: Work with residential services for adults with ID to advise and
support the enhancement of structures and processes to improve the
delivery of quality and safe person-centred outcomes and services.
 Objectives:
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Work with services on HIQA self-assessments and QIPs to address
National Standards.
Support / advise services on how to address issues identified.
Direct services towards the relevant and specific supports.
Support SCD to sustain and spread improvements beyond project,
share learning.
Project Team jointly resourced from QID and SCD
Project Update – Phase 1A
Preliminary Visits
 March 2015 - June 2015 - Preliminary Service Visits
 HSE residential services for adults with ID: 148 units, 1,054 HIQA beds
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Engaged with staff and observed structures / practices
Shared information about the Project
Discussed / identified priority areas for improvement
Shared tools and resources
Completed service reports
Flagged operational issues, where observed, to managers/CHOs
Validated data.
Project Update – Phase 1A
Preliminary Visits
 Priority Areas for improvement identified
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1.
Leadership / Governance for Quality
2.
Engaging and Enabling Service Users
3.
Engaging and Enabling Staff
4.
Measuring and Sharing Learning
Systemic issues brought to the attention of SCD- Disability Services
Project Update – Phase 1A
Supports to Services
 7 Briefing papers: Medication Management, Supervision, PPPGs, Key
Worker System, Risk Management, Leadership and Governance
 Liaising with internal and external stakeholders to organise supports for
services
 Since August 2015: Ongoing support in specific services identified by SCD
 Project Toolbox
Project Update – Phase 1A
Project Toolbox
Next Steps - Phase 1B
Supports to Services
 SCD and CHOs to strengthen governance structures :
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CHO Quality & Safety Lead for SCD
CHO Quality & Safety Committee for SCD
Service–level Quality & Safety Teams
Strengthen Project Oversight Group
 SCD subgroups to develop action plans re: 7 Briefing Papers
 National workshop for PICs, and CHO-area workshops
 Mobilise specific training i.e. Safeguarding, Leading in Uncertain Times
Next Steps - Phase 1B
 SCD/QID Project Team aligned to CHOs to coach, mentor and guide:
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Review available info – HIQA reports, self-assessments, etc
Agree and prioritise areas for improvement in QIP
Support gaining traction in QIP
 Examples of areas the Project Team can support:
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Strengthen leadership & governance structures
Improve relevant person-centred documentation
Engage with staff and service users
Signpost tools / resources / further supports
 ND SCD requested local support for certain priority services
Next Steps - Phase 1B
Deliverables / Timelines
Deliverable
Timeline
Responsibility
Subgroups to follow up on briefing
papers, develop action plans
Q3 – Q4 2015
SCD
Governance structures strengthened
at Division, CHO, local level
Q3 2015
SCD and CHOs
National and CHO workshops
Q4 2015
SCD, QID, CHOs,
ID Services
Follow-up support by SCD/QID Project Q3 2015 –
Team to residential services
Q3 2016
SCD, QID, CHOs,
ID Services
Service improvement / QI projects in
residential services
Q4 2015Q3 2016
SCD, CHOs,
ID Services
Phase One Project Report
Q4 2016
SCD and QID