Hints and tips part one- Preparing for an Inspection
- 1. & Advanced Clinical Quality Services www.advancedclinicalsolution.co.uk
- 2. Welcome to our latest issue of Hints &Tips! If you’ve got a hint or tip that you would like us to write about in a future edition, please email it to: 3 Contents 01 Preparing for a CQC Inspection info@advancedclinicalsolution.co.uk The right approach ? 02 The 5 Key Questions. Team Effort SubscribetoHints&Tips Issue 03 IfyouwouldliketoreceiveHints&Tipsbyemail,pleaseletusknowandwe’lladdyouto the distribution list. Please email:info@advancedclinicalsolution.co.uk and put ‘Subscribe to Hints & Tips -’ in your subject line Include the following: • Name • Job role (e.g. manager, nurse) • Organisation name 03
- 3. Issue 03 4 Foreword Welcome to our latest issue of Hints & Tips, your regular newsletter full of updates and information. If there are any topics, you’d like us to cover in future issues please let us know at info@advancedclinicalsolution.co.uk 5 CQC update CQC Insight is a tool that brings together and analyses the information the CQC hold about your service. It uses indicators that monitor potential changes to the quality of care that you provide. CQC Insight will help to decide what, where and when to inspect and provide analysis to support the evidence in our inspection reports. If you would like further information on the metrics and data sources used by the CQC insight model, please contact us at: info@advancedclinicalsolution.co.uk Preparing for an Inspection ? Taking the right approach… Welcome the CQC inspection as an opportunity to shine. You will be able to showcase good work happening in your service and any improvements that the team has been working towards. Recognising areas for improvement is important , as is the follow up actions. Why is it important? The CQC inspection is a great time to demonstrate how feedback is listened too, how lessons are learnt and how you are improving. As always, it is expected that service -users’ and patients’ needs come first ALWAYS. The CQC are well aware of this and expect this Key to success Be professional, honest and helpful. Always answer any questions to the best of your ability. Be proud, working in healthcare is a passion and you should be proud of the support you provide. Preparation is key, ensure you are familiar with the environment and surroundings, sounds simple but you may be working in a new area on an inspection day. Responsiveness is important , if an issue is raised deal with it promptly to the best of your ability or escalate it to the correct person. Ensure you are proactive, raising even a small issue with your manager now may save it escalating later on. First page 3 7 8 9 10 11 12
- 4. Issue 03 6 7 Preparing for an Inspection… Aiming High … Get to know your organisations values, visions and mission. You are then aware how to act in accordance with them. Have you read your organisations statement of purpose ? This outlines the aims and objectives of your service, what your service does, where you do it and who you do it for The CQC will visit your service, talk to the manager, clinical teams and possibly any member of staff. They will directly observe care and review documentation including healthcare notes and other files. . What does it take to be outstanding ? High performing organisations encourage and embed ways of working which will provide outstanding care for the people they support. Preparation for inspection is a constant endeavour rather than a short-term or last- minute process. This section looks at what you can do in advance of CQC inspectors inspecting your organisation. That means, as well as consistently monitoring the quality of your service and supporting your staff. You need to build into your day to day practice the habit of thinking ahead to your next inspection by collecting evidence, keeping policies and procedures up to date and ensuring staff are well informed about the process of inspection. Check out similar services ! You should be considering how you will demonstrate to the CQC that you are providing a service that meets CQC’s Key Lines of Enquiry. It is also advisable to look through inspection reports on the CQC’s website for services similar to yours that have been rated as ‘outstanding’. You can use those as a benchmark to review the service you provide. It will also be useful to look at reports from other services which indicate there has been poor practice as this will help you to develop your service and deliver better care and outcomes. Most outstanding services share 3 things in common, that is they have: ✓ Outstanding leadership, who are valued and supported. ✓ Sufficient resources ,that are supported to do the job well and supported financially. ✓ Clear values , vision and ethos which is shared from the board to ‘shop floor’. Are you preparing for an Inspection ? No time to prepare Staff shortages Lack of knowledge Not sure how what to expect? Tell us what you think Our aim for is to help you deliver better outcomes for your patients, so it is important that we work well for you. Please let us know about your experiences of using external consultancies as well as any suggestion as this will help us to drive improvement. Please forward your feedback to: info@advancedclincalsolution.co.uk
- 5. Issue 03 8 9 The 5 KEY QUESTIONS The CQC will ask questions about the quality of the service based on what matters most to service- users. During a CQC inspection, inspectors will want to check your organisation against its key lines of enquiry, which relate to whether you are safe, effective, responsive, caring and well-led. SAFE. Is the service SAFE ? Are service users protected from harm and abuse? CARING Is the service CARING ? Are service users treated with dignity ,compassion and respect? EFFECTIVE Is the service EFFECTIVE? Are service user needs being met in line with national standards and up to date and current evidence base ? RESPONSIVE Is the service RESPONSIVE ? Are service users getting the right care and treatment at the right time , without delay. Are service users involved? Is their feedback listened too and acted upon ? WELL-LED Is the service WELL-LED ? There is evidence of good leadership and governance. Is there an open and learning culture, which is evident across all levels within the organisation? CQC inspectors use these questions to assess all providers. For each question the CQC has set out what 'outstanding', 'good', 'requires improvement' and 'inadequate' looks like. We will focus on types of inspections and ratings in part 2 of the download series Everyone in the team can do their part in preparing for an inspection. These are probably things you do as part of normal everyday practice. Stay informed with any updates within your service. Ensure you read newsletters, staff communication lines (e.g. noticeboards, communication books) ,attend meetings, read your emails or talk to your manager. Read up on the 5-key questions, get to know the questions that will likely be asked. You can also do this as a team. Share best practice and learning with your team and colleagues. Try a mock inspection ? As with most other training in healthcare , a simulated environment is a safe and effective way to learn. BOOK A SERVICE REVIEW /SIMULATED INSPECTION WITH ADVANCED CLINICAL SOLUTIONS HERE TOP TIPS: REMEMBER THE BASICS ✓ Wear your staff ID at all times ✓ Make sure all areas are clean and tidy. ✓ Replace broken items and equipment, remove those no longer in use. ✓ Ensure all mandatory training ,appraisals and supervisions are up to date. ✓ Remind yourself of where to locate policies and procedures. ✓ If it is part of your role, update all paperwork and documentation including care plans and risk assessments. ✓ Refresh your safeguarding knowledge, it is imperative you know how to raise a concern. ✓ Refresh your knowledge of how the service learns lessons, e.g. from complaints and incidents. Everyone can help…… It’s a team effort
- 6. Your dedicated support line For further information please contact the team: info@advancedclinicalsolution.co.uk 01633 415 427 For updates and information why not follow us on LinkedIn: https://www.linkedin.com/acs