Regulatory framework
1 like342 views
The regulatory framework for adult social care in the UK has evolved over time and is now governed by multiple acts and standards. Services are monitored against these standards through inspection regimes that assess areas like choice, individual needs, lifestyle, healthcare and the home environment. Inspections are moving to a star rating system based on quality of life outcomes. Domiciliary care standards also cover areas such as care needs, safety, development and business practices. Supported living services are quality assured through self-assessment and performance indicators linked to independence and well-being outcomes.
![How are we monitored ?
Quality Assurance Framework [QAF]
Self Assessment of service, ratified through Supporting People Review
Strategic Relevance Questionnaire
Services links to Local Supporting People strategy, Local Authority
strategy, National Initiatives, etal
Quarterly Performance Indicators
Measurement of Service Output & Input including service utilization,
availability & throughput. Changes in 2007
Value For Money
Service cost and links to Strategic relevance of service
Supporting People Review
Assessment of service based on above, with additional feedback sought
from service users, staff, and stakeholders](https://image.slidesharecdn.com/regulatoryframework-120913165837-phpapp01/85/Regulatory-framework-12-320.jpg)
![How are we monitored ? – Changes in 2007
Contract Monitoring Meeting (Annual)
– Replace Supporting People Review
• Quality Assurance Framework [QAF]
• Strategic Relevance Questionnaire
• Quarterly Performance Indicators (Existing KPIs & Outcomes)
• Value For Money
Supporting People Review
New Supporting People service
Concerns over service provision
Star Rating of Supporting People
Services](https://image.slidesharecdn.com/regulatoryframework-120913165837-phpapp01/85/Regulatory-framework-14-320.jpg)
Regulatory framework
- 1. REGULATORY FRAMEWORK STEVE ORME IMPROVEMENT & DEVELOPMENT
- 2. Adult Domiciliary 18 – 65 Standards Standards
- 3. BACKGROUND 1984 Registered Homes Act 1990 Community Care Act 1990 – Inspection & Registration Service 2002 April National Care Standards Commission 2002 Care Standards Act 2000 April Commission for Social Care Inspection 2004 Health and Social Care (Community Health and Standards) Act 2003
- 4. Adults 18-65 Standards Registered Care Homes are monitored on 43 standards Standards are divided into 8 areas Choice of Home (1-5) Concerns & Complaints (22-23) Individual Needs & Choices (6-10) Environment (24-30) Lifestyles (11-17) Staffing (31-36) Personal & Healthcare Support Conduct & Management of the Home (18-21) (37-43)
- 5. How are the standards assessed ? Currently • Appointed CSCI Inspector • Unannounced Inspections – Requirements & Recommendations • Registration of Managers • Notification of Incidents/Occurrences at Registered services (Reg.37)
- 6. How are the standards assessed ? 2007 Changes – ‘Inspecting for Better Lives : A Quality Future’ • Star rating of social care services based on inspections • Rating based on outcomes linked to current standards & the Department of Health’s publication ‘ Our Health, Our Care, Our Say’ Quality of Life Freedom for discrimination & harassment Exercising Choice & Control Improve Health & Emotional well-being Making a Positive Contribution Economic Well-being Personal Dignity & Respect Leadership & Management
- 7. How are the standards assessed ? 2007 Changes – ‘Inspecting for Better Lives : A Quality Future’ Rating status will have effects on frequency of inspection 4 star – Key inspection every 3 years 3 star – Key inspection every 2 years 2 star – Key inspection annually 1 star – Key inspections twice yearly and above In addition Annual Service Review ( Paper-based, and Consultation) Themed Inspections Random Inspections
- 8. Domiciliary Care Standards Domiciliary care agencies are monitored on 27 standards Information Medication & Health Development & Training Activities Care Needs Assessment Safe Working Practices Qualifications Meeting Needs Risk Assessment Supervision Contract Financial Protection Business Premises, Management & Planning Confidentiality Protection of the Person Financial procedures Responsive Services Security of the home Record keeping Service User Plan Records kept in the home Policies & Procedures Privacy & Dignity Recruitment & Selection Complaints & Compliments Autonomy & Job Requirements Quality Assurance Independence
- 9. How are the standards assessed ? • Completion of Self assessment Log – Based on 27 standards • Domiciliary Care Inspection – Requirements & Recommendations Announced At the Domiciliary Care Agency Assessment of Self-Assessment Log Visits to named Domiciliary services Stakeholder Feedback
- 10. Office of the Deputy Prime Minister Background ‘ Support services which are provided to any person for the purpose of developing that person’s capacity to live independently in accommodation or sustaining his capacity to do so’. 2003 Replaced Housing Management Grant Monitoring of Supported Living Services (Non-Registered) Monitored by Local Supporting People Teams
- 11. What does Supporting People Fund ? Housing-related Support activities Ancillary Support activities Does not fund Personal Care Activities Housing Management Activities
- 12. How are we monitored ? Quality Assurance Framework [QAF] Self Assessment of service, ratified through Supporting People Review Strategic Relevance Questionnaire Services links to Local Supporting People strategy, Local Authority strategy, National Initiatives, etal Quarterly Performance Indicators Measurement of Service Output & Input including service utilization, availability & throughput. Changes in 2007 Value For Money Service cost and links to Strategic relevance of service Supporting People Review Assessment of service based on above, with additional feedback sought from service users, staff, and stakeholders
- 13. How are we monitored ? – Changes in 2007 Monitoring of Service user Outcomes Outcomes based on : Department of Health’s ‘ Our Health, Our Care, Our Say’ Department of Education’s ‘ Every Child Matters’ Economic well-being Safety & Security Being Healthy Social & Civic Participation Enjoying & Achieving
- 14. How are we monitored ? – Changes in 2007 Contract Monitoring Meeting (Annual) – Replace Supporting People Review • Quality Assurance Framework [QAF] • Strategic Relevance Questionnaire • Quarterly Performance Indicators (Existing KPIs & Outcomes) • Value For Money Supporting People Review New Supporting People service Concerns over service provision Star Rating of Supporting People Services
- 15. Contract Monitoring - How are we monitored? Meet with Joint Commissioners in relation to service contracts Examines : • Service user Reviews ( Frequency & issues) • Service user diversity • Service user organisational & community involvement • Staffing ( vacancy levels, qualifications & training • Maintenance Issues • Budgetary Issues • POVA Issues • Complaints & Compliments • Service Developments
- 16. Staffing Training Requirements Understanding Understanding Maintaining principles the organisation safety at of care and role of the work worker Recognising & Communicating responding effectively to abuse & neglect Developing as a worker Mandatory Training requirements
- 17. Health & Safety Regulations Health & Safety at Work Act 1974 + Amendments COSHH RIDDOR 2002 1995 Manual Handling Regulations 1992/2002 Food Hygiene Regulations
- 18. Statutory Legislation Social Care Legislation Equal Opportunities Legislation Employment Legislation
- 19. Corporate Regulation • Regulated by the Financial Services Authority since the demise of the Registrar of Friendly Societies • Light touch – one annual return • Too light a touch? • Charities Act when implemented will require IPS without another major regulator to register with the Charity Commission
- 20. S N IO EST U Q