Compliance Coach

Thanks and goodbye to Doncaster care home . Good luck

Thanks from staff at Doncaster care home. Goodbye and well done

Glad to have supported one of the new staff nurses at Wolves Uni to success in her degree. Now working at RHH . Another great staff nurse on her way ! Call me if you need coaching and mentoring

Soon to share brief article on CQC consistency issues which most health and care providers have been concerned about . Watch this space

My brand new 'Compliance Coach' website is close to completion .Watch this space and Ill add a link. Thanks to Erik at 'Personacreative' for all his hard work and excellent creativity and ideas

I’m applying for a Winston Churchill travel scholarship for next year .....hope to look at end of life and palliative care at Dana Farber institute , nurse leadership at Beth Israel , both in Boston and community elderly palliative care in Norway and Denmark

Did a home last week where the inspector was a pharmacist and never worked in care ....pls tell me how they can conduct a good inspection

A great year for Compliance Coach. Many thanks to all my clients and welcome to the new ones . We will give an even more amazing service in 2019.

December is the perfect time in your care business to review your ongoing PIR and review your buiness goals for the new year

Happy Easter from all at Compliance Coach

The above picture is taken when very grateful clients paid me as well as bought me gifts .many thanks

This is my new thank you card that will go out to bushinesses and organisations that Ive just completed work for

The recent issue where yet again a carer ( and I use the term very loosely) was given a 700 odd fine and a two year suspended sentence for stealing from her patient at home is another example of where we need to be sending folks like this to jail not handing out a suspended sentence. Not good enough .

This ll be interesting. I do approve of the indemnity as before we relied somewhat on vicarious liability . However the affirmation from line mangers and patients concerns me . Who is going to ask a patient to do this. And what happens if you don't get along with your line manager? Because we all know that bullying has been eradicated from the NHS !

How revalidation will work for nurses and midwives From April, nurses and midwives will have to prove every three years that they are practising safely and effectively. This is what the new process will involve

Thanks to all that liked the page on 'Compliance Coach' just now

The cqc ratings have always been on line ..you just have to look at the care home of your choice and it ll be listed

Found this on the Economist web site ..very good article.didnt know that China and India had such high incidence of dementia

Caring for the carers - | GE Look ahead | The Economist As the number of people living with dementia worldwide grows, so will the need to support their caregivers.

This is an interesting article but it remains to be seen how well its managed in care homes by home managers. It promotes several standards used in induction ( or afterwards) to ensure that care workers are proficient in the whole spectrum of care

Care certificate offers an opportunity to shift health and social care culture From April, measuring staff competence will move in focus towards providing evidence of safety to practise

The below Kings Fund report is interesting as I believe that it links well with the new CQC directive on ensuring that trust boards employ directors that are fit for purpose:

'The fit and proper persons requirement outlines what providers should do to make clear that directors are responsible for the overall quality and safety of care. The duty of candour explains what they should do to make sure they are open and honest with people when something goes wrong with their care and treatment.'

http://www.kingsfund.org.uk/publications/exploring-cqcs-well-led-domain

Exploring CQC’s well-led domain The CQC’s inspections focus on five key lines of enquiry as part of its ‘well-led’ domain. This paper sets out what boards can do in these five areas and draws on examples of good practice in leadership and culture in health care. Following the Francis Report into the failures of care at Mid Staffor…

I m presently working on my new website..I ll alert everyone when its 'live' as Ill then post articles on there such as the ons already on here

This is from Capsticks and will be of use to my colleagues at Shaw no doubt!

The general election and mentally disordered patients
The presence of a mental disorder and an apparent lack of mental capacity does not prevent a person from registering to vote.

The Electoral Commission will be launching a digital and television advertising campaign on 16 March to get as many people registered as possible before the registration deadline on 20 April. Service providers should therefore liaise with local Electoral Registration Officers, whose details can be obtained from the About my Vote website, in order to ensure that residents and patients are afforded a proper opportunity to register and, subsequently, to vote in the elections on 7th May 2015.

The decision as to whether and how to vote at an election must be made by the voter themselves and not by any other person on their behalf. Furthermore someone with a power of attorney cannot vote on behalf of the incapacitated voter. Guidance from the Electoral Commission on helping those with mental disorders to register can be found here. The Electoral Registration Officers have a duty to assist persons to register and to make their vote.

Patients in hospital can be registered as residents at the hospital address if the length of their stay is sufficient. Alternatively a patient can declare a local connection with another address, where they would be living if they were not a patient. Hostels and residential care homes will be treated in the same way as any other qualifying addresses for the purposes of registering for the election.

The existence of a Deprivation of Liberty Safeguards authorisation is not a bar to voting and hospitals and care homes should liaise with the Electoral Registration Officers to facilitate voting if appropriate. Patients detained under Part II of the Mental Health Act are eligible to vote but convicted offenders detained in a mental hospital (or unlawfully at large) are not allowed to vote. This includes patients detained under s37 and s38 of the Mental Health Act. Those patients in remand (under s35 or s36) continue to be allowed to vote. A failure to provide support and information to patients and residents can lead to complaints and claims.

For advice on any issues relating to the rights of incapacitated or detained patients please contact Francis Lyons, Tracey Lucas or Ian Cooper.

Capsticks lawyers are independently ranked as leaders in both Court of Protection and Mental Health Act work.

Today I delivered an address on successfully managing your CQC visit at Olympia to about 30 delegates, entitled ' CQC: How not to have a Drama or a Crisis. It covered practical startles to manage thsi along with planning ahead and staff engagement, both critical for compliance visit success. I l add the slides asap and also watch for my new website!

HI All I have recently located this excellent web site that has a number of publications and articles that cover health and social care There is a great article on managing admissions from care homes at present.

Check it out today !

http://www.nuffieldtrust.org.uk/publications/focus-hospital-admissions-care-homes

Focus on: Admissions from care homes | The Nuffield Trust An estimated 325,000 older people live in care homes in England, representing around four per cent of the population aged 65 and over. Given that the number of older people in the UK is projected to double in the next 20 years, understanding the quality of care being delivered to residents will be o…

Hi All
Here s an excerpt from today's GP 'Pulse' magazine that you may find useful.

'A round-up of the morning’s health news headlines:

More than half a million care home visits last only five minutes according to an investigation by charities, the Telegraph reports this morning.

A Freedom of Information request to local authorities showed eight councils provided more than 593,000 care visits to pensioners lasting five minutes or less in the three years from 2010/11 to 2012/13.

The research also found a 14% rise in visits of less than five minutes, with 209,932 such cases in 2012-13, compared with 183,945 in 2010-11.

Caroline Abrahams, Charity Director at Age UK said financial pressures on councils meant social care had been ‘stripped back to the bone’ in many areas.

She said: ‘Allocating such a short amount of time for home visits makes it impossible to deliver proper care or to allow any normal friendly interaction between the carer and the person receiving care. This is dehumanising, particularly where intimate care is being provided, and robs people of all dignity.’

Elsewhere, a leading charity has announced a major new £30m collaboration on Alzheimers disease research, the BBC reports.

Alzheimers Research UK said the Drug Discovery Alliance would bring researchers at Cambridge, Oxford and London universities together to pool their expertise.

Dr Eric Karran, director of research at the charity, said: ‘Working in universities and hospitals alongside people affected by dementia and their families, academic researchers are best placed to take research breakthroughs and progress them into real world benefits for the people that so desperately need them.

‘The Drug Discovery Alliance is one of the first of its kind for dementia research in the world. We’re providing the investment and infrastructure that is needed to maintain and grow a healthy pipeline of potential new treatments to take forward into clinical testing.’

From the Kings Fund website ......

New CQC inspection framework: what does a 'well-led' organisation look like?

17th April 2014
Last week the Care Quality Commission (CQC) launched a consultation giving more detail on proposed changes to the way it regulates, inspects and rates health and social care providers, building on the new vision and direction that it set out last year.

The new inspection framework sets out five ‘domains’, assessing providers on whether they are: safe; effective; caring; responsive to people’s needs; and well-led.

At The King’s Fund, we have been working with the CQC to help them develop their proposals in the one area that is new for the regulator – looking at how well-led an acute trust is. As part of this, the CQC will assess trusts using five key lines of enquiry: the enacted organisational vision and strategy; the governance arrangements; the organisation’s leadership and culture; how providers engage, seek and act on feedback; and the extent to which the provider seeks to continuously learn and improve. Significantly, these five lines of enquiry cover the leadership and culture of a provider, not just their governance arrangements.

It is heartening that CQC has made understanding culture an important part of its new regulatory framework. At the Fund, we are passionate about the role that culture and leadership can play in supporting organisations to deliver high-quality compassionate care for patients. Culture – 'the way we do things around here' – highlights what a provider places value on and is a powerful influence on the behaviour of staff at all levels. Nurturing appropriate cultures means supporting an environment in which openness, candour, honesty and transparency are encouraged.

Leaders in an organisation are key determinants of how the culture within that organisation develops, and for this reason it is crucial that providers are clear about their leadership strategy. This includes making sure they know what leadership capacity and capability is needed now and in the future, and where it needs to be located in their organisation. Proactive development of a leadership strategy by boards can help nurture the kind of organisational culture that is 100 per cent focused on continuous learning and delivering high-quality compassionate care.

Part of this leadership strategy may also include developing collective leadership that supports clinical leaders and managers at all levels, and that works across services and departments to reinforce the values of the organisation. Boards will need to assure themselves that they are clear about the values that drive them and the leaders in their organisation, and that these values are shared, with a focus on quality, compassion and candour.

Although the focus on culture and leadership is very welcome, boards may find being inspected on these criteria challenging. In our work with the CQC, we have been encouraged by its new way of approaching the inspection process. The new model intends to be less about inspectors coming into an organisation solely focused on box-ticking and developing ratings and more about getting under the skin of the culture and leadership of an organisation to share key learning from the inspection with the organisation– it’s more of a peer review.

It is also encouraging that CQC’s new model of inspections proposes to learn from an ‘appreciative inquiry’ approach, which uses support and challenge to develop learning organisations, and which builds on the successes, not the negatives. Our experience highlights the importance of this type of peer review approach that supports and challenges in order to develop learning organisations. We’re currently working with providers in one region to train staff from acute trusts to form a network of peer reviewers who can use the CQC assessment framework to drive continuous improvement and quality.

As The King’s Fund has argued before, regulators cannot alone ensure quality, and can only ever be the third line of defence against poor care - the first line of defence being frontline staff, and the second being the leaders and boards of organisations.

The consultation documents published last week signal the key areas of focus for the regulators, so providers can start gearing up for inspections now – they don’t need to wait until CQC comes knocking.

This is a great website re the NHS and care quality and really excellent for healthcare leadership and along with the DOH and the Kings Fund websites it provides an excellent source of research

Health Services Management Centre (HSMC) - University of Birmingham The Health Services Management Centre (HSMC) at the University of Birmingham is the leading UK centre providing a combination of research, teaching, professional development and consultancy to health and social care agencies.