Have Ye Not Read? - Reflections on Pride, Envy, Mercy, and Complaining
Reflect on the Biblical teachings about pride, envy, mercy, and complaining. Explore the destructive nature of pride and envy, the importance of showing mercy and forgiveness, and the consequences of grumbling and complaining. Learn valuable lessons on humility, contentment, and righteousness through these insightful passages.
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Presentation Transcript
Care Quality Commission: Insights David Finney David Finney Associates
Why is CQC relevant? It is the law enforcement body Is it the representation of Christian principles? How does it work in practice?
A brief history 1984 Registered Homes Act Local Authority & PCT responsibility Care homes & Nursing Homes some residential rehab services included 2000 Care Standards Act National Care Standards Commission 2002 National Minimum Standards Included domiciliary care, not community drug services 2004 Commission for Social Care Inspection CSCI Social Services Inspectorate & Adult Social Care (NCSC) Healthcare Commission was separate.
More up to date 2008 Health & Social Care Act 2009 Care Quality Commission CQC CSCI Healthcare Commission Mental Health Act Commission What next? Mid Staffordshire Hospital Duty of Candour Winterbourne View focus on Directors, Fit & Proper Person Test Care Act 2014 focus on assessment & funding, & ratings Overall Increasing responsibilities for CQC.
What does CQC look like? Chief Executive David Behan Three directorates Adult Social Care Primary Care GP s & Dentists Hospitals Registration Inspection Enforcement
Where do substance misuse services fit? Residential Rehab services including detox Accommodation for persons requiring treatment for substance misuse Community Drug & Alcohol Services Treatment for disease, disorder or injury What about supported accommodation, after care, counselling services?
What standards do CQC apply? Fundamental Standards Key Lines of Enquiry Safe, Effective, Caring, Responsive, Well-Led
Safe Physical environments that maintain safety and dignity awareness of environmental risks A sufficient number of staff to provide safe care Good basic medicines management and safe prescribing and administration of medicines High quality initial and ongoing risk assessment Good safeguarding practice Reporting and learning from incidents and adverse events
Safe a Christian perspective Like the Cities of Refuge Numbers 35v6 If take refuge in God we will be kept safe Ps 12v7 Ps 27v5 In the day of trouble we will be kept safe Ps140v4 The needy will lie down in safety Isaiah 14v4
Effective Person-centred assessment and care Assessment of physical health and ongoing monitoring Adherence to national guidelines Staff with the required range of specialist skills and qualifications, good teamwork and inter- agency working Specialist training of staff, regular supervision and appraisal Application of the Mental Capacity Act
Effective a Christian perspective Person centred the individual matters to God Held in the palm of his hand Isaiah 49v16 Even the hairs of you head are numbered Matt 10v30 Delivered to the highest standard Build with care 1 Corinthians 3:10 Work with all your heart, as unto the Lord Col 3 v 23-24
Caring Quality of interactions between staff and clients compassion, respect, dignity All decisions about care and treatment involve the person and, whenever appropriate, their family and friends Staff provide information about the service, treatment and care in a form that is accessible to people who use the service and to their family and friends
Caring a Christian perspective Love your neighbour as yourself Mark 12v21 Our God is full of compassion Ps 116v5 Redeems your life from the pit and crowns you with love and compassion Ps 103v4 Jesus came to bring life in all its fullness John 10v10
Responsive Good pathways for access Discharge planning and quality of joint working with other agencies Comfort of the environment and quality of food Facilities capable of meeting the needs of people with disabilities Listening to and learning from concerns and complaints
Responsive a Christian perspective Meeting people at their point of need Blind man - Luke 18v41 Jesus response to marginalised Samaritan woman at the well John 4v9
Well-Led Vision, values and sense of purpose Quality of governance as indicated by findings from other key questions Leadership, morale and staff engagement Commitment to quality improvement
Well-Led a Christian perspective Vision without it the people perish Micah 3v6 To act justly, love mercy and walk humbly with your God Micah 6v8 In partnership with God extending the kingdom Ps 127v1 Led by the Spirit Rom 8v14
Current Issues Medical/clinical perspective of Inspectors Governance how to monitor quality in the service? High number of regulatory breaches first tranche 62% Brief guides developed Detox services Ligature Points Blanket restrictions
Issues of concern to CQC Poor supervision of staff and absence of appraisals. Absence of DBS checks. Poor practice with respect to safeguarding. Poor medicines management including procedures for ordering, receipt, storage, administration and disposal of controlled drugs. Doctors prescribing medication by telephone or by e-mail without adequate knowledge of the patient s health. Failure to assess safety of the physical environment.
Next steps New methodology Solely based upon Hospital services What about residential and community services? Ratings Outstanding, Good, Requires Improvement, Inadequate Consultation in January 2018
And Finally Do Not be discouraged I am with you says the Lord Joshua 1v9
