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
