Presentation on theme: "Dignity Matters Jamie Rentoul, designate Director of Regulation & Strategy Care Quality Commission 25 November 2008."— Presentation transcript:
1Dignity MattersJamie Rentoul, designate Director of Regulation & StrategyCare Quality Commission25 November 2008
2Ensuring better care for people Current strap line for CQC – open to offers if staff can think of a better one.CQC will touch the lives of every family in England.2
3What is CQC ?You are CQC.CQC brings together three Commissions, all of which have a great track record and which have done / are doing some great work.Today is about growing into one organisation – coming together.
4What is CQC?We will bring together and build on the excellent work of three commissionsAs a new, combined and powerful regulator across health and social care, our work will touch the lives of everyone in England at some pointPeople who use services, their families and carers will be at the heart of everything we doTalk through / elaborate on bullet points – this is what will make CQC special.You all have a copy of the manifesto in your delegate packs and on your table. Everything we do over the next few years is about turning the manifesto into reality.
5The CQC model of quality care Safety and safeguardingOutcomes, including clinical outcomesExperience of people who use services‘Functionality’, independence and quality of lifeAccess to servicesMaking best use of our resourcesCQC quality model has six aspects.
6Our values Put the people who use services first Be independent, expert and authoritativeChampion joined-up careWork with service providers and professions to agree definitions of qualityBe visible, open and transparent
7Building on success – key functions RegistrationProvider assessmentRisk-based inspectionNew enforcement powersCommissioner assessmentTrusted, accessible informationGatekeeping roleKnowledge to influence policy
8How can CQC play its part in promoting dignity in health and adult social care? Current strap line for CQC – open to offers if staff can think of a better one.CQC will touch the lives of every family in England.8
9How do people define dignity? Not being given food or help with eating/drinkingI don’t believe it.!!!Being spoken about as if they were not thereBeing placed in a mixed sex accommodationNot seeking their consent and/or not following their wishesNot being given proper informationLack of protection of personal property including personal aids – hearing or visualBeing addressed in an inappropriate mannerBeing subjected to abuse and violent behaviourBeing left in soiled clothesBeing in a noisy environment at night thus causing lack of sleepBeing left in painBeing exposed in an embarrassing mannerHaving to use premises that are unclean and smelly – toilet and wardsThere is no standard definition of ‘dignity’.
10How good is existing care? ‘State of social care’ – personal dignity & respect:74% of councils ‘good’ or ‘excellent’;88% of care homes meet relevant standards.Surveys of people in healthcare settings:78% always treated with dignity in acute hospitals;Over 80% treated with respect & dignity in community mental health services;93% of those seeing a GP treated with dignity ‘all of the time’; but…20% of those needing help to eat did not get it;Significant proportion still sharing accommodation when first admitted or sharing bathrooms later on;Considerable variation between providers of care.
11Dignity in care – the golden thread Dignity is an integral part of providing care in any care setting.Dignity is central to the personalisation agenda.Maintaining dignity does not always require resources, small changes can make a big difference to people.Dignity is fundamental to CQC’s human rights basedapproach
12Caring for dignity – building blocks Involving people in their careA culture focussed on delivering personal care in a way that ensures dignity for the person using servicesA workforce that is equipped to deliver good quality careStrong leadership at all levelsSupportive environmentSource: “Caring for Dignity”, Healthcare Commission 2007
13Who has a role in improving quality? PROMsNational Quality BoardNHS Litigation AuthorityCommissioningADASSOther RegulatorsPerformance ManagementCommissionersGMCStaffDarzi reviewNPSARIEPs3rd SectorNHS ConstitutionNMCE&DGSCCAudit CommissionDHLAAImprovement AgenciesQuality observatoriesDCLGCAAQuality FrameworkSCIENICEQuality AccountsJSNAHuman RightsJIPsProvidersNHS ChoicesPersonalisationProfessional accreditationPolitical landscape
14Topics for registration requirements Department of Health consultation:Making sure people get the nourishment they needMaking sure people get care & treatment in safe, suitable places which support their independence, privacy & personal dignityUsing equipment that is safe & suitable for people’s care & treatment and supports people’s independence, privacy & personal dignityInvolving people in making informed decisions about their care & treatmentResponding to people’s comments & complaintsSupporting people to be independentRespecting people and their families & carers – people’s privacy, autonomy & dignity are safeguarded and their human rights & equality are respected. Where appropriate, people are assisted to maintain their private and family lives and social support networks
15How can regulation help? Giving people using services & their carers a stronger voiceEnsuring that all providers meet registration requirementsAssessing performance of all providersAssessing performance of Local Authorities and Primary Care Trusts as commissioners of careGiving people trusted information that helps them & their carers make decisions on their careWe need your help to ensure our work reflects what is important to people