Presentation on theme: "Dignity Matters Jamie Rentoul, designate Director of Regulation & Strategy Care Quality Commission 25 November 2008."— Presentation transcript:
Dignity Matters Jamie Rentoul, designate Director of Regulation & Strategy Care Quality Commission 25 November 2008
Ensuring better care for people
What is CQC ?
We will bring together and build on the excellent work of three commissions As a new, combined and powerful regulator across health and social care, our work will touch the lives of everyone in England at some point People who use services, their families and carers will be at the heart of everything we do
The CQC model of quality care Safety and safeguarding Outcomes, including clinical outcomes Experience of people who use services Functionality, independence and quality of life Access to services Making best use of our resources
Our values Put the people who use services first Be independent, expert and authoritative Champion joined-up care Work with service providers and professions to agree definitions of quality Be visible, open and transparent
Building on success – key functions Registration Provider assessment Risk-based inspection New enforcement powers Commissioner assessment Trusted, accessible information Gatekeeping role Knowledge to influence policy
How can CQC play its part in promoting dignity in health and adult social care?
Not being given proper information Being spoken about as if they were not there Not seeking their consent and/or not following their wishes Being addressed in an inappropriate manner Being left in soiled clothes Being exposed in an embarrassing manner Not being given food or help with eating/drinking Being placed in a mixed sex accommodation Being in a noisy environment at night thus causing lack of sleep Being left in pain Having to use premises that are unclean and smelly – toilet and wards Lack of protection of personal property including personal aids – hearing or visual Being subjected to abuse and violent behaviour I dont believe it.!!! There is no standard definition of dignity. How do people define dignity?
How 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.
Dignity 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 CQCs human rights based approach
Caring for dignity – building blocks Involving people in their care A culture focussed on delivering personal care in a way that ensures dignity for the person using services A workforce that is equipped to deliver good quality care Strong leadership at all levels Supportive environment Source: Caring for Dignity, Healthcare Commission 2007
Who has a role in improving quality? Commissioning Performance Management NHS Constitution Professional accreditation Personalisation Quality Accounts Quality Framework National Quality Board Other Regulators NHS Litigation Authority 3 rd Sector NPSA Audit Commission NICE Improvement Agencies PROMs GSCC RIEPs ADASS NMC GMC Human Rights E&D DCLG Political landscape DH CAA JSNA Quality observatories Commissioners Darzi review NHS Choices Staff SCIE ProvidersJIPs LAA
Topics for registration requirements Department of Health consultation: Making sure people get the nourishment they need Making sure people get care & treatment in safe, suitable places which support their independence, privacy & personal dignity Using equipment that is safe & suitable for peoples care & treatment and supports peoples independence, privacy & personal dignity Involving people in making informed decisions about their care & treatment Responding to peoples comments & complaints Supporting people to be independent Respecting people and their families & carers – peoples 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
How can regulation help? Giving people using services & their carers a stronger voice Ensuring that all providers meet registration requirements Assessing performance of all providers Assessing performance of Local Authorities and Primary Care Trusts as commissioners of care Giving people trusted information that helps them & their carers make decisions on their care We need your help to ensure our work reflects what is important to people