Quality Standard Quality standards provide a set of criteria that can be used to monitor the management and provision of services, the quality of services as well as their outcomes. They ensure equitable and transparent transfer or delivery of services to the benificiary Ref: Bilson / Gotestam 2003 Michael Crowley EPR 2008

Why quality in social services? Improved service delivery outcomes Person-centered services Consistency/simplification of processes Efficiency/cost-effectiveness of services Profiling to face increased competition

Management on the basis of quality is balance between : Satisfy needs of clients / customers Efficiency Productivity Attention for staff

National Standards Strategy Government Commitment Accountability Value for Money Efficiency and Effectiveness Quality / Continuous Improvement Sector Standards link to National Strategy Designated Sector Authority Standards Development Strategy Standards Implementation Strategy

National Strategy Sector Strategy. Sector Standards Development Sector Standards Implementation NATIONALINSPECTORATENATIONALINSPECTORATE Standards Development & Implementation

Draft National Quality Standards Residential Services for People with Disabilities

Development of Residential Standard for Older People Working Group Service Users Service Providers Advocacy Groups Government Officials Standards Executive – HIQA Sector Professionals

Development of Residential Standard for Older People Terms of reference Review and develop Draft Standard Research International Standards / Legislation / Best Practice Establish targeted consultation process Establish Public consultation Co-ordinate consultation process Consider feedback from consultation Finalise Draft Standard for publication

Draft Residential Standard  7 Sections  Quality of Life > 4 Standards - 35 Criteria  Staffing > 1 Standard – 15 Criteria  Protection > 2 Standards – 25 Criteria  Development & Health > 2 Standards – 23 Criteria  Rights > 5 Standards – 35 Criteria  Physical Environment > 2 Standards – 18 Criteria  Governance & Management > 3 Standards – 26 Criteria  19 Standards  177 Criteria

Section 1 - Quality of Life Autonomy and Participation Privacy and Dignity Routines Personal Relationships and Social Contacts

Section 2 - Staffing Staffing

Section 3 - Protection Safeguarding and Protection Individual’s Finances

Section 4 – Development and Health Personal Plan Health

Section 5 - Rights Information Informed Decision Making and Consent Citizenship Rights Admission Processes and Individual Service Agreements Complaints

Section 6 – Physical Environment Living Environment Health & Safety

Section 7 - Governance and Management Governance and Management Purpose and Function Records

Registration Service Contracts. Service Funding Monitoring & Compliance Service Providers Perspective - Standards Market Share Quality Service

Regulated Providers Quality Assurance of Service. Continuous Improvement Service Service User Participation / Feedback Service Users Perspective - Standards Outcomes Focused Individual Needs Results

National Launch Regional Launch – Local Service Providers Conferences Service Provider Training / Information Staff Training / Information Standards Implementation Strategy Service User Training / Information Provision of Resources / Supports

Standard Compliance - Accreditation Process Application Self Evaluation External Audit / Evaluation Report Areas for Improvement – Continuous Improvement

Standard Compliance Service Contracts - Annual Accreditation Process – 2 yrs Programme Specifications Internal Audit / Monitoring – 2yrs External Audit / Monitoring – 2yrs Technical v Principle Standards

Development of Residential Standard for Older People Consultation Process Targeted Consultation - Professionals Public Consultation Workshops Focus Groups – Existing / Prospective Residents / Family / Carers Advertisements in National Press Final National Quality Standard for Residential Care Settings for Older People

Development of EQUASS Standard Expert Working Group Existing EQUASS Professionals Quality Professionals Service Professionals

Development of EQUASS Standard Terms of reference Standard based on Principles of Quality Defining standards of minimum performance (performance indicators) Designing a method and instruments for verification Testing the system in 2 pilots Evaluation and finalisation