1. Thematic Dementia Care Inspections
Mary O’Donnell, Inspector Manager of Social Services
HIQA
The National Dementia Care Conference 2016

2. Health Information and Quality Authority
Independent authority established by the Health Act 2007
‘to promote safety and quality in the
provision of health and personal
social services for the benefit of the
health and welfare of the public’.

3. Dementia Care Monitoring Programme
Advisory group, internal and external
experts
Methodology/tools
Case Tracking- following a residents
journey
Period of formal Observation using Quality
of Interaction Schedule (QUIS)
Providers Seminars
Documents to support providers

4. What a thematic inspection looks like…
Documents
We give provider......
Guidance
Quality Improvement Questionnaire
Self Assessment
Judgement Framework
They give us......
Completed self assessment
Action Plan
Relevant policies
Outcomes
Health & Social Care
Safeguarding
Rights Dignity & Consultation
Complaints
Staffing
Suitable Premises

5. Process
Self Assessment and Judgment Framework published on Authority Website
Authority have requested specific providers to return completed self assessment
Submit Policies: Admissions, Behaviours that Challenge, Safeguarding and Communications
Unannounced inspections over 2015/16
Inspection report as per Authority process
National overview report

6. Outcome 1: Health and Social Care Needs
Each resident’s wellbeing and welfare is maintained
Comprehensive Assessment.
Resident’s assessed needs set out in an individual care plan.
Plan reflects his/her needs, interests and capacities.
Plan drawn up with the involvement of resident and reflect his/her changing needs and circumstances.
End of Life Care planning.
A high standard of evidence-based nursing care and appropriate medical and allied health care.

7. Outcome 2: Safeguarding and Safety
Measures to protect residents being harmed or suffering abuse are in place.
Appropriate action is taken in response to allegations, disclosures or suspected abuse.
Residents are provided with support that promotes a positive approach to behaviour that challenges.
A restraint-free environment is promoted.

8. Outcome 3: Residents’ Rights, Dignity and Consultation
Residents with dementia are consulted with and participate in the organisation of the centre.
Each resident’s privacy and dignity is respected, including receiving visitors in private.
He/she is facilitated to communicate.
Enabled to exercise choice and control over his/her life.
Maximise his/her independence.
Has opportunities to participate in meaningful activities, appropriate to his or her interests and preferences.

9. Outcome 4: Complaints Procedure
The complaints of each resident, his/her family, advocate or representative, and visitors are listened to and acted upon and there is an effective appeals procedure.
The complaints of residents with dementia are listened to and acted upon.
The complaints process is monitored and provides opportunities for learning and improvement.

10. Outcome 5: Suitable Staffing
There are appropriate staff numbers and skill mix to meet the assessed needs of residents, and the size and layout of the designated centre. Staff have up-to-date mandatory training
Staff have access to education and training to meet the needs of residents.
All staff and volunteers are supervised on an appropriate basis.
Recruited, selected and vetted in accordance with best recruitment practice.

11. Outcome 6 : Safe and suitable premises
The location, design and layout meets residents’ individual and collective needs in a comfortable and homely way.
Premises, having regard to the needs of the residents, conform to the matters set out in Schedule 6 of the Health Act 2007 (Care and Welfare of Residents in Designated Centres for Older People) Regulations 2013.

12. Self-Assessment Tool:
Section 1: Information about the Centre
Sections 2- 7
Judgement in relation to each outcome (6)
Compliant:
Compliance or Substantial Compliance,
Non-Compliant: Moderate/Major
Action Plans: specify actions to be taken, resources required and timelines.
*Numbers of Residents with a formal diagnosis of dementia.
*Numbers of residents suspected to have dementia with no formal diagnosis
*Dementia Specific Unit?

13. Places 12 13 14 16 29 26 38
122

14. Improving Dementia Care
Quality Improvement Questionnaire
Resource for providers to improve the quality of service provided to people with dementia.
Invites providers to engage with staff and benchmark service against standards of best practice in dementia care
Identify Strengths
Areas for Improvement
Action plans

20. Reme
If we approach dementia care with passionate seeking we find opportunities for person centred connections are all around us.