1. A New Approach To Quality Assurance in Herefordshire

2. Herefordshire at a glance. 48 Domiciliary Care Providers 88 Residential Care Providers 2065 Residential Beds CQC 2015

3. Regional Adult Social Care CQC Ratings By Service Type CQC 2015

4. Applying the % locally could mean… 15 Domiciliary Care Providers 31 Residential Care Providers Requiring improvement or rated inadequate.

5. What is the Quality Assurance Framework? It is a set of processes which are put in place with one goal: to deliver high quality care and support services in Herefordshire. The framework is the mechanism through which the quality of delivered services and people’s experiences are reviewed and monitored.

6. Where are we now? Planned annual assurance inspections not based on intelligence and slow diminutive improvement to quality of service Where are we going? The principles indicate a shift away from planned activity towards informed activity based on intelligence The approach is person-centred, intelligent, supportive and proportionate.

7. What are the main principles supporting the Quality Assurance Framework? Care and support is centred on the individual’s needs Inclusive process, enabling and supportive of Providers Intelligent and proportional Positively engaged in by all Stakeholders Promotes partnership working and information sharing Builds on relationships

8. How will good quality in services be determined? Quality Standards are set and communicated well with all stakeholders Quality Standards provide a benchmark for people’s expectations of care and support [outcomes based] Underpinned by current regulation and legislation All stakeholders work collaboratively and actively engage in partnerships Stakeholders share information and support transparency

9. What are the key aims of the new Quality Standards? Delivering care that is person-centred, supporting a person’s independence and whole well-being Delivering support that enables people to maintain personal choice about everyday life Delivering care that reflects safe, effective practise and maintains quality as a high priority Delivering care through well-maintained professional partnerships supported by good leadership

10. What are the key outcomes of the new Quality Standards? I am treated with dignity and respect, I can talk to staff, and my care is delivered how I want it I have choice and control in all aspects of my everyday life, with access to information and advice when I want it I feel safe, secure and comfortable, living in a clean environment with a good atmosphere I feel confident that the staff who support and care for me are well trained and know how to give me the best care possible

11. Who will be involved with the QAF? All Stakeholders – Quality is Everyone’s Business!

13. Annual submission of provider self-assessment Annual survey [minimum] of service user/carer feedback by way of questionnaires All information from self- assessment and user/carer questionnaires collated on Quality Assurance Dashboard

14. Dashboard Exemplar – Care Home

15. Dashboard Exemplar – Community Care

16. Policy & Plans: Safeguarding Policy & Procedures Quality Assurance Framework Provider Failure Plans Safeguarding Adults Establishment Concerns Procedure and Guidance Care Home Rapid Evacuation Plan Provider Closure Due To Safeguarding Plan Serious Incident

17. What are the benefits? An individual adult’s needs are maintained as the central focus for all care and support services provided Requirements for quality improvements are addressed through supportive measures through joint planning Actions taken to support improvement are proportionate and appropriate to the individual provider Quality in services is supported through partnerships and information sharing Quality in care and support remains at the top of everyone’s agenda

18. How will it impact service providers? Visits are no longer routinely scheduled but will be based on individual provider requirements indicated by regularly updated information and/or reported concerns Good quality services will require little or no intervention Transparency and appropriate information sharing are required so as to support good practise and quality assurance Partnerships are engaged in, working with other stakeholders including Herefordshire Council, professional agencies, adults and carers

19. How does the Quality Assurance Framework fit in with existing guidance and regulation? There are no new additional quality assurance requirements for meeting the Framework. Providers adhering to existing required regulations and legislation will be working within the requirements of the Framework.

20. What key areas of development and/or support would help providers in their delivery of good quality services?