b4 - roles of organisations that regulate and inspect health and social care services Flashcards
england - the care quality commission (CQC)
- responsible for monitoring and inspecting health services and adult social care services
- ensures that services are of high quality and that they are delivered safely, effectively and compassionately
CQC monitors and inspects -
- NHS trust hospitals and independent hospitals
- GP provision
- clinics
- dentists
- residential and nursing homes
- domiciliary or home care services
- community care provision
- mental health provision
- accommodation for people requiring treatment for substance misuse
- all providers of these services must register with CQC
england - the national institute for health and care excellence (NICE)
- responsible for providing guidance on current best practice in health and social care
- publishes guidance and advice that aims to control and improve care provision
for example, NICE provides -
- guidance on appropriate treatments for those with specific conditions such as diabetes
- evaluation of whether procedures are safe and effective
- guidance about use of specific health technologies and procedures
- assessment of cost and effectiveness of treatments
- recommendations about best practice based on research
- support for health promotion campaigns and health living advice
- NICE recommendations are for use of NHS practitioners, local authorities, charities and any organisations funded by government
- aims to provide a smoother transition for those moving from health care to social care services, and from children’s to adults services
england - public health england (PHE)
- sponsored by department of health, aims to improve and protect public health and wellbeing of people in england, and to reduce health inequalities
- focus of all public health organisations is on protection and improvement of the health of a community or population
measures that the PHE uses to carry out its responsibilities are through -
- setting up health promotion programmes to improve the nation’s health
- research projects to improve knowledge of public health issues and generate strategies to assess problems
- taking measures to protect nations health when there is a public health concern
england - ofsted
- regulates and inspects services that educate children, young people and adults, or care for children
through inspection of -
- state funded schools and colleges, and some independent providers
- adult education providers
- initial teacher education
- many private agencies who provide training in the workplace
- education provision in prisons and the armed forces
- nurseries, pre-schools and child minders
- fostering and adoption agencies
- settings providing residential care for children
inspectors make a general judgement about overall effectiveness, based on judgements about -
- effectiveness of leadership and management
- quality of teaching, learning and assessment
- personal development, behaviour and welfare
- outcomes for children and learners
wales - the care and social services inspectorate wales (CSSIW)
- responsible for inspection and regulation of care provision
includes -
- residential and nursing homes for adults
- domiciliary or home care provision
- nurses’ agencies
- children’s homes
- child minders and day care services
- fostering and adoption agencies
- boarding schools
- further education colleges
CSSIW aims to -
- provide independent assurance about quality and availability of social care
- safeguard adults and children, making sure their rights are protected
- improve care
- provide independent professional advice
wales - healthcare inspectorate wales (HIW)
- inspects all healthcare provision from NHS and other independent organisations
responsibilities include -
- hospitals and clinics
- mental health and substance misuse services
- nursing agencies and midwifery provision
- youth offending teams
- deaths in prisons, and homicide investigations
HIW aims to -
- contribute to improving safety and quality of healthcare services
- improve citizens’ experiences of healthcare
- strengthen the voice of patients and the public in the way health services are reviewed
- ensure that timely, useful, accessible and relevant information about the provision of healthcare is available to all
wales - her majesty’s inspector of education and training in wales (Estyn)
- responsible for inspection of education and training
- unlike Ofsted, work is specifically linked to education and training
responsibilities include inspection of -
- schools
- further education colleges
- work-based learning providers
- adult and community learning provision
- initial teacher education and training
- education in the justice sector
Estyn makes judgements about quality of provision by addressing 3 questions -
- how good are outcomes?
- how good is provision?
- how good is leadership and management
northern ireland - the regulation and quality improvement authority (RQIA)
- similar responsibilities to CQC in england
inspects services including -
- children’s homes
- day care settings
- boarding schools
- domiciliary care settings
- residential family centres
- nursing agencies
northern ireland - public health agency for northern ireland (PHA)
- brought together a number of public health organisations
- overall responsibility is to improve health and social wellbeing of all people in NI
PHA manages this by -
- developing effective health protection strategies
- developing policy to improve health and wellbeing
- conducting research and development activities to identify causes of poor health
- recommending strategies to improve health
northern ireland - education and training inspectorate (ETI)
- inspection and improvement of education services in NI
includes -
- early years
- primary and secondary schools
- further education colleges
- youth work
- initial teacher education
- prisons and young offenders institutions
descriptors used to report on quality of provision -
- achievements and standards
- provision for learning
- leadership and management
how regulations and inspections are carried out
- CQC, CSSIW, HIW, RQIA all require service providers to register with them before beginning care provision
- when applying for provision, there are checks to ensure that necessary standards of safety are met, and that there are resources to meet high standards of care
- services are then continually monitored
- inspection teams make judgments based on robust evidence, quality of provision, etc.
sources of evidence used to support judgements -
- feedback from service users, their family and friends, and from staff
- written reports of care practice and procedures
- info from other linked local organisations
- records of complaints
- on-site inspection of practical care provision
how organisations and individuals respond to regulation and inspection
- managers and staff may feel vulnerable and at times angry that they may not be able to make the improvements needed
- regulators publish clear guidance that outlines what they expect to see
- following inspection, regulator creates a report
changes in working practice required by inspection
enforced change can include -
- requiring or recommending improvements to policy and practice
- issuing a requirement or warning notice, to set out what improvements must be made and when
- making changes to a provider’s registration to limit the range of care they can provide
- pursuing a criminal prosecution in extreme cases
how services are improved by regulation
- overall purpose is to protect public by setting standards of education, training, professional conduct and practice, to ensure high standards are maintained
- if an allegation is made that standards are not being met, their regulator will investigate the complaint
- regulators have power to suspend members, require them to take additional training, restrict the types of work they can do or even remove them from the professional register
