Contracts & Purchasing Unit Developing monitoring arrangements

1. Contracts & Purchasing Unit Developing monitoring arrangements Lynn Mounfield: Head of Contracts & Purchasing Unit Malcolm Price: Quality Monitoring Team Manager

2. Contents of Presentation • Monitoring Quality in Care Homes • Adult Social Care Toolkit, Domains • Preferred provider scheme • Performance Indicator Pilot

3. Care Governance Framework The QMT has been developing a Framework for a targeted approach to monitoring care homes, which will prioritise the homes with a high volume of placements made by ESCC. The intention is to work in a planned preventive way, identifying issues where they exist and working with providers to address them This may reduce the likelihood of future safeguarding issues. ASCOT methodology for observations will be included into the audit process and the ASCOT domains will be rated accordingly.

4. Quality Monitoring • A range of information feeds into these audits: • Views from service users • Independent Interviewers meeting with service users • Feedback from Reviewing Officers • Complaints from Service Users • CQC, requirements • PIs • Health: Integrated Continuing Health Care Team and Care Home Support Team • Information from the Service Placement Team

5. Quality Monitoring • This ensures that the views of service users and their outcomes are measured in line with the more personalised, outcome focused specification. • The outcome of these audits will be reported to the Care Governance Board • There is currently a pilot that will work with 20 Care Homes across ESCC for the development of Performance Indicators and this work will feed into the Care Home Framework for monitoring the quality of increasingly more personalised for service users.

6. Outcomes Focus: ASCOT Adult Social Care Outcomes Toolkit Control over daily life Personal care Meals and nutrition Safety Social participation and involvement Occupation and employment Accommodation, cleanliness and comfort Dignity

7. Link to ASCOT’s website – • www.pssru.ac.uk/ascot

8. Preferred Provider Scheme • Criteria was based on CQC star ratings • In response to this the criteria has been changed • All existing Preferred providers will be pass ported over. • Only brand new entrants will need to complete an application form as usual.

9. Preferred Provider Previous Criteria: • CQC Star Rating Provider must have current published CQC star rating of 2* or above • OR (if not yet rated) • Ability to meet national minimum standards Provider must evidence an ability to meet the national minimum standards considered as ‘key’ by the Department. • Evidence of a minimum average score of 2.5 of the key standards from most recent key inspection

10. Preferred Provider • NEW Criteria: • Care Home has been registered as a Nursing/Residential Care Home with the CQC for 12 or more months • Disclose any CQC requirements made in the last 12 months or previous inspection and responses made to the organisation • Disclose any complaints/incidents and safeguarding vulnerable adult alerts or investigations in the last 12 months • Date of most recent full CQC Inspection ( current inspection report to be evidenced if required)

11. Preferred provider info • Full details are available on the East Sussex County Council website: • http://www.eastsussex.gov.uk/socialcare/adults/careservices/residentialandnursinghomecare/preferredproviderlist.htm

12. Performance Indicators Pilotfor the Older Peoples Preferred Providers, Care Home Sector in East Sussex • As part of developing the contract and agreeing the performance indicators, a working group of providers has been involved with drawing up proposals for a pilot project to test out options. • The group met on three occasions between Feb and April 2011.

13. The proposal • is to work with 20 providers, drawn from those where ESCC currently fund at least 10 residents. The pilot would be split into two parts, to test two alternative approaches.

14. Two Groups of 10 for Pilot • Group A (10 homes) to complete: • Statistical return of Performance Indicators • Progress for Providers: Personalisation toolkit • Group B (10 different homes) to complete: • Return of completed sections of the CQC Provider Compliance Assessment covering Outcome 16 Assessing and monitoring the quality of service provision; and Outcome 17 Complaints • Progress for Providers: Personalisation toolkit

15. The Evaluation • The evaluation would make a judgement on which approaches are: • most reliable, • effective • useful • in generating meaningful information for Commissioning and Quality Monitoring purposes, • incorporating an evaluation of which approaches are less onerous for providers.

16. In your packs • A copy of the spreadsheet for Statistical data for pilot in Group A • The Progress for Provider, Self Assessment Tool for Group A and B • If you are interested in taking part in the pilot or would like to more information on any of the topics, let me know on: malcolm.price@eastsussex.gov.uk