• Against regulations and standards
• Speak to service users, cares, families, staff
• Professional judgement
HSC Trusts, HSC Board, PHA, DHSSPS, PCC, COPNI,
Joint Protocol
Incidents, complaints, duty calls, whistleblowing
Publish reports and reviews, develop guidance
RQIA Inspections
• Review of previous
requirements/recommendations
• Interviews with patients, staff, relatives
• Assessment of care needs
• Assessment against standards /themes
• Review of care and management records
• Observations• environment• culture/ambience • staffing/patient interactions• routines
Whistleblowing
• A notable increase in whistleblowing to RQIA
• The winterbourne affect• Guidance available on RQIA website • May lead to safeguarding investigations• Increased inspection monitoring activity • Improvements to safety and quality of care
Post-2012: Current Enforcement Activity
www.rqia.org.uk/inspections/enforcement_activity.cfm
urrent Enforcement Activity
Why we use enforcement
Service and Provider name
Copy of notice
Date of issue, compliance required
Link to previous enforcement action
Summary of issues
Explanations of types of enforcement
Link to inspection reports
Domiciliary Care Agencies
• Reg. 15:Provision of services x 4• Reg. 13:Fitness of workers x 4• Reg. 21:Records x 3
Plus 6 other regulations x 1 each
Nursing Homes
• Reg. 14:Further requirements for health and welfare x 6 (choice, hazards, risk, training)
• Reg. 18:Facilities and services x 5 • Reg. 13:Health and welfare x 5 (infection
prevention, privacy & dignity, medicines management)
• Reg. 20:Staffing x 4Plus 8 other regulations x 16 times in total
Residential Care Homes
• Reg. 13:Health and welfare x 3 • Reg. 12:Quality of service x1 • Reg. 15:Assessment of residents• Reg. 21:fitness of workers x 1
Plus 2 other regulations x 1 each
A need to move from being heard to being listened to…
• To hear = to be capable of perceiving sound
• To listen = to pay attention to what is being said
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