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]]>Questions your service may ask!
What are CQC looking for?
What does “good” look like?
How can I receive more referrals?
How do I meet commissioner and contract requirements?
CQC inspections are getting tougher and care providers are expected to deliver quality care and support with ever tightening budgets and cost pressures from purchasers.
Care Commissioning Solutions has over 20 years experience in Social Care for a wide range of client groups, whether in residential care, supported living or domiciliary care.
Whether your business is providing care for people with a learning disability, older people or people with mental health problems, Care Commissioning Services have the experience and know how to help.
With over 20 years in Senior social care positions, a local authority and health care background andexperience of expecting services for CQC, Care Commissioning Solutions based in Whitstable,but with a national coverage, can help your business!
We have a thorough and practical understanding of the entire sector from a strategic and operational viewpoint and can help any care and support business achieve their full potential.
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]]>The post Winterbourne View Case Review appeared first on Care Commisioning Solutions.
]]>The review was especially critical of Commissioners and regulators as well as the service itself and the owners of Winterbourne View – Castlebeck. It concluded that the service itself should never have been built and that the solution to “warehousing” people with Learning Disabilities in long stay institutions is local, bespoke provision.
How can commissioners and providers come together to ensure that the lessons of the Winterbourne View case review are learned and that the poor practice uncovered by Panorama does not happen again? Certainly both commissioners and providers need to enter into dialogue on what local services are provided and what is affordable, but monitoring ongoing service provision is also key to effective and high quality service provision.
The challenge to Local Authority and Health commissioners in a time of austerity, is how to effectively monitor local provision. Monitoring is resource hungry and most Local Authorities have restructured contract teams which has often meant less people to do the work needed. Whilst Care Commissioning Solutions can assist commissioners to plan and implement monitoring processes that will ensure providers meet the needs of people in their care, there is a need for clear and transparent commissioning plans that are understood by providers who need to be engaged in the process.
Is it time for contracts to be re-negotiated to include the extra resources needed to turn around failing services are funded at least in part by provider organisations? Although this view may not be popular it is in the best interest of all parties, not least those that actually use services, to ensure high quality services that deliver agreed outcomes around choice, independence and control.
If you have any thoughts on this post or would like further information on how Care Commissioning Solutions can offer social care provision guidance then get in touch via our contact page.
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]]>The post Winterbourne View – Social Care Dumping Ground? appeared first on Care Commisioning Solutions.
]]>NHS figures show that safeguarding alerts have been raised on at least 19 of the 51 people who were patients at Winterbourne View.
Mencap Chief Executive Mark Goldring has said that what allows Winterbourne View and places like it to flourish was that they have been used as a social care dumping ground by public bodies that had not planned ahead.
In a statement, care and support minister Norman Lamb said the Panorama programme “continues to highlight inappropriate and poor quality care”.
“There is no excuse for this,” he said.,
Mr Lamb said a review set up by the Department of Health “has found clear evidence that there are far too many people in specialist inpatient learning disability services… and many are staying there for too long”.
He went on: “People often end up in these facilities due to crises which are preventable or could be managed if people are given the right support in their homes or in community settings.”
All of the above is correct but there are two key elements that have not yet been fully explored. Firstly, Commissioning Strategies are not being rolled out effectively – it has long been the case that people with Learning Disabilities should be cared for in their own communities. Secondly, monitoring of services is inadequate. There are very good reasons for both of these failings and there is no simple solution, but all involved in Health and Social Care need to enter into dialogue to change services for the better and ensure they are not a social care dumping ground.
Commissioners are being asked to make huge cuts as a direct result of austerity measures, with some providers struggling to provide services at the price they are being offered. This was surely not the case at Winterbourne View with fees quoted at £3,500 a week.
CQC do not have the resources to adequately monitor all health and care services and some local authority monitoring needs to improve, but again, resources are an issue.
Many providers are available to provide local services with innovative solutions for people with learning disabilities, including those who have challenging behaviour. What seems to be missing is meaningful dialogue between some commissioning organisations and providers. I cannot be alone in thinking that from what I have seen of the patients at Winterbourne View, there are many other people with far more challenging behaviour living successfully in local communities where commissioners and providers have produced excellent models of supported living or residential care.
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]]>The post Safeguarding Of Vulnerable Adults appeared first on Care Commisioning Solutions.
]]>One thing this certainly shows is that the minister clearly equates financial performance with care provision which is telling in its own right, but aren’t managers already responsible for quality of care and safeguarding of vulnerable adults? CQC certainly thinks so. Registered managers are required to prove their fitness for the task in what is described by the regulator as a rigorous but proportionate registration process.
Perhaps he is talking about more senior managers then? In which case would a Finance Director be called upon to resign if there were a serious safeguarding issue in an organisation’s care home or supported living service?
Safeguarding of vulnerable adults is a serious issue and all of us in the social care sector should be mindful of our responsibilities to be alert to, and report incidents, but I can’t help feeling that this speech was little more than playing to the gallery. If we want to take safeguarding seriously, there is a need for more monitoring of services by local authorities –and that resource comes with a cost, which ultimately requires central government funding.
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