Learning aim B - B4 - roles of organisations that regulate and inspect health and social care services Flashcards

1
Q

what happens when a service applies to a national regulator?

A

checks are carried out to ensure that it meets the necessary standards of safety and has the resources to ensure a high standard of care. once registered tje services are continually monitored.

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2
Q

what are the main sources of evidence used to gather feedback for an inspection?

A
  • feedback from service users, friends, family and staff
  • written reports of care practice and procedures
  • information from other linked local organisations
  • records of complaints
  • on site inspecetion of practical care provision
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3
Q

why does the CQC require service providers to register with them?

A

do they can be aware of the organisation, monitor their progress to ensure they are consistently providing hte best level of care, and ensure any cincerns are dealt with. If they were not registered, the CQC would not be able to monitor everything.

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4
Q

why do inspectors come from a range of backgrounds?

A

so they represent all thoughts/ opinions, meaning the level of discrimination involved in inspections is reduced as much as possible.

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5
Q

why is robust evidence important?

A

so it can be used if any services/ organisations need to see records that the service have

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6
Q

why is the CQC concered with how services are managed and led?

A

they want the services to be helping the public as much as possible, so they need to know how the service is run

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7
Q

what are the 9 steps to the regulation and inspection process?

A
  1. identify the scope and purpose of the inspection
  2. gather views of service users
  3. gather information from staff
  4. observe service delivery
  5. review records
  6. look at documents and policies
  7. feedback at the meeting with the inspection team and senior team
  8. publish findings
  9. take action to improve services where needed
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8
Q

what happens after an inspection?

A
  • the service provider is graded
  • requirements of warning notices may be given with timescales
  • organisations may have to implement changes in policy
  • they may have to limit services that are offered
  • persue a criminal conviction
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9
Q

what actions could a service provider take after an inspection?

A
  • write and implement an improvement plan
  • implement enhanced staff training
  • improve partnership working
  • ensure changes to working practices such as changes to hand hygeine
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10
Q

what does the CQC stand for?

A

care quality commission

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11
Q

what is the cqc?

A

it is the independant regulator of health and social care in england

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12
Q

what does the cqc do?

A
  • registers care providers
  • monitors, inspects and rates services
  • takes action, including legal action to protect service users
  • it is an independant voice publishing regional and national views of quality issues in health and social care
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13
Q

what are the 5 questions cqc ask when they inspect?

A
  1. is it safe?
    2.is it effective?
  2. is it caring?
  3. is it respnsive to people’s needs?
  4. is it well led?
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14
Q

give an example of 3 services the cqc regulates?

A

ambulances, care homes, dentists

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15
Q

what does NICE stand for?

A

the national institute for health and care excellence

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16
Q

what does NICE do?

A

provides national guidance and advice to improve health and social care
- improves outcomes for peole using the NHS and other public health and social care services
- produce evidence based guidance and advice for health, public health and social care practitioners
- develops quality standards and performance management for organisations which provide and comission services
- provides a range of informaiton around the systems

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17
Q

what is the role of NICE?

A
  • produce evidence based guidance and advice
  • develop quality standards and performance measurements for organisationw which provide and comission health, public health and social care services.
  • provide a range of information services
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18
Q

what does NICE provide guidance for?

A

they provide guidance around standards in care, safety and effectiveness of medications, treatments and services covering:
- conditions and diseases
- lifestyle and wellbeing
- population groups such as prisoners
- service delivery, organisations and staffing - patients experiences
- settings such as when patients move from hospitals to community settings

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19
Q

what is public health england?

A

a government body that protects and improves england’s health and wellbeing

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20
Q

what is the role of public health england?

A
  • work as part of a regional and local health systems to reduce health inequalities
  • protect the health of the peole of england
  • share information and expertise to make improvements in the publics health
  • carry out research
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21
Q

what are some measures that PHE uses to carry out its responsibilities?

A
  • setting up health promotion programmes to improve nations health
  • research projects to improve our knowledge of public health issues and generate strategies to address problems
  • taking measures to protect the nations health when there is public health concerne such as when an epidemic is being threatened or a new virus is being circulated.
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22
Q

what is the uk health security agency (UKHSA)?

A

it is responsible for protecting every member of every community from the impact of infectious diseases, chemical, biological, radiological and nuclear incidents or other health traits. they provide intellectual, scientific and operational leadership at mational and local level. they also work on the global level to make the nations health secure. it is an executive agency, sponsered by the department of health and social care

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23
Q

what is the department for the office for health improvement and disparities?

A

they focus on improving the nation’s health so that everyone can expect to live more of their life in good health, and on levelling up health disparities to break the link between background and prospects for a healthy life

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24
Q

who is ofsted?

A

they are an indepenndent, impartial public body that reports directly to parliament. their role is to:
- inspect childcare, adoption and fostering agencies
- publish reports of findings to help improve quality and inform policy
- regulate early years and children’s social care services so they are suitable for vulnerable young people

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25
Q

what do inspectors make a judgement based on?

A

-effectiveness of leadership and management
- quality of teaching, learning and assessment
- personal development, behaviour and welfare
- outcomes for the children and learners

26
Q

how does ofsted support service users with age related needs (could be 8 marker)

A
  • monitor quality of services supporting young people to make sure the providers meet the specific needs, providing the best quality service
  • they may have conversations with service users to make them relaxed, and use simple language so that htye understand and do not feel overwhelmed
  • make adaptions suitable for a child, such as making sure thehy have basic level equipment required, and are able to change these as they further develop
27
Q

how does ofsted prevent poor practice?

A

they regularly monitor the services so that if standards drop, improvements can be made as soon as possible. the service will be given support to make sure all staff have appropiate training.

28
Q

what is the care and social services inspectorate wales (cssiw)?

A

the regulator for adult and child social services in wales. they inspect social care services to make sure they are safe for all users.

29
Q

what does the cssiw do?

A
  • provide independant advice about the quality and availability of social care in wales
  • safeguards adults and children, making sure that their rights are protected
  • improve care by encouraging and promoting improvements in safety, quality and availability of soical care
  • provides advice to the people who develop policy
30
Q

what is ‘healthcare inspectorate wales’?

A

an independant inspectorate and regulator of all healthcare in wales. it inspects nhs and independant healthcare organisations

31
Q

how does the ‘healthcare inspectorate wales’ carry out inspections?

A
  • focusing on how well vulnerable people are being safeguarded
  • identifying which services are effective and highlighting where services neef to improve
  • investigating systematic failures in delivering healthcare
  • taking immediate action of the safety and quality of healthcare, so it does not meet requires standards
  • informing patients, service users and the public about the standards of healthcare in wales
32
Q

what is ‘her majesty’s inspectorate for education and training in wales’?

A

a crown body, independant of but funded by welsh government. it inspects education settings in wales

33
Q

what does ‘ her majesty’s inspectorate for education and training in wales’ do?

A
  • inspects all schools
  • provides advice on quality and standards in education/ training to the national assembly for wales
  • makes public good practice based on inspection evidence
34
Q

how does ‘her majesty’s inspectorate for education and training in wales’ carry out its role?

A
  • observes practitioners
  • measuring performance of organisations and personnel against national standards
  • providing evidence based judgements
35
Q

what is the ‘public health agency for Northern Island’?

A

It is the organisation for health protection and improving health and social wellbeing in NI

36
Q

what does the ‘public health agency for northern ireland’ do?

A
  • promote health and wellbeing
  • promote health protection
  • give support to commissioning agencies
  • carry out reaearch and development
  • lead policy development
37
Q

how does the ‘public health agency for northern ireland’ carry out its role?

A
  • in 2014 it published a 10 year strategy for improving public health called ‘making life better’ including key indicators and baseline measurements for improvements
  • implements the strategy through partnership working
  • monitors the implementation of the strategy
38
Q

what is the education and training inspectorate?

A

an independant organisation which inspects education providers in northern ireland.

39
Q

what does the education and training inspectorate do?

A
  • inspects all schools and education outside school provision centres
  • provides information about the quality of education tothe northern ireland government
  • promotes best practice
40
Q

what is the regulation and quality improvement authority?

A

it is the northern ireland independent health and social care regulator

41
Q

what is the role of the ‘regulation and quality improvement authority’?

A
  • register and insect a wide range of independent and statuatory health and social care services such as: care homes, domicilary care agencies, day care settings, private dental services
  • assure the quality of services provided by the NI HSC board, trusts and agencies - through reviews
  • undertake a range of responsibilites for people with mental ill health, and those with learning disabilities
42
Q

what is the ‘nursing and midwifery council’?

A

it regulates nurses and midwives in the uk by:
- ensuring nurses and midwives have the right qualifications and skills
- setting standards of practice and behaviour
- requiring nurses and midwives to challenge discrimination and review their practice yearly

43
Q

what does the ‘nursing and midwifery council’ set high standards for?

A
  • initial education and training of nurses and midwives
  • continuing personal development (CPD)
  • standard of professional practice
  • standards of personal conduct at work and in leisure time
44
Q

what is the royal college of nursing (RCN)?

A

it represents nurses, midwives and healthcare assistants in the uk

45
Q

how does the RCN represent their staff?

A

by:
- setting out the principles of nursing practice, and nurses roles and responsibilities in safeguarding
- ensuring accountability of practitioners, promoting continuing development (CPD)
- supporting diversity in nursing

46
Q

give some examples of benefits of joining the RCN

A
  • an advice service -> counselling service which is free to access, help with personal life
  • career progression and pathways, professional support
  • forums, conferences, holiday packages
  • legal advice
  • somewhere to go if you have any concerns
47
Q

what is the health and care professions council (HCPC)?

A

it protects the public by keeping a register of health and care proessionals who meet their standard for training, professional skills, behaviour and health.

48
Q

what does the HCPC set standards for professinals in?

A
  • conduct and ethics
  • performance and efficency
  • character and health
  • education and training
49
Q

what must an individual have in order to register as an approved HCPC practitioner?

A
  • have achieved the relevant qualifications
  • meet the standards of professional and personal behaviour required by the council
50
Q

what does a member of the public have the right to?

A

complain if they feel a professional is not meeting the standards set by the HCPC

51
Q

what is the general medical council (GMC)?

A

an independant organisation that helps to protect patients and improve medical education and practice across the UK

52
Q

what are the roles of the GMC?

A
  • decides which doctors are qualified to work here and oversees (have the right medical education and training)
  • sets the standards that doctors need to follow, and makes sure that they continue to meet these standards throughout their careers
  • takes action to prevent doctors from putting the safety of patients, and the publics confidence in doctors at risk
53
Q

what does the GMC do if they receive any allegations/ complaints?

A

they investigate any allegations and can take a range of actions such as limiting a doctors access, or striking them off permanentlty from the register

54
Q

why is it important for the GMC to give out sanctions to doctors who aren’t behaving appropiately or looking after their patients safely?

A

it reduces the chance of patients receiving inadequate treatment, or being treated poorly, and shows patients that they are being listened to and do not deserve to put up with poor treatment.

55
Q

how are professions regulated in wales?

A

by the care council for wales (ccw)

56
Q

what does the ccw do?

A

regulates the social care profession, working with partners to make sure that social services and childcare in wales is a high standard. it does this by:
- identifying roles relevant to the care sector
- requiring registration of care workers
- setting a code of professional practice
- carrying out inspections to ensure that professionals are following regulations and meeting the required standards
- recommending removal of people or roles if they fail to meet the standards

57
Q

how are professions regulated in northern ireland?

A

by the northern ireland social care council, which is a regulatory body for the social care workforce in northern ireland

58
Q

what does the northern ireland social care council do?

A
  • requires a registration of care workers
  • sets out a code of practice
  • requires employers to ensure that care workers follow the code of practice
  • monitors and approves training and qualifications for care workers
  • provides workforce development to ensure that workers follow regulations and meet required standards
59
Q

how are services improved by regulation in a hospital?

A
  • monitor compliance with hand hygeine procedures
  • store cleaning equipment correctly
  • replace damaged theatre equipment
  • provide better nutrition for patients
  • complete doccuments accurately
  • reduce delays in patient referral
60
Q

how are services improved at an early years setting?

A
  • replace unsafe equipment
  • promote individual development and meet individual needs
  • improve record keeping
  • improve partnership with parents
  • provide a rich learning environment that challenges and stimulates
  • improve leadership and motivate staff
61
Q

how can improvements in a hospital better support service users and their families?

A
  • they will feel comforted knowing that there is a reduced risk of picking up/ developing further illness
  • know that they are being treated in the right way
62
Q

how can improvements in an early years setting better support service users and families?

A
  • know that the children are not being exposed to any risks
  • parents feel that they can bring up any concerns and will be listened to