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Identifying and responding to closed cultures: guidance for CQC staff
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2020
- Pagination:
- 21
- Place of publication:
- Newcastle upon Tyne
This guidance supports CQC operational staff to better identify and respond to services that might be at risk of developing closed culture. A closed culture is defined as a poor culture that can lead to harm, human rights breaches and abuse. Features of a closed culture include: staff and/or management no longer seeing people using the service as people; very few people being able to speak up for themselves, for lack of support or fear; people who use the service more likely to be at risk of harm, including deliberate harm. The guidance helps inspectors: understand what a closed culture is; identify a closed culture; understand what potential breaches of the CQC fundamental standards involving human rights look like; be alert to signs of breaches of standards in services with a closed culture; know the right questions to ask at the right time; ensure the voices of people who use services are sought, listened to and acted on; determine next steps if evidence is uncovered that suggests people are at risk of harm or have experienced harm or abuse. (Edited publisher abstract)
Health care in care homes: a special review of the provision of health care to those in care homes
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2012
- Pagination:
- 8p.
- Place of publication:
- London
This review explores how older people and people with learning disabilities living in care homes access healthcare services, whether they have choice and control over their healthcare and whether they receive care that is safe and respects their dignity. The results are based on an analysis from the inspections of 81 care homes in 9 primary care trust areas during January and February 2011. The inspection teams interviewed managers, residents and staff, observed care provided to residents, and examined case files. The findings are discussed against 4 themes: involvement and information; personalised care, treatment and support; safeguarding and safety; and suitability of staffing. Among the findings were that 77% of care plans considered the views of the resident, and that 96% of care homes identified the changing health care needs of residents through informal or responsive monitoring. However, the review also showed that: 25% of residents did not feel they were offered a choice of male or female staff to help them use the toilet; 44% of care homes indicated they received routine visits from GPs; 30% of nursing homes did not have a 'do not attempt resuscitation' policy (and, of those that did, just 37% of staff had received training on it); 35% of homes reported they sometimes had problems getting medicines to residents on time; and 10% of care homes said they paid for their GP surgeries to visit.
Strategic plan 2010-2015: position statement and action plan for learning disability
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2009
- Pagination:
- 29p.
- Place of publication:
- London
The Care Quality Commission has identified five priorities where its role as regulator will enable it to significantly enhance the quality of outcomes for people who use services. These are: ensuring care is centred on people’s needs and protects their rights; championing joined-up care so that health and social care are more coordinated; acting swiftly to help eliminate poor quality care. ensuring and promoting high quality care; regulating effectively in partnership. This document sets out the strategic plan for improving standards of social care for adults with learning disabilities 2010-2015, with regard to safe care, improving outcomes, value for money and personalisation.