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Implementing Quality Assurance - auditing residential services for people with mental handicaps
- Authors:
- WATSON Elisabeth, et al
- Journal article citation:
- Mental Handicap, 21(2), June 1993, pp.42-45.
- Publisher:
- British Institute of Mental Handicap
Reports on the format and implementation of a quality audit, Monyhull Audit Technique for Environmental Evaluation (MATEE), to evaluate the quality of residential services for people with mental handicaps. It is suggested that the key to successful quality auditing lies in the way in which the system is operationalised. The audit must be ongoing rather than a 'one-off' event. The procedure needs to be clearly specified, important aspects of which should include positive monitoring, regular follow-up on objectives and maximal involvement of care staff. Some of the benefits of this type of quality assurance are discussed.
How parents experience the quality of support: a survey in residential care
- Authors:
- LUIJKX Jorien, BRUG Annet ten, VLASKAMP Carla
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 10(1), 2013, pp.37-44.
- Publisher:
- Wiley
This study examined the views of parents and/or legal guardians on the quality of support provided to people with an intellectual disability (ID) in residential care in the Netherlands, in order to improve the partnership between parents/legal guardians and facilities. A questionnaire developed in close cooperation with parents specifically for this aim was sent to 1,785 households (parents and/or legal guardians) of clients in the Netherlands. Types of residential care included group homes, community living, and assisted living facilities, to more sheltered housing and institutional placements. The questionnaire consists of the following five subsections: daily care, housing, day services, leisure activities, and communication. A multiple regression analysis was performed to determine which factors contributed to the satisfaction of parents and/or legal guardians. The questionnaires returned (n = 1,058) showed that respondents rated the overall quality of support at an average grade of 7.3 out of 10. Small but mostly significant differences were found between the subsections. Special attention should be paid to the percentage of parents and/or legal guardians who gave unsatisfactory scores (10%) and the substantial percentage (25%) of parents and/or legal guardians that rated the quality of care only marginally satisfactory (grades 6–7). (Edited publisher abstract)
Aiming for the stars
- Author:
- FULLERTON Michael
- Journal article citation:
- Learning Disability Today, October 2012, pp.28-29.
- Publisher:
- Pavilion
- Place of publication:
- Hove
When the Care Quality Commission withdrew its star ratings system for residential care services, Care Management Group (CMG) decided to create its own internal rating system to assess quality across its service models. The new internal rating system was designed by CMG’s senior management team, managers, and also crucially by service users. The underlying aim of the rating scheme is to ensure that service users are ultimately the judges and beneficiaries of all improvements. The Care Management Group Quality Rating Framework has now been rolled out across CMG’s 98 services. The framework focuses on 8 main areas, all underpinned by the principle of person-centred active support. The areas are: service user voice; outcome focus; documentation; staffing; environment; safeguarding; health; external relationships; and reputation. This provides clear criteria for each service to be judged upon, resulting in an evidence-based rating. A 4-step assessment process ensures consistency of assessment across all CMG services. The process involves: monthly assessment by service managers of their own services; 3-monthly assessment of services by regional directors; review of regional directors’ scores by senior directors; and annual independent audits by CMG’s senior Quality Support Team.
National care standards: care homes for people with learning disabilities
- Author:
- SCOTLAND. Scottish Government
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2005
- Pagination:
- 78p.
- Place of publication:
- Edinburgh
- Edition:
- Rev ed.
The National Care Standards Committee was set up by the Scottish Government to develop national standards in collaboration with a number of working groups including service users and service providers. They are designed to be from the point of view of service users to help them to understand what they can expect from the service provider. They may also be of use to service providers to help them know what is expected of them. The standards in this publication cover care homes for people with learning disabilities. These services provide accommodation together with nursing and personal care or support to people with learning disabilities. People with learning disabilities have the same rights and responsibilities as other people. These standards aim to make sure that people with learning disabilities keep these rights and responsibilities when they are staying in a care home. The standards are grouped under 4 headings: before moving in; settling in; day-to-day life; and moving on.
Quality and costs of residential support for people with learning difficulties: comparative analysis of quality and costs in village communities, residential campuses and dispersed housing schemes: summary and implications
- Authors:
- EMERSON Eric, et al
- Publisher:
- University of Lancaster. Institute for Health Research
- Publication year:
- 1999
- Pagination:
- 24p.
- Place of publication:
- Lancaster
This report provides a brief summary of the results of a large-scale research project commissioned by the Department of Health. The aims of the project were to identify or explore the nature, quality and costs of residential or village communities and community-based dispersed housing schemes for people with learning disabilities.
Quality and costs of community-based residential support for people with learning difficulties and challenging behaviour
- Authors:
- ROBERTSON Janet, et al
- Publisher:
- University of Lancaster. Institute for Health Research
- Publication year:
- 2002
- Pagination:
- 24p.
- Place of publication:
- Lancaster
The aim was to compare the quality and costs of two approaches to providing community-based residential supports to people with learning disabilities and challenging behaviour: non-congregate settings where the minority of residents have challenging behaviour; and congregate settings where the majority of residents have challenging behaviour. Congregate care was associated with higher costs, higher staffing ratios, and better quality internal working practices. However, these inputs did not translate to better outcomes for residents. Non-congregate care was associated with greater access to day activities, less reliance of medication and physical restraint to control challenging behaviour, and less risk. Levels of staff contact and participant engagement were low across both models of care.
Quality and costs of residential supports for people with learning disabilities: a comparative analysis of quality and costs in village communties, residential campuses and dispersed housing schemes
- Author:
- UNIVERSITY OF LANCASTER. Institute for Health Research
- Publisher:
- University of Lancaster. Institute for Health Research
- Publication year:
- 1999
- Pagination:
- 128p.
- Place of publication:
- Lancaster
This report provides the results of a large-scale research project commissioned by the Department of Health. The aims of the project were to identify or explore the nature, quality and costs of residential or village communities and community-based dispersed housing schemes for people with learning disabilities.
Evidence on service quality for the Social Services Inspectorate inspection process: piloting the application of research
- Authors:
- FRUIN David, FELCE David
- Journal article citation:
- Tizard Learning Disability Review, 5(3), August 2000, pp.5-13.
- Publisher:
- Emerald
This paper describes the piloting of an approach to social inspection using a range of objective research evidence as part of Social Services Inspectorate's inspection process in 1997, in eight local authorities in England. The Welsh Centre for Learning Disabilities Applied Research Unit worked with the Social Services Inspectorate to collect details on residential and day services in advance of the inspection process. The paper repeats the findings of this report and of the collaboration.
Quality and costs of residential supports for people with learning disabilities: predicting variation in quality and costs
- Authors:
- EMERSON Eric, et al
- Publisher:
- University of Manchester. Hester Adrian Research Centre
- Publication year:
- 1999
- Pagination:
- 70p.,tables,bibliog.
- Place of publication:
- Manchester
Report providing a summary of selected results from a large scale research project looking at the quality and costs of residential supports provided for people with learning difficulties. This report provides an analysis of variation in the quality and costs of residential provision across and within village communities, residential campuses, group homes and supported living schemes.
Quality and costs of residential provision for people with learning difficulties
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1999
- Pagination:
- 5p.
- Place of publication:
- London
Circular drawing attention to the results of the second phase of a Hester Adrian Research Centre project looking at the quality, costs and outcome of different types of residential provision for people with learning difficulties.