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Driving up quality code: driving up quality in learning disability services
- Author:
- DRIVING UP QUALITY ALLIANCE
- Publisher:
- Driving Up Quality Alliance
- Publication year:
- 2013
- Pagination:
- 6
- Place of publication:
- Liverpool
The Driving Up Quality Code for Learning Disability Services has been developed in response to the Winterbourne View programme of action. Although voluntary, the Code's aim is to avoid what happened at Winterbourne View ever happening again. Providers will be asked by umbrella organisations to sign up publicly to the Code. and offer evidence on how they meet, or are working towards meeting the Code. Likewise, commissioners will be also asked to sign up to the Code and commit to actively using the Code through their commissioning processes to improve quality in learning disability services. The Code explains its five main statements which are that: support is focussed o the person; the person is supported to have an ordinary and meaningful life; care and support focuses on people being happy and having a good quality of life; a good culture is important to the organisation; and managers and board members lead and run the organisation well. The Driving Up Quality Code has been developed by members of the Driving Up Quality Alliance: Housing and Support Alliance, English Community Care Association, Voluntary Organisations Disability Group, Sitra, Association for Real Change, National Care Association, National Care Forum, Adults with Learning Disability Services Forum, Shared Lives Plus and the Independent Healthcare Advisory Services. The Code is supported by the Care Quality Commission, the Department of Health, the Association of Directors of Adults Social Services, the Challenging Behaviour Foundation and NHS England. (Original abstract)
Learning disabilities: challenging behaviour: QS101
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2015
- Place of publication:
- London
This quality standard covers the care of children, young people and adults with a learning disability and behaviour that challenges. It is focused on ensuring that assessment leads to personalised care planning and access to meaningful activities. It consists of eight quality statements, aiming to ensure that the approaches used by staff to support people with a learning disability follow the least restrictive practice and promote privacy and dignity. The statements cover: comprehensive health assessment; initial assessment of behaviour that challenges; designated coordinator; personalised daily activities; review of restrictive interventions; use of medication; review of medication; and family and carer support. (Edited publisher abstract)
Squaring the circle?
- Author:
- WILLIAMS Corin
- Journal article citation:
- Community Care, 13.12.07, 2007, pp.34-35.
- Publisher:
- Reed Business Information
The National Care Costing Tool was set up by the Regional Centres of Excellence (RCE), which was created by the Department for Communities and Local Government to help councils deliver more efficient services. This article looks at the potential of the tool to cut costs and improve quality from the perspective of learning disability services.
Six lives: progress report summary: easy read
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 13p.
- Place of publication:
- London
This is an Easy Read summary of the progress report written for the Parliamentary and Health Service Ombudsman and Local Government Ombudsman. The progress report is in response to the recommendations in their 2009 report Six Lives: The Provision of Public Services to People with Learning Disabilities, which investigated the deaths of six people with learning disabilities. It describes the background, and looks at progress in doing what the ombudsmen asked, what was found out, things that are making a difference, and things that people were worried about. It also notes that more work needs to be done to make things better for people with learning disabilities, and summarises what happens next.
Six lives: progress report
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 58p.
- Place of publication:
- London
The Parliamentary and Health Service Ombudsman and Local Government Ombudsman published the Six Lives: The Provision of Public Services to People with Learning Disabilities report in March 2009, which investigated the deaths of six people with learning disabilities. This progress report in response to the recommendations in the Six Lives report was prepared using information and views gathered from a range of service providers, service users and other relevant people and groups. It looks at the Six Lives recommendations, discussing reviewing and reporting, regulatory bodies, and the role of the Department of Health, and what seems to be making a difference and what is causing most concern in terms of impact. It notes that much work has been undertaken to improve care and treatment of people with learning disabilities, but that more needs to be done.
Evaluation of the Healthcare Commission audit of services for people with learning difficulties: quantitative survey report for the Healthcare Commission
- Author:
- OFFICE FOR PUBLIC MANAGEMENT
- Publisher:
- Office for Public Management
- Publication year:
- 2007
- Pagination:
- 20p.
- Place of publication:
- London
A survey was conducted of managers, clinicians, directors and chief executives who had received the Audit’s self-assessment questionnaire and those whose service had subsequently been visited by the one of the Healthcare Commission’s peer review teams. Two hundred and forty two responses were received. Findings showed that only half of respondents made actual changes as a result of the Audit. Those who received a visit as well as a questionnaire were more likely to have implemented changes than those that received a questionnaire alone. The changes implemented and planned were wide ranging including an increase in user involvement, improved staff training and the development of service user plans amongst many others.
The development of the QUALITRA-ID: a user-orientated interview to assess the quality of care and service trajectories for intellectually disabled persons
- Authors:
- BARELDS A., et al
- Journal article citation:
- Journal of Intellectual Disability Research, 54(3), March 2010, pp.224-239.
- Publisher:
- Wiley
This article describes the development, via a pilot study, of the QUALITRA-ID (QUALIty assessment of care and service TRAjectories), a Netherlands based user-orientated interview concerning the quality of care and service trajectories for people with intellectual disabilities (ID). First, the phenomenon ‘care and service trajectories’ is conceptualised on the basis of document analysis and semi-structured interviews with key informants in the field of health care for people with ID. Second, the quality of care and service trajectories is operationalised by means of eight focus group discussions with intellectually disabled people and their parents/relatives, along with a review of the relevant literature. Third, the QUALITRA-ID is constructed using the results of the conceptualisation and operationalisation of the phenomenon. Fourth, the QUALITRA-ID is refined in two stages that were concerned with examining the feasibility, understandability and completeness of the QUALITRA-ID. The second stage was also concerned with the first quality assessment among people with ID. The final result is a 24-item QUALITRA-ID consisting of a personal conversation and a closed-ended part.
Consultation: the care and treatment of people with mental disorder and learning disability (scrutiny, quality improvement and protection) Mental Welfare Commission for Scotland: future structure
- Author:
- SCOTLAND. Scottish Government
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2009
- Pagination:
- 33p.
- Place of publication:
- Edinburgh
This consultation document seeks comments from mental health stakeholders. The consultation paper seeks views in relation to two main issues: the future structure of the Mental Welfare Commission for Scotland (MWCS) in terms of its functions and how it sits within the broader scrutiny and improvement landscape; and the future governance of the MWCS assuming it remains an independent entity. The paper sets out the background to the discussions which have been ongoing over the last 6 months in relation to the future structure and functions of the Mental Welfare Commission for Scotland. It examines the current functions and roles of the MWCS and how those functions are presently performed, the current overlaps and gaps in terms of protective, scrutiny and improvement functions and services relating to mental health, the current governance structure of the MWCS, the broader scrutiny and improvement landscape, the role and functions of two of the new scrutiny bodies being created under the Public Services Reform (Scotland) Bill - Social Care and Social Work Improvement Scotland (SCSWIS) and Healthcare Improvement Scotland (HIS), and the new scrutiny landscape which that Bill creates. The paper also raises a number of questions in relation to the future of protective, scrutiny and improvement functions and services relating to mental health and learning disability, and how the future structure of the MWCS might sit within any such framework. It also separately identifies possible structural options for its future governance.
The commissioning of services and support for people with learning disabilities and complex needs: assessment framework
- Authors:
- COMMISSION FOR SOCIAL CARE INSPECTION, HEALTHCARE COMMISSION, MENTAL HEALTH ACT COMMISSION
- Publisher:
- Commission for Social Care Inspection; Healthcare Commission; Mental Health Act Commission
- Publication year:
- 2008
- Pagination:
- 10p.
- Place of publication:
- London
This document provides an assessment framework for the review of commissioning practices across health and social care for people with learning disabilities and complex needs. Sections in the framework include: putting people at the centre of commissioning; sharing and using information more effectively, assuring high quality providers for all services, and developing incentives for commissioning health and well-being. Note: The Mental Health Act Commission was abolished in March 2009.
National inspection of care and support for people with learning disabilities: overview
- Authors:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES, HEALTHCARE INSPECTORATE WALES
- Publishers:
- Care and Social Services Inspectorate Wales, Healthcare Inspectorate Wales
- Publication year:
- 2016
- Pagination:
- 51
- Place of publication:
- Cardiff
Sets out the findings of the national inspection of quality and safety of care and support for adults with learning disabilities. The inspection includes fieldwork in six local authorities and corresponding health boards; the results of a thematic enquiry into services for people with learning disabilities regulated by CSSIW; and the results of a national data and self-assessment survey undertaken in all 22 local authorities in Wales. Inspectors focused on a number areas including: support for carers; whether local authorities provide information, advice and assistance; and whether or not local authorities have good leadership and governance arrangements. Inspectors from Healthcare Inspectorate Wales (HIW) also looked at the efficacy of the partnership between social services and health. Findings of the report looks at what is working well and areas for improvement under the following themes: understanding need, providing effective care and support, and leading in partnership. The report found that the quality of care and support for many people with learning disabilities depended on the effectiveness of the front line social services and health staff and the assertiveness of relatives. The report makes a number of recommendations, including: that local authorities review their quality assurance arrangements for care and support planning with individuals; for local authorities and health boards to share best practice; and for local authorities and health boards to ensure that the lines of accountability and responsibility in relation to adult safeguarding are clear and understood by staff. (Edited publisher abstract)