Search results for ‘Subject term:"older people"’ Sort:
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Local system review progress report: Stoke-on-Trent
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2019
- Pagination:
- 23
- Place of publication:
- Newcastle upon Tyne
Updates on progress made in Stoke-on-Trent following on local system review in September 2017. The review focused on how older people move between health and social care services, including delayed transfers of care. This progress report shows there has been significant improvement in the health social care system for older people living in Stoke-on-Trent. The report outlines progress against six areas for improvement; leadership and governance; strategy and commissioning; information and data sharing; performance and outcomes; workforce; service improvement. Improvements identified included: improved relationships, more effective communication, and a shared across the system; improvements in the quality of care in the independent social care market and how commissioners worked with providers; and evidence of improved joint planning in relation to winter 2018/19. Suggestions of areas for further improvement included better involvement of the voluntary, community and social enterprise (VCSE) sector in health and social care and better information and data sharing across health and social care organisations. (Edited publisher abstract)
Sheffield: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 52
- Place of publication:
- London
This report is one of 20 targeted local reviews looking at how people move through the health and social care system, with a focus on how services work together for older people. Specifically, it looks at how the local system is functioning within and across three key areas: maintaining the wellbeing of a person in usual place of residence; crisis management; and step down, return to usual place of residence and/ or admission to a new place of residence. The review found there was a system-wide commitment to serving the people of Sheffield, but that system partners had not always worked effectively together. It found that although there had been improvements in information sharing and joint working, social care providers felt they were not meaningfully involved in market shaping or service development. It also found admission avoidance services were under developed and that there was a lack of integration of health and social care. Other findings included that people at risk of deterioration reported not being listened to and experiencing a crisis before they received the support they needed; and that people did not always experience safe discharges to their usual place of residence because of a lack of communication and coordination, adequate assessment and provision of services. The report suggests a number of areas for improvement. These include the need for system leaders to continue to engage with people who use services, families and carers and undertake a review of people’s experiences to target improvements; an evaluation of health and social care professionals’ skills in communication and interaction with people to establish where improvements are needed; and for health and social care to be equal partners in the system transformation programme. (Edited publisher abstract)
Liverpool: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 49
- Place of publication:
- London
This report is one of 20 targeted reviews of local authority areas looking at how people move through the health and social care system, with a focus on how services work together. The reviews look at how hospitals, community health services, GP practices, care homes and homecare agencies work together to provide seamless care for older people living in a local area. The review found that there was a clear strategic direction for health and social care in Liverpool which was focused on the needs of people living in the city and described in the strategy ‘One Liverpool’. However, the review found the experiences of people using health and social care services varied. People were not always seen in the right place, at the right time by the right person; there were inconsistencies in commissioning and provision of services. Other findings were that local people were not actively enabled to participate in service planning and delivery and that people using services and their carers were not always supported to take control in making decisions about their care. Although a neighbourhood model had been developed to bring together primary, community, mental health and social care services, the model was not being implemented with a consistent approach, with GPs not always participating in multidisciplinary meetings. The report makes suggestions of areas for the local system to focus on to secure improvement including: organisational development work to strengthen relationships, improve communication and ensure there is a shared understanding among staff; improve information flows between services, including independent care providers, to facilitate safe and timely discharges from acute hospitals; and develop the personalisation agenda with more people supported to access personal budgets and direct payments. (Edited publisher abstract)
Stoke-on-Trent: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2017
- Pagination:
- 42
- Place of publication:
- Newcastle upon Tyne
One of 20 targeted local system reviews looking specifically at how older people move through the health and social care system, with a focus on how services work together. The review looks at how hospitals, community health services, GP practices, care homes and homecare agencies work together and whether services are safe, effective, caring, responsive and well led. The review found that older people living in Stoke-on-Trent sometimes have poor experiences of care and do not always have access to the right care, in the right place at the right time because the health and social care system, led by Stoke-on-Trent City Council and Stoke-on-Trent Clinical Commissioning Group, is not working in a joined up way that is meeting their needs. The reviewers found that organisations and individuals designing and delivering services in Stoke-on-Trent were not working to an agreed, shared vision and that there was a lack of whole system strategic planning and commissioning with little collaboration. This resulted in people finding it difficult to access GP appointments, older people being delayed in hospital, and needs and care packages in the community not being reviewed as regularly as they should be. The review also identifies areas for improvement. (Edited publisher abstract)
Halton: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2017
- Pagination:
- 35
- Place of publication:
- Newcastle upon Tyne
One of 20 targeted reviews of local authority areas looking specifically at how older people move through the health and social care system, with a focus on how services work together. The review looks at how hospitals, community health services, GP practices, care homes and homecare agencies work together and whether services are safe, effective, caring, responsive and well led. The review found that there was a strong commitment and a shared vision across the local authority and the clinical commissioning group (CCG) to serve the people of Halton well. There was a positive approach in Halton to maintain people’s health and wellbeing in their own homes, with services designed for older people to keep them socially included, active and able to manage their long term conditions. There was good support for carers including those supporting people living with dementia. Halton had also recently introduced new services introduced to avoid hospital admissions, including a rapid seven-day re-ablement service and a rapid clinical assessment team. Transformation projects for care homes and domiciliary care were underway so that people’s individual needs could be met in a timely way. This had led to a reduction in the numbers of delayed transfers of care and improvements in performance. The review also identifies areas for improvement (Edited publisher abstract)
Bracknell Forest: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2017
- Pagination:
- 42
- Place of publication:
- Newcastle upon Tyne
One of 20 targeted local system reviews looking at how older people move through the health and social care system, with a focus on how services work together. The review consideres how hospitals, community health services, GP practices, care homes and homecare agencies work together and whether services are safe, effective, caring, responsive and well led. The review found that the health and social care system in Bracknell Forest was working effectively and using an integrated approach that was having positive outcomes for older people. Most older people were receiving good quality health and social care services in a timely way. Reviewers found evidence of strong strategic leadership between Bracknell Forest Council, Bracknell and Ascot Clinical Commissioning Group and providers, with a well-established, collaborative approach to designing and delivering services. Bracknell Forest service priorities included helping older people avoid unnecessary admissions to hospital, offering older people support to stay well, and improving the capacity of homecare agencies and care homes to manage the recruitment challenges. As a result, there had been reductions the numbers of people remaining in hospital while they waited for their ongoing care to be arranged. Performance had improved and was better than comparator and national averages. The review also identifies areas for improvement. (Edited publisher abstract)
The quality of care services purchased by councils: 2010: technical report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2010
- Pagination:
- 45p.
- Place of publication:
- London
Councils spend nearly £8 billion each year on residential care and home care, which is over 70% of all their expenditure on adult care services. In November 2009, all 152 councils in England provided the Care Quality Commission (CQC) with data on the number of their residents for whom they purchased care in care homes in the period April to September 2009. This report links the data supplied to data on quality ratings for each care home. In addition, the councils reported to CQC in November 2009 on 317,000 adults for whom they had arranged home care with registered agencies in a week in the 6 months to 30 September 2009. The report provides a detailed analysis of the findings of these council returns. The data shows some variation in the quality of services purchased by councils. Councils purchased care for 230,000 adults in care homes. Eighty-six percent of these adults were living in care homes rated good or excellent. The percentage was lower (82%) for those in homes offering nursing care for older people. Ninety-three percent of adults whose home care was arranged or purchased by their council received a service from a home care agency rated good or excellent. Comparisons of the quality of care arranged by councils between September 2008 and September 2009 show that the percentage of people receiving care from services rated good or excellent has improved for both care homes and home care.
Social care in prisons in England and Wales: a thematic report
- Authors:
- CARE QUALITY COMMISSION, HM INSPECTORATE OF PRISONS
- Publisher:
- HM Inspectorate of Prisons
- Publication year:
- 2018
- Pagination:
- 43
- Place of publication:
- London
This joint review looks at the provision of social care in prisons following the introduction of new social care services to prisoners under the Care Act 2014 and the Social Services and Well-Being (Wales) Act 2014. It draws on inspection reports and additional data collection conducted in eight establishments. Although the review identified developments that are good practice in the social care of prisoners, it found a wide variation and disparity in the provision of social care services in prisons. Many older jails are ill-equipped for prisoners in wheelchairs or with mobility problems. Some prisoners also struggle to wash and look after themselves. The report also shows a failure of the prison service and local authorities to plan for the future needs of a growing population of older and frail prisoners, with developments in social care in prisons only relating to current levels of need. The report makes recommendations for prisons and local authorities in relation to strategic planning, needs assessment, care planning, adapting the physical environment, and continuity of care when prisoners are transferred or released into the community. (Edited publisher abstract)