Search results for ‘Subject term:"older people"’ Sort:
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Local system review: progress report: York
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2019
- Pagination:
- 25
- Place of publication:
- Newcastle upon Tyne
An update on progress made since a local system review of health and social care was carried out in York in November 2017. The original review looked specifically at how older people move through the health and social care system, with a focus on how hospitals, community health services, GP practices, care homes and homecare agencies work together. The progress review, carried out in November 2018 found some improvements in services for older people in York. This report identifies progress and impact made against key areas for improvement across the following themes: governance and alignment with the STP; relationships; joint commissioning; managing social care capacity; communicating with people who use services; the high-impact change model and multi-disciplinary working; medicines management; continuing healthcare; and digital interoperability. It found improved relationships between system leaders, with evidence of stronger partnership working at operational level, a focus on implementing high impact changes for managing transfers of care, and increased evidence of disciplinary working around individual people’s needs. The review found that engagement with independent care providers had also improved. (Edited publisher abstract)
A different ending: addressing inequalities in end of life care: people with dementia
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2016
- Pagination:
- 4
- Place of publication:
- Newcastle upon Tyne
This document outlines the experience of people with dementia of barriers to good end of life care. The report is one of a suite of documents reporting on the Care Quality Commission end of life care thematic review, and is designed to be read in conjunction with the other documents. The review supports existing evidence that there are a number of barriers that prevent people with dementia receiving good end of life care, including lack of identification and planning, unequal access to care, and poor quality of care. The Care Quality Commission encourages health professionals, including GPs, to facilitate early conversations with people with dementia and those who are important to them about their wishes and choices for end of life care, and help them to contribute to an advance care plan wherever possible; commissioners and providers to make sure that staff have the training and support they need to care for people with dementia who are approaching the end of life, and to understand and implement the requirements of the Mental Capacity Act 2005; and hospices to consider to what extent they are meeting the end of life care needs of people with dementia, and take action where required in line with our definition of good end of life care in hospice services. (Edited publisher abstract)
Local system review progress report: Oxfordshire
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2019
- Pagination:
- 21
- Place of publication:
- Newcastle upon Tyne
An update on progress made in Oxfordshire since a local system review of health and social care was carried out in November 2017. The original review looked specifically at how older people move through the health and social care system, with a focus on how hospitals, community health services, GP practices, care homes and homecare agencies work together. This report identifies progress against Oxfordshire’s action plan, grouped into the following themes: strategic approach to meeting the needs of older people; culture and collaboration; winter planning; market shaping; workforce; review of pathways, points of access and services; housing– equipment and adaptations; carers; and people who fund their own care. It found that, since the initial review: system leaders had made progress to reset the culture of their organisations and develop relationships; there were examples cross-system relationships had improved outcomes for people, for example in reduction in the numbers of people who remained in hospital unnecessarily; and evidence of improved winter planning. The progress report also identifies areas requiring continued improvement, which include greater involvement of the voluntary sector, development of advice and brokerage services for self-funders, and development of the ‘discharge to assess model’. (Edited publisher abstract)
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)
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)
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)
City of York: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2017
- Pagination:
- 45
- Place of publication:
- Newcastle upon Tyne
This report is one of 20 targeted local system reviews looking specifically at how people move through the health and social care system, with a focus on how services work together. The review found that there had previously been a lack of trust among the system leaders – including the City of York Council and the Vale of York Clinical Commissioning Group - that had held back the closer integration of services. In the past 12 months, this had improved. Although there was now willingness for further collaboration at a high level, frontline health and social care services were still working in isolation from each other. Different organisations provided similar services, causing confusion for staff and the public. Some of CQC’s other findings included: people using services were not always receiving the care they needed in the right place - there were delays for people waiting to be discharged from hospital, often due to a lack of seven day services in the local area; care homes were reluctant to accept people who needed to be discharged at the weekend because of past incidents where people had been discharged with no medication or discharge summaries; older people’s transfer home or to a new place of residence was often delayed due to a lack of adult social care provision, care packages and patient choice; reablement services were not always effective – a high proportion of people who received a reablement package still required long term support or further reablement; there was no single shared case record within the City of York system – there was a poor history of sharing data and business intelligence across organisations in the system which meant that people often had to repeat their story as they moved between services. (Edited publisher abstract)
Helping people choose adult social care in England: consumer survey findings
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 10
- Place of publication:
- Newcastle upon Tyne
Reports on the results of a survey to explore people’s experiences when choosing a care home for either themselves or for a loved one. The survey sought views from over 1,000 adults who had been responsible for making a decision about a care home in England in the last three years. Survey questions covered how stressful they found the decision, what influenced their decision most, whether they were aware of the care home's Care Quality Commission (CQC) rating, and the most important factor when choosing a care home. Of those surveyed, 70 per cent stated that visiting the care home influenced them most when choosing a home, with 65 per cent having read the CQC report for the care home before making their decision. (Edited publisher abstract)
Local system reviews: interim report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2017
- Pagination:
- 26
- Place of publication:
- Newcastle upon Tyne
Interim report summarising key findings from six local system reviews, carried out to examine how health and adult social care work together. The report looks at the planning, commissioning and delivery of health and social care services across the areas of: system leadership; maintaining the wellbeing of a person in their usual place of residence; care and support when people experience a crisis; and step down services, return to usual place of residence and/or admission to new place of residence. Based on the first six reviews, the findings show a strong commitment from organisations and staff working across health and social care services to provide seamless services for older people needing care and support. However there are still too many examples where care is fragmented and people are often uncertain about who is coordinating their care. The report identifies three themes that could act as a barrier to integration: how providers and commissioners work together; capacity, market supply and workforce issues; and, the need to look beyond delayed transfers of care in isolation to resolve the problems that local systems are facing. It also highlights areas for priority action and emerging themes that should be address at a national level. (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)