Do not resuscitate this unlawful policy

2021 ◽  
Vol 23 (5) ◽  
pp. 1-4
Author(s):  
John Finch
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Care Home ◽  
Care Quality ◽  
Final Report ◽  
Do Not Resuscitate ◽  
The Public ◽  
Public Inquiry ◽  
Care Quality Commission

The public inquiry into the unlawful application of ‘do not attempt cardiopulmonary resuscitation’ notices to care home residents with COVID-19 fell to the Care Quality Commission, despite the criminal nature of these decisions. The regulator's final report ignores the fundamental questions of this issue. John Finch elaborates.

Do not attempt resuscitation decisions during the COVID-19 pandemic

2021 ◽  
Vol 30 (9) ◽  
pp. 562-563
Author(s):  
Alan Glasper
Keyword(s):  
Care Quality ◽  
Emeritus Professor ◽  
Do Not Resuscitate ◽  
Care Quality Commission ◽  
Do Not Resuscitate Orders ◽  
The University

Emeritus Professor Alan Glasper, from the University of Southampton, discusses concerns raised by the Care Quality Commission about the imposition of do not resuscitate orders on some patients during the pandemic

Care Quality Commission slams blanket ‘do not attempt cardiopulmonary resuscitation’ decisions during the pandemic

2021 ◽  
Vol 15 (4) ◽  
pp. 196-200
Author(s):  
Alan Glasper
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Care Quality ◽  
Emeritus Professor ◽  
Care Quality Commission ◽  
The University

Emeritus Professor Alan Glasper from the University of Southampton examines why the Care Quality Commission (CQC) has raised serious concerns relating to the use of ‘do not attempt cardiopulmonary resuscitation’ (DNACPR) orders throughout the ongoing Covid-19 pandemic.

scholarly journals Interview with Judge Kate O'Regan

2015 ◽  
Author(s):  
Elrena Van der Spuy
Keyword(s):  
South African ◽  
Final Report ◽  
Constitutional Court ◽  
Western Cape ◽  
Police Leadership ◽  
The Public ◽  
Safe Spaces ◽  
Public Inquiry ◽  
Commissions Of Inquiry ◽  
Inside Out

In August 2012 Kate O'Regan, a former judge of the South African Constitutional Court, was appointed by the premier of the Western Cape to head the Commission of Inquiry into Allegations of Police Inefficiency and a Breakdown in Relations between SAPS and the Community in Khayelitsha. Two years later, on 25 August 2014, the commission submitted its final report and recommendations. In this exchange O'Regan reflects from the inside out on some aspects of the public inquiry into policing in Khayelitsha. Here one finds reference to judicial independence and organisational autonomy of commissions of inquiry; the value of comparative lesson drawing for process design; the importance of creating safe spaces for all participants; and honouring the contributions of participants. Policing, O'Regan concludes, is a truly challenging enterprise. Both political and police leadership carry a moral responsibility to engage systemic and other challenges as identified in both of the Marikana and Khayelitsha reports. Not to do so would imply the abdication of responsibility to address the safety and security concerns of South African citizens.

scholarly journals Monitoring work well-being, job confidence and care provided by care home staff using a self-report survey

2019 ◽  
Vol 8 (2) ◽  
pp. e000621 ◽  
Author(s):  
Tim Benson ◽  
Joe Sladen ◽  
Jessamy Done ◽  
Clive Bowman
Keyword(s):  
Care Home ◽  
Well Being ◽  
Care Quality ◽  
Self Report ◽  
Care Homes ◽  
Quality Outcomes ◽  
Staff Morale ◽  
Care Home Staff ◽  
East Midlands ◽  
Care Quality Commission

Background and methodIn care homes, staff well-being, job confidence and opinion of the care provided to residents are central to morale and care quality. In this study, care home staff in the East Midlands region of England completed self-reported outcome and experience surveys in two rounds. Mean scores for each home are shown using a scale from 0 (all chose lowest option) to 100 (all chose highest option). High scores are good.ResultsIn round 1, 332 staff in 15 homes submitted responses; in round 2, 207 staff in 9 homes. Mean scores in round 1 and round 2 were similar, although those of some homes scores differed significantly, cancelling each other out. Overall, Work Wellbeing mean score was 83 (care home range 48–97), with worthwhileness (92) the highest ranked item and anxiety at work (78) the lowest. Job Confidence mean score was 84 (range 59–94), with able to manage the work (86) highest and involvement in decisions that affect staff (79) lowest. Care Provided mean score was 86 (range 59–97), with treat people kindly (91) highest and well organised (80) lowest. Homes rated as outstanding by the Care Quality Commission had higher scores on average than those rated good, which were higher than those rated as needing improvement.ConclusionsThis study has demonstrated the practicality of measuring staff views of their Work Wellbeing, Job Confidence and Care Provided in care homes. Rather than wait for adverse quality outcomes to be detected, this approach offers a way to track staff morale and declared capability over time.

Performance and Quality Indicators: The Importance of Accurate Coding

2012 ◽  
Vol 94 (2) ◽  
pp. 46-50 ◽  
Author(s):  
AJ Cockbain ◽  
M Carolan ◽  
D Berridge ◽  
GJ Toogood
Keyword(s):  
Quality Of Care ◽  
Mortality Rates ◽  
Care Quality ◽  
Third Party ◽  
The Public ◽  
Department Of Health ◽  
Care Quality Commission ◽  
The Media ◽  
Standardised Mortality Ratios

Since the seminal work of Jarman et al in 1999, standardised mortality ratios have been published for all English hospitals in the NHS. These have been widely digested by the media, clinicians, managers and the public alike, with differences in mortality rates taken to represent variation in the overall quality of care provided by institutions. The appetite for comparative data has continued and a wealth of performance data is now made publicly available, be it from the department of Health, the Care Quality Commission, professional bodies maintaining their own specialty registries or from third-party agencies such as dr Foster.

Safeguarding the public by regulating health and social care professionals: lessons from Mid-Staffordshire and the Law Commission review

2014 ◽  
Vol 16 (1) ◽  
pp. 52-59 ◽  
Author(s):  
Tim Spencer-Lane
Keyword(s):  
Social Care ◽  
Final Report ◽  
Professional Regulation ◽  
Content Type ◽  
The Public ◽  
Social Care Professional ◽  
Government Response ◽  
Public Inquiry ◽  
Health And Social Care ◽  
The Law

Purpose – The purpose of this paper is to consider the final report of the Mid Staffordshire NHS Foundation Trust Public Inquiry and the Law Commissions’ review of health and social care professional regulation – and how these will impact on the professional regulation bodies. Design/methodology/approach – Summary and discussion of the relevant recommendations made by the Mid Staffordshire NHS Foundation Trust Public Inquiry and the initial Government response, and consultation responses to the Law Commissions’ provisional proposals for law reform of health and social care professional regulation. Findings – Future legislation is likely to be based on the recommendations of the Mid Staffordshire NHS Foundation Trust Public Inquiry and the Law Commissions. Originality/value – Overview of the Mid Staffordshire NHS Foundation Trust Public Inquiry and the initial Government response, and consultation responses to the Law Commissions.

PP18 Ambulance attendance at diabetes or diabetes-related emergencies in care homes – cross sectional database study

2019 ◽  
Vol 36 (10) ◽  
pp. e8.3-e9
Author(s):  
A Niroshan Siriwardena ◽  
Graham Law ◽  
Murray D Smith ◽  
Mohammad Iqbal ◽  
Viet-Hai Phung ◽  
...  
Keyword(s):  
Cost Model ◽  
Care Home ◽  
Care Quality ◽  
Care Homes ◽  
Physiological Status ◽  
Cross Sectional ◽  
East Midlands ◽  
Patients With Diabetes ◽  
Care Quality Commission ◽  
Ambulance Attendance

BackgroundDiabetes, which affects over 1 in 5 nursing or care home residents, may lead to diabetes-related emergencies with ambulance call-outs and hospitalisation. Our aim was to investigate the epidemiology of diabetes-related emergencies in care home residents which involved an ambulance attendance.MethodsWe used a cross-sectional design to investigate emergency ambulance attendances to people in nursing and residential care homes presenting with diabetes-related emergencies across the East Midlands between January 2012 and December 2017. We used clinical and dispatch data from East Midlands Ambulance Service NHS Trust (EMAS) and care home data from the Care Quality Commission, including call category, timing, location, place of residence, clinical or physiological status, treatments, outcome (conveyance) and costs in the analysis.ResultsOverall 219722 (6.7% of 3.3 million) attendances were to care home residents of which 12080 were for diabetes-related emergencies. Of 3152 care home patients categorised as having a ‘diabetic problem’ 1,957 (62.1%) were conveyed to hospital. This was not significantly different to the rate for other patients, taking into account other factors, despite access to trained staff in care homes. Statistically significant factors associated with conveyance included reduced consciousness level (OR 0.91, 95% CI 0.87–0.95), elevated heart (1.01, 1.01–1.02) or respiratory rate (1.08, 1.06–1.10), no treatment for hypoglycaemia (0.54, 0.34–0.86) or additional co-morbid medical (but not psychiatric) problems. Cost to EMAS was significantly lower when a patient was conveyed, by some £18 (95% CI £11.94–£24.12), but this would not outweigh downstream NHS costs arising from hospital care. For the simulation in which all trusts mean NHS Reference Costs were used, conveyance was no longer significant in the cost model.ConclusionConveyance to hospital was common for care home patients with diabetes-related emergencies and more likely when conscious level was impaired, certain physiological measures abnormal or treatment for hypoglycaemia was not given.

scholarly journals Handovers in care homes for older people – their type, timing and usefulness. Findings from a scoping review

2017 ◽  
Vol 39 (4) ◽  
pp. 851-871 ◽  
Author(s):  
JO MORIARTY ◽  
VALERIE LIPMAN ◽  
CAROLINE NORRIE ◽  
REKHA ELASWARAPU ◽  
JILL MANTHORPE
Keyword(s):  
Older People ◽  
Scoping Review ◽  
English Language ◽  
Care Home ◽  
Good Practice ◽  
Care Quality ◽  
Care Homes ◽  
Regulatory Body ◽  
Health And Social Care ◽  
Care Quality Commission

ABSTRACTThere is a considerable body of literature on the importance of effective shift handovers in hospitals and other health-care settings but less is known about the transfer of information between staff starting and completing stints of paid work in care homes. In the first of two articles considering this under-explored topic, we report findings from a scoping review examining what is known about shift-to-shift handovers in care homes for older people and their equivalents. It is based on systematic searches of electronic databases of English-language journals on ageing and internet searches for material published between January 2005 and October 2016. Guidance from the regulatory body for health and social care in England, the Care Quality Commission, highlights the importance of handovers in care homes but the degree to which they are embedded into care home routines appears to be variable, influenced by factors such as workplace culture, shift patterns and the extent to which they involve all those on duty or just those with professional qualifications. Staffing shortages and whether or not members of staff are paid for their time attending handovers appear to be further constraints on their use. We conclude that there is considerable scope for further research in this field to identify and develop good practice.

Understanding good leadership in the context of English care home inspection reports

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ceara Mongan ◽  
Will Thomas
Keyword(s):  
Consumer Choice ◽  
Qualitative Content Analysis ◽  
Care Home ◽  
Care Quality ◽  
Small Scale ◽  
Discussion Section ◽  
Content Type ◽  
Care Quality Commission ◽  
Management Capabilities

Purpose As part of their inspection of care homes in England, the statutory inspector (the Care Quality Commission [CQC]) makes a judgement on the quality of the home’s leadership. Their view is critical as it is intended to inform consumer choice and because the statutory nature of inspection means these views hold considerable authority. The purpose of this paper is to look at the content of a selection of reports and seek to determine what the CQC understands by the concept of “good leadership”. Design/methodology/approach A purposive sample of recent CQC inspection reports was selected and subjected to a qualitative content analysis. Inspections are structured around five main questions. The resulting themes describe areas of focus within the section of reports that feature the question “Are they well-led?”. Findings Inspection reports were found to focus on four main themes: safety and quality of care; day-to-day management of staff; governance and training in the home; and integration and partnership working. In the discussion section, the authors reflect on these themes and suggest that the CQC’s view of leadership is rather limited. In particular, while an emphasis is placed within the literature and policy on the importance of leadership in delivering change and quality improvement, little attention is paid to this within the leadership section of inspection reports. Research limitations/implications The authors’ research is based on a small-scale sample of inspection reports; nevertheless, it suggests a number of avenues for further research into the way in which leadership and management capabilities are developed and monitored in the sector. Originality/value The analysis in this report offers a view of how the inspection regime implements its own guidance and how it assesses leadership. The reports, as public-facing documents, are artefacts of the inspection regime and critical not just as evidence of the practice of inspection but as influence on care home operations and the choices of care home residents and their families.

CQC and GDC: a practitioner’s nightmare? How did we get here?

2011 ◽  
Vol 2 (2) ◽  
pp. 53-58 ◽  
Author(s):  
Sue Boynton ◽  
Stephen Henderson
Keyword(s):  
Care Quality ◽  
Dental Services ◽  
The Public ◽  
Care Quality Commission ◽  
Dental Practices ◽  
Healthcare Professions ◽  
Dental Profession

The dental profession is anticipating the arrival of the Care Quality Commission (CQC) which will regulate the delivery of dental services from 1 April 2011. This article reflects upon the perceived failure of the healthcare professions to justify the trust that the public placed in them, and describes the reasons behind how the CQC came to regulate dental practices.

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