Regulating the quality of health and social care services in England: lessons for Australia: Keynote address at the 2015 Australasian Society for Intellectual Disability National Conference

Behan, David; Beebee, Jonathan; Dodds, Ian

doi:10.1080/23297018.2016.1180260

Cited by 9 publications

(8 citation statements)

References 2 publications

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“…However, CQC inspectors must have experience with the services they inspect. Some inspectors who have professional experience are referred to as “specialist inspectors.” For example, pediatricians, midwives and surgeons (Behan, Beebee, & Dodds, 2016, p. 147). Others have experience as service users, and are referred to as “experts by experience” (Behan et al, 2016, p. 148).…”

Section: Resultsmentioning

confidence: 99%

“…Some inspectors who have professional experience are referred to as “specialist inspectors.” For example, pediatricians, midwives and surgeons (Behan, Beebee, & Dodds, 2016, p. 147). Others have experience as service users, and are referred to as “experts by experience” (Behan et al, 2016, p. 148). ASCOF does not appear to require that council staff possess any particular skills or knowledge in relation to the data collection tasks they perform.…”

Section: Resultsmentioning

confidence: 99%

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Moving on from Quality Assurance: Exploring Systems that Measure both Process and Personal Outcomes in Disability Services

Bigby

Jacinta

2019

Policy Practice Intel Disabi

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Systems that measure service quality in disability organizations commonly review service delivery processes, rather than quality of life outcomes for service users. Disadvantages of measuring processes rather than outcomes are that funders and regulators may fail to identify poor quality support until major crises occur. One solution has been the development of quality systems that combine measuring processes and the personal outcomes of service users, though the efficacy of such systems has not been explored. The aim of this article was to identify quality systems that combine measurement of processes and personal outcomes, and explore the advantages and limitations of these to inform future development of quality assurance systems. The study used an internationally accepted eight domain quality of life framework and a qualitative content analysis to map and evaluate the characteristics of three combined quality systems currently used in the disability sector; the Care Quality Commission framework for community adult social care services, the adult social care outcomes framework and personal outcome measures. The three systems were unbalanced, focusing more on procedure than personal outcomes. None of the systems measured personal outcomes comprehensively against all eight quality of life domains and the rigor applied to such measurement varied markedly. Combined systems have potential to compensate for limitations of systems that measure either processes or outcomes, but could be improved by a greater focus on measuring service user outcomes, including all quality of life domains and use of mixed methods such as interviews and observation of the support people receive.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Moving on from Quality Assurance: Exploring Systems that Measure both Process and Personal Outcomes in Disability Services

Bigby

Jacinta

2019

Policy Practice Intel Disabi

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“…The CQC has full responsibility for assessing the safety and quality of care, across adult health and social care services in England, including all care homes (Behan et al , 2016). They are sponsored by the Department of Health, and accountable to Parliament (National Audit Office, 2017) and have long forecasted that the sustainability of the health and social care sector was “approaching a tipping point”.…”

Section: Background and Contextmentioning

confidence: 99%

“…Walshe (2003) describes the main aims of regulation as assurance, accountability and improvement. The CQC aims to motivate service providers to improve by demonstrating best practice and by highlighting examples of what safe, high-quality care looks like Behan et al (2016), Crick et al (2018) and by compelling providers to undertake minimum standards of training through the enforcement of statutory obligations (Rainbird et al , 2011). The CQC has, at least to some extent, been successful: National Audit Office research has shown that CQC regulation has had a positive impact on the sector, by influencing care providers to make improvements (2017) prior to reinspection.…”

Section: Role Of the Regulatormentioning

confidence: 99%

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

Mongan

Thomas

2021

LHS

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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.

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“…Sweden provides a comparable system, where the quality control of services for the general public is undertaken by the Inspektionen för vård och omsorg (IVO), which was established for the quality control, research, and oversight of the health and welfare services. Sweden's IVO, like the SSIS in South Korea, provides evaluation criteria for the social services, conducts assessments for quality control, and applies measures for evaluating results (18)(19)(20).…”

Section: Introductionmentioning

confidence: 99%

Quality of Community-based Care Services in Korea

Yoon

In-Soo

Lee

et al. 2020

Preprint

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Background Aging societies are increasing the need for care services. In order to solve the problem of care, we suggest community care, and through this, we will provide medical services that meet individual needs. Korea provides care services in advance of the community care project and implements quality control to improve the quality of these social services. Therefore, this study aims is to intend to compare and analyze the factors affecting user satisfaction in care services in both 2013 and 2016. Methods We used quantified secondary data based on social services performed analysis reports. Based on the evaluation indexes for care service in 2013 and 2016, we used commonly used indexes for analysis. Results As a result, there was a difference between care services quality evaluation (QE) indexes by profit type, and care services evaluation indexes had an effect on user satisfaction. In addition, the change rate in the care service evaluation scores affects the change rate in user satisfaction Conclusions Therefore, in order to increase satisfaction with care service, evaluation indexes by service type should be diversified and differentiated. In addition, it should be composed of field evaluations related to user satisfaction to provide care services appropriate for local characteristics.

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Regulating the quality of health and social care services in England: lessons for Australia: Keynote address at the 2015 Australasian Society for Intellectual Disability National Conference

Cited by 9 publications

References 2 publications

Moving on from Quality Assurance: Exploring Systems that Measure both Process and Personal Outcomes in Disability Services

Moving on from Quality Assurance: Exploring Systems that Measure both Process and Personal Outcomes in Disability Services

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

Quality of Community-based Care Services in Korea

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