Kathy Fodey Director of Regulation & Nursing Regulation and Quality Improvement Authority.

Kathy FodeyDirector of Regulation & Nursing

Regulation and Quality Improvement Authority

THREE KEY QUESTIONS THE REGULATOR WILL ASK

WHAT WE DO

The Role of RQIA

Registered Establishments and Agencies

HOW DO WE GATHER INFORMATION

C7

• Against regulations and standards

• Speak to service users, cares, families, staff

• Professional judgement

HSC Trusts, HSC Board, PHA, DHSSPS, PCC, COPNI,

Joint Protocol

Incidents, complaints, duty calls, whistleblowing

Publish reports and reviews, develop guidance

Pre-Inspection: What do we know?

RQIA Inspections

• Review of previous

requirements/recommendations

• Interviews with patients, staff, relatives

• Assessment of care needs

• Assessment against standards /themes

• Review of care and management records

• Observations• environment• culture/ambience • staffing/patient interactions• routines

Whistleblowing

• A notable increase in whistleblowing to RQIA

• The winterbourne affect• Guidance available on RQIA website • May lead to safeguarding investigations• Increased inspection monitoring activity • Improvements to safety and quality of care

Cherry Tree House: Recommendations

HOW DO WE PROTECT AND DRIVE IMPROVEMENT

Number of recommendation and requirements by service category

Post-2012: Current Enforcement Activity

www.rqia.org.uk/inspections/enforcement_activity.cfm

urrent Enforcement Activity

Why we use enforcement

Service and Provider name

Copy of notice

Date of issue, compliance required

Link to previous enforcement action

Summary of issues

Explanations of types of enforcement

Link to inspection reports

REGULATION BREACHES 2014-15

Domiciliary Care Agencies

• Reg. 15:Provision of services x 4• Reg. 13:Fitness of workers x 4• Reg. 21:Records x 3

Plus 6 other regulations x 1 each

Dental Practices

• Reg. 15: Quality of treatment – relating to decontamination x 5

Nursing Homes

• Reg. 14:Further requirements for health and welfare x 6 (choice, hazards, risk, training)

• Reg. 18:Facilities and services x 5 • Reg. 13:Health and welfare x 5 (infection

prevention, privacy & dignity, medicines management)

• Reg. 20:Staffing x 4Plus 8 other regulations x 16 times in total

Residential Care Homes

• Reg. 13:Health and welfare x 3 • Reg. 12:Quality of service x1 • Reg. 15:Assessment of residents• Reg. 21:fitness of workers x 1

Plus 2 other regulations x 1 each

WHAT MORE CAN WE DO

A need to move from being heard to being listened to…

• To hear = to be capable of perceiving sound

• To listen = to pay attention to what is being said

We won’t reinvent the wheel …We won’t reinvent the wheel …

… … but we may improve it!but we may improve it!

Three key questions

•Is care safe•Is care effective•Is care compassionate

New inspection focusNew inspection focus