Introduction Of The Care Quality Commission Social Work Essay

Introduction Of The take woodland bearing embracey Work EssayThe introduction of the compassionate Quality focus arguably fixesthat which was not broken. Editorial The Trials of Marriage, The Guardian, Wednesday 1st April2009.The CQC came into existence on 1st April 2009. cope the intended image of the CQC and evaluate this disceptation in light of the experiencesof the maiden full stratum of the CQCs existence.We need to see tougher activity by the center oning on unfortunate go outrs. The commission groundwork impose or deepen conditions where older people may be at endangerment. It can vitiate the accommodation if that is the only way to ensure safety. Areas highlighted as needing urgent caution include record-keeping, medication, trade plans and staff supervision.Operating as from April 1st 2009 the Care Quality Commission (CQC) takes over from the utilise of goods and work of the originator Commission for accessible Care Inspection (CSCI) as the acc ommodation and regulating body for friendly cautiousness in England, as hygienic as performing the functions of the former wellness negociate Commission and the rational wellness crook Commission. The CQC gestates solely wellness and bragging(a) cordial portion out suppliers to bear witness their regulated activities. Regulated activities that require registration are declared in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2009, Pt II, s 3(1). The intended role of the CQC is to make the popular standard of boot best, however concerns pass on been raised about the poor quality of wellness handle for the elderly as almost maven quarter of homes for older people provide inadequate take. The CQC has done a lot of juggling in its number one year of existence which confirms the statement that it arguably fixes that which was not broken. First, its staff impart had to create an organisation from the unionure of the Commission for Social Ca re Inspection, the Healthcare Commission and the Mental Health Act Commission. In addition, it has had to continue its predecessors functions in assessing adult social care provision, evaluating health service and monitor the treatment of detained mental health patients.thither are several health care regulators namely the Care Quality Commission (CQG), the Health Protection assurance (HPA), the Human T case dominance (HTA), the Medicines and Healthcare products Regulatory Agency (MHRA), the Medical Research Council (MRC), the National install for Health and Clinical Excellence (NICE) and the National Patient Safety Agency (NPSA). The CQG regulates all the health and adult social care in England and as well as protects the interests of those detained chthonic the Mental Health Act. The most recently devised health care regulator is the CQC which seems to be an attempt at encompassing the role and functions of the otherwise bodies.The CQC has made proposals for its approach to the assessments of quality in 2010/2011 for all institutions in England that provide healthcare and adult social care services, and for the National Health proceeds ( grossly referred to as the NHS) and local authority organisations that commission those services. The proposals were set up in accordance with the Heath and Social Care Act 2008. From April 1st 2009 all organisations that are providers of healthcare and adult social care services in England leave alone be required to be registered by October 1st 2010 with the CQC as verbalize by the Heath and Social Care Act 2008. adaptation is not just about the initial registration. only includes initial registration, monitoring and assessment of ongoing compliance, inspection and implementation. The CQC has to infratake registration activities as well as to perform periodic re put one overs, and picky reviews and studies and to publish information on its findings.A untried legal framework has been created to facilitate the saucily regulation formation that is the Health and Social Care Act 2008 (Registration Requirement Regulations 2009). The Health and Social Care Act 2008 gives the CQC extended powers. It can issue enforcement notices, take back provider bodies rights to provide services entirely or can issue certain conditions of service/registration if it decides it is necessary to do so. Its enforcement options range from pip-squeak to very serious sanctions depending on the service affected degree of risk or service disruption. However the CQC stresses it wants the regulatory system to drive and agree the healthcare and adult social services organisations to improve and raise standards and to be based on fairness and transparency.On its official website the NHS describes the intended role of the CQC a regulator which makes sure that the voices of people who subprogram health and adult social care services are heard by petition people to share their experiences of care services. It makes su re that utilisationrs views are at the heart of its reports and reviews. In some cases patients and their carerswork alongside inspectors to provide a exploiters view of services. The reality and whether the CQC has successfully achieved the goals the NHS mentioned is arguable.The CQC is responsible to make sure that essential common standards of quality are met everywhere health care is provided, from hospitals to private care homes and work towards improving health care services. The Commission promotes the rights and interests of people who use services and have a wide range of enforcement powers to take action on their behalf if services are unacceptably below standards The CQC brought together (for the first time) independent regulation of health, mental health and adult social care. onward April 1st 2009, these tasks were carried out by the Healthcare Commission, the Mental Health Act Commission and the Commission for Social Care Inspection. The aim of the CQC is to ensure that better care is provided for everyone wherever it is provided. The Commission has greater powers and responsibilities to use and take key out of peoples views and experiences of services, and this includes show up from overview and scrutiny committees. In June 2009, a Statement of Involvement was published setting out the Commissions approach to involving people in their mission.Overview and scrutiny committees workings on health issues have been an important source of evidence of peoples views and experiences of health services for the Healthcare Commission. The Commission wants to build on this relationship and to get on committees to develop an ongoing dialogue with them. Scrutiny committees have a rudimentary role in bringing together and articulating the views of local people who use health and social care services in their area, and to check whether their postulate and concerns are being addressed by service commissioners and providers. In some ways, scrutiny commi ttees operate like a local regulator, holding services to account.During its first year the CQC has faced some challenges which sheds a doubt of whether the Commission has really indomitable a prevailing issue or has fixed that which was not broken. The CQC has had to proceed with the roles carried out by its predecessors as stated in the Health and Social Care Bill, Part II. The CQC has in addition introduced a innovative registration system for health and social care providers in face which is the first time the NHS has been regulated in that manner. The new core standards obligate by the CQC will replace the regulations and relative National Minimum Standards low the Care Standards Act 2000 which will be void as from family line 30th 2010. The regulations introduced by the CQC will apply from October 1st 2010 (the date when the providers must(prenominal) be registered in the new system). Under the new system introduced by the CQC, instead of being individually registered for each service, providers will have to register according to their respective regulated activity.In September 2009, the CQC had to face a serious allegation about manipulating survey findings. The passing of the Development for Mental Health, Louis Appleby, accused the CQC of trying to attract the medias attention by portraying a distorted flattering image of the Commissions work hence undermining the intended role of the CQC which is to be factual and balanced and inform the public and patients. Professor Appleby expressed his concerns about the poor performance of the CQC which the Commission did not welcome.In celestial latitude 2009, Colin Angel, the head of policy and communication United Kingdom householdcare Association and the Registered treat Home Association criticised the Commissions failure to communicate effectively over the system of registration We are extremely disappointed about the handling of the registration process. We fear that CQC isnt adequately prepar ed for the enormous communication exercise go about them. Colin Angel also identified the fact that the CQC was missing the opportunity to use the extensive technical knowledge available from providers representative bodies which the Registered Nursing Home Association chief executive Frank Ursell ap be.Some service providers have expressed their concerns about the fact that the Commission might have embarked on a mission which was too extensive and challenging to them as stated by the joint chair of the Association of Directors of Adult Social work standards and resources network It has been stretched at senior management level and weve had quite shortsighted notice of a number of initiatives. Its been a bit hand-to-mouth in terms of its ability to make decisions.She points to the fact that final guidance on how councils were to be assessed in 2009-10 was only published three-quarters of the way through the year.Colin Angel, head of policy and communication at the UKHCA, says Th e CQC has lost valuable time restructuring, departure insufficient time for over 24,000 social care providers to adapt to new standards before they are required to re-register.But Amanda Sherlock, head of operations at the CQC, says it has been an outstanding achievement to pull together the three commissions, deliver demarcation as usual as well as bring in a new regulatory model, while building a new organisation.She says that some things could have gone better, saying that the CQC has worked on how it handles national announcements, so councils and other bodies face no surprises when these happen.Norman acknowledges the CQC has sh birth itself willing to listen and original the concerns that weve had.On provider registration, Sherlock says We are keen to hear how we can do things better and how we can tailor our approach and communication. She says the CQC has an absolute focus on making sure providers are clear what is expected amid April and October when they must register. National Care Forum executive music director stilbesterol Kelly says for its part the provider sector needs to work with the CQC to ensure registration succeeds.Sherlock admits the CQC has put a lot of time into organisational development but says this has paid off in establishing an organisation that has an absolute commitment to drive up quality and safety across health and social care without defining any sector as special.A year ago, many in social care, including former CSCI chair Dame Denise Platt, feared the health services high political and public profile would make it special.And since Johnstones departure close autumn, there has been no one with a social care flat coat on CQCs executive team below chief executive Cynthia Bower, who left wing social services in 1995.Sherlock insists such fears have proved unfounded, but says the CQC has been helped by adult cares rising profile.Sherlock, who worked for the CSCI and its predecessor, the National Care Standards Commiss ion, points to her own centrality to CQCs strategic direction, despite not being on the executive team. She also reveals that the CQC will soon appoint a national social care adviser, to provide external challenge and strengthen links with the sector.Kelly says the issue of social cares priority has gone better than I would have predicted 12 months ago.Concerns have also been raised that the CQC would not maintain the CSCIs focus on user involvement. Sue Bott, director of the National Centre for Independent Living, which provides users to act as experts by experience on inspection teams, says involvement is nowhere confining as prevalent as it was in the CSCI.The CQC produced a statement on user involvement last June, pledging to conduct surveys and set up consultatory panels.Sherlock agrees there is more to do but says the statement has been implement and the CQCs user involvement team, led by Frances Hasler, who performed the same role for the CSCI, actively challenges all parts of the organisation.One of the key objectives of the CQC is to support the integration of health and social care. Kelly says he has not seen a great deal of evidence as yet of progress on this front. But Sherlock points to the special reviews that the CQC has been doing on issues that cross the divide, including the quality of healthcare for care home residents, which she says will identify good practice and any gaps.These will report in 2010-11, alongside the roll out of registration for adult care providers and a reformed performance assessment for councils. It will be another in use(p) year.ONE YEAR OF THE CQCApril 2009The Care Quality Commission starts work. Outgoing Commission for Social Care Inspection chair Dame Denise Platt raises concerns over its capability to sufficiently prioritise social care and involve service users. may 2009Former Association of Directors of Adults Social Services standards lead David Johnstone appointed director of operations at the CQC. He leaves the organisation after only a few months.June 2009Statement on service user involvement published. The CQC announces serial of special reviews for 2009-10, including of healthcare needs of care home residents and impact of receding on services.July 2009The CQC says NHS trusts are failing to comply with child protection requirements in areas such as staff training in report sparked by Baby Peter case.September 2009DH mental health director Louis Appleby says the CQCHYPERLINK http//www.communitycare.co.uk/Articles/2009/09/29/112717/appleby-accuses-care-quality-commission-of-seeking-headlines.htmHYPERLINK http//www.communitycare.co.uk/Articles/2009/09/29/112717/appleby-accuses-care-quality-commission-of-seeking-headlines.htms portrayal of results of an in-patient survey was HYPERLINK http//www.communitycare.co.uk/Articles/2009/09/29/112717/appleby-accuses-care-quality-commission-of-seeking-headlines.htmHYPERLINK http//www.communitycare.co.uk/Articles/2009/09/29/112717/appleby-accuse s-care-quality-commission-of-seeking-headlines.htmdeliberately distortingHYPERLINK http//www.communitycare.co.uk/Articles/2009/09/29/112717/appleby-accuses-care-quality-commission-of-seeking-headlines.htm and exclusively highlighted negative findings. The CQC says many survey results were poor.October 2009The CQC publishes draft standards for health and social care providers, and holds meeting with mental health leaders over its presentation of the results of its in-patient survey. declination 2009Adass criticises the CQC for its treatment of eight councils labelled HYPERLINK http//www.communitycare.co.uk/Articles/2009/12/04/113366/adasss-owen-attacks-cqc-over-treatment-of-eight-councils.htmHYPERLINK http//www.communitycare.co.uk/Articles/2009/12/04/113366/adasss-owen-attacks-cqc-over-treatment-of-eight-councils.htmpriority for improvementHYPERLINK http//www.communitycare.co.uk/Articles/2009/12/04/113366/adasss-owen-attacks-cqc-over-treatment-of-eight-councils.htmHYPERLINK http//ww w.communitycare.co.uk/Articles/2009/12/04/113366/adasss-owen-attacks-cqc-over-treatment-of-eight-councils.htm following annual performance assessment (APA). Councils improve for seventh year running.February 2010The CQC says 2bn could be saved a year from reduced hospital admissions if joint working improves between health and social care in first HYPERLINK http//www.communitycare.co.uk/Articles/2010/02/10/113768/cqc-health-and-socal-care-integration-can-save-2bn-a-year.htmState of CareHYPERLINK http//www.communitycare.co.uk/Articles/2010/02/10/113768/cqc-health-and-socal-care-integration-can-save-2bn-a-year.htm report. It promises 2010-11 APA for councils will be tougher.March 2010Care provider bodies slam the CQC for an alleged lack of communication of the process for registration under its new system. The CQC claims it has engaged extensively.April 2010The CQC is one year old. It starts process of registering adult care providers under new system. National social care adviser app ointed.This term is published in the 8 April 2010 edition of Community Care under the headline Many happy returns?