Thematic Dementia Care Inspections

Mary O’Donnell, Inspector Manager of Social ServicesHIQA

The National Dementia Care Conference 2016

Health Information and Quality Authority

Independent authority established by the Health Act 2007

‘to promote safety and quality in the provision of health and personal

social services for the benefit of the health and welfare of the public’.

Dementia Care Monitoring Programme• Advisory group, internal and external experts•Methodology/tools• Case Tracking- following a residents journey • Period of formal Observation using Quality of Interaction Schedule (QUIS)• Providers Seminars• Documents to support providers

What a thematic inspection looks like…

Outcomes• Health & Social

Care• Safeguarding• Rights Dignity &

Consultation• Complaints• Staffing• Suitable Premises

DocumentsWe give provider......• Guidance • Quality Improvement

Questionnaire• Self Assessment• Judgement FrameworkThey give us......• Completed self

assessment• Action Plan• Relevant policies

Process

• Self Assessment and Judgment Framework published on Authority Website

• Authority have requested specific providers to return completed self assessment

• Submit Policies: Admissions, Behaviours that Challenge, Safeguarding and Communications

• Unannounced inspections over 2015/16• Inspection report as per Authority process• National overview report

Outcome 1: Health and Social Care Needs• Each resident’s wellbeing and welfare is maintained • Comprehensive Assessment.• Resident’s assessed needs set out in an individual

care plan. • Plan reflects his/her needs, interests and capacities.• Plan drawn up with the involvement of resident and

reflect his/her changing needs and circumstances.• End of Life Care planning.• A high standard of evidence-based nursing care

and appropriate medical and allied health care.

Outcome 2: Safeguarding and Safety • Measures to protect residents being harmed or suffering abuse are in place.

• Appropriate action is taken in response to allegations, disclosures or suspected abuse.

• Residents are provided with support that promotes a positive approach to behaviour that challenges.

• A restraint-free environment is promoted.

Outcome 3: Residents’ Rights, Dignity and Consultation • Residents with dementia are consulted with and

participate in the organisation of the centre. • Each resident’s privacy and dignity is respected,

including receiving visitors in private. • He/she is facilitated to communicate. • Enabled to exercise choice and control over

his/her life. • Maximise his/her independence. • Has opportunities to participate in meaningful

activities, appropriate to his or her interests and preferences.

Outcome 4: Complaints Procedure• The complaints of each resident, his/her

family, advocate or representative, and visitors are listened to and acted upon and there is an effective appeals procedure.

• The complaints of residents with dementia are listened to and acted upon.

• The complaints process is monitored and provides opportunities for learning and improvement.

Outcome 5: Suitable Staffing• There are appropriate staff numbers and skill

mix to meet the assessed needs of residents, and the size and layout of the designated centre. Staff have up-to-date mandatory training

• Staff have access to education and training to meet the needs of residents.

• All staff and volunteers are supervised on an appropriate basis.

• Recruited, selected and vetted in accordance with best recruitment practice.

Outcome 6 : Safe and suitable premises • The location, design and layout meets

residents’ individual and collective needs in a comfortable and homely way.

• Premises, having regard to the needs of the residents, conform to the matters set out in Schedule 6 of the Health Act 2007 (Care and Welfare of Residents in Designated Centres for Older People) Regulations 2013.

Self-Assessment Tool:

Section 1: Information about the Centre

*Numbers of Residents with a formal diagnosis of dementia.

*Numbers of residents suspected to have dementia with no formal diagnosis

*Dementia Specific Unit?

Sections 2- 7

Judgement in relation to each outcome (6)

• Compliant: Compliance or

Substantial Compliance,• Non-Compliant:

Moderate/Major• Action Plans: specify

actions to be taken, resources required and timelines.

Places12131416292638122

Improving Dementia Care

Quality Improvement QuestionnaireResource for providers to improve the quality

of service provided to people with dementia.

• Invites providers to engage with staff and benchmark service against standards of best practice in dementia care

• Identify Strengths• Areas for Improvement• Action plans

RemeIf we approach dementia care with passionate seeking we find opportunities for person centred connections are all around us.