Collaborative approach to supporting
improvement
Enabling people to live well
•
Demystifying improvement
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Know why you need to
improve
Develop a ‘change’ you think
will result in improvement
Feedback to let you know its
happening
• The aim of improvement - to make care provided better.
• Essentials for achieving successful improvements include; a belief in the
potential to improve, strong leadership, collaboration, improvement
support, adequate resources and recognition improvement is everyone’s
business.
• Improvement requires change, although not all changes are
improvements.
• Improvement in the quality of care doesn’t happen by accident; it needs
to be planned/structured and can take time.
• Well-planned improvement = success/sustainability.
• Improvements should benefit everyone.
• The ‘Model for Improvement’ is a tried and tested approach to
achieving positive change.
• Important to be able to evidence improvement - learning.
Improvement Support Team
Head of Improvement Support
Edith Macintosh
Improvement Support Manager
Joyce O’Hare – tissue viability
Improvement Advisers
Jackie Dennis - nutrition/continence
David Marshall – medicines management
Lois Anderson (temp) - early years
Aidan McCrory (temp) - building
improvement capability
Consultants
Lynda Hamilton – Infection
prevention/control
Heather Edwards – Dementia, palliative
care, ACP and frailty
(4 of the team undertaking ScIL)
In addition:
Inspection staff - huge improvement
resource with subject matter expertise.
Connections with experts, networks and
organisations - locally and nationally .
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•
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Influence and lead
improvements in the quality
of care nationally/locally
Work collaboratively with a
range of organisations to
support improvement
nationally and UK wide
Develop/provide health and
care advice to promote good
practice in the sector and in
the Care Inspectorate
Improvement support to
develop improvement
capacity and capability in the
Care Inspectorate and sector.
Evidence/Promote/share good
practice and innovation –
across the sector and
internally.
Improvement strategy
Key messages
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Care Inspectorate improvement strategy 2017 -2019
Improvement offer
Improvement support – internally/externally
Workforce development opportunities improvement capability (internally/externally)
• Evidencing improvement -identifying/sharing
emerging learning/good practice/innovation
• Building improvement alliances – collaborative
What are some examples of improvement
support?
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Improvement conversations which empower and enable individuals to identify
improvement opportunities and put knowledge in to action.
Develop resources and signpost to good practice.
Signpost providers and others to services and partnerships which show evidence good
practice and innovation and link to local networks of support.
Improvement workshops with providers and others offering specific advice on good
practice, an introduction to improvement models/skills and support
Promote and share evidence of successful improvement work
Develop health guidance and provide advice to people and organisations
Translate national strategy to identify improvement priorities, opportunities and
support
Work in collaboration with local and national improvement leads and organisations
such as HIS
Support specific tests of change locally/nationally
Care Inspectorate led local/national improvement programmes such as CAPA
https://www.youtube.com/watch?v=U4SumVnAdmA
You Tube NHS GGC Reviewing Laxatives
New
Medicine
Audit
18
16
1st
Medicine
review
14
2nd
Medicine
review
12
10
Incidents
ABC Charts
Falls
8
Unform ed Bowels
6
4
2
0
Nov
Dec
Jan
Feb
March
April
The Elms Care
Home
Crossreach ,
Edinburgh
Advice given on Quality Medication Audits and Improvement
Methodology e.g. PDSA cycles
Improvement workshops – building improvement
capability
• A 1st in Orkney – variety of services
• Team approach (team manager, inspector and
improvement team members)
• Introduction to the model for improvement and
tools
• Interactive and practical
• Left with improvement ideas/plans
• Supports the new approach
Arts in Care – resource development
Partnership with Luminate,
Creative Scotland, Scottish
Care, NHS other organisations
and care services
Support people using care
services to have the
opportunity to take part in
creative arts in the care home
or local community
Pack is for care staff - to
inspire, equip and enable
them to run arts sessions
Tips for working with
professional artists.
Starting point……
“Thank you so much for the ‘come on in’ resource.
We have had it displayed in the care centre and I can
safely say out of all the resources we make available
this one has gone the quickest, I think it’s a real
demonstration of it’s relevance to care centres and
especially to families and carers”
Donna Polson,
Fernlea Care Centre, Whalsay, Shetland
Campbell
Snowden care
home
(Abbeyfield)
Guide ideas and facilitate collaborative working to reach the final improvement product improvement led by residents, services and families
http://hub.careinspectorate.com/improvement/spotlight-on-dementia/come-on-in/
Care Inspectorate led national improvement
programme -Care…About Physical Activity (CAPA)
Older people on the move in the care sector
What is the CAPA improvement programme?
• Commissioned by the Scottish Government, through the
Active Scotland Division, to carry out this improvement work
• An improvement programme - designed and led by the Care
Inspectorate and based on the CAPA resource pack (2014)
• To build the skills, knowledge and confidence of social care
professionals to increase their levels of physical activity and
move more often and enable those experiencing the care.
What does the improvement programme
include?
The programme will run till October 2018 and is focused on older
people experiencing care services.
It is multifaceted and includes:
• Care homes, care at home, housing support and day services
• Care Inspectorate workforce development
• AHP undergraduate curriculum development through GCU
• Conference in Sept 2018 – celebrate success and share good
practice
8 partnerships are taking part and at least 15 services have been
invited from these areas to get involved.
Staff from the services will be attending learning events in local areas
and supported by the team to make improvements.
What partnerships are involved in the programme?
Perth &
Kinross
Aberdeenshire
Care at
Home
Care at
Home/
Support
services
Inverclyde
Care
Homes
East
Renfrewshire
Glasgow
Care at
Home /
Day
Care
Care at
Home
Care
Home
Stirling and
Clackmannan
shire
Care
Homes
North
Lanarkshire
East
Ayrshire
Care at
Home
Care at
Home
Care
Homes
Care
Homes
Care
Homes
Who is in the CAPA improvement programme team?
Edith Macintosh
Head of
Improvement
Support
Shona Omand-Smith
Louise Kelly
CAPA - Improvement
Programme Manager
CAPA - Improvement
Programme Manager
Paula Bisset
Sheena Williamson
Joanne McGlanaghy
Laura Haggarty
Margaret Hughes
Belinda Arthur
CAPA - Improvement
Programme Advisor
CAPA - Improvement
Programme Advisor
CAPA - Improvement
Programme Support
CAPA - Improvement
Programme Advisor
CAPA - Improvement
Programme Advisor
CAPA - Improvement
Programme Advisor
UK Active
Evaluation/Measur
ement framework
Chelsea Bell
CAPA - Improvement
Programme
Assistant
Sarah Wilkie
CAPA Communications
Coordinator
Bob Laventure
Physical Activity
Consultant
Collaborative improvement work - ihub
• Care Inspectorate on ihub Board
• Representation on Living Well in Communities, ACP and
Urgent Care advisory boards
Examples of improvement work:
• Focus on dementia – experience based co design
• Primary care – reducing pressure ulcers in care homes by 50%
• Medicines – reducing harm
• Urgent care – care services accessing OOHs support
Joint action plan development – other opportunities for
collaborative working to be explored.
Any questions, thoughts or comments?
‘When we care for an older person we care for that part of
ourselves that will some day grow old’ Natter
[email protected]