Agenda item

Karen Cvijetic, Head of Quality Improvement, to present

Karen Cvijetic, Head of Quality Improvement, gave the following powerpoint presentation:-

 

What is a Quality report?

-          Nationally mandated

-          2014/15 was the 7^th Quality report

 

2014/15 Quality Performance

-          Care Quality Commission (CQC) – registered with no conditions

-          CQC Inspections – 1 inspection of Trust services – Rotherham Learning Disability: Cranworth Close

-          Complaint with all essential standards of quality and safety reviewed

-          CQC Mental Health Act monitoring visits – 12 monitoring visits of Trust Mental Health Inpatient Services – 6 in Rotherham

-          Compliant with some minor improvement actions

-          Commissioner-led quality visits

·           2 visits to Mental Health and Community Services in Doncaster – Woodlands (Older Peoples’ Mental Health), Swallownest Court (Adult Mental Health)

·           Positive feedback

Positive patient interaction

Staff demonstrated competence and confidence in care planning, commitment and compassion in care delivery

Environment was clean with staff doing activities with patients

Patient feedback forms available on the Ward and the patients knew how to complain

·           Areas for improvement

Develop training plan to help increase staff awareness on how to recognise and help patients with a learning difficulty

Easy read should be used whenever possible for patient information

Look at how the Ward areas help prevent the spread of infections

Support staff to help them understand the use of Deprivation of Liberty Safeguards

 

Quality Improvement Strategy 2014-16

Patient Safety

-          Sign up to Safety

A national Campaign led by NHS England

Aims to deliver harm free care for every patient, every time, everywhere

Champions openness and honesty and supports everyone to improve the safety of patients

Sign up to Safety’s 3 year objective is to reduce avoidable harm by 50% and save 6,000 lives

-          Five key areas

Pressure ulcers

Medication errors

Suicides

Falls

Restrictive interventions

-          Clinical Effectiveness

Care Pathways and Packages

Commissioning for Quality Indicators (CQUIN)

NICE

-          Patient Experience

Commissioning for Quality Indicators (CQUIN)

Listen to Learn

National Mental Health Service User Survey

NHS Friends and Family Test

-          Our Staff

Safer staffing

Leadership

Professional Strategy

Leading the way with quality

NHS Staff Survey

 

Francis Declaration

-          Trust Francis Declaration jointly signed off by Board of Directors and Council of Governors in December, 2014

-          4 Francis priorities for 2014

Culture

Engagement

Non-professionally qualified staff

Whistleblowing

 

Local Commissioning Priorities 2014/15

-          Consideration of investment in priority areas

-          A review of Mental Health and Learning Disability Services

-          A review of the Learning Disabilities Assessment and Treatment Unit and Community Services

-          Development of a comprehensive CAMHS Strategy

-          Development of care pathways and packages (Mental Health Payment and Pricing Systems)

 

Next Steps

-          Receive Select Commission comments for including in the Quality report – May, 2015

-          Report to Board of Directors – 30^th April, 2015

-          Report to Council of Governors – 15^th May, 2015

-          Report to Monitor – 29^th May, 2015

-          Review by Audit Commission – April/May, 2015

 

Discussion ensued with the following issues raised/clarified:-

 

·           Ensuring quality of care for people with a dual diagnosis of learning disability and mental health, adults and older people.

 

·           RDaSH was a full partner in CSE work and had held a number of events across the local health community during the month of February

 

·           Undertaken CSE training over a 3 day period which 800 people had attended

 

·           Attended the Health and Wellbeing Board, the Local Safeguarding Board and a representative situated in the Multi-Agency Safeguarding Hub

 

·           Currently undergoing a Governance Review which was a Monitor requirement.  A final report would be available in a month’s time

 

·           Given the challenging financial situation and the demands on Services, staff were engaged in the processes

 

·           A 6 monthly review of each of the business divisions had been completed where a variety of staff had discussed the wider priorities and what the organisation had tried to do.  There were a number of options open to staff to submit their suggestions

 

·           Sign up to Safety campaign had been launched this week. The five key areas for patient safety were a high priority for the aim of a zero culture of harm and were ones that all staff be part of, including administrative staff

 

·           The Annual National Mental Health Community Service User Survey results were published on the CQC website and RDASH had no scores that were worse than elsewhere, some that were average but many above average

 

Karen undertook to provide information regarding the representation in the MASH and the Quality Improvement Strategy.

 

Resolved:-  (1)  That the presentation be noted.

 

(2)  That, once received, the Quality Account be circulated to Select Commission Members and any comments thereon forwarded to the Chairman or Janet Spurling for collation into the response to RDaSH.