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Single Assessment Framework version

All services - change

GO Online: Inspection toolkit

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Monitoring and improving outcomes

People’s care requires regular monitoring and will often need to be adapted to help them maintain and potentially improve their health wherever possible. The Â鶹ŮÀÉ will expect your service to enable people to meet outcomes aligned with both their own and clinical expectations.

The following film provides a summary of this area of inspection. It can help you and your teams learn about what will be inspected and what is important to demonstrate to deliver good or outstanding care.

Introducing Monitoring and improving outcomes

Duration 01 min 36 sec

The Â鶹ŮÀÉ will want to know how your service is routinely monitoring people’s care and treatment to continuously improve it.

People’s needs and their wider health and wellbeing will vary across your service, but the Â鶹ŮÀÉ will want to be assured that the care you provide meets both the clinical and person’s own expectations.

The Â鶹ŮÀÉ will look for evidence of how your service is supporting people to achieve quality of life. They will most likely interview people on this as well as monitoring and care treatment.

The Â鶹ŮÀÉ will be proportionate in assessing what services can realistically achieve with people in declining health. However, as always, the Â鶹ŮÀÉ will be looking for consistency across your service to ensure that some people’s outcomes are not prioritised above others.

The Â鶹ŮÀÉ may look at how you benchmark the care you provide with other services to demonstrate you monitoring and outcomes are comparable. For those delivering more clinical services, the Â鶹ŮÀÉ may look at your involvement in appropriate accreditation schemes.

When gathering evidence, inspectors will speak with managers and your staff team and potentially other services you engage with. They may also look at various documentation including referrals and communication with other services, records of quality-of-life outcomes, care plans etc.

To learn more about how you can meet this area of Â鶹ŮÀÉ inspection, take a look at GO Online.

Watch the film here:

Recommendations

These recommendations act as a checklist to what the Â鶹ŮÀÉ will be looking for. Â鶹ŮÀÉ has reviewed hundreds of inspection reports and identified these recommendations as recurring good practice in providers that meet Â鶹ŮÀÉ expectations.

The Â鶹ŮÀÉ is non-prescriptive, which means they don’t tell you what must be done in order to meet their Quality Statement. These recommendations are not intended to be a definitive list and some recommendations might not be relevant to your service. We hope they help you reflect on what evidence you might wish to share with the Â鶹ŮÀÉ.

Monitoring and improving outcomes

  • We work with people to identify the personal outcomes they want to achieve and how this will be done and measured.
  • We ensure that people’s care enables them to achieve the best quality of life possible, including emotional wellbeing, physical wellbeing, interpersonal relationships, social inclusion, personal development etc.
  • We can evidence how we undertake regular health reviews and monitor the changing care needs of each person we support.
  • We can evidence how we have adapted care in response to the changing care needs of each person we support (e.g., end of life care, challenging or distressed behaviours etc.).
  • We can demonstrate how we are helping people to meet clinical expectations and recommendations in their Health Action Plans.
  • We actively involve people in decisions related to the monitoring and changes to the care they receive. This includes where appropriate involving family, friends, and advocates.
  • Our managers and staff teams are trained and assessed to ensure that they can effectively monitor people’s changing needs.
  • Our quality assurance processes enable us to identify both individual changes to people’s care needs and emerging trends. This information is used to respond to both individual needs and address areas for improvement.
  • When available, we use digital record systems to monitor changes to people’s care needs and emerging trends.
  • Where needed, we’ll make referrals to appropriate healthcare specialists and securely provide accurate information to help them to inform further support.
  • We support people to access the healthcare support they need including health screenings, opticians, dental appointments, etc.
  • We ensure people’s weight is regularly monitored and record the results (if appropriate to their care needs). If we identify issues, we’ll advise and support the person.
  • We advise, support, and try to protect people, including those with complex needs, from the risk of poor nutrition, swallowing problems and other medical conditions.
  • Where needed, we’ll make referrals with consent to, diabetes nurses and other healthcare specialists to ensure best practice around food, nutrition and hydration is provided.
  • Our close connections with other services enable us to benchmark the care outcomes of the people we support with similar needs of other services.
  • We can evidence how our focus on monitoring and improving outcomes has reduced hospital admissions.

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