Posts tagged CQC
DEFIBRILLATORS: CQC & CAA discussions outcomes

The Care Association Alliance, of which C&SW are members, asked CQC about defibrillators. They asked:

“The placement & use of defibrillators in care homes (with & without nursing). What are the guidelines and are they in sync with the NHS?” You can read their responses below;

 We cover the use of equipment under several different KLOES:

 S2 How are risks to people assessed and their safety monitored and managed so they are supported to stay safe and their freedom is respected? S2.6 How is equipment, which is owned or used by the provider, managed to support people to stay safe?

This prompts providers to check the appropriate equipment is available in order to meet the needs and wishes of people who use the service and that it is checked/serviced when required. We don’t specify what equipment providers must have, although we do expect providers to have the appropriate emergency protocols/procedures in place and these must be clear and transparent. This might be for staff to provide resus (if they are trained and competent to do so) or to call for emergency medical assistance.   

 

S3 How does the service make sure that there are sufficient numbers of suitable staff to support people to stay safe and meet their needs? And S3.3 Do staff receive effective training in safety systems, processes and practices?

Puts the expectation on providers to ensure staff are trained and competent to use all equipment. This would include a defibrillator should the home decide to have one available.

 

Under KLOE E2 How does the service make sure that staff have the skills, knowledge and experience to deliver effective care and support? Prompt E2.1 Do people have their assessed needs, preferences and choices met by staff with the right qualifications, skills, knowledge and experience?

We expect that staff are clear about their responsibilities regarding equipment, it is used correctly to meet statutory requirements and support people to stay safe and take into account people’s wishes around resus and their consent.

State of Health Care and Adult Social Care in England 2107 / 18

Here is a summary of the summary of key findings; you can find the whole reports here:

It would be interesting to get feedback from local providers as to how they feel this reflects our local market. Comments are enabled below. Please feel free!

Three Key Findings.

  1. Most people receive a good quality of care: and overall quality has been maintained despite challenges

  2. Quality is not consistent: depends on type of care, where you live and how joined up services are.

  3. Individual providers offering good care is not enough. Good sustainable high quality care is about successful collaboration between services as part of an effective local system.

CQC outline and describe the 5 factors that affect sustainability

  • Access: varies; family and friends bridge the gap; need to travel for in-patient mental health; variable access to GP services; increasingly stretched workforce

  • Quality of care: slight improvement overall. Hallmarks of quality care are Good leadership and governance; strong organisational culture; Good partnership working

  • Workforce: right workforce is crucial but most services struggle to recruit, retain and develop.

  • Capacity: demand continues to rise: services need to plan together to meet predicted needs

  • Funding and commissioning: challenges are well documented. 32% Directors Adult Social care have seen providers closing in the past 6 months. No long term solution in sight for adult social care; geographic variations in council payments