PPG Guide to CQC Inspections 2015-16 Cambridge House 29 April 2015

Agenda • 6.00 • 6.15 • 6.25 • 6.30 • 6.45 • 6.55 • 7.05 • 7.35 • 7.45

Refreshments Welcome and Introductions An Overview of Session Presentation on CQC Inspections Questions and Answers Learning from Recent Inspections Table Group Work and Discussions Top Tips and Final Questions Close

Goals of the workshop • Clarify what is involved in a CQC inspection of a GP practice • Mapping practice against the fundamental standards • Examining the role of the PPG • What could you prepare? • Learning from previous inspections • Tips on preparing

The Care Quality Commission (CQC) is responsible for ensuring patients receive high quality care and making variation in standards transparent. They plan to inspect each of the 8000 GP practices in England by 2016 at least once. All Southwark practices previously inspected are now compliant

The 4 Key Steps in the Regulation Process: 1) Registration – all organisations delivering regulated activities must be registered and provide certain information 2) Intelligent Monitoring – the CQC use a range of data metrics to build a profile of practices to prioritise who to inspect first

3) Expert Inspections – An expert Inspector and GP specialist advisor will be on each team and possibly practice manager, specialist nurse, or ‘expert by experience’ 4) Publication of reports & ratings – Transparency and information principles

Five Key Questions: 1) Is the practice safe? 2) Is it effective? 3) Is it caring? 4) Is it responsive to peoples needs? 5) Is it well led?

CQC New Fundamental Standards • • • •

Person-centred care Dignity and respect Consent Duty of candour

• Food and drink • Premises and equipment

• • • • •

Complaints Good governance Staffing Fit and proper staff Learning from incidents /complaints

• Safety • Safeguarding from abuse

PPG Participation: • The CQC will give 2 weeks notice and want names of the PPG chair and one other member. • The Inspectors will want to speak to the PPG – do you know who will do this on the day? • They may ask does the group have comments or views it may have collected on standards of quality and safety.

PPG Participation • Whether there is survey information or other information collected about the views of patients in the practice. • They may ask questions around the specific areas that they are focusing on in the inspection • Any other work being carried out at the practice to gather patients’ views.

Questions and Answers

Learning From Recent Inspections: A Patient's Perspective

Questions the CQC may ask: • Does the practice respect and involve patients, and tell them and their families about what is happening at every stage of their care and treatment? • Does the care, treatment and support provided meet the needs of individuals and support their rights? • Is the care provided safe? • Do the staff who provide care have the right skills to do their job properly? • Does the practice routinely check the quality of its services?

Group Exercise • Key Issues the PPG want to raise:

• Examples of good practice in your surgery • Areas which may require improvement you are aware of

Learning from recent inspections – Practice Rated ‘Outstanding’ in Tower Hamlets April 2015: • Practice recognises the needs of different groups in the planning of its services. Bi-lingual staff were recruited that were able to speak Bengali. Patients had access to a Health Advocacy and Interpreting Service to help them with their communication needs. • The practice regularly works on wider projects with the community drug therapies team and provides weekly Benefits Advisor sessions for patients.

• The practice undertakes a number of health promotion activities both in house and out in the community • Screened off area near to the reception which staff said could be utilised if a patient wished to have a private discussion • The practice participates in a Social Prescribing project in which they refer patients to wider support services, activities and programmes

Learning from recent inspections – Practice suspended Wandsworth March 2015 • Equipment / supplies out of date / emergency equipment not available • No evidence of multi-disciplinary working • Safeguarding policy & training not in place • Medicines management issues • Employment checks & references not undertaken • No policy on induction & support for Locums • Patients and staff deemed at risk

Tips for Information sharing with CQC: • Name the practice(s), and the period the issue relates to. Some PPGs collect information from their patients about other services monitored (such as local hospitals), please remember to name these fully. • Focus on giving us information that tells us about a service providing care, rather than details of how your PPG works. • Provide the evidence for your conclusions and comments and any dates whenever possible, and explain what sort of evidence you have (for example, a small number of concerning stories or evidence from a survey or meeting with many more people).

For further information contact Gwen Kennedy, Director of Quality and Safety, NHS Southwark CCG Rosemary Watts, Head of Membership, Engagement and Equalities, NHS Southwark CCG Mark McLaughlin, Quality Manager, NHS Southwark CCG

[email protected] 020 7525 7888