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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 CQC 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 CQC 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 CQC will want to be assured that the care you provide meets both the clinical and person’s own expectations.

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

The CQC 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 CQC 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 CQC inspection, take a look at GO Online.

Watch the film here: https://vimeo.com/788207167

Resources

The practical resources below can help you to strengthen this area of CQC inspection. Use the filter to choose different types of resources or select based on related prompt.

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6 resource(s) found

RESTORE2 mini – training tool

Resource creator: Skills for Care

The RESTORE2 Mini for carers tool is intended to be used by carers, where the care and support is being undertaken by a paid or unpaid carer, a care worker, a personal assistant or support worker.

The RESTORE2 Mini for carers tool helps you to find out if the person you’re supporting is feeling unwell. SBARD is a way of communicating when someone is unwell, especially with medical professionals.

  • Guide

Date published: December 2022


Rehabilitation after traumatic injury (NG211)

Resource creator: National Institute of Health and Care Excellence (NICE)

This guideline covers complex rehabilitation needs after traumatic injury, including assessment and goal setting, rehabilitation plans and programmes, physical, psychological and cognitive rehabilitation, rehabilitation for specific injuries, coordination of rehabilitation in hospital, at discharge and in the community, and commissioning and organising rehabilitation services.

  • Guide

Date published: January 2022


RESTORE2

Resource creator: West Hampshire CCG and Wessex Patient Safety Collaborative

RESTORE2 is a physical deterioration and escalation tool for care/nursing homes based on nationally recognised methodologies including early recognition, the national early warning score and structured communications.  

It is designed to support homes and health professionals to:    

  • Recognise when a resident may be deteriorating or at risk of physical deterioration
  • Act appropriately according to the residents care plan to protect and manage the resident  
  • Obtain a complete set of physical observations to inform escalation and conversations with health professionals
  • Speak with the most appropriate health professional in a timely way to get the right support
  • Provide a concise escalation history to health professionals to support their professional decision making.
  • Guide

Date published: December 2020


Looking at the skills and knowledge needed to support people around oral health

Resource creator: Skills for Care

Oral health plays an important role on the quality of life. Poor oral health can bring pain, which prevents people from eating and drinking properly and can lead to malnutrition.

It can also affect people’s abilities to take medication and there’s evidence that links poor oral health with aspiration pneumonia, particularly in residential settings.

This guide explores what skills and knowledge staff need to support people with their oral health.

  • Website

Date published: December 2019


Recognising and preventing delirium: a quick guide

Resource creator: National Institute of Health and Care Excellence (NICE)

This is a short and visually appealing guide for care home managers, containing key information from the relevant NICE guidance.

  • Guide

Date published: July 2017


Dementia gateway: eating well with dementia

Resource creator: Social Care Institute of Excellence (scie)

Use this resource to find out about the importance of eating well for people with dementia in maintaining their health, independence and wellbeing. Sections of the guide include:

  • why nutrition is important
  • chewing and swallowing problems
  • promoting independence at mealtimes
  • eating well at home
  • Website

Date published: December 2013



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