Examples of Sources of Evidence Which will be collected and collated from provider organisations:
Surveys of people who use services, their carers and families.
Complaints and feedback from people who use services.
Patient reported outcome measures (PROMs).
Feedback from local representative, community and voluntary groups.
Feedback from the public.
Involvement activity, such as focus groups.
Staff surveys and feedback.
Quality monitoring including reviews of services, learning from complaints, audits and comparative information.
Individual care planning and records.
Staff skills and competence.
Reporting and learning from incidents.
Equalities monitoring and action plans.
Information from regulators, inspections or accreditation schemes.
Action plans and monitoring improvements.
Evidence will also be collected on how the provider organisation demonstrates the following:
How you assess people’s needs appropriately and adequately, and how these needs are met.
How you address and minimise risks to the health, welfare and safety of people.
How you listen to and act on feedback.
The results of improvements made following changes in practice.
Evidence of policies, procedures and systems, which will also demonstrate how:
They impact on the outcomes and experiences of people using the service, and how this is monitored.
They help to meet people’s needs.
They help identify and manage risks to the health, welfare or safety of people.
They are implemented where necessary and their effectiveness monitored.
They are explained and made available to all relevant staff.
People who use the service were consulted and involved in their development.
They are reviewed and updated to ensure that you continue to be compliant.
You gather feedback about their impact from people who use services.
Examples of evidence from policies, procedures and systems that relate to:
Staffing levels, and learning and development plans.
Evidence relating to staff should demonstrate how the organisation had taken account of the needs and diversity of people who use the service. The evidence must show how the policies ensure that appropriate staff with the necessary skills and competence to meet people’s needs are available at different times. CQC will want to see evidence that these plans are up to date and that they are monitored and reviewed when needed.
Systems for reporting and learning from incidents.
The organisation will need to have evidence not only that they have appropriate systems, but also that all relevant staff fully understand them and use them correctly. The organisation will need to show that these systems are more than just a record. They should enable the organisation to identify and analyse individual incidents and trends for risks to people who use the service and staff. The organisation will also need to demonstrate that, if there is an incident, they make clear action plans and implement them and that this leads to change, reduced risk and improved outcomes.
It is crucial that the organisation can demonstrate that they have the right system in place and that this is understood by all relevant staff. The organisation must be sure that it is followed in practice and that staff take the right steps to protect people from abuse and the risks of abuse. The organisation should also demonstrate that they frequently review these procedures to ensure they are effective in protecting people from abuse.
Working with Synbiotix has enabled us to develop innovative IT concepts and exploits IT solutions to maximise efficiency, greatly improve clinical effectiveness and guarantee a robust framework for measuring, managing and demonstrating through evidence, our compliance against National Standards set out by the Care Quality Commission [CQC]
Flo Panel-Coates Director of Nursing Maidstone & Tunbridge Wells