7 minute read
The five CQC Domains/Standards
Workforce Wellbeing
At C&I, we believe that our staff are the foundation for all that we do. We recognise that a positive staff experience is essential for good patient outcomes, and we are committed to improving the working environment and opportunities available to staff. Our aim is for our staff to be able to lead healthier and happier lives as a direct result of working for this Trust. Some of the ways we can achieve this are by:
Advertisement
• Creating a safe and healthy working environment where staff have access to good occupational health and wellbeing services • Promoting good practice in physical, emotional and psychological health activities • Encouraging and support staff to develop and maintain a healthy lifestyle and act as role models to both colleagues and patients • Supporting people with manageable health problems or disabilities to maintain access to or regain work The Trust’s workforce wellbeing is the responsibility of each staff member. Our Workforce Wellbeing Team works closely with our Human Resources, Occupational Development and Equality, Diversity and Inclusion colleagues, providing wellbeing expertise, guidance and signposting to individuals, managers and teams. The Wellbeing Team also arranges onsite physical health checks for all staff. You can contact the Wellbeing Team at wellbeing@candi.nhs.uk
Physical health checks are offered to staff via five kiosks in place at five of our sites, and one-to-one physical health checks with a nurse, are offered at our two main sites.
Employee Assistance Programme
All staff members have access to our Employee Assistance Programme (PAM Assist) and Occupational Health (PAM). You can access these services for financial and basic legal advice, counselling sessions, as well as treatment for work-related injuries. Contact them at ithelpdesk@pamgroup.co.uk
Guardian Service
You can access our externally commissioned, confidential, Guardian Service if you have concerns about your working environment and/or being negatively impacted by a situation at work. Contact them at contact@guardianservice.co.uk
Preparing for CQC visits
Our ongoing preparedness for inspections
General housekeeping
• Always wear your name badge and alarm • Check noticeboards are up-to-date, information leaflet stands are current and stocked – the
CQC may ask you about information that is displayed • Ensure hand sanitiser is available and use on entering and leaving the premises • Make sure all areas including offices/reception areas are clean and tidy • Make sure your email inboxes are clear enough to allow for information flow during the visit • Replace broken furniture or items no longer used • Make sure your appraisal and core skills training are up-to-date • Know how to find Trust policies and be aware of the content of those pertinent to your role
15 Steps Challenge
This is an unannounced review which will be completed by a team, consisting of either a Trust Governor or Non-Executive Director, service user or carer and one clinical and one non-clinical member of staff. The purpose of the visit is to capture how people using our services, and carers, experience our inpatient teams. They will complete a walk around the ward with a member of your team and then provide feedback. They will carry forward any learning that can be shared with other teams across the Trust.
Self-Assessment by teams
There are self-assessment checklists that the Trust has produced to help support our readiness for the inspection. These assessments have been sent out to teams. If you need a copy please email cqchelp@candi.nhs.uk
Focus groups/talks
Over the coming months, various members of the Trust CQC Preparation Team will be meeting staff, service users and carers to talk about the CQC plan. If you have any suggestions for groups that we could visit, please do not hesitate to let us know by emailing cqchelp@candi.nhs.uk
Service user engagement
We would like staff to proactively encourage service users to speak honestly and openly with the CQC about their experiences at C&I. The CQC will treat all comments in strict confidence. Service users can give their feedback via various groups/ platforms including the Service User Alliance or the Patient Council. If you’d like further information on the different ways service users can speak with the CQC, please contact the CQC Preparation Team via the contact details above.
CQC inspection guidance
What happens during the CQC’s visit?
What happens during the CQC’s visit?
To assess our compliance against Fundamental Care Standards, the CQC will undertake inspections and assess the Trust against the five key domains.
If the CQC arrives at your place of work, what should you do?
You should welcome and greet the inspectors with courtesy in the same way that we would greet any visitor to the hospital. • All CQC staff will wear an identification badge showing their name and, on the back, their authorisation to enter and inspect regulated premises • Inform your manager straight away • Contact the Quality Governance Team cqchelp@candi.nhs.uk
During the inspection
The CQC has a legal right to enter and inspect our premises. During their visit, they will: • Talk to staff, patients, families and carers • Review patient and staff records • Review documentation e.g. policies, training records, audits, patient information, records of supervision
Should the CQC request formal copies of information, please inform them that you will provide a copy via the Quality and Governance Team.
Confidentiality and consent
The CQC will always maintain the confidentiality of any information reviewed during the inspection. Inspectors will ensure prior consent of patients is sought when necessary.
What happens after the CQC’s inspection?
At the end of the visit, the CQC inspectors will give initial feedback to the executive and senior leadership teams who will then cascade information, informing staff of the CQC team’s first impressions. Additional evidence may be requested by the inspectors during and after the inspection. Any requests for such evidence must be prioritised.
During the CQC inspection
Top tips during the inspection process
• Provide security alarms if in an inpatient setting, outline security protocols and fire exit and assembly points • Answer their questions openly and honestly • If you don’t know the answer, don’t panic – explain who you would ask and where you would go for the information, and offer to provide it as soon as possible • Business as usual – behave as you would normally do • If you are dealing with patients, continue to do so and explain this politely to inspectors – they will understand that your service users come first • Respect patient confidentiality and always check with service users and gain their consent if inspectors want to observe your interaction with them • The inspectors have the right to access all health records. However, they will need to be supervised. Staff can log them in using their details but must always stay with them. Do not share your login details or hand over your
CareNotes access card to anyone • Service user files may be viewed by inspectors but must not be removed
Work through this handbook with your supervisor/manager in team meetings and individually.
Keep informed: During the inspections, do attend briefing sessions, talk to your team/manager, and look out for updates via the weekly staff Bulletin and Trust intranet. Share best practice and learning with your team and other colleagues
Most of all, be proud of the work you, your team and the Trust does and use this as an opportunity to showcase it. You do not have to wait to be asked; where appropriate, mention some of the good things that have been achieved. You can even share with them outcomes from your peer reviews, feedback received from service users and carers and examples of our successes at the end of this booklet.
Staff on Ruby Ward, our Women’s Psychiatric Intensive Care Unit (PICU), at their team meeting.
Helen Master and Violet Kporvie each won an iPad in our flu vaccination programme prize draw. More than 61% of staff had the flu vaccine in our 2020/21 campaign.
