Monitoring and Review of

1
Monitoring and Review of Supporting People
Services building provider understanding and
confidence
2
Welcome - some important information

• Fire, Health Safety
• Timetable, breaks meals
• Messages
• Mobile phones!
• Introductions
• Workshop style
• Park and pass on
• Learning logs

3
Workshop aim and objectives

• Understand the requirements and benefits of the
  Monitoring Review processes from a providers
  perspective.
• By the end of today
• Find your way around the suite of Monitoring
  Review products/documentation
• Have a working knowledge of the Monitoring
  Review products/documentation and processes, and
  your role
• Understand and have confidence to carry out a QAF
  self-assessment, and your role in validation
  visits and reviews
• Create an action plan for implementation

4
Exercise

• In small groups, discuss and identify
• What you know...
• What you think you know...
• What you would like to know
• about the SP Monitoring Review process
• Summarise your thoughts on a flipchart and elect
  a spokesperson

5
Monitoring Review Overview

• Main functions
• Accreditation
• Service review (strategic relevance, performance,
  quality cost effectiveness)
• Validation
• Toolkit for enabling these functions
• Accreditation guidance
• Performance Framework (PIs management
  information)
• Quality Assessment Framework (QAF) Service
  Objectives
• Cost Effectiveness (value for money) methodology
• Validation Visits methodology
• Service User Involvement
• Strategic relevance guidance

6
The Manchester Pilot
7
Monitoring Review Overview

• Main functions
• Accreditation
• Service review (strategic relevance, performance,
  quality cost effectiveness)
• Validation
• Toolkit for enabling these functions
• Accreditation guidance
• Performance Framework (PIs management
  information)
• Quality Assessment Framework (QAF) Service
  Objectives
• Cost Effectiveness (value for money) methodology
• Validation Visits methodology
• Service User Involvement
• Strategic relevance guidance

8
Elements of Monitoring Review

• Accreditation of Providers
• Performance Framework
• Quality Assessment Framework
• Validation Visits
• Service Reviews

9
Monitoring Review Toolkit

• Monitoring Review of Supporting People
  Services an Overview
• Accreditation of Providers of Supporting People
  Services
• Using the Quality Assessment (QAF) Framework
• QAF Core Service Objectives
• QAF Supplementary Service Objectives
• Proposed Performance Framework for the Supporting
  People Programme (PIs management information)
• Validation Visits
• User Involvement
• Cost Effectiveness
• Strategic Relevance

10
Exercise Unpacking the Monitoring Review
Toolkit
In small groups, explore the Overview document

• What are the key points of the Performance
  Framework / Quality Assessment Framework /
  Validation Visits functions?
• What really grabs your attention?
• What are the potential benefits, opportunities
  and challenges in all of this?
• What links are there with other processes in your
  authority?
• Present your outcomes as a training presentation
  too the other groups

11
Monitoring Review - functions
12
Accreditation some key points

• Criteria
• Financially viable
• Competent administrative procedures
• Effective employment policies
• Robust management procedures
• Track record / competence
• Three year period
• Passporting
• Organisation not service level

13
Service Reviews some principles

• First reviews by 1 April 2006
• Outcome is crucial to service users and providers
• Providers must be involved at all stages
• Service users involved when necessary/appropriate
• Transparency, clarity and traceability are
  crucial
• Comprehensive accurate records
• Process integrity, consistency and context

14
Service Reviews some key points

• The review must include the following key
  elements
• Strategic relevance
• Demand for service (both now and in the future)
• Performance of provider
• Quality of service
• Cost effectiveness
• Organisational strength of provider
• Existing evidence taken into account, so amount
  of data collection will vary

15
Service Review Stages

• Stage 1
• Assessment of strategic relevance
• Assessment of need for service
• Stage 2
• Desktop review
• Quality of service (core QAF)
• Performance of provider (key performance
  indicators)
• Cost effectiveness
• Organisational strength of provider
  (accreditation)
• Stage 3
• Further evidence sought if needed
• Stage 4
• Outcome / feedback
• Renew a contract, remodel or decommission the
  service

16
Validation Visits - some key points

• Run alongside, and feed into, the service review
  process
• Validate the QAF and check / help to improve the
  quality of service delivered
• Visits to a representative sample of services
  prioritised by a risk assessment
• An on-site reality check, not a desk-top
  exercise
• Include service users views

17
Supporting People Monitoring Review Processes
18
Quality Assessment Framework

• Core Service Objectives
• Needs assessment and support planning
• Security, Health and Safety
• Protection from abuse
• Fair access, Diversity and Inclusion

19
Quality Assessment Framework

• Supplementary Service Objectives (1)
• Empowerment
• Informing service users
• Consulting and involving service users
• Empowerment and supporting independence
• Participation in the wider community
• Rights and responsibilities
• Privacy and confidentiality
• Rights and responsibilities
• Complaints

20
Quality Assessment Framework

• Supplementary Service Objectives (2)
• The service
• Service description
• Choice, sensitivity and responsiveness
• The living environment
• Organisation and management
• Leadership and accountability and management
  systems
• Continuous improvement
• Staff recruitment, management and development

21
QAF - some key points

• 4 Self-assessment performance levels
• D, C, B, A
• All requirements at the level must be met
• Levels operate cumulatively
• Tangible evidence to support verification
• Continual improvement
• Service user involvement
• Action plans

22
Exercise The Quality Assessment Framework

• In groups, focus on one of the Core Service
  Objectives
• Consider
• What are the expected benefits and challenges to
  meeting the performance levels of the core
  service objective?
• What evidence you would expect to provide to
  support your assessment at each performance
  level?
• Summarise your thoughts on a flipchart and elect
  a spokesperson

23
Exercise QAF self-assessment

• Focus on your own service (work with colleagues
  if present)
• Self-assess your service against the Core Service
  Objectives
• What service level would you give yourselves?
• What evidence would you provide to verify your
  assessment?
• Where would you identify actions to improve your
  service?
• Be prepared to share your findings

24
Validation visits - some key points

• Aim to improve service not police
• Formal procedure ensures transparency and
  consistency
• Involves provider employees and service users
• Continual improvement as well as compliance
• Evidence based
• Initial visits to validate 4 Core Objectives
• 4 stage visit process Plan, Carry Out, Feedback,
  Follow up

25
Exercise

• Buzz group
• What skills and behaviours do you see as
  required by providers to maximise the benefit
  from validation visits
• Summarise your thoughts on a flipchart

26
Exercise

• Re-form the Core Service Objective exercise group
• For this Core Service Objective, what will the
  validation officer want to
• Look at ?
• Look for ?
• From where ?
• From whom ?
• How will you plan to provide this?
• Summarise your thoughts on a flipchart

27
Validation visit - feedback and action

• What if
• The validated assessment differs from the
  self-assessment
• The evidence trail is not in place
• Issues raised at previous visits have not been
  effectively dealt with
• How to determine, plan and implement appropriate
  effective improvement activities

28
Some Monitoring Terminology

• Service review
• Assessment
• Self-assessment
• Assessor
• Validation
• Validation officer
• Services
• Schemes
• Reality check

29
The Performance Framework

• Five domains
• National priorities and Supporting People
  strategic objectives
• Fair access
• Effective and efficient services
• Cost of services
• Quality of services

30
Performance indicators

• Interim Contract Mandatory PIs
• Utilisation levels
• Service availability
• Staffing levels
• National KPIs
• Service users who are supported to establish and
  maintain independent living
• Service users who have moved in in a planned way
  from temporary living arrangements
• Fair access to people who are eligible for SP
  services
• Service Performance Indicators
• Local Performance Indicators

31
Open forum

• Questions ?
• Concerns ?
• Clarifications ?

32
Action planning

• Review your current plans for Monitoring Review
• Review your learning logs
• What else do you need to do to be effective?
• By when?
• Who involved?
• Next steps?

33
Provider helpline 0870 162 0746 ODPM website
www.supporting-people.odpm.gov.uk KWeb
http//barn.ccta.gov.uk/odpm/odpm1.nsf ODPM free
literature 0870 1226 236