CQC Inspection and the small care home operator

1
CQC Inspection and the small care home operator

• Christina Sell
• Langton Care Ltd

2
Langton care Ltd

• Christina HV, commissioner older people, ECCA
• Robert accountant and financial director

3
The two care homes

• The White House Teignmouth
• 2 stars
• 18 beds, day club x 15
• Pending EMI registration
• and Dom Care registration
• One Stop Independence Centre

4
Croft Lodge

• 3 stars
• Career Manager who owns the home
• NVQ 5
• Understands inspection good relationship with
  inspectors

5
The reality of running a home

• Little community
• Compete on quality bad news travels fast
• Price stabilises in line with quality
• The challenges of managing staff
• Training mixed quality ways of ticking the
  box
• The power of social workers

6
Feedback re Inspection

• Consulted with a number of small care homes and
  corporates.
• Generally new star rating well received and agree
  that it has driven up quality.
• AQAA is an excellent framework for action
  planning and audit.
• But.

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Skills in audit

• Requires specialist skills for completion of
  paper work
• ? RMA up to the job
• Corporates have expertise in senior managers
• Small home owners need skills in audit, action
  planning, business development managing d
  reporting risk

8
Subjectivity

• The White House experience over 3 years
• Opportunity for better relationship with
  inspectors
• No additional support from health (at present)
• New home owners working in the dark

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? Accurate reflection

• Some inspectors too rigid in interpretation
• Others taking their own interpretation on KLORA
  ignoring evidence

10
Who needs standards?

• We do!
• Weeds out the poor operators
• Only what we would want for our own mother
• But there are many of them, very details

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A bit of help

• AQAA completion Tools for Care homes
• Martin Hodgson
• ISBN 978 -1 905230-72-3
• Forum business Media Ltd
• www.forumbusinessmedia.co.uk