Multiagency inspections of services for older people

1
Multi-agency inspections of services for older
people

• Margery Naylor, SWIA
• Henry Mathias, Care Commission
• Colin Brown, NHS QIS

2
The Scottish context

• More older people, more older people living
  longer, eg people over 85 will increase from
  85,000 to 150,000 in the next 25 years
• More people with long-term conditions
• More joined up services eg community rehab teams
• But we need to deliver care which is quicker,
  more personal and closer to home.

3

• Current inspection and regulation of services
  for older people
• Main Organisations
• Care Commission
• NHS QIS
• SWIA
• Need to reduce regulatory workload
• Need to have a more co-ordinated approach

4
Why have multi-agency inspections of older
peoples services?

• Inform the public how well older people are being
  served by their local social care and health
  services
• Assist these services to jointly achieve the best
  outcomes for people and their carers
• Agree targeted actions to assist service
  commissioners and providers to continuously
  improve services.

5

• Our planned approach to multi-agency inspections
• Agreed themes eg sustaining people at home
• Possibly one geographic area eg an NHS Board
• Timescales focussed and clear
• One multi-agency inspection in 2006
• Build on work already being undertaken eg Care
  Commission regulation of Care at Home services.

6

• Multi-agency inspection teams should

• Pursue the purpose of improvement in services
• Focus on outcomes for people using services
• Take a user perspective
• Be proportionate
• Encourage self assessment by managers
• Use impartial evidence and disclose the
  criteria for
• judgement
• Be open about the processes involved
• Collaborate and share plans with other bodies,
  where
• appropriate

7
Anticipated benefits of multi-agency inspections

• Produce evidence of better outcomes for older
  people
• Prevent unnecessary admissions to hospitals
• Support carers to care / continue to care
• Improve the planning, commissioning or providing
  a range of services
• Involve people and carers in planning and
  delivering services
• Ensure staff are trained, skilled and supported.