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The Care Daily Journal · Issue 14

Insights for Better Care

Expert guides, compliance updates, and practical resources for UK care providers.

17 contributors · registered managers, directors, quality leads

248 articles · updated weekly

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August 8, 2022

The CQC are changing how they regulate services. They are moving to a single assessment framework, with new powers to assess integrated care systems and local authorities. Their new strategy strengthens their commitment to ensure health and social care services provide people with safe, effective, compassionate, high-quality care and encourage services to improve. Their purpose and role as a regulator won’t change but how they will work will be different. Their ambitious strategy sets out 4 themes: People and communities– They will focus more on people’s needs and experiences and on what’s important to people when they access, use and move between services. They will work in partnership with people who use services and help build better care around them. Smarter regulation–  They will use smarter, more flexible methods of regulating services by providing up-to-date information and ratings. By doing so they will target resources where they will have the greatest...

July 18, 2022

An Ofsted report published on 8th July 2022 suggests that there are too few suitable places to keep children in care close to home. Children in the care system are often placed in homes far away from their families due to a lack of suitable places local to where they live, Ofsted research suggests. Ofsted’s report finds that children with mental health problems or who experience abuse and neglect are likely to live the furthest away from their home before coming into care and above the average distance of 36 miles. Research suggests that children are living far away from their families since homes are not evenly distributed across the regions of England, meaning supply does not match demand. For example, just 5% of England’s children’s homes (7% of places) are in London, but London local authorities placed 11% of all children in homes. Juxtaposed to this, local authorities in...

July 4, 2022

Ofsted Proposal Ofsted proposes to:         Introduce a separate new judgement within ILACS – ‘The experiences and progress of care leavers.’         Review and update the existing evaluation criteria to ensure that they are relevant and reflect what good looks like for care leavers         Introduce the new judgement after all local authorities have at least one OLACS inspection outcome. Proposal 1: a new judgement for care leavers Ofsted proposes to introduce a separate new judgement within ILACS: ‘The experiences and progress of care leavers’. The below table outlines the current and proposed judgement structures. Current judgement structure Proposed judgement structure Overall effectiveness   The experiences and progress of children who need help and protection   The experiences and progress of children in care and care leavers   The impact of leaders on social work practice with children and families Overall...

June 15, 2022

Ofsted and the Care Quality Commission present a new draft framework for inspecting provision for children and young people with SEND. On Monday 13th June 2022, Ofsted and the Care Quality Commission launched a consultation on proposals for a new joint framework for inspecting provision for children and young people with special education needs and disabilities (SEND) within a local area. These new inspections will be introduced in early 2023. The new frameworks will focus on the experiences and outcomes of children and young people with SEND. The proposals broaden the focus of inspection to look at whether local area partnerships are identifying and meeting the needs of children and young people with SEND and assess the impact on their lives and outcomes. The new framework will build on and strengthen accountability for local areas by: Introducing an ongoing cycle of inspections and three distinct inspection outcomes. Carrying out engagement...

June 1, 2022

  The Department of Health and Social Care (DHSC) and the Ministry of Justice proposed changes to the Mental Capacity Act (2005) Code of Practice, which includes guidance on the new Liberty Protection Safeguards (LPS) system. This article outlines how the new scheme for authorising deprivations of liberty will be put into practice. The LPS was introduced by the Mental Capacity (Amendment) Act 2019 to replace the Deprivation of Liberty Safeguards (DoLS) and Court of Protection authorisations of arrangements not covered by DoLS. Though the LPS has the same overall purpose as the DoLS, the new system is designed to be more streamlined and will put the person at the centre of the decision-making process. The LPS will introduce an explicit duty to consult with the person, and those interested in their welfare, to establish the person’s wishes and feelings about the proposed arrangements. Those who are close to the...

June 1, 2022

The Proposed National Standards Gov UK state: ‘This standard should enable a young person to have confidence in the organisation providing their accommodation and support, and the people responsible for running it.’   The Purpose and Intent Statement The registered provider must ensure that a clear statement (the purpose and intent statement) of the core aims, purpose and function of the service is produced, updated, reviewed regularly and accessible to all interested parties. The purpose and intent statement should include: A statement of the overall aims of the service, and the objectives to be achieved with regard to the young people accommodated there. This should include details such as age range, gender and the numbers of young people the accommodation is to be provided for. This statement should also explore how the provider intends to manage the different risks young people in the setting present to one another, and ensure...

June 22, 2020

A Health and Wellbeing Support Worker explains how a population health management approach helps her deliver personalised care to clients in Blackpool who need more than a ten minute GP appointment: When we hear that only 20% of our health needs can be met by medical interventions it’s hard to imagine why we don’t invest our time and money more heartily in finding and fixing the other 80%. As a Health and Wellbeing Support Worker in Blackpool, along with our newly recruited Social Prescribers, I’m lucky enough to be one of thousands of people like me across the country now trying to help individuals understand what’s driving their illness and help them get well, stay well and enjoy their lives. Not only am I lucky enough to have this rewarding job, I’ve also recently been part of the NHS England Population Health Management Development Programme in Lancashire and South Cumbria which has...

June 22, 2020

As Volunteering Week draws to a close, Neil Churchill, Director for Experience, Participation and Equalities at NHS England and NHS Improvement, reflects on the importance of volunteers for the future of the NHS. As we come to the end of Volunteers Week, I wanted to share some more information about NHS Volunteer Responders, a major part of our support for people shielding or vulnerable to COVID-19, which has been delivered in partnership with Royal Voluntary Service and GoodSam. Three quarters of a million people applied to be an NHS Volunteer Responder within 48 hours of launch, greatly exceeding our target of 250,000. Nearly 600,000 people were accepted, once identity checks had been competed. Having so many volunteers whom we can match with tasks through a geo-tracking system allows us to complete over 98% of tasks, because there is always a volunteer nearby, often in the same street as the person...

June 22, 2020

As part of Dietitians Week, the annual celebration of the profession, Caroline Bovey BEM RD, Chair of the British Dietetic Association, has written a few words about all the things dietetic services have done to support patients and public health during the coronavirus pandemic. Dietitians are the clinical nutrition experts – the only professionals specifically trained to support the nutrition and hydration needs of acutely and chronically ill people with a wide range of conditions. Many people may not have realised the important role we have been playing in response to COVID-19, and will continue to play to support people to recover and rehabilitate, so I’m delighted to be able to highlight just some of the roles our NHS colleagues have been playing over the last few months. Many COVID-19 patients have unfortunately required intensive care, where they will be sedated, ventilated and will have nutrition and hydration delivered through...

June 22, 2020

A statement from the Department of Health. The April letter to QUB from Dr McBride is available on the Department’s website. Names have been redacted out of respect for all those involved. The letter is clearly about a specific issue of concern. It can in no way be accurately represented as an attempt to stifle academic opinion. A DoH spokesman said: The April letter was written after the Department was made aware of GP concerns about public comments by an academic. These related to what type of PPE to wear. It was felt that the public comments had the potential to create concern and confusion among GPs during an already stressful period. It is not unreasonable to raise concerns about public commentary. To depict this as some kind of assault on academic independence is frankly nonsensical. By the same token, writing to a newspaper paper about a specific inaccurate or unfair article...

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