board of directors meeting – 2 july 2014 document front sheet

Board of Directors
Item 10
BOARD OF DIRECTORS MEETING – 2 JULY 2014
DOCUMENT FRONT SHEET
TITLE OF PAPER
Care Quality Commission Visit and Inspection
TO BE PRESENTED BY
Clive Clarke - Deputy Chief Executive
ACTION REQUIRED
For the Board to receive the plan to prepare for the CCQ’s visit in October
OUTCOME
Planning arrangements to continue leading to a successful visit and an
outcome reflective of our performance.
TIMETABLE FOR
DECISION
The Board should confirm the proposed planning arrangements at its July
meeting
LINKS TO OTHER KEY
REPORTS / DECISIONS
None highlighted
LINKS TO OTHER
RELEVANT
FRAMEWORKS
BAF, RISK, OUTCOMES
ETC
The CQC Inspection will appraise the Trust’s services and performance in
respect of quality (in all its domains) and governance.
NHS Constitution:
Patients Public HSE MH Act Staff Equality Act 2010 IMPLICATIONS FOR
SERVICE DELIVERY
AND FINANCIAL
IMPACT
As a Licensed FT the Trust is required to delivered services in line with the
standards required by the CQC.
CONSIDERATION OF
Non highlighted
LEGAL ISSUES
Author of Report
Jason Rowlands
Designation
Director of Planning, Performance and Governance
Date of Report
25 June 2014
SUMMARY REPORT
Board of Directors
Item 10
Report to:
Board of Directors
Date of meeting:
2 July 2014
Date of report:
25 June 2014
Subject:
Care Quality Commission Visit and Inspection
Author:
Jason Rowlands – Director of Planning, Performance and Governance
Approved by:
Clive Clarke – Deputy Chief Executive
2. Purpose
To report to the Board on the plan in place to ensure the Trust and Board of Directors is
effectively prepared for the inspection by the CQC in October.
2.
Context
The Trust received notification that the CCQ will be undertaking a routine Hospital Inspection of
the Trust’s services week commencing 27th October. The inspection visit will last for a week,
with post visit events to confirm subsequent action plans. The Trust is registered with the CQC
to provide three types of services
1) Hospital services: covers all our hospital and community services
2) Adult Social Care: covers resource centres, woodland view nursing home, Longley meadows
respite, provider services in learning disabilities
3) Primary Medical Services: Clover Group
Each type of service has its own inspection methods, frameworks, standards and Inspection
teams. The CQC have confirmed so far that the visit for October will relate to Hospital Services.
They will confirm separately if they will also inspect the other types of services at the same time,
or at a later date. If they do inspect at the same time, it will mean three separate teams visiting
the Trust.
3.
Summary
Project Team and leadership
A formal project team to oversee and direct the Trust’s preparations for the visit has been
established. The Group will consist of
Board leadership and accountability
• Mervyn Thomas, Non-Executive Director
• Professor Tim Kendal – Medical Director
• Clive Clarke – Deputy Chief Executive
Supported by
• Jason Rowlands – Director of Planning, Performance and Governance
• Jonathan Mitchel – Associate Medical Director of Quality
• Tania Baxter – head of Integrated Governance
• Helen Robinson – Communications and project support
• Administrative support – to be confirmed
A key task of the group will be to
• Ensure the Bard is effectively briefed
• Effectively engage and work with Service and Clinical Directors
Project Structure
The key goals of the project plan are to
• Ensure we are informed and prepared
• That we take appropriate and balance decisions about additional actions in advance of the
visit
• That we recognise and use the range of work in place already working to deliver
improvements
The following structure for the work and preparation is being developed
Communications
• Ensuring clear and consistent messages are communicated to staff, manager and leaders
regarding our approach to the visit and communicating our assessment of how we are doing
and the plans in place to make progress
Assessment of how we are doing
• Rapid appraisal of existing information sources
• Rapid appraisal of operational service views and opinions
• Outputs from this will be a range of concise briefings confirming issues, status and need for
action
Prioritising and confirming new actions
• Arising from the above confirming which issues would benefit from additional work and input
to deliver timely improvements
Confirming existing plans
• Appraising existing development plans in place, ensuring they provide appropriately for
progress on the issues raised though the self-assessment
Briefings for the visit
• Ensuring that there is a shared and collective awareness and understanding of the above in
advance of the visit
Visit arrangements
• Ensuring the visit is able to happen smoothly and positively
Reporting
A formal project plan will be confirmed. This will allow progress reports to be provided in respect
of
• Work progressing on track
• Key outputs, conclusions and decisions required.
Formal progress reports will be provided to EDG and the Board of Directors.
4.
Required Actions
For the Board to note and comment on the proposed project arrangements to prepare for the
CQC visit..
5.
Monitoring Arrangements
Reports to the EDG and Board in line with delivery of the project plan.
6.
Contact Details - for further information contact
Jason Rowlands, Director of Planning, Performance and Governance (0114 226 3417)

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