Addressing CQC's Key Lines of Enquiry (KLOEs)
In the wake of the release of CQC’s two reports, “The State of Adult Social Care” and “Celebrating Good Care, Championing Outstanding Care”, it is clear that some providers struggle to adhere to the Care standards set out by CQC. For instance, the number of residential nursing homes rated unsafe is a worrying 37% (Source: The Guardian). So what can you do as a care home provider? We have tried to address how digital care planning can help you improve the five key lines of enquiry as defined by CQC.
Looking into the numbers, released by CQC, it becomes evident that the primary issues are addressing the questions about safety and being well-led. Here, 25 % of all adult social care services either require improvement or are inadequate.
So How can we do better? One thing is knowing what the CQC focus on in their inspections. Another one is actually being able to provide the type of care that gets you an “outstanding” rating. CQC have identified 3 emerging drivers of better quality of care across the 5 KLOE’s
• Care is person-centred, designed around the individual and includes their involvement.
• The importance of the line-of-sight from senior leadership to the frontline staff and services.
• Good care includes the provider checking on how well they are doing.
Source: CQC – ”Celebrating good care, Championing Outstanding Care”
In order to achieve a better quality of care, you need a toolkit that enables your care/nursing home to work the best way possible. Here is how Sekoia helps in regards to each individual CQC question:
By safe, it is meant that people are protected from abuse and avoidable harm. In residential care, this means that people are supported to make choices and take risks and are protected from physical, psychological and emotional harm, abuse, discrimination and neglect. Sekoia ensures this is made possible by making any and all care plans and risk assessments available to all staff where they are delivering care. We also make sure that methods are in place to ensure these plans are reviewed through the evaluation logs and any changes are duly noted.
Additionally, any deviations observed whilst carrying out normal care tasks are recorded. For example, if a staff member observes anything unusual to do with behaviour, medication, food or fluid intake, falls, skin texture to state a few examples – anything untowardly that is observed is immediately recorded. This creates a clear and transparent system where patterns may be picked up very early on and preventive measures may be put in place to provide better care tomorrow.
Medication is also a pertinent aspect of a service user’s well-being and safety. Sekoia allows you to create Medicine tasks where you are able to add a description which you can tailor to include any and all information you require in the administration of medication. Sekoia also recommends that you use the descriptions to ensure that the method of medication administration is person-centred. This will ensure that you make the experience as careful and comfortable as it can be for your service user.
Sekoia instils best practice by ensuring that all information required to deliver care is made available at the point of care itself. In addition, we also ensure that all Tasks are designated to staff based on their qualifications and thereby their role within the organisation. This ensures an effective work routine allowing for timely completion of all care duties by competent staff.
Sekoia ensures that all necessary information pertaining to legislation such as the Mental Capacity Act and the Deprivation of Liberty Safeguards are made available in Instructions. Through the Observations application, there is also a provision for recording all DoLS requested in order to allow for a transparent system that reflects service users consent, in line with relevant legislation and guidance. The Plans feature may also be used for this purpose.
Sekoia is unique in that it is the only solution where there is a screen for each resident which solely pertains to them. This is based on the core principle of bringing the focus of care back to the resident.
Sekoia was created with the purpose of giving time ’Back to Caring’. We understand that positive caring relationships take time to nurture and this can only be done if this valuable time is freed up from staff. Therefore, the system is designed to be intuitive and quick, so that care can be recorded in an accurate and fast way, thereby allowing carers to spend more time with the people using the service. Also, applications such as pictures allow for staff to interact with the resident and have conversations about their life, family, interests. It also bridges the distance between their families and themselves and enhances communication on both sides.
Sekoia puts the service user back at the centre of care. Foremostly, by ensuring that information pertaining to the service user’s care is made available on their screen or at the point of care itself. Also by making sure care task descriptions and plans are written in first person from the perspective of the service user so that it serves as a reminder to everyone that care must be provided with focus on the service user’s consent, needs, preferences and choices.
By responsive, we mean that services are organised so that they meet people’s needs. In residential care, this means that people get the care they need, are listened to and have their rights and diverse circumstances respected.
Sekoia ensures person-centred care and that all care tasks are tailored around the resident and not in keeping with the staff’s routine. By keeping service users at the centre of focus of the system and ensuring that all information pertaining to that resident is available to the carer at the point of care itself, this ensures the service users feel valued.
Sekoia is a cloud based software. This means that any data recorded pertaining to a service user may never be lost or misplaced. Whenever there is a need to retrieve this data and make it available in a systematic format, it will be possible to do so.
Applications such as Tasks, Appointment Book and Helping Hand allow staff to obtain a bird’s eye view of not just the resident that they are attending to but also all others. This is a deliberate effort to ensure that all staff take collective responsibility for the work that they carry out within the home and share the duty of care.
To facilitate this practice there is an application called Lookout which makes certain that time is not being spent in trying to identify where help may be found. This helps save considerable time in delegation of duties and allows staff to manage their work efficiently.
Sekoia provides various stakeholders, in particular, the Owners and Senior Management of the home - access to Reports and Management Information that clearly outline the level of care being provided within their organisation. They are able to easily access from any location in the world, vital information that demarcates where a service is exceptional and more importantly where its key areas for improvement are.
The ability to better observe work practices over time and categorise this information in flexible formats proves extremely beneficial at Staff Meetings, One-to-One Supervisions and Staff Training days. The management is, therefore, better equipped to ascertain that a competent staff is delivering the desired care to the resident at the time needed. All these factors ensure that a service is led well from the top, no doubt leading to outstanding outcomes.
Through observing these practices consistently over a period of time and ongoing knowledge and information sharing, both staff and management develop a deeper understanding of the organisation's strengths and weaknesses and can take active steps towards achieving best practice.
Also, if ever considering what the CQC would think about technology in care, have a look at their summary of a roundtable event May 2018.