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Inclusion Ireland Annual Conference

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Living Life to the Full So where do Standards come in? Niall Byrne Deputy Director Office of the Chief Inspector of Social Services Inclusion Ireland Annual ... – PowerPoint PPT presentation

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Title: Inclusion Ireland Annual Conference


1
Living Life to the Full So where do Standards
come in?Niall ByrneDeputy DirectorOffice of
the Chief Inspector of Social Services
Inclusion Ireland Annual Conference 28 March 2009
2
This mornings presentation
  • Apologies on behalf of Dr. Marion Witton, Chief
    Inspector of Social Services
  • Background to HIQA and the Office of Chief
    Inspector of Social Services
  • How regulation will work in older peoples
    residential services as from 1 July 2009
  • How this will link to regulation of residential
    services for people with disabilities where we
    are now
  • Linking to your theme - Living life to the full!

3
  • Background to HIQA the Office of Chief
    Inspector of Social Services

4
Health Information and Quality Authority
  • Established in May 2007 as part of the
    Government's Health Reform programme
  • An independent Authority - reports directly to
    the Minister for Health Children
  • Promote safety and quality in the provision of
    health personal social services for the benefit
    of the health 7 welfare of the public (Section 7,
    Health Act, 2007)
  • Has a remit across public, voluntary and private
    services
  • Clear focus on Putting People First

5
How HIQA is organised
  • Four Operating Divisions within the Authority
  • Healthcare Quality and Patient Safety
  • Health Technology Assessment
  • Health Information
  • Office of the Chief Inspector of Social Services
  • Two Support Divisions
  • Corporate Services
  • Communications Stakeholder Engagement

6
The Office of Chief Inspector of Social Services
  • A new statutory position established by Health
    Act 2007
  • Functions of Chief Inspector are
  • To Register and Inspect all designated
    (residential) centres for children, older
    people, people with disabilities
  • Inspect Special Care Units
  • Inspect Detention Schools
  • Has a range of regulatory and enforcement powers

7
  • How regulation will work in older peoples
    residential services as from 1 July 2009

8
Regulation under the Health Act 2007
  • All residential care (HSE, Private and Voluntary)
    must be registered with Chief Inspector in order
    to operate
  • Registration must be renewed every three years
  • Inspections will be announced and unannounced, in
    and out-of-hours
  • Everyone involved in running a service must be
    fit person
  • Designated centres must be in compliance with the
    Regulations and the Standards
  • System will be largely self-financing through fees

9
The Tools of Regulation
  • Standards Legislation
  • Criteria Regulations
  • Standards, legislation and regulations are
    designed to be congruent
  • The Regulatory Framework consists of
    Registration, Inspection and Enforcement

10
Standards are about
  • Driving improvement
  • Keeping people safe
  • Supporting quality of service

11
National Quality Standards for Residential Care
Settings for Older People
  • 32 Standards across 6 Domains
  • Standards Statements These are principles not
    rules
  • Outcome-based and focus on the experience of the
    resident as well as on objective data.
  • Standards have been approved by Minister for
    Health Children
  • Key outcome question Whats this centre like
    as a place to live?

12
Criteria
  • Standard statements are supported by indicative
    criteria
  • Criteria are examples of how Services may achieve
    the Standard
  • They are not the only way of meeting the
    standards
  • They should not be considered as prescriptive

13
What will inspectors do ?
  • Assess information prior to the inspection
  • Meet with residents, family members, owner, mgt
    and staff
  • Review policies and procedures, rosters, records,
    brochures, staffing issues, incident reports
  • Inspect quality of life issues activities,
    privacy and dignity, care practices, choices,
    routines, meals
  • Review the physical environment
  • Assess the evidence objectively
  • Reach fair and reasonable conclusions
  • Report publicly on their findings
  • Act decisively on issues of safety

14
  • How this will link to regulation of residential
    services for people with disabilities and where
    we are now

15
Regulation of residential services for people
with disabilities
  • Same regulatory framework will be used as for
    older peoples services
  • Same principles will apply in assessing services
    Whats this like as a place to live?
  • Inspectors will talk to people, observe, review
    documents and make balanced assessments
  • All reports will be published on HIQA website

16
Where we are now
  • Draft National Quality Standards have been
    drawn-up by HIQA in partnership with stakeholders
  • These will be published shortly by HIQA and are
    subject to the approval of the Minister
  • A Regulatory Impact Assessment must be conducted
    by the Dept. of Health Children
  • Regulations under the Health Act, 2007 must also
    be made by the Minister
  • A decision is awaited as to when the Minister
    will formally commence the regulation of
    designated centres for people with disabilities

17
  • Living life to the full !
  • So where do Standards come in?

18
Key points to remember
  • Registration, Inspection and Standards are tools
    within a wider process of regulation
  • The system allows a service to demonstrate its
    quality of care to the regulator
  • Providers, managers and staff are those who
    deliver services and are responsible for the
    quality of care
  • Registration and inspection assure public
    confidence that services are in keeping with
    Standards
  • Regulation assures quality, eliminates poor
    providers and recognises and encourages good
    providers

19
Live your life to the full!
  • Page 13 of the Draft National Quality Standards
    says
  • Quality of Life
  • The purpose of residential services for people
    with disabilities should be to provide them with
    the supports they require in order to lead a
    fulfilling life
  • This is the challenge to Service Providers,
    Funders and Regulators Are we supporting people
    or are we getting in the way of people having a
    fulfilling life?
  • Our Standards focus on the things that matter -
    choice, quality, opportunity living your life
    to the full!

20
  • Thank You
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