Safeguarding in Health and Social Care Organisations
Task 1A 1.1/1.2
I am a Care worker in a Health and Social Care setting also having worked at Stafford Hospital where service users have been abused. I have been invited to a yearly health and social care conference as a guest speaker and this this year’s theme is ‘Recognising abuse and self-Harm in service users’. This report is for the participants to recognise and realise the abuse that has happened or may be happening to service users in Health and Social Care.
Stafford Hospitals unimaginable failing were published after having one of the most heart breaking news in the history of the NHS. Below I have briefly summarised and researched the time line of Stafford Hospital.
• February 2008- Mid Staffordshire NHS trust that runs Stafford Hospital and Cannock hospital was awarded a foundation trust status.
• May 2008- The health care Commissions perform an investigation due to having high death rates at the trust
• April 2009- The (CQC) Care Quality Commission takes the matter in to their own hands from the Health Care Commission.
• March 2010- It occurs that the independent inquiry cost more than £1.7 million just to conduct.
• October 2011- CQC have warns the trust after finding out that the trust has low staffing levels that can have an effect upon the patients at the trust
• December 2012- Lawyers reveal the trust has paid out more than £1 million in compensation for ‘inhumane and degrading’ treatment of patients.
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Mandatory in-services and mandatory weekly audits will be initiated in all areas of non-compliance. Chart reviews, audits and surveys of the staff allow directors and administration to evaluate the required in-services and education provided to staff in regards to the current non-compliant areas. Addressing hospital wide issues with visual reminders and cues. The increase audits and chart reviews will be initiated until the compliance level of “ORXY initiative” is within The Joint Commission requirements of 85% (Commission, 2013).
EDI Level 5 Diploma in Leadership for Health and Social Care and Children and Young
Mrs Salaman told to the Manchester hearing that she did not have a clue whether Mr Agrawal has been treated unfairly because of his raising patient safety concerns or because of his race. She defended the new shift system imposed by trust clinical director Rob Watson and she strongly denied that the new roster was in fact unsafe. She stated that the rota has been used over the last five years in the trust and the general surgical consultants have supported its continued use. Moreover, she mentioned that several consultants might have initial concerns about whether the new roaster will increase their workload; however, it was part of consultant surgeon’s responsibilities to carry out the overnight on-call duty before a day in the operating theatre. Mrs Salaman had no evidence to support Mr Agrawal’s concerns about patient safety and medical workloads. According to Lancashire Telegraph, clinical director Rob Watson, responsible for devising the new emergency rota at the Royal Blackburn and Burnley General Hospitals, explained that the system had been 'recognised as a safe model of care' by the Care Quality Commission. Mr Watson denied Mr Agrawal's claims and told the tribunal he had developed serious concerns about Mr Agrawal's attitude, behaviour and clinical performance (Jacobs, 2016). He stated that he told the medical director Rineke Schram that he would not be able to work
After the serious shortcomings within the Mid-Staffordshire NHS Trust came to light, The Francis Report (Francis, 2013) investigated how the conditions of inexcusable care could prevail within the trust. The Francis Report proposed several extensive changes that could improve the National Health Service (NHS). Garner (2014) informs that these changes include that leaders need to be effective and accountable, staff should be empowered to work in partnership, each trust should aim to improve innovation and quality, whilst putting the patient first. The Department of Health (DH) reflected on the findings and in response to The Francis
that between 400 and 1,200 patients died as a result of poor care between January 2005 and March 2009 at Stafford
Clinical supervision sits at the heart of the UK Government 's agenda for improving the quality of service delivery (Department of Health, 1997, 1998, 1999). The practice in the workplace was introduced as a way of using reflective practice and shared experiences as a part of continuing professional development. Clinical supervision has ensured that standards of clinical care remain a key mechanism for monitoring the performance of Trusts, with clinical performance measures being given equal weight to financial and accounting measures. Each Trust is required to have a clinical supervision lead and a clinical supervision committee. The clinical supervision process within Trusts is performance managed through annual reports scrutinised by
The Care Quality Commission makes sure that hospitals, care homes, dental and GP surgeries, and all other care services in England provide people with safe, effective, compassionate and high quality care, and they encourage these services to make improvements.
A duty of care is a legal obligation to protect wellbeing and prevent harm within the health and social care sector. The duty of care is very important as it does not only protect the service users but the service provider’s as well. There are 7 principles all care workers must follow in order to care for the service users effectively. I will be investigating the quality of care given by service providers in both a child and adult health and social care settings. if the duty of care is not followed, implications can occur, for example it is a carers duty of care to report any signs of abuse they may notice on a patient, reporting this to higher authority etc could possibly save that service users life. Service users have rights to
Over the last 15 years or so a number of cases concerning patient care and safety have come to light prompting investigations and inquiries that have led to changes in the way care is delivered. These include inquiries at Winterbourne View hospital, Mid-Staffordshire hospital(Mid staffs) and Harold shipman to name a few.
The Joint Commission is a nonprofit organization that certifies more than 18,000 health care organization and programs throughout the world. Founded in 1951, the Joint Commission provides a national symbol of quality for health care as well as analyzes each organization’s commitment to meeting high quality performance standards. The Joint commission focuses on accrediting Acute Care Hospitals, ambulatory, behavior health, long term care, health care facilities, clinical laboratories, health care networks and hospice. Numerous of accreditation organization is also taking place within the United States, but the Joint commission remains the largest The Joint commission accredits 20,000 organization” which” one third are Hospitals.
Ever heard of Joint Commission? The Joint Commission is an independent, not-for-profit organization that wanted to improve the health care to the public by evaluating different health care organizations by providing the best care at the greatest values they could provide. The joint Commission is a group of 32 members, including physicians, administrators, nurses, employers, and quality experts. There are over 1,000 employees. ‘’ All people always experience the safest, highest quality, best-value health care across all settings.’’
The Joint Commission delivers stability and security to the quality of care being practiced. They have certain standards which are the root of an objective evaluation method that can benefit health care organizations through the measurement and monitoring of their achievements. These methods improve upon performance standards. The committee’s focus is primarily on important patient,
When talking about quality and safety, the deficiencies with the management and ability of the NHS have their own evidence and signs. This is due to extended and unacceptable waiting times for treatment, medical and non-medical care being of poor quality. Dirty hospitals, inflexible
The NHS was first launched in 1948. It was created to provide good healthcare services and it was available to everyone. It didn’t matter if you were rich or poor, that was the principle. http://www.nhs.uk/NHSEngland/thenhs/about/Pages/overview.aspx With the NHS confronting its greatest difficulties throughout the following decade, there are numerous reasons that the NHS is coming to emergency point. Each test should be tended to and a successful method for adapting and giving better treatment to patients should be involved.
Abiding by codes of practice infers employee accountability.As an employee, signing a contract binds the employee to adhere to policies and guidelines.The adherence to the these protocols are partly governed by the Care Quality Commission who carry out unannounced inspections to ensure organisatons are providing a safe, caring and responsive service. A report into failings at Leeds General Infirmary, (Boseley and Morris, 2014), show how lack of guidelines and protocols can impact negatively on service users. 16 families were affected when their children were diagnosed with heart defects, before during and after birth. The pediatric cardiology department failed to deliver support, compassion and empathy, consequentially families were provided with an unacceptable service. Accountability lies with all employees that were involved and being accountable, is an integral part of getting care right. However, as mentioned earlier, evidence based guidelines and protocols are generic and do not allow for individuality. Nevertheless personal accountability is a requisite when deviating from