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Liz Davenport & Vanessa Ford speak on post inspection: responding to the findings

Liz Davenport & Vanessa FordLiz Davenport & Vanessa Ford

The presentation began by outlining the Devon Partnership Trust’s experiences of being a pilot site for the first wave of the CQC’s new inspection regime for mental health trusts, following the release of the draft inspection reports. To start with, the factual accuracy process which was very fast, challenging due to time constraints and involvement requirements. Furthermore, when reports have been factual accuracy checked and returned, organisations will prepare for the ‘Quality Summit’ with the CQC and other stakeholder organisations.

The presentation clarified how we prepared, what we felt went well and what was more of a challenge. It was beneficial to have the draft quality improvement plans worked up in some detail ready for the summit and we had already engaged early with our commissioners and other key stakeholders. 

“We volunteered for the inspection as it was a great opportunity to build on the wor.”k we were already doing for quality improvement. It is Important to get ownership of your staff

The presentation detailed the wide range of stakeholders to involve in the Quality Summit in order for it to be an effective event. Liz and Vanessa advided their Quality Summit was led by CQC and the NTDA and also included our CCGs, NHS England Area Team, Specialist Commissioning Group, Local Healthwatch and Social Care representatives. Organisations must ensure key stakeholder representatives are at the right level to be able to influence and make decisions. 

The Quality Summit agenda contained four key aspects:
1)    CQC presented their findings
2)    Our organisation then presented its response to the findings
3)    Key stakeholders discussed improvement approaches and considered the draft quality improvement plans 
4)    Finally a Question and Answer session took place. A key question raised was regarding compliance action that was multi-agency in nature and how the CQC intended on managing sign off of compliance when more than one organisation was involved in addressing the issues raised. 

The presentation went on to focus on the quality improvement plan development process that followed was complex and the presentation detailed what helped Liz and Vanessa to complete this, including a worked example within the plan. The underpinning governance and assurance processes managing the plan are also key, both externally and internally. This ensures transparency, engagement and clarity every step of the quality improvement journey and issues / risks can be highlighted quickly. 

“We changed our improvement plan process as a result of the inspection. We added 3 dates for completion (1) processed (2) implemented (3) imbedded. As a result we have had positive feedback from the CQC”

Engaging staff and developing the culture is critical to achieve sustained quality improvement. Staff need to own quality improvements and recognise that these are an everyday part of their work. Processes and tools need to be kept simple and through small tests of change we are managing to make progress.

The presentation explored the main learning point was that we defined experience outcome measures – so people and staff could see changes being made are improving people’s experience of our services. Liz and Vanessa advised they have developed approaches in making sustainable change and checking whether this has really embedded into practice. In addition, the overall Wave 1 experience was one of learning, at times challenging and labour intensive but critical in highlighting service weaknesses that affect people, identifying issues in our control and those we need help to solve. Liz and Vanessa advised they have built and strengthened relationships throughout the process and have had good support from healthcare colleagues. 

The presentation was concluded with discussion on the next steps which are to ensure people, their relatives, staff and other stakeholders are engaged and involved in our quality improvement activity and kept informed of our progress. Most importantly to ensure that the Trust are demonstrating and evidencing the real positive impacts this work is making on the quality of safety and experience of people who are using our services. 

“It is important to engage with mall stakeholders. You do t have to do this on your own. You need a good working relationship with commissioners. There are still challenges and we're still learning. It's an ongoing learning process but it has been a positive experience.”

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Download: Liz Davenport & Vanessa Ford's Presentation

22 September 2014

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