Provider Assessment & Market Management Solution - PAMMS - PowerPoint PPT Presentation

Provider Assessment & Market Management Solution - PAMMS Samantha Drake Jacqueline Kessie Integrated Accommodation Commissioning Team www.hertsdirect.org www.hertsdirect.org

Objectives • A reminder of the East of England Standards. • Describe the new PAMMS application • A remainder of the methodology used when officers carry out a service review • Describe sources of evidence required • Explain the action planning process • Explain how scoring works • PAMMS – assessment and action plans www.hertsdirect.org www.hertsdirect.org

PAMMS www.hertsdirect.org www.hertsdirect.org

Purpose and Benefits of PAMMS Benefits • Standardized and consistent Purpose approach across ER • Providers and the monitoring • More user friendly team will work more closely • Supports the collation and • Objective assessment support analysis of the data gathered both to providers for the Partnership as well as providers • Interactive action plan process • May help identify where HCC and partners can provide additional support • Can lead to improve CQC ratings www.hertsdirect.org www.hertsdirect.org

East Of England Standards 5 Domains with standards embedded in each domain • Involvement and Information • Personalised care and support • Safeguarding and safety • Suitability of staffing • Quality of management www.hertsdirect.org www.hertsdirect.org

PAMMS & The Regional Standards Domain 1 Domain 2 Domain 3 Domain 4 Domain 5 Involvement & Personalised Safeguarding & Suitability of Quality of Information Care and Safety Staffing Management Support 1 Respecting & 3 Care & Welfare 6 Safeguarding 11 Requirements 14 Assessing & Involving of Service Users People who use Relating to Staff Monitoring the Service Users the Service from Quality of Abuse Service provision 2 Consent 4 Meeting 7 Cleanliness & 12 Suitability of 15 Complaints Nutritional Infection Control Staffing Needs 5 Co-operating 8 Management of 13 Supporting Staff 16 Records with other Medicines Providers 9 Safety & Suitability of Premises 10 Safety, Availability & Suitability of Equipment www.hertsdirect.org www.hertsdirect.org

Methodology • Specification & terms & conditions – legal framework • Standards (criterion) set out the requirements • Evidence to demonstrate contract compliance is gathered from various sources. • Evidence is triangulated throughout the workbook. • Evidence is not solely based on records, but includes observations of staff practice and interaction with service users and staff. www.hertsdirect.org www.hertsdirect.org

Triangulating the Evidence • There are six sections in which to assess the provider’s quality – Standards are assessed in all appropriate areas in order to ‘Triangulate’ the evidence: • Assessment, Care Planning & Reviews & Consent • Service User’s Experience • Care Worker Knowledge & Understanding • Staff Training & Recruitment • Environment, Equipment & General Safety • Leadership, Quality Assurance & Management www.hertsdirect.org www.hertsdirect.org

Evidence • Section A - Care plans to be personalised and up to date with factual information. Reviews to reflect any changes of need. Risk assessments to be up to date and reviewed to reflect changes in need. • Section B - Discussion with service users, observations of interaction and general observations, feedback from stakeholders including family. • Section C - Discussion with staff. www.hertsdirect.org www.hertsdirect.org

Evidence • Section D - Staff ID and references are verified, valid working visas in situ, supervisions are consistent, showing a 2 way discussion allowing staff to raise concerns and include development opportunities . Training matrix demonstrates that training is completed and current. • Section E - infection control management and prevention, storage and administration of medication, safety and suitability of premises. • Section F - Sufficient staffing levels to meet service requirements, provider identifies critical functions and evidence of testing, quality assurance processes, management of complaints and learning to improve /shape the service. www.hertsdirect.org www.hertsdirect.org

Scoring system www.hertsdirect.org www.hertsdirect.org

Overall Rating’s • Excellent • The service is performing exceptionally well and in certain key areas is exceeding the regional standards. • Good • The service is performing well and is meeting the regional standards. • Requires Improvement • The service isn't performing as well as it should and has failed to meet the regional standards in some key areas. • Poor • The service is performing poorly and has failed to meet the regional standards in a number of key areas. www.hertsdirect.org www.hertsdirect.org

Action planning process • Providers are to ensure that action plans are completed using the SMART tool. • Action plans should identify the areas of improvement , detail how the provider will address these concerns, who is responsible and in what time frame. • Action plans should demonstrate the corrective measures taken which address the immediate shortfalls and ensure that this has been applied more broadly to avoid reoccurrence. Root cause ? www.hertsdirect.org www.hertsdirect.org

Some ‘Technical Bits’ • Platforms: – Microsoft √ – IOS X (although an app has been developed) • Browsers: – Internet Explorer (10+) √ – Chrome √ – Firefox √ – Edge X www.hertsdirect.org www.hertsdirect.org

Scoring the Questions For each criteria (question) assessed a score is allocated as follows: •Excellent = 100 points •Good = 90 points •Requires Improvement (RI) = 50 points •Poor = 0 points www.hertsdirect.org www.hertsdirect.org

Allocate a rating to the Standard based on its score, as follows: Excellent 95 and above Good 80 - <95 60 - <80 Requires Improveme nt (RI) Poor <60 www.hertsdirect.org www.hertsdirect.org

Scoring the Domains Excellent 95 and above 91 - <95 with >=1 Excellent Good 91 - <95 with 0 Excellent 80 - <91 with 0 Poor and <= 1 RI Requires 80 - <91 with >1 IR or >0 Poor Improveme 70 - <80 nt (RI) 60 - <70 with 0 Poor Poor 60 - <70 with >=1 Poor <60 www.hertsdirect.org www.hertsdirect.org

The Overall Rating Excellent EITHER all Excellent OR >=2 Excellent, 0 RI and 0 Poor (others Good) Good EITHER all Good OR 0 RI, 0 Poor, 1 Excellent, >=1 Good OR 1 RI, 0 Poor, >=1 (Excellent or Good) Everything else Requires Improvement (RI) Poor EITHER all Poor OR >=2 Poor (others Excellent, Good or RI) OR 1 Poor, 0 Excellent and 0 Good (others RI) www.hertsdirect.org www.hertsdirect.org

Demo • Q&A • Practical session www.hertsdirect.org www.hertsdirect.org

Thank you www.hertsdirect.org www.hertsdirect.org