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Newsletter Our monthly update for everyone interested in health and social care | |
 State of Care 2019/20 published Earlier this month we published State of Care, our annual assessment of health care and social care in England. This year we found that, before the coronavirus (COVID-19) pandemic, care that people received was mostly of good quality. But while quality was largely maintained compared with the previous year, there was generally no improvement overall. And in the space of a few short months, the pandemic has placed the severest of challenges on the whole health and care system in England. | | |
 CQC calls for improved community-based health and care for people with a learning disability, autistic people and/or a mental health condition This month we published Out of sight – who cares?, a report looking at use of restraint, seclusion and segregation for autistic people, and people with a learning disability and/or mental health condition. When we spoke to people in services, we heard that they were often subject to restrictive practices because they failed to get the right care early on. We found the environment of mental health hospitals was often not therapeutic. The noisy and chaotic nature of the wards could add to people's distress, particularly for autistic people. We also found inappropriate use of restrictive practices, for example the use of blanket restrictions. Nearly all of the services (hospitals and adult social care services) that we visited used some form of restrictive practice. But we also saw examples where, with the right care package and plans in place, staff could help people when they became distressed and de-escalate the situation to avoid using these techniques |  CQC to look at how DNACPR decisions have been used during the pandemic The Department of Health and Social Care has asked us to review how Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions were used during the coronavirus pandemic, building on concerns we reported earlier in the year. In April, we published a joint statement with the British Medical Association (BMA) Care Provider Alliance (CPA) and Royal College of General Practitioners (RCGP), reminding all providers that it is unacceptable for advance care plans, with or without DNAR form completion to be applied to groups of people of any description. Interim findings from our review are expected later this year, with a final report in early 2021. |  Have your say: Developing our future strategy Over the past couple of months, we've been speaking to people who use services, providers, other stakeholders and our colleagues about the emerging themes of our future strategy. We carried out a range of activities to hear your views, including webinars, podcasts, online engagement through our participation platform, surveys and one-to-one conversations. We've taken on board everything we've heard to develop and strengthen our strategy themes. There are some big questions left to answer, but we want to hear your thoughts on how our strategy is shaping up. We've also shared how your feedback so far has influenced our thinking. |  Updated guidance on the regulation of services for autistic people and/or people with a learning disability Following feedback from people who use services, we have updated guidance for providers who support autistic people and/or people with a learning disability. The new guidance - called Right support, right care, right culture - has a stronger focus on outcomes for people including the quality of life people are able to experience and the care they receive. The guidance outlines three key factors that we expect providers to consider if they are, or want to care for autistic people and/or people with a learning disability: Right support: The model of care and setting should maximise people's choice, control and independence Right care: Care should be person-centred and promote people's dignity, privacy and human rights Right culture: The ethos, values, attitudes and behaviours of leaders and care staff should ensure people using services lead confident, inclusive and empowered lives |  CQC reports on the need for better access to mental health care and support We've published updates on 3 pieces of work that highlight the issues people face around access to mental health services. The reports look at mental health rehabilitation inpatient services, children and young people's mental health services, and mental health services in acute trusts. While we found some progress, there is still a need for improvement across all three areas. The 3 updates are: |  CQC reports on protecting patients from exposure to ionising radiation in healthcare settings Our annual report on how we enforce the Ionising Radiation (Medical Exposure) Regulations - IR(ME)R - has been published. We report on statutory notifications of errors where patients have received an accidental or unintended exposure of radiation. The report gives examples of incidents and the actions taken to protect patients from repeat errors. These examples and actions provide learning for services. |  Join us! Work for CQC Some of our current vacancies: - Lawyer – London or Leeds
- Senior Analyst, Data Science – Home based
- Registration Team Manager – Newcastle
Benefits include generous leave entitlement, NHS or Nest pension schemes and a wide range of employee discounts. |  Do you work in health or social care? Make sure you see the latest information about the changes that we're making to the way that we work due to coronavirus. |  Our offices remain closed – please do not send post All of our offices are closed and our staff are working from home. This means that we are not able to receive post. If you need to contact us, you should do it online or by phone. If you work for a health or social care service, do not send completed notification forms, including notifications of deaths, to us by post. These should be emailed to HSCA_notifications@cqc.org.uk. If we have to issue a formal notice, we will contact the provider by phone to discuss. Providers are also reminded of their duty of care to people using their services. For those detained under the Mental Health Act, this may mean supporting people to access the internet or make phone calls if they ask to contact us. | | |
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