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

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Provider Assessment & Market Management Solution - PAMMS

Samantha Drake Jacqueline Kessie Integrated Accommodation Commissioning Team

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Objectives

• A reminder of the East of England

Standards.

• Describe the new PAMMS application
• A remainder of the methodology used when
• fficers carry out a service review
• Describe sources of evidence required
• Explain the action planning process
• Explain how scoring works
• PAMMS – assessment and action plans

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PAMMS

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Purpose and Benefits of PAMMS

Purpose

• More user friendly
• Supports the collation and

analysis of the data gathered both for the Partnership as well as providers

Benefits

• Standardized and consistent

approach across ER

• Providers and the monitoring

team will work more closely

• Objective assessment support

to providers

• Interactive action plan process
• May help identify where HCC

and partners can provide additional support

• Can lead to improve CQC

ratings

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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

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PAMMS & The Regional Standards

Domain 1 Domain 2 Domain 3 Domain 4 Domain 5

Involvement & Information Personalised Care and Support Safeguarding & Safety Suitability of Staffing Quality of Management

1 Respecting & Involving Service Users 3 Care & Welfare

• f Service Users

6 Safeguarding People who use the Service from Abuse 11 Requirements Relating to Staff 14 Assessing & Monitoring the Quality of Service provision 2 Consent 4 Meeting Nutritional Needs 7 Cleanliness & Infection Control 12 Suitability of Staffing 15 Complaints 5 Co-operating with other Providers 8 Management of Medicines 13 Supporting Staff 16 Records 9 Safety & Suitability of Premises 10 Safety, Availability & Suitability of Equipment

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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.

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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

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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,
• bservations of interaction and general observations,

feedback from stakeholders including family.

• Section C - Discussion with staff.

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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.

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Scoring system

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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.

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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 ?

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Some ‘Technical Bits’

• Platforms:

– Microsoft √ – IOS X (although an app has been developed)

• Browsers:

– Internet Explorer (10+)√ – Chrome √ – Firefox √ – Edge X

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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

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Allocate a rating to the Standard based on its score, as follows:

Excellent 95 and above Good 80 - <95 Requires Improveme nt (RI) 60 - <80 Poor <60

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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 Improveme nt (RI) 80 - <91 with >1 IR or >0 Poor 70 - <80 60 - <70 with 0 Poor Poor 60 - <70 with >=1 Poor <60

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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) Requires Improvement (RI) Everything else Poor EITHER all Poor OR >=2 Poor (others Excellent, Good or RI) OR 1 Poor, 0 Excellent and 0 Good (others RI)

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Demo

• Q&A
• Practical session

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Thank you