4 KPI - Core staff training - Staff training in infection control 85% of staff have received mandatory training in line with the requirements stated in Appendix 2 of this schedule – Ongoing Learning and Development Guide Refer to page 6, Appendix 1 of this schedule for the list of mandatory training requirements and the refresher training timescales. The Provider should use its training matrix to produce this information. Provider Annually 5 KPI - Assessing & Delivering Care - Assessing capacity - Maintaining care and support - Maintaining service user records 100% of ECC/CCG placed residents have a preliminary Care Plan within 8 hours of admission which is updated monthly or sooner as required. The Care Plan should be written in conjunction with the Service User and should include: (i) The Service User’s eligible care and support needs (ii) The Service User outcomes (iii) Care Plans evidence that appropriate capacity assessments have been carried out and reviewed regularly and any restrictions are taken into account in line with DoL’S legislation. The Provider should use its quality assurance system to produce this information. ECC will Care Plans on site. Care Plans to be randomly selected by the auditor. Provider Six monthly 6 KPI - Monitoring the service effectively The provider must have a quality assurance system in place. Records evidence that a range of appropriate and effective audits have been analysed and action plans developed. That action plans include time lines, the staff responsible and that any progress / completion of the actions is clearly recorded. Audits have clear robust criteria to ensure consistency. Best practice is for the provider to use external auditors to assess their service. Please refer to Appendix 1, PAMMS Question Bank for more information. The Provider should use its quality assurance system to produce this information Provider Six monthly
7 KPI - N/A Contract compliance - number of breach letters sent, as recorded in the Council's records. This means the number of formal contract breach letters issued by the Council. ECC to populate the six monthly return. ECC will be able to do this for providers who sign up to lots 1 and 2 of the IRN; the CCG’s will need to collect and produce its data for any of their placements made under the contract Six monthly 8 KPI - N/A Contract compliance -number of suspensions imposed by the Council with an action plan in place. This does not include self-imposed suspensions, suspension due to infection or suspensions placed by the Council pending an investigation where there is no action plan. Once an investigation is carried out, if the suspension is upheld an action plan will then be agreed. ECC to populate the six monthly return. ECC will be able to do this for providers who sign up to lots 1 and 2 of the IRN; the CCG’s will need to collect and produce its data for any of their placements made under the contract Six monthly 1 CCG KPI - N/A State the number of people who have had a pressure ulcer treated in the last 6 months Both ECC and the CCG’s will expect the provider to have appropriate risk assessments and pressure relieving equipment in place The Provider should use its quality assurance system to produce this information. Provider Six monthly 2 CCG KPI - N/A State the number of people who have been treated for a UTI in the last 6 months The Provider should use its quality assurance system to produce this information. Provider Six monthly
3 CCG KPI - N/A State the number of medication errors that have occurred in the home within the last 6 months The Provider should use its quality assurance system to produce this information. Provider Six monthly 4 CCG KPI - N/A How many times in the last 6 months did you fail to notify the Relevant Person of a suspected or actual Reportable Patient Safety Incident? The Provider should use its quality assurance system to produce this information. Provider Six monthly 5 CCG KPI - N/A How many incidents of MRSA have you had in the home over the last 6 months? The Provider should use its quality assurance system to produce this information. Provider Six monthly 6 CCG KPI - N/A How many incidents of Clostridium Difficile have you had in the home over the last 6 months? The Provider should use its quality assurance system to produce this information. Provider Six monthly 7 CCG KPI - N/A How many never events have you had in the home over the last 6 months? Click here for the definition of a never event The Provider should use its quality assurance system to produce this information. Provider Six monthly