Develop a formal process to Strengthened the Evaluate the impact of the Not achieved learn from incidents, procedure by introducing additional reporting because of CQC incorporating the duty of a formal reporting processes the dedicated preparation candour and the being open structure within the of quality partners policy. serious incident process and recruitment of quality partners Begin the implementation of the Scoping and stakeholder Review completed document Draft document new model for ophthalmic nursing. involvement continued and recommendations to completed aim to – and planned completion key stakeholders agree by Q4 recommendations in Q1 16/17 Audit the effectiveness of the MCA training continued Review effectiveness and Recommendations new MCA training and its throughout Q3- agreed to impact of training and agree progressing well. impact on the quality of patient delay the re-audit until work plan to implement Improved care. Q1 recommendations understanding of MCA re- audit – due Q1-2 After a visit to TBC Moorfields; Continue to prepare for Appoint two quality partners. Two quality partners now Good progress Continue to roll out improvement plans. the forthcoming CQC appointed (the second in made inspection in May 2016, Q4) with an ambition of Continue to roll out local Good progress made Iterative assessments Good progress achieving a rating of at improvement plans. made least Ongoing site/local Good progress made Continuing refinement of Good progress “Good”. organisational performance assessments made and CQC available self-assessment Refined organisational view of Good progress made performance available submitted in Q4
Develop a formal process to learn from incidents, incorporating the duty of candour and the being open policy. Strengthened the procedure by introducing a formal reporting structure within the serious incident process and recruitment of quality partners Evaluate the impact of the additional reporting processes the dedicated of quality partners Not achieved because of CQC preparation Begin the implementation of the new model for ophthalmic nursing. Scoping and stakeholder involvement continued and planned completion by Q4 Review completed document and recommendations to key stakeholders Draft document completed – aim to agree recommendations in Q1 16/17 Audit the effectiveness of the new MCA training and its impact on the quality of patient care. MCA training continued throughout Q3- agreed to delay the re-audit until Q1 Review effectiveness and impact of training and agree work plan to implement recommendations Recommendations progressing well. Improved understanding of MCA – re- audit due Q1-2 After a visit to Moorfields; TBC Continue to prepare for the forthcoming CQC inspection in May 2016, with an ambition of achieving a rating of at least “Good”. Appoint two quality partners. Two quality partners now appointed (the second in Q4) Continue to roll out improvement plans. Good progress made Continue to roll out local improvement plans. Good progress made Iterative assessments Good progress made Ongoing site/local assessments Good progress made Continuing refinement of organisational performance available Good progress made and CQC self-assessment submitted in Q4 Refined organisational view of performance available Good progress made
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