Transcript Validated Self Evaluation of Alcohol and Drug Partnerships

Validated Self Evaluation of Alcohol and
Drug Partnerships
Evidencing Implementation: The
Quality Principles – Care
Inspectorate/The Scottish
Government
National ADP Coordinators Event
12 November 2015
Project Background
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Alcohol & Drug Partnerships (ADPs) are responsible for developing
local strategies for tackling and reducing problem alcohol and drug use
and in planning and commissioning services to deliver improved core
and local outcomes.
•
They also have a key role in delivering the national drugs strategy for
Scotland; ‘The Road to Recovery’ and Scotland’s national alcohol
framework; ‘Changing Scotland’s Relationship with Alcohol: A
Framework for Action’.
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In 2009 the joint ‘Framework for Alcohol and Drug Partnerships' ensured
all thirty ADPs across Scotland had clear and effective partnershipbased strategies in place for delivering action on alcohol and drugs at a
local level and focused activity on the identification, pursuit and
achievement of agreed, shared outcomes.
Project Background - continued
• As part of this reform the Scottish Government developed an
Outcomes Toolkit for Alcohol and Drugs Partnerships (2009)
to assist ADPs to identify local priority outcomes relating to alcohol
and drugs.
• The Scottish Government’s Drug and Alcohol Quality
Improvement Framework is now the focus of the next phase of
delivery of the national drug and alcohol strategies, ‘Road to
Recovery’ and ‘Changing Scotland’s Relationship with Alcohol’
• The Quality Principles also contribute to efforts to address the
recommendations of the recent independent expert review’s report
on opioid replacement therapies, ‘Delivering Recovery’.
The Project Brief
• The Care Inspectorate will undertake a joint programme of work
on behalf of the Scottish Government to support the validation of
ADPs and services’ self-assessment of performance and progress
in implementing the Quality Principles.
• The programme will provide an evidence-informed assessment of
local implementation, measurement and quality assurance of ADP
and service adherence to the Quality Principles.
Project Purpose
To find out the extent to which:
• ADPs are engaged in purposeful self-evaluation of quality in
services, informed by the Quality Principles.
• ADPs and alcohol and drug services are implementing and
embedding the Quality Principles at a strategic and service level to
support and drive a culture of self-evaluation.
• ADPs are using evidence from validated self-evaluation of the
Quality Principles to drive continuous improvement at a local level.
Project Outcomes
• To support and build capacity among ADPs for robust and
systematic self-evaluation in relation to the Quality Principles
within the Quality Improvement Framework.
• To strengthen a culture of continuous improvement and quality
assurance of performance (using the Quality Principles within the
Quality Improvement Framework).
• The national findings from this programme will be reviewed by the
Scottish Government to inform a national plan that will continue to
support the delivery of ADP service improvements.
Project Deliverables
The Care Inspectorate will provide:
• The Scottish Government Drugs Policy Unit and Alcohol Team
with a national report on findings (which will be anonymised)
obtained from engaging with ADPs and their associated
services.
• A short, individualised summary briefing to each ADP with
strengths and recommendations for improvement, clearly
identified for their own use in improvement work only.
• Each ADP will be encouraged to develop their own action plan
to take forward identified local improvements.
Project Benefits
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Increase in the capacity and readiness of ADPs to self-evaluate performance
using the Quality Improvement Framework and Quality Principles to lead to
continuous improvement;
•
Provide a national picture of key strengths, good practice and areas for
improvement to inform the Scottish Government of on-going improvement of
outcome-based approaches to improving the quality of alcohol and drug
services;
•
The provision of a consistent and sustainable benchmark methodology
against which ADP’s can continue to measure the improvements that they
make;
•
Purposeful self-evaluation, informed by the Quality Principles will improve
the experience and quality of services that people receive.
Methodology
• Promotes the Scottish Government’s improvement
methodology;
• Is person-centred and recovery-oriented;
• Focuses on the impact of a person’s journey from access to
a service leading on to assessment, recovery planning and
review;
• Supports improvement through self-evaluation.
Key Features
• Developed a framework of quality indicators to evaluating
drug and alcohol services based on the Model of Excellence
of European Foundation Quality Management (EFQM);
• Focuses on how well partners and staff across services are
working together to deliver high quality person-centred
prevention, treatment, recovery and support services that
improves the lives of individuals;
• Emphasis on demonstrating how well drug and alcohol
services are implementing and embedding the Quality
Principles.
Team composition
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Sharon Robertson, Project Lead, Care Inspectorate
Mike Harkin, Depute Lead, Care Inspectorate
Maureen Johnston, Team member, Care Inspectorate
Associate Assessors – who have knowledge and
practice experience in alcohol and drugs services.
 We will seek nominations from ADPs to contribute to
the validated self-evaluation and improvement project.
• Local file readers from alcohol and drugs services.
Engagement Phase
• Position Statement has been designed around the
new Quality Indicator Framework and incorporates the
eight Quality Principles.
• The purpose of ADPs completing the Position
Statement is to provide a self assessment of
performance and progress made to implementing
and embedding the Quality Principles in local delivery.
• Service User Survey used to gather the views &
experiences from people accessing services.
• Staff Survey used to gather the views and
experiences of staff across services to embedding the
Quality Principles in practice.
On Site: Case file reading(1day)
• We will validate your practice through reading a
sample of case records that we will ask you to identify.
• We will focus on the quality indicators relating to
delivery of key processes and impact across the
Quality Principles.
• Reading case records will provide some findings about
your quality assurance processes, staff supervision
and your commissioning arrangements.
• Involve local staff in reviewing case records along with
Care Inspectorate team and Associate Assessors.
Site Visits: Validated selfevaluation with ADPs (1 day)
• Activity will be proportionate and focused on areas for
clarification, potential strengths and improvements
identified from submitted Position Statement. This will
include speaking to a range of stakeholders:
 Interview with ADP Chair and Coordinator
 ADP stakeholder meeting with staff
 Established service users and carers reference
groups; and
 Validating good practice.
Reporting
We will provide:
• The Scottish Government Drugs Policy Unit and
Alcohol Team with a national report on the extent to
which the Quality Principles have been embedded
(which will be anonymised) obtained from engaging
with ADPs and their associated services.
Each ADP will receive:
• A short, individualised summary briefing with strengths
and recommendations for improvement, clearly
identified for your own use in improvement work.
Supporting improvement
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National Report
Individualised summary briefing/feedback to ADPs
Quantitative results from case file reading
Quantitative results from service user and staff survey
Each ADP will be encouraged to develop their own
action plan to take forward identified local
improvements
• Support from the ADP National Support Team
Facilitated Table Discussion
• What progress has been made to embed The
Quality Principles in local delivery?
• What are the challenges to this?
• How would your ADP like to engage with the
planned Care Inspectorate work?
• What preparation is needed?