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Capacity Building Programme of Handicap International in South East Europe. Module 4 – Seminar on Quality of Social Services Tirana, December 2008 Michael Crowley - Ireland. Council of Europe Action Plan 2006 - 2015.
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Capacity Building Programmeof Handicap International in South East Europe Module 4 – Seminar on Quality of Social Services Tirana, December 2008 Michael Crowley - Ireland
Council of EuropeAction Plan 2006 - 2015 To promote the rights and full participation of people with disabilities in society : Improving the quality of life of people with disabilities 2006 - 2015
Council of Europe Action Plan2006 - 2015 • Participation in Public & Political Life • Participation in Cultural life • Information & Communications • Education • Employment, Vocational Training & Guidance • Built Environment • Transport • Community Living
Council of Europe Action Plan2006 - 2015 • Health Care • Rehabilitation • Social Protection • Legal Protection • Protection against Violence & Abuse • Research & Development • Awareness raising
Quality in Social Services Sector • Overview Quality Systems • Brief History • European Quality Approaches • European Modernisation Developments – Europe( Sl 8) • Market Requirements – Guus (Slide 10 Trond) • European High Level Perspective ( Sl 18) • State of Art - Quality in Social Services (Sl 23) • Core Elements • Clarification Terminology
Quality Framework in Social Services Sector • Development Strategy – Quality Framework • Implementation Strategy • Audit / Monitoring Strategy • Funding / Compliance Strategy • National Authority Perspective( Sl 40 EIQA) • Service Provider Perspective (Sl 39 EIQA) • Service User / Client Perspective( Sl 41 EIQA)
EQUASS Assurance • Leadership • Rights • Ethics • Partnership • Participation • Person Centred • Comprehensive • Result Orientated • Continuous Improvement
DRAFT Residential Services forPeople with Disabilities -HIQA • Quality of Life • Staffing • Protection • Development & Health • Physical Environment • Governance & Management
DRAFT Residential Care SettingsChildren & Young PwD - HIQA • Quality of Life • Staffing • Safeguarding & Child Protection • Education, Development & Health • Children’s Rights • Health & Safety • Governance & Management
Social Platform • Dignity& Rights • Service Results • Tailor made Services • User Security • Participation & Empowerment • Holistic& Continuous • Partnership • Skilled Professionals • Transparent & Accountable
European Quality of Life PrinciplesEASPD ValuesQuality of life for all Dignity Emotional well-being Equal opportunities Interpersonal relations Independent living Material well-being Participation in and Personal development Contribution to society Physical well-being Self-determination Social inclusion Equal rights
Golden Quality Principles Social Platform Quality Services: • Respect human dignity and fundamental rights • Achieve results • Tailor-made to each individual • Ensure security to all users, including the most vulnerable • Participative and empower users to take decisions on their own • Holistic and continuous • Provided in partnership with communities and other actors • Provided by skilled professionals working under good employment and working conditions • Managed in a transparent way and are accountable
European Requirements for Quality inSocial Services of General Interest • 1. Rights • 2. Person centred • 3. Comprehensiveness • 4. Participation • 5. Partnership • 6. Result Orientation • 7. Good Governance Source: Positioning Paper Disability High Level Group June 2007
Quality Standard Further Education & Training - FETAC • Communications • Equality • Staff Recruitment & Development • Access, Transfer & Progression • Programme Development, Delivery & Review • Fair & Consistent Assessment of Learners • Protection for Learners • Subcontracting / Procuring Programme Delivery • Self Evaluation of Programmes & Services
HIQADraft Residential Standard • 7 Sections • Quality of Life > 4 Standards - 35 Criteria • Staffing > 1 Standard – 15 Criteria • Protection > 2 Standards – 25 Criteria • Development & Health > 2 Standards – 23 Criteria • Rights > 5 Standards – 35 Criteria • Physical Environment > 2 Standards – 18 Criteria • Governance & Management > 3 Standards – 26 Criteria • 19 Standards • 177 Criteria
Quality Standard for Special Training Centre - QA00/01 • Policy Standards • Service Standards • Management Standards • Financial Standards • Quality Standards
Service ProvidersPerspective Outcome Measurement Michael Crowley Business Excellence Executive Rehab Group Tirana, December 2008
Outcome Measurement • European Context • Service Provider Context • Service / Funding Contractual Agreement
Outcome Targets • Set in Consultation • Addressing Needs Identified • Realistic • Measurable • Attainable
Issues / Risks • General Targets v Specific Targets • Targets Linked to Funding • Hard Outcomes Specific • Quality of Life Outcomes – little recognition • Outcome timeline variable • Service Users needs increasing • Inappropriate referrals • Open Market
Outcome Measurement- Advantages • Supports • Effective delivery of service • Sustainable Success • Performance Management / Measurement • Control sub contracted services • Continuous Improvement • Benchmarking / Bench learning
Outcome Utilisation /Improvement Initiatives • Service Improvement • Proof of Efficiency & Effectiveness • Supports concept Value for Money • Customer Satisfaction – addressing needs • Continuous Improvement • Business Improvement
Conclusion • Issue of the Present / Future • Input Fundamental • Linkage to Funding • Measurement Methodology critical • Strategy for Service Improvement • Key Business Results • Benchmarking
You don’t have to do this, survival is not compulsory W. Edwards Deming
Standards Development & Implementation National Strategy N A T I O N A L I N S P E C T O R A T E Sector Strategy . Sector Standards Development Sector Standards Implementation
Service Providers Perspective - Standards Registration Service Contracts . Service Funding Monitoring & Compliance Market Share Quality Service
Service Users Perspective - Standards Regulated Providers Quality Assurance of Service . Continuous Improvement Service Service User Participation / Feedback Outcomes Focused Individual Needs Results
Standards Implementation Strategy National Launch Regional Launch – Local Service Providers Conferences Service Provider Training / Infromation Staff Training / Information Service User Training / Information Provision of Resources / Suppoerts
National Standards Strategy • Government Commitment • Accountability • Value for Money • Efficiency and Effectiveness • Quality / Continuous Improvement • Sector Standards link to National Strategy • Designated Sector Authority • Standards Development Strategy • Standards Implementation Strategy
Development of Residential Standard for Older People • Working Group • Service Users • Service Providers • Advocacy Groups • Government Officials • Standards Executive – HIQA • Sector Professionals
Development of Residential Standard for Older People • Terms of reference • Review and develop Draft Standard • Research International Standards / Legislation / Best Practice • Establish targeted consultation process • Establish Public consultation • Co-ordinate consultation process • Consider feedback from consultation • Finalise Draft Standard for publication
Development of Residential Standard for Older People • Consultation Process • Targeted Consultation - Professionals • Public Consultation • Workshops • Focus Groups – Existing / Prospective Residents / Family / Carers • Advertisements in National Press • Final National Quality Standard for Residential Care Settings for Older People
Development of EQUASS Standard • Expert Working Group • Existing EQUASS Professionals • Quality Professionals • Service Professionals
Development of EQUASS Standard • Terms of reference • Standard based on Principles of Quality • Defining standards of minimum performance (performance indicators) • Designing a method and instruments for verification • Testing the system in 2 pilots • Evaluation and finalisation
SGGI - Social Services of General Interest • Service Users Perspective • Macro Level