I’ll start this post off with one of, if not the, most discussed area I chat with care homes about and that sounds like this –
“We want to do lots of positive different things for our residents and staff all the time but I don’t know how do we’d be able to show that to CQC when they come visit our home”
After hearing this discussion, in several slightly different formats but ultimately with same end result, it got me thinking……
Why where managers and owners unconsciously saying we’re not going to do that positive thing for our service as I can’t put that on paper or in a box to be ticked to say I’m compliant when CQC and/or outside professionals come to look at the home.
So I started to think some more around how that might of happened……..
I have felt Health services for long time now been channelled, in that you have to fit certain criteria in order for you to receive treatments and/or pay privately for those same treatments to be delivered: only just read in the news this morning – Postcode Lottery
This then leads to a decision making bias of process in what can and can’t be delivered and in what conditions will or won’t be supported by health services. As a result of this decision bias, a systematic process which creates benchmarks and tick box led required documentation to show that those decisions are having an impact is naturally brought in – target based models.
Social Care has followed a similar target model in recent years – only people who can pay or meet the rigid decision bias criteria of care supports get it. So again as in health the end result is we must process these people through regulations and documentation to show that we are doing a good thing and/or we give power to decision makers to challenge those who are not ticking their boxes in meeting the decided set out criteria.
So getting back to the original point does that mean if what we do can’t fit it into one of those decided criteria tick boxes we should not do it or feel that we as a service could be penalised for not shoehorning it into a tick box – absolutely not – not everyone’s choice in what they wish will fit neatly into a box and why should it – we should do more of it and then some more!!! (Revolution here we come 🙂 )
Bear with me here, take the word Innovation – definition – (OED) – A new method, idea, product, etc. To me someone experiencing innovation has come to mean “wow I have found someone or something doing or delivering something that is different and you know what it’s amazing and its work – we must have it!”
Ok a little tongue in cheek at the end maybe but this is now how I base my answer to the original question and get care homes to look at things slightly differently:
Original – “We want to do lots of positive different things for our residents and staff all the time”
Slight tweak – “We are doing lots of positive different things with our residents and staff all of the time that we can’t always capture but you know what that’s ok”
Original – “I don’t know how do we’d be able to show that to CQC/professionals when they come visit our home”
Slight tweak –“Our resident’s and staffs positive well-being really shows here and we are achieving great things”
Let’s lead the revolution one tweak at a time and let’s stop thinking about how something that means something to someone needs to fit in the tick-box for compliance and let’s as Nike very eloquently put “Just do it”.
Till next time, take care all and remember “With hope and belief there are no limitations”