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© 2019 Facere Melius

Facere Melius (FM) has a strong track record of helping health and care organisations prepare and respond to regulatory inspection visits. We work collaboratively with executives, senior managers and leaders at every level. 

 

“Are there comprehensive assurance system and service performance measures, which are reported and monitored, and is action taken to improve performance?”

 

Our approach

We have a strategic partnership with Unity Transformation, a Quality Improvement and Transformation consultancy which enables us to provide blended teams to clients offering an excellent mix of specialists in regulatory compliance alongside quality improvement specialists. 

 

Our programme management approach is based on a QI Hub, with four foundations; QI methodology, QI training, QI toolbox and QI Zone. Further information is available in our Quality Improvement Offer.

 

“When considering developments to services or efficiency changes, how is the impact on quality and sustainability assessed and monitored?”1

How we can help

We can use our QI Hub programme management approach to support: 

  • Regulation self-assessment; identifying areas of undeclared non-compliance;

  • Inspection preparedness; analysing intelligence, running preparation workshops, producing evidence packs, mock interviews and briefings across the organisation;

  • Inspection management, project managing the Provider Information Return providing a sense-check on its cohesiveness, developing a management plan for the inspections, supporting scheduling of interviews, logging and co-ordinating evidence requests, identification of themes and daily updates for executives.

  • Improvement plan development, coordinating a rapid response to issues raised during the inspection, developing an action plan from the draft report; 

  • Relationship management; supporting engagement meetings, ongoing enquiry management, review of business as usual information (series incidents, action plans, mortality alerts);

  • Factual accuracy checking; project management, coordination of comments and drafting and advising on the final response, including access to legal advice through one of our strategic partnerships.

  • Ongoing monitoring of compliance; establish monitoring systems and dashboards.

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“How are services continuously improved and sustainably ensured?”1

 

Our experience

  • Commissioned by NHSI to support Trust through immediate response to inadequate well-led and safety rating - Hospital NHS Trust

  • Preparation for an unannounced inspection, review of PIR, mock interviews and advisory support - Private Healthcare Provider

  • Led preparation and delivery of 12-week inspection programme. RI rating achieved for Trust.  - University Hospital NHS Foundation Trust

 

References

1  CQC Provider Handbook