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Diploma in Health and Social Care
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Unit 3 Quality in health and social care assignment
Quality management is important process in health care organization that helps to maintain the effectiveness in terms of products and offering of services to users. Quality management ensures safety and consideration of factors that are essential for dealing with the different situations. The Quality in health and social care assignment will explain the perspective that stakeholders connected with the health and social care organization and assess the impact of poor services quality of stakeholder. For that, report will refer the case of infection disease and local authority facilities in West London that offering the standard care services for large numbers of clients. In the next task, report will explain the standard that exist in health care for measuring the quality and evaluate the different approaches for implementing different quality systems. Moreover, report will evaluate the effectiveness of systems that used and followed at NHS and their role in achieving the quality services. At the end, it will suggest the ways to improve the quality of social care services and effectiveness.
There are various stakeholder involve in the process of managing and defining the quality of health and social care services. According to given scenario, there has recently been the spread of infectious diseases, suspected to be linked to Methicillin-Resistant Staphylococcus Aureus (MRSA), within the facility where you work for the care of elderly residents. Large number of the clients, many of whom are susceptible to infection, share eating and living accommodation that has negative impact on the health of population in West London. Infections constitute a major cause of illness among care home residents which often result in an increase hospital admission rate. Following are key stakeholders that contribute in quality improvement and management:
There are various agencies and authorities that analyzing the conditions and needs of patients in the changing environment. For organizations in health care sector, it is important to follow the standard and quality benchmarks to meet the satisfaction level of patients and maintain the sustainable growth in the business. In UK there are many agencies that evaluating and developing the standard for quality in services like offering the information, maintaining healthy environment, effectiveness of products that used for medical services. Business of NHS is one of the leading health care agencies in UK that defining the standard of quality health services (McKeeargue, 2010). The public and private both health care organizations are maintaining the quality in services according to proposed standard of NHS. In addition to this, institute of rural health care services is also having significant impact on the health care services.
These organizations are conducting the survey and collecting the feedback from local population about the health care services and analyzing the follow-up of standard in the health care organization (Naidoo and Wills, 2015). Apart from that these agencies have developed the documentation for planning the activities that also have positive impact on the setting the standard in health care services and craft improvement.
The key stakeholders are majorly responsible for managing the health care services and quality that would be standard. According to given scenario, there has recently been the spread of infectious diseases, suspected to be linked to Methicillin-Resistant Staphylococcus Aureus (MRSA), within the facility where you work for the care of elderly residents. Large numbers of people are susceptible to infection by share eating and living accommodation that is clear case of poor health care services quality. The process and approach that health care organizations are following are having direct impact of stakeholder involvement (Payne, 2014). The major reason behind the lack of poor quality in health care services are lack of monitoring, offering the information to protect from the disease and disability and optimum utilization of resources for managing the standard. In addition to this, lack of skilled human resources for managing the quality is another issue for poor health care services that influencing the decision of local population to use the services of West London health care services. Stakeholders like government and employees needs to take the initiative for encouraging the quality and utilization of services in personal and professional health care services.
Each and every health and social care organizations includes separate standards which helps in measuring the quality in the residential care facilities. These standards being followed by the care homes ensure the effective application of the quality service practices such with the organization. The standards are normally the levels of excellences which help an organization to meet the desired quality levels (Lewis and West, 2014). According to the given scenario, it is required to set standards with the purpose to improve quality services in the health care in West London. Some of the most important standards such as ISO 9000/14000, code of practices, CQC, standards by NMC, etc. which indicates the assurances of the quality. It has been identified that these standards must be fulfilled by the health care which states different aspects to maintain the service qualities. The standards by NMC or Nursing and midwifery council largely focus on the nurses who are employed in the health care.
It is very much important that the nurses or midwifes follows the codes of conduct of the health care and must acquire the relevant skills and knowledge to fulfil the needs of a patient. The standards are been considered to be very crucial as they assists the services users with the rights to demand the quality services to be provided timely and effectively. It has even provided with the strong base to the health and social care and makes them establish assured quality services to the people specifically. In addition to this, the quality standards are been measured by evaluating and comparing the standards with the existing procedures of the health care so that to identify the loopholes if any (Goetsch and Davis, 2014). The standards include various rights and duties of the customers as well as the care workers which makes them work towards fulfilment of the same and abide by the aspects effectively.
With the purpose to bring enhancement in the quality standards, it is very much important to execute quality system in the health and social care. The quality system for the care home is been mainly included in the documents of the organization and is been conveyed to all the stakeholders so that to ensure positive results out of it. It is very much important that the management of the health care is entirely focused to the standards and sets norms for the workforce to meet all the requirements of the care home (Carayon.et.al, 2014). The quality system in the health care home in West London requires to be implemented with effective practices and concerns over the systems. It is very much important to ensure that the care workers must be able to meet all the norms and understand their roles and responsibilities so that to carry out their duties effectively. In order to implement quality standards in the care home, the management could make use of various approaches such as coordination and planning, effective communication, roles and responsibilities, monitoring and evaluation, etc.
These practices would help the authorities in ensuring an effective execution of the quality system in the care home and meet the desired levels of excellence over the services. In addition to this, the total quality management approach could also be used to establish quality system in the care home. The Total quality management practices would help in meeting the demands and expectation of the patients and enhance the standards of the care home. Another approach which could be used to implement the quality system is making effective policies and procedures at the workplace which must be followed by the management as well as the staff members (Croft and Parish, 2013). The application of quality standards being followed by the care homes would ensure the effective execution of the quality service practices such with the organization. Implementation could even be made effective by providing the employees with the enhanced training and development sessions so that to make them familiar with the procedures and ensure the fulfilment of the quality standards in the care services while providing the services users with the protection and care.
With the purpose to deliver the quality services in the health and social care home, it has been found that there are several potential barriers which restrict the organization to the great extents. In context to the current case, it has been observed that the health care such as NHS faces various barriers like lack of financial resources which is been identified as the major issue for any of the organization. The proper arrangements of equipments, funds, human resources, etc. are the major concerns for the care home and lacking the same would limit the management to the great extent (Van Boekel.et.al, 2013). Change resistance is also proved to be an obstacle in delivering the quality services as the staff members would resist to the changes being implemented within the organization.
It has been found that in many of the cases, the staff members do not accepts the changes effectively and thus avoids meeting the same. This could prove to be a barrier in delivering the desired quality services to the service users for the management of health and care home. Additionally, cultural diversity or language barriers could also impact the health and social care in delivering the desired levels of quality services to the service users. The legal and institutional barrier also acquires a potentiality of being in the health care. This barrier mainly includes the lack of legal powers for executing any of the specific instrument or responsibilities which limits the organizational capabilities to serve the patients.
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There is various type of system, policies and procedure in health care organization NHS are followed to make the services up to the standard and maintain the effectiveness. According to national government of UK, it is basic right of individual in county to obtain the standard health care services in both public and private health care settings. The important policies of organizations are promote the quality of health care services in all geographical areas of country as well maintain the professional standard in the services. In addition to this, the organization is supporting the regulations that have been proposed by EMTALA, CMS and council of health and social care. Apart from that, system that NHS is following has positive impact on the health care system of nation as organization has proposed outline for managing the operational activities and maintain the practices according to needs of the patients in different sectors (Purnell, 2012).
According to analysis, it is been considered that system and policies that have been followed by the local and national health care organizations has positive impact on the health care settings for achieving the quality and meeting the satisfaction lave of the patients. Furthermore the organization is looking to improve the services by conducting survey and collecting the feedback from the patients and care worker that will play important role in the planning of new policies and make changes in the existing system to encourage the quality.
Following are the key factors that having significant influence on the achievement of quality in health care services.
In order to craft improvement in the health care service and products, the organization could use follow recommendation:
From the above study, it can be considered that health care services are fundamental rights of local population of any nation. The leading agencies are taking the initiatives for planning and monitoring the approach of health and social care organization to evaluate the quality and areas of lacking. Report has explained the importance of stakeholder in management of health care services and assessed the impact of poor services for health care organization that are under consideration. Moreover, report has explained the standard of health care services and discussed about the potential barriers in delivery of services. At the end, report has evaluated the effectiveness of system, policies and procedure to achieve the quality standard in health care services.
Book and journals
Carayon, P., Wetterneck, T.B., Rivera-Rodriguez, A.J., Hundt, A.S., Hoonakker, P., Holden, R. and Gurses, A.P., 2014. Human factors systems approach to healthcare quality and patient safety. Applied ergonomics, 45(1), pp.14-25.
Croft, B. and Parish, S.L., 2013. Care integration in the Patient Protection and Affordable Care Act: Implications for behavioral health. Administration and Policy in Mental Health and Mental Health Services Research, 40(4), pp.258-263.
Glasby, J., 2012. Understanding health and social care. Policy Press.
Lewis, J. and West, A., 2014. Re-shaping social care services for older people in England: policy development and the problem of achieving ‘good care’. Journal of social policy, 43(01), pp.1-18.
McKeeargue, M., 2010. Budget crises, health, and social welfare programmes. Bmj, 341, p.77.
Naidoo, J. and Wills, J. eds., 2015. Health studies: an introduction. Palgrave Macmillan.
Payne, M., 2014. Modern social work theory. Palgrave Macmillan.
Purnell, L.D., 2012. Transcultural health care: A culturally competent approach. FA Davis.
Shim, J.K., 2010. Cultural health capital a theoretical approach to understanding health care interactions and the dynamics of unequal treatment. Journal of Health and Social Behavior, 51(1), pp.1-15.
Storey, J. ed., 2016. Leadership in Organizations: Current Issues and Key Trends. Routledge.
Van Boekel, L.C., Brouwers, E.P., Van Weeghel, J. and Garretsen, H.F., 2013. Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review. Drug and Alcohol Dependence, 131(1), pp.23-35.
Wagstaff, A. and Lindelow, M., 2014. Are health shocks different? Evidence from a multishock survey in Laos. Health economics, 23(6), pp.706-718.