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Best Value Review of Residential and Nursing Care <strong>Performance</strong> - <strong>Improvement</strong> <strong>Plan</strong><br />

Ref.<br />

Action Priority Outcome Measure Resources Responsible<br />

officer<br />

Timescale<br />

Ref./action<br />

no. –<br />

cross-ref<br />

back to<br />

report and<br />

recommen<br />

dation<br />

Describe what needs to<br />

be done<br />

High,<br />

med or<br />

low<br />

(identify<br />

top 5)<br />

Describe what the<br />

action is intended to<br />

achieve<br />

What are the<br />

perf indicators<br />

and targets to<br />

measure the<br />

impact?<br />

Estimate the £<br />

and HR input<br />

needed to<br />

achieve<br />

targets<br />

Who is the<br />

manager<br />

responsible<br />

for doing this?<br />

Date for<br />

achievement,<br />

and any key<br />

milestones<br />

2.15<br />

To actively promote direct<br />

payments within BoME<br />

groups in line with other<br />

user groups.<br />

H<br />

To increase Users<br />

independence and to<br />

meet their specific needs<br />

BVPI & Key<br />

Threshold target<br />

C51 – Direct<br />

Payments<br />

E48 – Ethnicity<br />

of older people<br />

receiving an<br />

assessment<br />

Officer Time<br />

Nic Davis<br />

Principal Project<br />

Officer and<br />

Community<br />

Social Work<br />

Team/Adult<br />

fieldwork Teams<br />

March 06<br />

ISPP targets to<br />

increase present<br />

number of 5 by<br />

100% to 10<br />

1


Best Value Review of residential and Nursing Care – <strong>Performance</strong> <strong>Improvement</strong> <strong>Plan</strong><br />

Ref.<br />

Action Priority Outcome Measure Resources Responsible<br />

officer<br />

Timescale<br />

Ref./action<br />

no. –<br />

cross-ref<br />

back to<br />

report and<br />

recommen<br />

dation<br />

Describe what needs to<br />

be done<br />

High,<br />

med or<br />

low<br />

(identify<br />

top 5)<br />

Describe what the<br />

action is intended to<br />

achieve<br />

What are the<br />

perf indicators<br />

and targets to<br />

measure the<br />

impact?<br />

Estimate the £<br />

and HR input<br />

needed to<br />

achieve<br />

targets<br />

Who is the<br />

manager<br />

responsible<br />

for doing this?<br />

Date for<br />

achievement,<br />

and any key<br />

milestones<br />

2.15 Ensure care plans identify<br />

the cultural and religious<br />

needs of service users<br />

illustrating the way in which<br />

these are to be met.<br />

H<br />

To ensure needs are met<br />

and services are<br />

developed to meet<br />

specific need.<br />

BVPI D39 - % of<br />

people receiving<br />

a statement of<br />

their needs and<br />

how they will be<br />

met. PAF<br />

targets from poor<br />

to average.<br />

ISPP 3 targets<br />

for teams to<br />

include<br />

monitoring the<br />

standard of care<br />

plans through<br />

supervision and<br />

sample checking<br />

to be carried out<br />

to enable a<br />

benchmark to be<br />

developed<br />

Officer time<br />

Operational &<br />

Development<br />

Managers/Adult<br />

team<br />

managers/All<br />

assessing staff<br />

Claire Smart<br />

Purchasing<br />

Manager<br />

Angela Willis<br />

Training<br />

Manager<br />

March 05/06<br />

Sampling<br />

December 05<br />

2


Best Value Review of residential and Nursing Care – <strong>Performance</strong> <strong>Improvement</strong> <strong>Plan</strong><br />

Ref.<br />

Action Priority Outcome Measure Resources Responsible<br />

officer<br />

Timescale<br />

Ref./action<br />

no. –<br />

cross-ref<br />

back to<br />

report and<br />

recommen<br />

dation<br />

Describe what needs to<br />

be done<br />

High,<br />

med or<br />

low<br />

(identify<br />

top 5)<br />

Describe what the<br />

action is intended to<br />

achieve<br />

What are the<br />

perf indicators<br />

and targets to<br />

measure the<br />

impact?<br />

Estimate the £<br />

and HR input<br />

needed to<br />

achieve<br />

targets<br />

Who is the<br />

manager<br />

responsible<br />

for doing this?<br />

Date for<br />

achievement,<br />

and any key<br />

milestones<br />

6.5<br />

That the joint commissioning<br />

strategy for Older People<br />

Mental Health services is<br />

taken forward.<br />

H<br />

To achieve an integrated<br />

approach to longer term<br />

commissioning which will<br />

support market<br />

stabilisation and reshape<br />

provision to better meet<br />

need<br />

Adult Services<br />

ISPP target<br />

Cabinet Report<br />

Within resources<br />

currently<br />

available<br />

Helen Bown<br />

Manager for<br />

Older Person’s<br />

Services<br />

September 05<br />

7.6 That the Matching needs<br />

audit and consultation be<br />

considered within the wider<br />

consultation of the Learning<br />

Disability joint<br />

commissioning strategy.<br />

H<br />

A benchmark for the<br />

level of provision that the<br />

local authority can afford<br />

be agreed<br />

B14 – Unit Cost<br />

of Res/Nurs care<br />

for adults with LD<br />

PAF targets to<br />

move from poor<br />

to average by<br />

2006/07<br />

Officer time<br />

Trish Wood<br />

Interim Joint<br />

Commissioning<br />

Manager<br />

Consultation<br />

March 2005<br />

Improved PAF<br />

targets<br />

November 2007<br />

C27 –<br />

Admissions of<br />

supported<br />

residents aged<br />

18-64 to res/nurs<br />

care. Maintain<br />

good PAF target<br />

3


Best Value Review of residential and Nursing Care – <strong>Performance</strong> <strong>Improvement</strong> <strong>Plan</strong><br />

Ref.<br />

Action Priority Outcome Measure Resources Responsible<br />

officer<br />

Timescale<br />

Ref./action<br />

no. –<br />

cross-ref<br />

back to<br />

report and<br />

recommen<br />

dation<br />

Describe what needs to<br />

be done<br />

High,<br />

med or<br />

low<br />

(identify<br />

top 5)<br />

Describe what the<br />

action is intended to<br />

achieve<br />

What are the<br />

perf indicators<br />

and targets to<br />

measure the<br />

impact?<br />

Estimate the £<br />

and HR input<br />

needed to<br />

achieve<br />

targets<br />

Who is the<br />

manager<br />

responsible<br />

for doing this?<br />

Date for<br />

achievement,<br />

and any key<br />

milestones<br />

7.6<br />

That the Learning Disability<br />

Joint Commissioning<br />

Strategy for Change action<br />

plan is fully implemented.<br />

H<br />

To ensure an integrated<br />

approach to longer term<br />

commissioning with will<br />

support market<br />

stabilisation and reshape<br />

services to better meet<br />

need<br />

B14 – Unit Cost<br />

of Res/Nurs care<br />

for adults with LD<br />

PAF targets to<br />

move from poor<br />

to average by<br />

2006/07<br />

C27 –<br />

Admissions of<br />

supported<br />

residents aged<br />

18-64 to<br />

residential/nursin<br />

g care. PAF<br />

targets to be<br />

maintained at the<br />

present good<br />

level<br />

Within resources<br />

currently<br />

available<br />

Trish Wood<br />

Interim Joint<br />

Commissioning<br />

Manager<br />

Consultation<br />

January 05-<br />

March 05<br />

Strategy 2004-<br />

2009<br />

Improved PAF<br />

targets<br />

November 2007<br />

4


Best Value Review of residential and Nursing Care – <strong>Performance</strong> <strong>Improvement</strong> <strong>Plan</strong><br />

Ref.<br />

Action Priority Outcome Measure Resources Responsible<br />

officer<br />

Timescale<br />

Ref./action<br />

no. –<br />

cross-ref<br />

back to<br />

report and<br />

recommen<br />

dation<br />

Describe what needs to<br />

be done<br />

High,<br />

med or<br />

low<br />

(identify<br />

top 5)<br />

Describe what the<br />

action is intended to<br />

achieve<br />

What are the<br />

perf indicators<br />

and targets to<br />

measure the<br />

impact?<br />

Estimate the £<br />

and HR input<br />

needed to<br />

achieve<br />

targets<br />

Who is the<br />

manager<br />

responsible<br />

for doing this?<br />

Date for<br />

achievement,<br />

and any key<br />

milestones<br />

8.5 To explore costs and<br />

differing contract models to<br />

stimulate the market and<br />

ensure capacity at fair rates<br />

across Gloucestershire and<br />

neighbouring authorities.<br />

H<br />

Effective use of GPT<br />

staff time and reduce<br />

anxiety to Users/Carers<br />

whilst waiting for<br />

placements to be found<br />

Implement use of<br />

high cost<br />

placement<br />

pricing tool<br />

Supported<br />

placement<br />

contract and<br />

consistency with<br />

other Section 31<br />

processes<br />

Officer time<br />

Claire Smart<br />

Purchasing<br />

Manager<br />

GPT/Andy Moore<br />

Lead<br />

Commissioner<br />

for Mental Health<br />

July 05<br />

October 05<br />

Develop a<br />

tripartite contract<br />

B15 – Unit cost<br />

of Res/Nurs care<br />

for adults with<br />

mental illness.<br />

PAF targets to<br />

move from poor<br />

to average by<br />

2006/07<br />

Improved PAF<br />

targets<br />

November 2007<br />

5


Best Value Review of residential and Nursing Care – <strong>Performance</strong> <strong>Improvement</strong> <strong>Plan</strong><br />

Ref.<br />

Action Priority Outcome Measure Resources Responsible<br />

officer<br />

Timescale<br />

Ref./action<br />

no. –<br />

cross-ref<br />

back to<br />

report and<br />

recommen<br />

dation<br />

Describe what needs to<br />

be done<br />

High,<br />

med or<br />

low<br />

(identify<br />

top 5)<br />

Describe what the<br />

action is intended to<br />

achieve<br />

What are the<br />

perf indicators<br />

and targets to<br />

measure the<br />

impact?<br />

Estimate the £<br />

and HR input<br />

needed to<br />

achieve<br />

targets<br />

Who is the<br />

manager<br />

responsible<br />

for doing this?<br />

Date for<br />

achievement,<br />

and any key<br />

milestones<br />

9.5 Clearly identify service user<br />

with physical disability to<br />

ensure that appropriate<br />

provision is made for this<br />

group.<br />

H<br />

The LIT group is given<br />

priority within the<br />

department to enable the<br />

needs of people with<br />

physical disability to be<br />

identified and services<br />

are commissioned to<br />

meet their needs.<br />

B16- Unit cost of<br />

Res/Nurs care<br />

for adults with a<br />

physical disability<br />

PAF targets are<br />

increased from<br />

good to the next<br />

upper band<br />

Within existing<br />

available<br />

resources<br />

Sian Waygood<br />

Joint Head of<br />

O.T. Services/<br />

Helen Bown<br />

Manager of<br />

Older Person’s<br />

Services<br />

March 06<br />

PAF target<br />

increases by<br />

March 06/07<br />

ISPP Adult<br />

Services Targets<br />

2.13<br />

That processes creating<br />

specific difficulties in the<br />

identification of vacancies to<br />

meet complex needs are<br />

mapped and staff<br />

awareness training<br />

delivered<br />

M<br />

To achieve consistency<br />

and maximise the use of<br />

resources. Reduce<br />

waiting times for<br />

placements to be found<br />

which will alleviate Users<br />

and Carers anxiety<br />

B14/B15 Unit<br />

Cost of Res/Nurs<br />

care for adults<br />

with learning<br />

disabilities and<br />

mental illness to<br />

improve present<br />

PAF targets from<br />

poor to average<br />

rating by 2006/07<br />

Officer time<br />

Mandy Guest<br />

Support Projects<br />

Officer/ Process<br />

Mapping groups<br />

LD placements<br />

December 05<br />

MH placements<br />

March 06<br />

6


Best Value Review of residential and Nursing Care – <strong>Performance</strong> <strong>Improvement</strong> <strong>Plan</strong><br />

Ref.<br />

Action Priority Outcome Measure Resources Responsible<br />

officer<br />

Timescale<br />

Ref./action<br />

no. –<br />

cross-ref<br />

back to<br />

report and<br />

recommen<br />

dation<br />

Describe what needs to<br />

be done<br />

High,<br />

med or<br />

low<br />

(identify<br />

top 5)<br />

Describe what the<br />

action is intended to<br />

achieve<br />

What are the<br />

perf indicators<br />

and targets to<br />

measure the<br />

impact?<br />

Estimate the £<br />

and HR input<br />

needed to<br />

achieve<br />

targets<br />

Who is the<br />

manager<br />

responsible<br />

for doing this?<br />

Date for<br />

achievement,<br />

and any key<br />

milestones<br />

2.19<br />

A Social Services policy and<br />

procedures for transition for<br />

young people with<br />

disabilities from children’s to<br />

adult services is developed<br />

M<br />

To ensure that adequate<br />

information and support<br />

is given to young people<br />

with disabilities who are<br />

transferring between<br />

Children’s and Adult’s<br />

Services.<br />

ISPP target for<br />

Adult and<br />

Children<br />

Services<br />

Scoping of draft<br />

transition report<br />

Transition Policy<br />

& Procedures<br />

implemented<br />

Officer time<br />

Kim Carey Head<br />

of Adult Services<br />

& Darren Shaw<br />

Head of Children<br />

& Families<br />

Services<br />

Victoria Williams<br />

Policy, <strong>Plan</strong>ning<br />

& Projects Officer<br />

March 05<br />

April 05<br />

July 05<br />

7


Best Value Review of residential and Nursing Care – <strong>Performance</strong> <strong>Improvement</strong> <strong>Plan</strong><br />

Ref.<br />

Action Priority Outcome Measure Resources Responsible<br />

officer<br />

Timescale<br />

Ref./action<br />

no. –<br />

cross-ref<br />

back to<br />

report and<br />

recommen<br />

dation<br />

Describe what needs to<br />

be done<br />

High,<br />

med or<br />

low<br />

(identify<br />

top 5)<br />

Describe what the<br />

action is intended to<br />

achieve<br />

What are the<br />

perf indicators<br />

and targets to<br />

measure the<br />

impact?<br />

Estimate the £<br />

and HR input<br />

needed to<br />

achieve<br />

targets<br />

Who is the<br />

manager<br />

responsible<br />

for doing this?<br />

Date for<br />

achievement,<br />

and any key<br />

milestones<br />

3.5<br />

To incorporate the “kinship”<br />

type work already in<br />

progress with the<br />

Community Team for BoME<br />

into the Adult Placement<br />

Scheme<br />

M<br />

To ensure that national<br />

minimum standards are<br />

met and increase<br />

numbers of adult<br />

placement carers from<br />

within BoME<br />

communities which will<br />

ensure greater choice for<br />

Users<br />

B14/B15 Unit<br />

Cost of Res/Nurs<br />

care for adults<br />

with learning<br />

disabilities and<br />

mental illness to<br />

improve present<br />

PAF targets from<br />

poor to average<br />

rating by 2006/07<br />

Additonal 1 FTE<br />

Officer time from<br />

Stroud locality<br />

team<br />

Anthea Foden<br />

Adult Placement<br />

Team Manager<br />

November 2007<br />

ISPP target for<br />

Adult Placement<br />

team<br />

March 2006<br />

3.5<br />

That the adult placement<br />

scheme is developed and<br />

expanded through<br />

marketing and publicity<br />

M<br />

To ensure greater choice<br />

to Users and enabling<br />

them to remain within the<br />

community in which they<br />

live.<br />

ISPP target to<br />

increase number<br />

of placements<br />

from 50 to 100<br />

Increase number<br />

of carers from 38<br />

to 80<br />

Additonal 1 FTE<br />

Officer time from<br />

Stroud locality<br />

team<br />

Anthea Foden<br />

Adult Placement<br />

Manager<br />

March 2006<br />

8


Best Value Review of residential and Nursing Care – <strong>Performance</strong> <strong>Improvement</strong> <strong>Plan</strong><br />

Ref.<br />

Action Priority Outcome Measure Resources Responsible<br />

officer<br />

Timescale<br />

Ref./action<br />

no. –<br />

cross-ref<br />

back to<br />

report and<br />

recommen<br />

dation<br />

Describe what needs to<br />

be done<br />

High,<br />

med or<br />

low<br />

(identify<br />

top 5)<br />

Describe what the<br />

action is intended to<br />

achieve<br />

What are the<br />

perf indicators<br />

and targets to<br />

measure the<br />

impact?<br />

Estimate the £<br />

and HR input<br />

needed to<br />

achieve<br />

targets<br />

Who is the<br />

manager<br />

responsible<br />

for doing this?<br />

Date for<br />

achievement,<br />

and any key<br />

milestones<br />

8.5 GPT process are mapped<br />

and purchasing tools now<br />

established within the Older<br />

Persons sector be applied to<br />

services provided and<br />

commissioned by the<br />

Gloucestershire Partnership<br />

Trust (GPT) for younger<br />

adults with a Mental illness.<br />

M<br />

This would enable<br />

analysis of purchasing<br />

patterns and<br />

consideration of efficient<br />

processes for purchasing<br />

which can easily be<br />

implemented by the<br />

GPT)<br />

Process maps in<br />

place and<br />

communicated to<br />

all relevant staff<br />

Officer time<br />

GPT/Andy Moore<br />

Lead<br />

Commission for<br />

Mental Health<br />

Mandy Guest<br />

Support Projects<br />

Officer<br />

Claire Smart<br />

Purchasing<br />

Manager<br />

December 06<br />

8.5 Work with CSCI to gain<br />

agreement/protocol on the<br />

placement of Users with<br />

more than one area of need<br />

M<br />

Clarification on rules<br />

around placing service<br />

users with more than one<br />

area of need<br />

D41 – Delayed<br />

transfers of care.<br />

Present good<br />

PAF targets to<br />

be maintained<br />

Officer time<br />

Claire Smart<br />

Purchasing<br />

Manager<br />

September 05<br />

9


Best Value Review of residential and Nursing Care – <strong>Performance</strong> <strong>Improvement</strong> <strong>Plan</strong><br />

Ref.<br />

Action Priority Outcome Measure Resources Responsible<br />

officer<br />

Timescale<br />

Ref./action<br />

no. –<br />

cross-ref<br />

back to<br />

report and<br />

recommen<br />

dation<br />

Describe what needs to<br />

be done<br />

High,<br />

med or<br />

low<br />

(identify<br />

top 5)<br />

Describe what the<br />

action is intended to<br />

achieve<br />

What are the<br />

perf indicators<br />

and targets to<br />

measure the<br />

impact?<br />

Estimate the £<br />

and HR input<br />

needed to<br />

achieve<br />

targets<br />

Who is the<br />

manager<br />

responsible<br />

for doing this?<br />

Date for<br />

achievement,<br />

and any key<br />

milestones<br />

5.5 Develop a protocol to assist<br />

sharing information with<br />

CSCI regarding providers<br />

who were not meeting the<br />

regulation standards but<br />

who have now improved.<br />

L<br />

Providers have improved<br />

image and reputation<br />

which gives confidence<br />

to Users/Carers/Staff<br />

and other professionals<br />

to use them and this in<br />

turn increases market<br />

capacity<br />

D41 – Delayed<br />

transfers of care.<br />

To maintain the<br />

current good<br />

PAF indicator<br />

Officer time<br />

Claire Smart<br />

Purchasing<br />

Manager and<br />

Colin Davis<br />

Complaints<br />

Manager Quality<br />

Group/Adult<br />

Protection Unit<br />

March 05<br />

5.5 To promote the use of the<br />

performance monitoring<br />

form to enable all staff to<br />

feedback complaints /<br />

quality issues to the<br />

Contracts Monitoring<br />

Section in the Purchasing<br />

Team which fall outside the<br />

normal review process<br />

L<br />

To ensure quality issues<br />

can be monitored<br />

through the contracting<br />

processes and resolved<br />

promptly<br />

Complaints and<br />

Compliments<br />

monitoring<br />

Officer time<br />

Operational and<br />

Development<br />

Managers / Colin<br />

Davies<br />

Complaints<br />

Manager /<br />

Quality group<br />

March 06<br />

10


Best Value Review of residential and Nursing Care – <strong>Performance</strong> <strong>Improvement</strong> <strong>Plan</strong><br />

Ref.<br />

Action Priority Outcome Measure Resources Responsible<br />

officer<br />

Timescale<br />

Ref./action<br />

no. –<br />

cross-ref<br />

back to<br />

report and<br />

recommen<br />

dation<br />

Describe what needs to<br />

be done<br />

High,<br />

med or<br />

low<br />

(identify<br />

top 5)<br />

Describe what the<br />

action is intended to<br />

achieve<br />

What are the<br />

perf indicators<br />

and targets to<br />

measure the<br />

impact?<br />

Estimate the £<br />

and HR input<br />

needed to<br />

achieve<br />

targets<br />

Who is the<br />

manager<br />

responsible<br />

for doing this?<br />

Date for<br />

achievement,<br />

and any key<br />

milestones<br />

5.5 Further analysis of<br />

purchasing patterns for<br />

placements and Users<br />

waiting for a placement<br />

throughout the PCT<br />

localities<br />

L<br />

To identify vacancies,<br />

different behaviours, best<br />

and effective practises to<br />

ensure consistency of<br />

service provision across<br />

the county, in a format<br />

agreed by all localities.<br />

Vacancy<br />

Monitoring<br />

Report<br />

Officer time<br />

Operational and<br />

Development<br />

Managers<br />

Claire Smart<br />

Purchasing<br />

Manager<br />

December 05<br />

5.5<br />

That the quality-monitoring<br />

tool for services provided<br />

i.e. domiciliary care, day<br />

care and residential nursing<br />

care provision is completed<br />

at the review and returned<br />

to the Contracts monitoring<br />

section.<br />

L<br />

To ensure that<br />

Users/Carers/Staff are<br />

confident about the<br />

quality of services being<br />

provided<br />

Review of form<br />

Present review<br />

form return rate<br />

to be increased<br />

from 25% to 100<br />

%<br />

Officer time<br />

Nic Davis<br />

Principal Project<br />

Officer/Contract<br />

Monitoring<br />

Section<br />

Purchasing team<br />

May 05<br />

March 06<br />

11


Best Value Review of residential and Nursing Care – <strong>Performance</strong> <strong>Improvement</strong> <strong>Plan</strong><br />

Ref.<br />

Action Priority Outcome Measure Resources Responsible<br />

officer<br />

Timescale<br />

Ref./action<br />

no. –<br />

cross-ref<br />

back to<br />

report and<br />

recommen<br />

dation<br />

Describe what needs to<br />

be done<br />

High,<br />

med or<br />

low<br />

(identify<br />

top 5)<br />

Describe what the<br />

action is intended to<br />

achieve<br />

What are the<br />

perf indicators<br />

and targets to<br />

measure the<br />

impact?<br />

Estimate the £<br />

and HR input<br />

needed to<br />

achieve<br />

targets<br />

Who is the<br />

manager<br />

responsible<br />

for doing this?<br />

Date for<br />

achievement,<br />

and any key<br />

milestones<br />

8.5 To work with providers to<br />

enable them to provide<br />

placements that meets the<br />

needs of people with<br />

challenging behaviour.<br />

L<br />

To ensure that service<br />

users with challenging<br />

behaviour needs are met<br />

and prevent unnecessary<br />

disruption to placements<br />

B14/B15 Unit<br />

Cost of Res/Nurs<br />

care for adults<br />

with learning<br />

disabilities and<br />

mental illness to<br />

improve present<br />

PAF targets from<br />

poor to average<br />

rating by 2006/<br />

Officer time<br />

GPT/Andy Moore<br />

Lead<br />

Commissioner<br />

for Mental Health<br />

Trish Wood<br />

interim Joint<br />

Commissioner<br />

for LD<br />

Claire Smart<br />

Purchasing<br />

Manager<br />

March 05<br />

Improved PAF<br />

targets by<br />

November 2007<br />

8.5 Care pathway work to be<br />

undertaken by GPT to<br />

increase the understanding<br />

of health care staff of the<br />

complexities of this area of<br />

work.<br />

L<br />

This will ensure that<br />

there is a smooth<br />

transition between health<br />

and social care provision<br />

for service users and that<br />

staff are familiar with the<br />

process used to access<br />

all services.<br />

Care pathways in<br />

place<br />

Officer time<br />

GPT/Angela<br />

Willis Training<br />

Manager<br />

March 06<br />

12

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