Introduction Of The Care Quality Commission Social Work Essay

Introduction Of The Care Quality Commission Social Work Essay The introduction of the Care Quality Commission arguably fixes  that which was not broken.   Editorial The Trials of Marriage, The Guardian, Wednesday 1st April  2009.   The CQC came into existence on 1st April 2009. Consider the intended  role of the CQC and evaluate this statement in light of the experiences  of the first full year of the CQCs existence. We need to see tougher action by the commission on poor providers. The commission can impose or vary conditions where older people may be at risk. It can cancel the registration if that is the only way to ensure safety. Areas highlighted as needing urgent attention include record-keeping, medication, care plans and staff supervision. Operating as from April 1st 2009 the Care Quality Commission (CQC) takes over from the role of the former Commission for Social Care Inspection (CSCI) as the registration and regulation body for social care in England, as well as performing the functions of the former Healthcare Commission and the Mental Health Act Commission. The CQC requires all health and adult social care providers to register their regulated activities. Regulated activities that require registration are declared in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2009, Pt II, s 3(1). The intended role of the CQC is to make the general standard of care better, however concerns have been raised about the poor quality of health care for the elderly as almost one quarter of homes for older people provide inadequate care. The CQC has done a lot of juggling in its first year of existence which confirms the statement that it arguably fixes that which was not broken. First, its staff have had to cr eate an organisation from the merger of the Commission for Social Care Inspection, the Healthcare Commission and the Mental Health Act Commission. In addition, it has had to continue its predecessors functions in assessing adult social care provision, evaluating health services and monitoring the treatment of detained mental health patients. There are several health care regulators namely the Care Quality Commission (CQG), the Health Protection Agency (HPA), the Human Tissue Authority (HTA), the Medicines and Healthcare products Regulatory Agency (MHRA), the Medical Research Council (MRC), the National Institute for Health and Clinical Excellence (NICE) and the National Patient Safety Agency (NPSA). The CQG regulates all the health and adult social care in England and also protects the interests of those detained under the Mental Health Act. The most recently devised health care regulator is the CQC which seems to be an attempt at encompassing the role and functions of the other bodies. The CQC has made proposals for its approach to the assessments of quality in 2010/2011 for all institutions in England that provide healthcare and adult social care services, and for the National Health Service (commonly referred to as the NHS) and local authority organisations that commission those services. The proposals were set up in accordance with the Heath and Social Care Act 2008. From April 1st 2009 all organisations that are providers of healthcare and adult social care services in England will be required to be registered by October 1st 2010 with the CQC as stated by the Heath and Social Care Act 2008. Registration is not just about the initial registration. but includes initial registration, monitoring and assessment of ongoing compliance, inspection and implementation. The CQC has to undertake registration activities as well as to perform periodic reviews, and special reviews and studies and to publish information on its findings. A new legal framework has been created to facilitate the new regulation system that is the Health and Social Care Act 2008 (Registration Requirement Regulations 2009). The Health and Social Care Act 2008 gives the CQC extended powers. It can issue enforcement notices, withdraw provider bodies rights to provide services entirely or can issue certain conditions of service/registration if it decides it is necessary to do so. Its enforcement options range from minor to very serious sanctions depending on the service affected degree of risk or service disruption. However the CQC stresses it wants the regulatory system to drive and support the healthcare and adult social services organisations to improve and raise standards and to be based on fairness and transparency. On its official website the NHS describes the intended role of the CQC a regulator which makes sure that the voices of people who use health and adult social care services are heard by asking people to share their experiences of care services. It makes sure that users views are at the heart of its reports and reviews. In some cases patients and their carers  work alongside inspectors to provide a users view of services. The reality and whether the CQC has successfully achieved the goals the NHS mentioned is arguable. The CQC is responsible to make sure that essential common standards of quality are met everywhere health care is provided, from hospitals to private care homes and work towards improving health care services. The Commission promotes the rights and interests of people who use services and have a wide range of enforcement powers to take action on their behalf if services are unacceptably below standards The CQC brought together (for the first time) independent regulation of health, mental health and adult social care. Before April 1st 2009, these tasks were carried out by the Healthcare Commission, the Mental Health Act Commission and the Commission for Social Care Inspection. The aim of the CQC is to ensure that better care is provided for everyone wherever it is provided. The Commission has greater powers and responsibilities to use and take account of peoples views and experiences of services, and this includes evidence from overview and scrutiny committees. In June 2009, a Statemen t of Involvement was published setting out the Commissions approach to involving people in their mission.   Overview and scrutiny committees working on health issues have been an important source of evidence of peoples views and experiences of health services for the Healthcare Commission. The Commission wants to build on this relationship and to encourage committees to develop an ongoing dialogue with them. Scrutiny committees have a fundamental role in bringing together and articulating the views of local people who use health and social care services in their area, and to check whether their needs and concerns are being addressed by service commissioners and providers. In many ways, scrutiny committees operate like a local regulator, holding services to account. During its first year the CQC has faced many challenges which sheds a doubt of whether the Commission has really fixed a prevailing issue or has fixed that which was not broken. The CQC has had to proceed with the roles carried out by its predecessors as stated in the Health and Social Care Bill, Part II. The CQC has also introduced a new registration system for health and social care providers in English which is the first time the NHS has been regulated in that manner. The new core standards imposed by the CQC will replace the regulations and relative National Minimum Standards under the Care Standards Act 2000 which will be void as from September 30th 2010. The regulations introduced by the CQC will apply from October 1st 2010 (the date when the providers must be registered in the new system). Under the new system introduced by the CQC, instead of being individually registered for each service, providers will have to register according to their respective regulated activity. In September 2009, the CQC had to face a serious allegation about manipulating survey findings. The head of the Development for Mental Health, Louis Appleby, accused the CQC of trying to attract the medias attention by portraying a distorted flattering image of the Commissions work hence undermining the intended role of the CQC which is to be factual and balanced and inform the public and patients. Professor Appleby expressed his concerns about the poor performance of the CQC which the Commission did not welcome. In December 2009, Colin Angel, the head of policy and communication United Kingdom Homecare Association and the Registered Nursing Home Association criticised the Commissions failure to communicate effectively over the system of registration: We are extremely disappointed about the handling of the registration process. We fear that CQC isnt adequately prepared for the enormous communication exercise facing them. Colin Angel also identified the fact that the CQC was missing the opportunity to use the extensive technical knowledge available from providers representative bodies which the Registered Nursing Home Association chief executive Frank Ursell approved. Some service providers have expressed their concerns about the fact that the Commission might have embarked on a mission which was too extensive and challenging to them as stated by the joint chair of the Association of Directors of Adult Social Services standards and resources network: It has been stretched at senior management level and weve had quite short notice of a number of initiatives. Its been a bit hand-to-mouth in terms of its ability to make decisions. She points to the fact that final guidance on how councils were to be assessed in 2009-10 was only published three-quarters of the way through the year. Colin Angel, head of policy and communication at the UKHCA, says: The CQC has lost valuable time restructuring, leaving insufficient time for over 24,000 social care providers to adapt to new standards before they are required to re-register. But Amanda Sherlock, head of operations at the CQC, says it has been an outstanding achievement to pull together the three commissions, deliver business as usual as well as bring in a new regulatory model, while building a new organisation. She says that some things could have gone better, saying that the CQC has worked on how it handles national announcements, so councils and other bodies face no surprises when these happen. Norman acknowledges the CQC has shown itself willing to listen and accepted the concerns that weve had. On provider registration, Sherlock says: We are keen to hear how we can do things better and how we can tailor our approach and communication. She says the CQC has an absolute focus on making sure providers are clear what is expected between April and October when they must register. National Care Forum executive director Des Kelly says for its part the provider sector needs to work with the CQC to ensure registration succeeds. Sherlock admits the CQC has put a lot of time into organisational development but says this has paid off in establishing an organisation that has an absolute commitment to driving up quality and safety across health and social care without defining any sector as special. A year ago, many in social care, including former CSCI chair Dame Denise Platt, feared the health services high political and public profile would make it special. And since Johnstones departure last autumn, there has been no one with a social care background on CQCs executive team below chief executive Cynthia Bower, who left social services in 1995. Sherlock insists such fears have proved unfounded, but says the CQC has been helped by adult cares rising profile. Sherlock, who worked for the CSCI and its predecessor, the National Care Standards Commission, points to her own centrality to CQCs strategic direction, despite not being on the executive team. She also reveals that the CQC will soon appoint a national social care adviser, to provide external challenge and strengthen links with the sector. Kelly says the issue of social cares priority has gone better than I would have predicted 12 months ago. Concerns have also been raised that the CQC would not maintain the CSCIs focus on user involvement. Sue Bott, director of the National Centre for Independent Living, which provides users to act as experts by experience on inspection teams, says involvement is nowhere near as prevalent as it was in the CSCI. The CQC produced a statement on user involvement last June, pledging to conduct surveys and set up consultative panels. Sherlock agrees there is more to do but says the statement has been implemented and the CQCs user involvement team, led by Frances Hasler, who performed the same role for the CSCI, actively challenges all parts of the organisation. One of the key objectives of the CQC is to support the integration of health and social care. Kelly says he has not seen a great deal of evidence as yet of progress on this front. But Sherlock points to the special reviews that the CQC has been doing on issues that cross the divide, including the quality of healthcare for care home residents, which she says will identify good practice and any gaps. These will report in 2010-11, alongside the roll out of registration for adult care providers and a reformed performance assessment for councils. It will be another busy year. ONE YEAR OF THE CQC April 2009 The Care Quality Commission starts work. Outgoing Commission for Social Care Inspection chair Dame Denise Platt raises concerns over its potential to sufficiently prioritise social care and involve service users. May 2009 Former Association of Directors of Adults Social Services standards lead David Johnstone appointed director of operations at the CQC. He leaves the organisation after only a few months. June 2009 Statement on service user involvement published. The CQC announces series of special reviews for 2009-10, including of healthcare needs of care home residents and impact of recession on services. July 2009 The CQC says NHS trusts are failing to comply with child protection requirements in areas such as staff training in report sparked by Baby Peter case. September 2009 DH mental health director Louis Appleby says the CQCHYPERLINK http://www.communitycare.co.uk/Articles/2009/09/29/112717/appleby-accuses-care-quality-commission-of-seeking-headlines.htmHYPERLINK http://www.communitycare.co.uk/Articles/2009/09/29/112717/appleby-accuses-care-quality-commission-of-seeking-headlines.htms portrayal of results of an in-patient survey was HYPERLINK http://www.communitycare.co.uk/Articles/2009/09/29/112717/appleby-accuses-care-quality-commission-of-seeking-headlines.htmHYPERLINK http://www.communitycare.co.uk/Articles/2009/09/29/112717/appleby-accuses-care-quality-commission-of-seeking-headlines.htmdeliberately distortingHYPERLINK http://www.communitycare.co.uk/Articles/2009/09/29/112717/appleby-accuses-care-quality-commission-of-seeking-headlines.htm and simply highlighted negative findings. The CQC says many survey results were poor. October 2009 The CQC publishes draft standards for health and social care providers, and holds meeting with mental health leaders over its presentation of the results of its in-patient survey. December 2009 Adass criticises the CQC for its treatment of eight councils labelled HYPERLINK http://www.communitycare.co.uk/Articles/2009/12/04/113366/adasss-owen-attacks-cqc-over-treatment-of-eight-councils.htmHYPERLINK http://www.communitycare.co.uk/Articles/2009/12/04/113366/adasss-owen-attacks-cqc-over-treatment-of-eight-councils.htmpriority for improvementHYPERLINK http://www.communitycare.co.uk/Articles/2009/12/04/113366/adasss-owen-attacks-cqc-over-treatment-of-eight-councils.htmHYPERLINK http://www.communitycare.co.uk/Articles/2009/12/04/113366/adasss-owen-attacks-cqc-over-treatment-of-eight-councils.htm following annual performance assessment (APA). Councils improve for seventh year running. February 2010 The CQC says  £2bn could be saved a year from reduced hospital admissions if joint working improves between health and social care in first HYPERLINK http://www.communitycare.co.uk/Articles/2010/02/10/113768/cqc-health-and-socal-care-integration-can-save-2bn-a-year.htmState of CareHYPERLINK http://www.communitycare.co.uk/Articles/2010/02/10/113768/cqc-health-and-socal-care-integration-can-save-2bn-a-year.htm report. It promises 2010-11 APA for councils will be tougher. March 2010 Care provider bodies slam the CQC for an alleged lack of communication of the process for registration under its new system. The CQC claims it has engaged extensively. April 2010 The CQC is one year old. It starts process of registering adult care providers under new system. National social care adviser appointed. This article is published in the 8 April 2010 edition of Community Care under the headline Many happy returns?

Child Psychology

A Child Psychologist generally specializes in understanding, preventing, diagnosing and treating emotional or behavior problems in children. A Child Psychologist evaluates and treats emotional or learning disorders in children. This work can be done in a private, clinical, or public sector and counseling practice or in school and other learning environments. They are engaged in the study of the psychological processes of children and adolescents, particularly, how they are different from adults in their psychological development.Many Child Psychologists specialize in abuse counseling, learning development, speech disorders or general practice. Child Psychologist Educational Requirements Anyone wishing to practice as a Child Psychologist should check the requirement for certification and licensing in their state. In most states, an Ed. S. in School Psychology or School Counseling is needed to work in a school. Most Child Psychologists earn a Doctor of Psychology or a Ph. D. in Child P sychology.These degrees equip individuals with the skills necessary to meet minimum certification requirements, including a thesis and graduate study. A 1-year internship is necessary for anyone looking to practice in a clinical setting, counseling or school psychology. (http://degreedirectory. org/articles/Child_Psychologist_Job_Duties_Employment_Outlook_and_Educati onal_Requirements. html) Personal Qualities And Abilities Needed To become a Psychologist you will need to be:Patient, Caring, Good Listener, Good Communication Skills, Good Presentation Skills, Know Knowledge In A Scientific Way, Hard Working, Understanding, Polite, and Helpful. Working Conditions And Possible Places Of Employment About 34 percent of psychologists are self-employed, mainly as private practitioners and independent consultants. Employment growth will vary by specialty; for example, clinical, counseling, and school psychologists will have 11 percent growth; industrial-organizational psychologists, 26 perc ent growth; and 14 percent growth is expected for all other psychologists.Acceptance to graduate psychology programs is highly competitive. Job opportunities should be the best for those with a doctoral degree in a subfield, such as health; those with a master’s degree will have good prospects in industrial-organization; bachelor’s degree holders will have limited prospects. (http://www. bls. gov/oco/ocos056. htm) Advancement Opportunities Psychologist can start out from being in school to becoming an intern. Then from an employee to earning a raise.Then from an employer to opening a private practice. Wages And Benefits Psychologist Benefits: High Annual Salary Psychologists in clinical, counseling or school-related roles make an average of $70,190 a year, reports the U. S. Bureau of Labor Statistics, www. bls. gov. Furthermore, industrial-organizational Psychologists, who are often employed as consultants by businesses, can earn six-figure incomes as they gain experie nce. Additionally, school psychologists can make over $40,000 in their first year, reports Payscale. com.Clinical Psychologists in private practice can set their hourly fees as high as market demand allows. Psychologist Benefits: Knowledge of Human Nature In order to be successful in their jobs, Psychologists must have a keen understanding of human nature. During school, they are taught many different theories of human behavior as well as various therapeutic techniques. Psychologists can informally apply their training to events that occur in everyday life to create more harmonious relationships with others. Psychologist Benefits: Flexible Work HoursPsychologists new to the field or those who work for schools, businesses and other organizations aren't usually able to set their own hours, but Psychologists in private practice can. They can determine when to set appointments with patients. Many Psychologists in private practice choose to work evenings, mornings or weekends, depending on personal preference. (http://degreedirectory. org/articles/What_are_the_Benefits_of_Being_a_Psychologist. html) Median annual wages of wage and salary clinical, counseling, and school psychologists were $64,140 in May 2008.The middle 50 percent earned between $48,700 and $82,800. The lowest 10 percent earned less than $37,900, and the highest 10 percent earned more than $106,840. Median annual wages in the industries employing the largest numbers of clinical, counseling, and school psychologists were: Offices of other health practitioners| $68,400| Elementary and secondary schools| 65,710| State government| 63,710| Outpatient care centers| 59,130| Individual and family services| 57,440| Median annual wages of wage and salary industrial-organizational psychologists were $77,010 in May 2008.The middle 50 percent earned between $54,100 and $115,720. The lowest 10 percent earned less than $38,690, and the highest 10 percent earned more than $149,120. Job Outlook For The Future The jo b outlook for Child Psychologist is pretty good for the future. There will still be people with issues and problems. As the population grows, there will be even more troubled people or people who seek marriage counseling. Address For Additional Information http://www. childpsychologist. com/ Child Psychology A Child Psychologist generally specializes in understanding, preventing, diagnosing and treating emotional or behavior problems in children. A Child Psychologist evaluates and treats emotional or learning disorders in children. This work can be done in a private, clinical, or public sector and counseling practice or in school and other learning environments. They are engaged in the study of the psychological processes of children and adolescents, particularly, how they are different from adults in their psychological development.Many Child Psychologists specialize in abuse counseling, learning development, speech disorders or general practice. Child Psychologist Educational Requirements Anyone wishing to practice as a Child Psychologist should check the requirement for certification and licensing in their state. In most states, an Ed. S. in School Psychology or School Counseling is needed to work in a school. Most Child Psychologists earn a Doctor of Psychology or a Ph. D. in Child P sychology.These degrees equip individuals with the skills necessary to meet minimum certification requirements, including a thesis and graduate study. A 1-year internship is necessary for anyone looking to practice in a clinical setting, counseling or school psychology. (http://degreedirectory. org/articles/Child_Psychologist_Job_Duties_Employment_Outlook_and_Educati onal_Requirements. html) Personal Qualities And Abilities Needed To become a Psychologist you will need to be:Patient, Caring, Good Listener, Good Communication Skills, Good Presentation Skills, Know Knowledge In A Scientific Way, Hard Working, Understanding, Polite, and Helpful. Working Conditions And Possible Places Of Employment About 34 percent of psychologists are self-employed, mainly as private practitioners and independent consultants. Employment growth will vary by specialty; for example, clinical, counseling, and school psychologists will have 11 percent growth; industrial-organizational psychologists, 26 perc ent growth; and 14 percent growth is expected for all other psychologists.Acceptance to graduate psychology programs is highly competitive. Job opportunities should be the best for those with a doctoral degree in a subfield, such as health; those with a master’s degree will have good prospects in industrial-organization; bachelor’s degree holders will have limited prospects. (http://www. bls. gov/oco/ocos056. htm) Advancement Opportunities Psychologist can start out from being in school to becoming an intern. Then from an employee to earning a raise.Then from an employer to opening a private practice. Wages And Benefits Psychologist Benefits: High Annual Salary Psychologists in clinical, counseling or school-related roles make an average of $70,190 a year, reports the U. S. Bureau of Labor Statistics, www. bls. gov. Furthermore, industrial-organizational Psychologists, who are often employed as consultants by businesses, can earn six-figure incomes as they gain experie nce. Additionally, school psychologists can make over $40,000 in their first year, reports Payscale. com.Clinical Psychologists in private practice can set their hourly fees as high as market demand allows. Psychologist Benefits: Knowledge of Human Nature In order to be successful in their jobs, Psychologists must have a keen understanding of human nature. During school, they are taught many different theories of human behavior as well as various therapeutic techniques. Psychologists can informally apply their training to events that occur in everyday life to create more harmonious relationships with others. Psychologist Benefits: Flexible Work HoursPsychologists new to the field or those who work for schools, businesses and other organizations aren't usually able to set their own hours, but Psychologists in private practice can. They can determine when to set appointments with patients. Many Psychologists in private practice choose to work evenings, mornings or weekends, depending on personal preference. (http://degreedirectory. org/articles/What_are_the_Benefits_of_Being_a_Psychologist. html) Median annual wages of wage and salary clinical, counseling, and school psychologists were $64,140 in May 2008.The middle 50 percent earned between $48,700 and $82,800. The lowest 10 percent earned less than $37,900, and the highest 10 percent earned more than $106,840. Median annual wages in the industries employing the largest numbers of clinical, counseling, and school psychologists were: Offices of other health practitioners| $68,400| Elementary and secondary schools| 65,710| State government| 63,710| Outpatient care centers| 59,130| Individual and family services| 57,440| Median annual wages of wage and salary industrial-organizational psychologists were $77,010 in May 2008.The middle 50 percent earned between $54,100 and $115,720. The lowest 10 percent earned less than $38,690, and the highest 10 percent earned more than $149,120. Job Outlook For The Future The jo b outlook for Child Psychologist is pretty good for the future. There will still be people with issues and problems. As the population grows, there will be even more troubled people or people who seek marriage counseling. Address For Additional Information http://www. childpsychologist. com/

Last Song

English 12 Summer Reading Book Review The Last Song is a 2009 novel written by Nicholas Sparks to influence and inspire teenagers with similar life experiences. Sparks sparked teenagers’ interest by taking reality from everyday teenage life, society and class. The Last Song portrays the life of a teenage girl with a hard past and tougher future. It consists of an excellent plot; wonderful, unique characters; and a great life lesson. This story is about a seventeen year old Veronica â€Å"Ronnie† Millers.Ronnie has not talked to her father since her parents divorced. The result of her parents’ separation put her into a deep hole of despair to the extent that she refused to play piano again. For the summer Ronnie and her brother, Jonah are sent to live with their father who lives in Wrightsville Beach, North Carolina where she changes who she is completely because she finds herself in life or death, love or hate situations. Ronnie Millers had to survive different types of emotions with Will, her new found love, and her father Steve who she finds has stomach cancer and only so long to live.After realizing there was nothing more she could do to change her father’s fate, she finds the piano, her once love and passion; gets over her hate and makes her father happy and proud. She learned to forgive and built a relationship with her father while helping him to hang on to life a little longer. The novel is written from Ronnie’s pint of view which makes it powerful. We feel what Ronnie feels as well as experience her struggles. The tone of the story goes from being rebellious and hateful to loving and caring. Ronnie begins to change from being angry to happy and appreciative.Ronnie’s little brother serves as an example of acceptance and forgiveness. Jonah is open to spending time with his father and rebuilding the lost relationship which shows that he holds no rancor against his father. On the other hand, Ronnie is not open to r ebuilding the relationship and looks toward Jonah as a form of comfort. The story is very sad because Ronnie’s father is dying of cancer. Ronnie and Jonah do not know that he is dying, and that this is the last summer that they will get to spend with him, and to mend their relationships.Sparks connects life and death with sea turtle hatchlings and their father’s situation. He uses the hatchlings as a symbol of new life and as a way for Ronnie to appreciate life and the importance of relationships. Throughout the story, Ronnie’s father is writing a song on his piano, entitled â€Å"The Last Song†. He really wants this song to be shared between him and Ronnie. This song not only symbolizes the relationship between Ronnie and her father but also Ronnie’s final transformation as she finishes the song right after her father’s death.Her love for her father grows to a point where she realizes she has to finish the song for her father because he can not. At the end of the story, she plays the song at his funeral. The story is very emotional that makes even the strongest to cry. I cried when I read the book. Sparks captures the readers by getting them emotionally attached to the characters, the setting, and the plot of the story, and then destroys their world when Ronnie’s father dies. Sparks wrote such an amazing tale those readers of all ages could easily understand and relate to.

Drug Abuse in Modern Day Society - 1175 Words

Drugs: Positives And Negatives In Our Society Imagine a man who is in his late 20’s, a recent graduate of medical school, happily married to his high school sweetheart. He is about to have a child right when his addiction to heroine flourishes. Due his inability to quit the addiction, he loses his job and his wife no longer wants anything to do with him, which leads him to have nothing left. He is thrown out on the streets, without any will to change his life around and get back on track. While one will argue that the effects of drugs bring good things to the people, a lot of others will look down upon the use of drugs. This depends on which type of logical conscience you are discussing with. In modern day culture, we are a little†¦show more content†¦Once getting cut off entirely by their families, the user continues to hide their addiction from people who’s goals are to potentially help overcome the addiction. Overall, social alienation is crucial to one fien d’s life, but sadly, occurs too often. Drug use fuels criminal behavior as a means to supply one’s addiction. When an addict is tied to the constant need for drugs, he/she will do whatever it takes in order to supply themselves. The easiest way to obtain these drugs is by either stealing the drug itself or money to buy it. Addicts will start to commit violent acts to get money once they are homeless and have no way of getting the drug. One of the most popular tendencies is to rob houses and stores. Drug fiends will go around stealing from stores and robbing people of their money to go buy drugs. After the crime is committed, many of these victims of violence will be greatly against these devotee’s and not accept them into society. Leading people to turn away from wanting to help the addicts. One of the most common outcomes of committing a crime is getting into trouble with the law. 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