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ASSIGNMENT BRIEF Qualification Title Unit Number/Title BTEC Higher National Diploma Unit -27/Managing Quality in Health and Social Care Unit Leader Name Internal Verifier Name Ashraful Islam...

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ASSIGNMENT BRIEF
Qualification Title	Unit Number/Title
BTEC Higher National Diploma	Unit -27/Managing Quality in Health and Social Care
Unit Leader Name	Internal Verifier Name
Ashraful Islam	Shahriar Daudpota
Date of Issue
Date of Submission

Coursework Rules and Regulations at St. Patrick’s College

Plagiarism – the College takes plagiarism and academic misconduct seriously and therefore, suspected plagiarism will be investigated and if found to have occurred will be dealt with according to the procedures set down by the College. Please see the Student Handbook for further details of course of action for plagiarism.

‘Plagiarism’ is presenting somebody else’s work as your own. It includes copying information directly from the Web or books without referencing the material; submitting joint coursework as an individual effort; copying another student’s coursework; stealing coursework from another student and submitting it as your own work.

Student Declaration – all coursework submission will need to bear a declaration signed by you.

Submission Regulations

1 You are required to submit your coursework on-line through the College’s Virtual Learning Environment (VLE) which can be accessed through http://stpmoodle.net. Detailed information about this is available in the Student Handbook.

1 Details of submission procedures and related course of actions can be obtained from the Academic Administration Department or the Student Handbook.

2 If you are unable to submit your coursework on time due to extenuating circumstances, you are required to make an application to your respective Schools for it to be considered, using an ‘Extenuating Circumstances Form available from the Academic Admin Office. Do not ask lecturers responsible for the course – they are not authorised to award an extension. The completed form must be accompanied by evidence such as a medical certificate in the event of you being sick.

3 Specific requirement or subject specific requirement for coursework submission will be stated further in the assignment brief or will be advised by your lecturer.

Learning Outcomes	Assessment Criteria	To achieve the criteria the evidence must show that the student is able to:	Task No.
LO1 – TASK 1 Understand differing perspectives of quality in relation to health and social care services.	1.1 M1	*Explain* perspectives that stakeholders in health and social care have regarding quality	1
	1.2	*Analyse* the role of external agencies in setting standards	1
	1.3	*Assess* the impact of poor service quality on health and social care stakeholders	1
LO2 – TASK 2 Understand strategies for achieving quality in health and social care services.	2.1 D1	*Explain* the standards that exist in health and social care for measuring quality	2
	2.2 M1	*Evaluate* different approaches to implementing quality systems	2
	2.3	*Analyse* potential barriers to delivery of quality health and social care services	2
LO3 – TASK 3 Understand to evaluate systems, policies and procedures in health and social care services.	3.1 D2	*Evaluate* the effectiveness of systems, policies and procedures used in a health and social care setting in achieving quality in the service(s) offered	3
	3.2 D2	*Analyse* other factors that influence the achievement of quality in the health and social care service	3
	3.3 D3	*Suggest* ways in which the health and social care service could improve its quality	3
LO4 – TASK 4 Understand methodologies for evaluating health and social care service quality.	4.1 D1	*Evaluate* methods for evaluating health and social care service quality with regard to external and internal perspectives	4
	4.2 D3	Discuss the impact that involving users of services in the evaluation process have on service quality.	4

In addition to the PASS criteria, this assignment gives you the opportunity to submit evidence in order to achieve the following MERIT and DISTINCTION grades
Grade Descriptors	Indicative characteristics	Contextualisation
M1 Identify and apply strategies to find appropriate solutions	Complex problems with more than one variable have been explored and an effective approach to study and research has been applied.	Submitted by agreed due date. AND To achieve M1, learners must explain the different perspectives each stakeholder has regarding quality and identify common ways of working together effectively (AC 1.1). OR To achieve M1, learners must evaluate (give their own opinion about) different ways of implementing quality systems at the case study organization (AC 2.2).
M2 Select/design and apply appropriate methods or techniques	A range of sources of information has been used.	To achieve M2, students must use appropriate resources for the assignment including the use of books, journals, publication and text and internet throughout their assignment. Additionally, students must consistently use Harvard referencing style to cite all references and sources of material used both for in-text citation and reference page within the assignment.
M3 Present and communicate appropriate findings	Appropriate structure and approach has been used.	To achieve M3,learners must use appropriate structure and sequence throughout the assignment. The work must be concise and succinct, with well-developed academic arguments laid out coherently throughout with exclusive reference to the case study.
D1 Use critical reflection to evaluate own work and justify valid conclusions	Conclusion arrived at through synthesis of ideas & justification.	To achieve D1, learners must clearly justify and critique the approaches taken when evaluating methods, approaches and effectiveness of service quality, systems, policies and procedures in health and social care setting (AC2.1 and AC4.1).
D2 Take responsibility for managing and organising activities.	The importance of interdependence recognised and achieved.	To achieve D2, learners must substantially investigate and explore strategies for achieving quality in health and social care setting (in the context of either case study or own work experience) while clearly highlighting the importance of interdependence (effects of actions/policies/decisions on the wider organisation). (AC3.1 and AC3.2).
D3 Demonstrate convergent /lateral /creative thinking	Problems have been solved/self-evaluation has taken place/innovation and creative thinking have been applied.	To achieve D3,learners must recommend problem-solving initiatives for poor quality of care services while applying innovation and creative thinking to improve quality in the case study organization [healthcare setting] taking on board service-user requirements fully well (AC3.3 and AC4.2).

Assignment

Case Study

For this assignment you must effectively demonstrate your understanding and skills in managing quality in Health and Social Care Organisations. To do so, you must carry out the tasks below in relation to the CQC report for Rose Meadow (RMCH). Carefully read the CQC report for Rose Meadow (RMCH). The CQC report showed a need for urgent improvement of quality in the care home. As a Quality Manager you are responsible for managing quality. You are required to identify and make required changes to improve and manage the recommended quality before the next CQC inspection. To carry out this task, you must carry out research on relevant available literature/data sources. It is advisable to consult relevant sources of literature and data (e.g. free NHS or CQC online reports and texts) on the organization to fully understand the context of managing quality.

Please note: CQC report for Rose Meadow (RMCH) is uploaded on STP Moodle and can be found in the folder titled Assignment Pack.

Learning outcome 1 (LO 1.1, 1.2 and 1.3)

1.1 Explain perspectives that stakeholders in health and social care have regarding quality in Rose Meadow

1.2 Analyse the role of external agencies in setting standards in Rose Meadow

1.3 Assess the impact of poor service quality on health and social care stakeholders in Rose Meadow

Learning outcome 2 (LO 2.1, 2.2 and 2.3)

2.1Explain the standards that exist in health and social care for measuring quality in Rose Meadow

2.2Evaluate different approaches to implementing quality systems in Rose Meadow

2.3Analyse potential barriers to delivery of quality health and social care services in Rose Meadow

Learning outcome 3(LO 3.1, 3.2 and 3.3)

3.1Evaluate the effectiveness of systems, policies and procedures used in a health and social care setting in achieving quality in the service(s) offered in Rose Meadow.

3.2 Analyse other factors that influence the achievement of quality in the health and social care service in Rose Meadow.

3.3 Suggest ways in which the health and social care service could improve its quality in Rose Meadow.

Learning outcome 4 (LO 4.1 and 4.2)

4.1Evaluate methods for evaluating health and social care service quality with regard to external and internal perspectives in Rose Meadow.

4.2 Discuss the impact that involving users of services in the Evaluation process has on service quality in Rose Meadow.

Description of the problem to be solved

The CQC report identified some improvements and a need to further improve how the care home assessed and monitored its quality and safety procedures. As a health and social care practitioner (Quality Manager) you are required to provide a report explaining the systems, policies and actions that can be taken to tackle the identified shortfalls.

Assignment

Based on the Case Study above you are required to provide a Report of approximately 4,000 (+/- 10%) words. (The word count is set here as a guide.) You should refer to the assessment criteria and the relevant unit content, when preparing your evidence of assessment. The report should address the following four tasks below which relate to the learning outcomes.

Section 1

In section1 of your report you are required to show an Explanation of perspectives that stakeholders in health and social care have regarding quality; Analysis of the roles of external agencies in setting standards and Assessment of the impact of poor service quality on health and social care stakeholders. You need to refer to the case study provided to cover all the assessment criteria.

Section 2

In section 2 of your report, you need to show that you understand strategies for achieving quality in health and social care services. This will be achieved by analysing potential barriers to delivery of quality service; evaluating different approaches to implementing quality systems and finally explaining the standards that exist for measuring quality at Rose Meadow.

Section 3

In section 3 of your report, you are required to evaluate systems, policies and procedures in Rose Meadow. You are required to evaluate the effectiveness of systems, policies and procedures used in RHCH in achieving quality in the service(s) offered. You should also analyse other factors that influence the achievement of quality, and lastly suggest ways in which quality could be improved.

NB: You must identify the specific systems, policies and procedures that you are evaluating in this section. This can include any systems, policies and procedures mentioned in the CQC REPORT.

Section 4

In section 4 of your report, you are required to evaluate methods for evaluating quality with regards to external and internal perspectives and discuss the impact that involving users of services in the evaluation process has on service quality.

Formative Submission

Formative assessment will take place to advise you on your progress within the term (during the 5^thweek) and the ways in which you could improve before the final (summative) submission. The feedback is for your benefit and is not part of your final grade for the unit. Formative feedback may, however, not be as detailed as the final feedback you receive, and may be in verbal and/or written form (at the lecturer’s discretion). You will be asked to submit your work for formative feedback in electronic or hard copy form to which you will receive verbal and/or written feedback.

Final (Summative) Submission

You must submit the report covering all 4 sections which cover the assessment requirements in this unit via http://stpmoodle.neton or before 4^th August 2018.

Further Guidance

Grading

Each Unit will be graded as a Pass, Merit, and Distinction when all learning outcomes and assessment criteria have been met.

A Pass is awarded for the achievement of all Learning Outcomes against the specified Assessment Criteria.

A Merit or Distinction is awarded for higher level achievement upon achieving the M’s and D’s criteria.

If all required assessment criteria have not been achieved the work is graded ‘Referred’.

If the work illustrate more than the similarity % cap or concern over originality of part or all content of the work, it is graded ‘Withheld’. The student will then be interviewed to ascertain originality.

In the case of incomplete work or partial submission (others such as blank template, no evidence of real attempt), the work is graded ‘Unreasonable Submission’.

When a Unit has been assessed, Grades are reported on the College’s VLE. You can obtain the grade awarded by viewing the Submission Inbox, navigating different tabs to see the status of your submission. By viewing the Report, the Originality can be obtained. Clicking on the Grade Mark tab will reveal the Quick Mark comments. Clicking on the General Comment tab will reveal the comments made by the Assessor and Internal Verifier.

Please note that numeric value (for example, 75% for Distinction) is used to classify the different grades awarded to support the system requirement on the College’s VLE, Grades are reported on the VLE as follow:

%	GRADES
75%	Distinction
65%	Merit
50%	Pass
35%	Referred
10%	Withheld W1 – direct copy from various sources W2 – collusion (Note: detailed feedback on W1 and W2 will be provided by the Assessor in the General feedback section.)
5%	Unreasonable Submission

Additional Information

· For any late submission without approved Extenuating circumstances prior to the set deadline, the grade is capped at a PASS.

· It is expected that the guided word count are adhered to when writing your coursework.

unit-27managing-quality-in-health-and-social-care-nnfq3cdg.docx

Answered Same Day May 01, 2021

Soumi · Accepted Answer

UNIT 27: MANAGING QUALITY IN HEALTH AND SOCIAL CARE
Unit content
UNIT 27: MANAGING QUALITY IN HEALTH AND SOCIAL CARE
Revision Guide
LO1
1.1  Explain perspectives that stakeholders in health and social care have regarding quality
A. Define your understanding of quality of care 
Quality can be defined as the standard of measuring on thing while comparing it with other. In healthcare system, quality is an extent of services, which are provided to the customer or care seeker to achieve the desired health outcomes. For example, nurse in the care setting providing patient-centred care is a quality service.
Managing quality in social and healthcare was one of the main priorities of healthcare system. Central of all the healthcare services is customers. All the healthcare organisations tirelessly working to find the ways in improving the quality of their services so that the care provided to the customers are the best. Quality depends on the perspective of the person. 
Quality in healthcare can be measured on many factors such as safety, efficiency, time and effectiveness. The healthcare organisations, which are successful in managing quality of their services, can develop the standard of their work. This standard helps in building the reputation, which in return increases the business of the organisation as people willing to take services from those care settings, which have good reputation in the market.
B. Define your understanding of stakeholders. 
Stakeholders can be defined as the people who are involved in business. As mentioned by Kilbourne et al. (2018), in social and healthcare system, some of the key stakeholders are patient, service providers like doctors, nurses, physician, social workers and staff members like manager, and staff, pharmaceutical, owner of healthcare system and inspecting bodies. For example, 
C. Explain the perspective [what they expect/consider] of any three stakeholders giving example of their perceptions about service quality of the organisation in case study (explain each in separate paragraph).
Patients are one of the key stakeholders who seeks the quality care. For example, elderly people seeking refuge in nursing homes. As noted by Esmail et al. (2015), elderly population living in the care settings find it difficult to be adjusted. Elderly people shifted to the care setting to get the help in completing the daily routine. Elderly people expected that they are taken care properly by nurses of the setting. They must be provided medicine on time. They were given assistance in completing their daily routine. They expected to not to feel alone during their end life.
Another stakeholder is nurses in the healthcare system.  Nurses play the wide range of responsibilities at their work. They consider helping patients as part of their job. It is a social duty which nurses are performing by providing quality care. Nurses expected kind gesture in return for providing quality care to the patients. For example, they expected appreciation for their work or considering their hard work. The duty of nursing staff is to provide safety to the patient. They helped in completing the daily routine of the patient. 
Manager are one of the important stakeholders who manages the healthcare setting. They sort out the issues of conflict between nurses and doctors, and issues generated by patients. Duty of manager is to take care of regular maintenance of the supply and manage the facility. The legal bodies set the benchmark for the quality of the services to ensure that patient achieve the quality. They make sure that the benchmark set is achieved. 
 Every stakeholder judges the quality of the care setting based on their perspective and desired outcomes. As mentioned by Gradinger et al. (2015), workers or staff members work with the perspective of getting incentive. Staff members provide high quality service to the patients if they are rewarded or recognised for their work. As per the case study, there is absence of registered manager in the Rose Meadow Care Home (RMCH). There was poor management in the care home. Lack of availability of the staff members at correct position makes it difficult to meet the need of every member of the care setting. Staff members are failed to follow the guidance plan laid to every member of the facility. The health condition of the people is vulnerable to diseases. The care setting is unclean and there is risk of diseases. The care setting has poor quality and high risk of fire. The maintenance of the care setting is poor. Manager tries to assert that they are doing in the best capacity.
1.2	Analyse the role of external agencies in setting standards
A. Briefly explain your understanding of external agencies in HSC?
External agencies play the important role in making sure that quality of healthcare setting is up to the benchmark. They regularly audit the healthcare settings, inspect them and formed the report on it. Their report consists of loopholes in care, level to quality benchmark is achieved or not, and they also provide suggestions for the improvement. They play important role in closing of the healthcare settings.
B. Analyse the role [what they do, how they do] of any three external agencies related to case study with the importance of their standards setting (analyse each in separate paragraph).
There are two major external agencies in health and social care, which set the standard of the quality care given to the patient. These agencies are care quality commission (CQC) and national institute for clinical excellence (NICE). As suggested by Boyd et al. (2018), health and social care of 2008 act led to the establishment of CQC, which helps in regulating the health and adult social care services in England. The CQC inspector measures the institute against the standard. The care provided by local bodies, national health services, private companies and another voluntary organisation is regulated by CQC. The CQC aims to make sure that the care settings provide the high-quality care services to the patient. 
As per the case study, Rose Meadow registered themselves in 2011 for the inspection. Since then inspection occurs every year. The recent inspection was conducted in 2018, which was surprise inspection. During the inspection, inspector checks the quality of care, cleanliness of place, management, safety of patient and storage of medicines. CQC can take the appropriate action against the care settings whose standard is lower than the set standard. CQC report provides guidance to the care setting to take care of necessary loopholes in their care. This report assesses the care settings very properly, which help care settings to identify the risks, which can happen. For example, In Rose Meadow, CQC inspector found out that the place is at risk of getting fire easily. 
Another important agency is National Institute for clinical experience. This is an independent organisation, which helps in directing the ways, in which care settings can promote good health in their care settings. They provide guidance in prevention and treatment of diseases (Van Zwanenberg and Edwards, 2018). For example, in Rose Meadow, they helped in providing the care plan for all the patients so that the care provided to the patient fulfil their needs and its quality is very high. Service providers and professionals are given training to handle the patient medication and care under NICE.
Another important agency is MHRA which is medicine and health product regulatory agency. It is a governmental agency which ensures the quality of medicines and medical devices. It audits the safety level of the medicines and medical devices. It is an executive agency of the department of health. This agency is responsible for the regulation of medicines and medical devices. It investigates the harmful incidences. They analyse blood work, healthcare providers who provide blood and work for other organisation which can help in improving blood services. 
1.3 	Assess the impact of poor service quality on health and social care stakeholders
A. Briefly explain your understanding of poor service quality
Poor quality services are the services provided to the patient or service seeker by healthcare service provide which failed to meet the benchmark set for the good or high quality of the services. Poor quality services can reduce the quality of life of the patients. 
B. Assess the impact of poor service quality on any three stakeholders related to case study with examples of underlying issues causing poor quality service in the case study organisation (assess each in separate paragraph).
Patients or service seeker are the main stakeholders who get affected by poor quality service on health. As suggested by Nambiar et al. (2017), poor quality care when given to the patient or service seeker, they existing health start deteriorating even further. It has been noticed that people can become vulnerable to many other diseases. Poor quality care involves unhygienic environment, medication error, failed to manage the care plan given to the patient, use of poor equipment and poor storage of medicine. Poor quality can be fatal for the service user. They can get exposed harmful microorganism, which can cause many kinds of infections in service user. The poor storage of medicine results into drug allergy, which is very dangerous. As per the care study, Rose Meadow has poor storage of medicine; there is lack of safety of the patient. Patients are vulnerable to the infectious disease due to lack of cleanliness in the place. Poor quality does not keep the organisation untouched. 
Another stakeholder which get affected by the service is owner or manager of healthcare organisation. It ruins the reputation of the place, which led to the loss of the business as people avoid all those healthcare organisations that failed to provide the high-quality care to the patients. CQC and other regulatory agency have power to take necessary actions against the organisation whose quality is not up to the mark. As mentioned by Salyers et al. (2017), it has been seen that organisations can be shut down by authorities if care quality is low. Nurses and other staff members who failed to provide the quality care can face the legal suit against them. They can loss their job and their reputation will be ruined, which can lead to the unemployment in their field. As per the case study, CQC report of Rose Meadow shows that organisation failed to provide high quality. They have directed few instructions to the organisation so that quality can be improved otherwise necessary action will be taken against the institute.

ASSIGNMENT BRIEF Qualification Title Unit Number/Title BTEC Higher National Diploma Unit -27/Managing Quality in Health and Social Care Unit Leader Name Internal Verifier Name Ashraful Islam...

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