Quiz and Crossword

Quiz and Crossword

Quiz –Fivekey questions(questions and answers)

This quiz relates to the new five keyquestion test developed by the Care Quality Commission to facilitate effective inspection, the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and the fundamental standards, which were implemented in April 2015 for adult social care providers.

Key question 1: Is the service safe?

1. / According to the Care Quality Commission, ‘safe care’ means that (choose one answer):
  1. Service users are protected from all risks, no matter how minor
  2. Service users are protected from abuse and avoidable harm
  3. A service user’s right to take risks is removed.
/ b. Service users are protected from abuse and avoidable harm.
2. / According to CQC guidance, safeguarding adults is(choose one answer):
  1. The duty of social services only
  2. The duty of the police only
  3. Everybody's business.
/ c. Everybody's business.
3. / The inappropriate use of restraint is generally not considered to be a safeguarding issue. True orFalse? / False. The inappropriate use of restraint is a safeguarding issue and is included in theHealth and Social Care Act 2008 (Regulated Activities) Regulations 2014, Regulation 13: Safeguarding service users from abuse and improper treatment.
4. / True or False?Health and social care staff should be trained to have a good understanding of the forms that abuse can take, recognising it when it does occur and taking appropriate action to report it. / True. According to the guidance accompanying theregulations, all health and social care staff should be trained ‘to the appropriate level for their role’ – this should include being trained to recognise different forms of abuse and to know what to do if they spot them.
5. / Providers should work in P______[11 letters] with relevant other bodies to contribute to individual risk assessments, the development of child protection and safeguarding adults at risk plans and the implementation of these plans, including the regular review of outcomes for the service user. / Partnership.
6. / Where a service user lacks the mental capacity to consent to care, what legal Act should be applied to protect their human rights? / The Mental Capacity Act 2005.
7. / The process of formally evaluating the risks involved in a task, process or setting is commonly known as (choose one answer):
  1. Risk assessment
  2. Risk rating
  3. Risk evaluation.
/ a. Risk assessment.
8. / True or False?A service provider is responsible for ensuring that those persons providing care or treatment to service users have the qualifications, competence, skills and experience to do so safely. / True. A provider would not be able to meet any of the requirements of this regulation if it did not deploy sufficient numbers of suitably qualified, competent, skilled and experienced staff to provide the care and treatment being planned or being delivered.

Key question 2: Is the service effective?

1. / True or False? The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 include a requirement that the nutritional and hydration needs of service users must be met. / True. Regulation 14: Meeting nutritional and hydration needs, contains a requirement to ensure that service users receive adequate nutrition and hydration to sustain life and good health, and to mitigate the risks of malnutrition and dehydration, while they receive care and treatment.
2. / Providing effective nutritional support to meet service users’ needs involves(choose one answer):
  1. Placing all service users on a healthy diet
  2. Ensuring that service users receive suitable and nutritious food and hydration which is adequate to sustain life and good health
  3. Referring all service users to a dietician.
/ b. Ensuring that service users receive suitable and nutritious food and hydration which is adequate to sustain life and good health.
3. / True or False? Truly effective adult social care services learn from their mistakes and seek constant improvements in the quality of care provided. / True. Being open and transparent and learning from mistakes is a key part of any effective service.
4. / True or False? The new fundamental standards will require that all adult social care services should provide effective person-centred care which is evidence based. / True. Providing evidence-based care and treatment involves ensuring that all care and treatment is based on up-to-date research and best practice guidelines. Person-centred care is care that is centred around the individual and their needs and preferences.
5. / Care and treatment of service users must only be provided with(choose one answer):
  1. The consent of the relevant person
  2. The knowledge of a relative
  3. The signature of the service user on a valid consent form.
/ a. The consent of the relevant person.
6. / True or False? Service users should not be encouraged to provide feedback about services as they should not be worried. / False. It is the right of all people to comment on the services that they receive and state whether they are happy or not. Service providers should actively seek out feedback from service users. All feedback should be listened to and used to improve the quality of services.
7. / True or False? Regulation 18: Staffing, includes a requirement for staff to receive appropriate training, appraisal, supervision and professional development. / True. Theregulation states that persons employed by a service provider in the provision of a regulated activity must receive such appropriate support, training, professional development, supervision and appraisal as is necessary to enable them to carry out the duties they are employed to perform.
8. / Supervision and appraisal are methods which can be used to(choose all answers that apply):
  1. Discipline staff for doing things wrong
  2. Support training and drive improvement
  3. Support, empower, motivate and develop the skills of staff.
/ b. Support training and drive improvement
c. Support, empower, motivate and develop the skills of staff.

Key question 3: Is the service caring?

1. / To meet the requirements ofRegulation 10: Dignity and respect, the provider must(choose all answers that apply):
  1. Demonstrate respect for service users by treating them with dignity, care and compassion.
  2. Carry out all communications with services users in a respectful manner, including respecting a service user’s right not to engage in communications.
  3. Make every reasonable effort to ensure services users’ preferences about who their care and treatment is delivered by are respected.
/ a. Demonstrate respect for service users by treating them with dignity, care and compassion
b. Carry out all communications with services users in a respectful manner, including respecting a service user’s right not to engage in communications
c. Make every reasonable effort to ensure services users’ preferences about who their care and treatment is delivered by are respected.
2. / True or False? Staff should know, understand and respond to each service user’s diverse cultural, gender and spiritual needs in a caring and compassionate way. / True. A number of the proposed regulations state that service users’ diverse cultural, gender and spiritual needs should be met, including Regulation 10: Dignity and respect, which states that providers must take account of the protected characteristics set out in the Equality Act 2010.
3. / True or False? The incomingHealth and Social Care Act 2008 (Regulated Activities) Regulations 2014 require providers to ensure that directors and staff are ‘of good character’. / True. Draft Regulation 5: Fit and proper persons: directors, and Regulation 19: Fit and proper persons employed, both require persons employed for the purposes of carrying on a regulated activity to be of good character.
4. / True or False? Staff should take time to try to communicate with all service users in a respectful and meaningful way. / True. Showing respect through appropriate communication is a fundamental element of good care. This is supported by the guidance notes accompanying Regulation 10: Dignity and respect, which state that all communications with services users should be carried on in a respectful manner, including using/facilitating the appropriate means of communication.
5. / True or False? It is not necessary to conduct any specific staff training in compassionate care as staff should already know how to behave with service users. / False. Staff training should cover all aspects of care.
6. / True or False? According to theregulations, service users and patients must be treated with dignity and respect, including respect for their privacy. / True. Draft Regulation 10: Dignity and Respect, states that providers should ensure the privacy of service users.
7. / True or False? Respect for dignity should be seen as a fundamental care skill by any social care provider. / True. The new regulations, supported by the new five key-question inspection regime, places a strong emphasis on dignity and respect and on providing compassionate care.

Key question 4: Is the service responsive?

1. / True or False? Care should be based on an assessment of the needs and preferences for care and treatment of the service user,carried outcollaboratively with the service user and relevant persons. / True. According to Regulation 9: Person-centred care, a provider must deliver care and treatment to service users that is appropriate, meets their needs and reflects their preferences, whatever they might be.
2. / True or False? It is not necessary to listen to or respond to complaints. In an effective service staff should not make mistakes and complaints should not be made. / False. Things occasionally go wrong in all complex services and people will make complaints. It is important that an adult social care organisation enables service users to make such complaints and to learn from them, putting in place actions to make things right and to improve.
3. / True or False? Providers must assess each service user’s needs and preferences in collaboration and partnership with the service user or relevant person. / True. Draft Regulation 9: Person-centred care, requires providers to carry out, collaboratively with the relevant person, an assessment of the needs and preferences for care and treatment of the service user.
4. / All complaints should be investigated using an established system. True or false? / True. According to Regulation 16: Receiving and acting on complaints, any complaint received must be investigated and necessary and proportionate action must be taken in response to any failure identified.
5. / What is a care plan? (choose one answer):
  1. A care plan is a plan drawn up by the care provider to state what it will offer to any service user.
  2. A care plan is an agreement drawn up in collaboration between the service user and a social care provider specifying exactly what that provider will do for the person to help them manage their health or well-being day-to-day.
  3. A care plan is a statement drawn up by a service user stating what care they want the service to provide for them.
/ b.A care plan is an agreement drawn up in collaboration between the service user and a social care provider specifying exactly what that provider will do for the person to help them manage their health or well-being day-to-day.
6. / True or False? Care plans do not generally need regular review. / False. All plans of care should be made subject to regular review. In all cases the review should include the service user themselves, wherever possible, and they should be involved as much as they want.
7. / True or False? An assessment should include the person’s health needs and an assessment of their abilities in the tasks of daily living. / True. An assessment of needs should be holistic in nature and include all of a person’s needs and preferences.
8. / True or False? A needs assessment is a private and confidential process that is personal to the person being assessed – other people such as carers and relatives should not be involved. / False. While it is important for providers to respect confidentiality, to meet the requirement of the new regulations, the provider must assess each service user’s needs and preferences in collaboration with the service user and/or other relevant persons as appropriate. In some cases this may include loved ones, family members, carers, advocates or persons acting legally on the service user’s behalf.

Key question 5: Is the service well-led?

1. / True or False? By ‘well-led’ the CQC means that the leadership, management and governance of an organisation assures the delivery of high-quality, person-centred care, supports innovation and learning and promotes an open and fair culture. / True. The CQC defines‘well-led’ in the appendices to the provider handbooks published for each sector which contain key lines of enquiry (KLOEs) to guide inspectors.
2. / True or False? Information about the quality of care and treatment need not be gathered as there is nothing most providers can do about it. / False. Gaining feedback and acting on it is a vital part of service improvement. All services can be improved and should plan a regular audit. According toRegulation 17: Good governance, providers should assess, monitor and improve the quality and safety of the services provided in the carrying on of the regulated activity.
3. / What is the new duty of candour that applies to adult social care providers from April 2015?(choose one answer):
  1. The duty of candour places a duty on providers to reduce the number of complaints they get.
  2. The duty of candour requires providers to make sure that staff are careful about what they say when something goes wrong.
  3. The duty of candour requires registered providersto fully support a culture of openness and transparency, including when something goes wrong.
/ c. The duty of candour requires registered providers, and those seeking registration, to fully support a culture of openness and transparency in all of their dealings with service users and their relatives or representatives.
4. / True or False? Staff should be encouraged and trained to report all untoward incidents and accidents, including 'near misses.' / True. Guidance accompanyingRegulation 17: Good governance states that a provider should have systems and processes that enable it to identify and assess risks to the health, safety and/or welfare of service users.

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