Managing Quality in Care Environment Unit 23

This report discusses the importance of managing quality in care environment and the impact of different legislation and statutory requirements on measuring and monitoring quality in health and social care. It also covers the importance of promoting diversity and protecting service users towards improving quality in a care setting. The report evaluates the involvement of service users, staff members, family, and community in quality improvement measures within care settings. It also includes a detailed plan for relevant quality improvement initiatives within own care setting.

Managing quality in care
enviornment

Table of Contents
INTRODUCTION...........................................................................................................................4
MAIN BODY...................................................................................................................................4
P1 Comparing how different legislation and statutory requirements are taken into account for
measuring and monitoring quality in health and social care through used in different theories
and approaches.......................................................................................................................4
M1 Critically discussing about the processes for measuring, monitoring along with improving
quality of practices that have any impact on working ways within care setting....................5
D1 Critically assessing the impact of current set of external quality standard on system along
with working practices within care setting over a defined period..........................................6
P2 Discussing importance of promoting diversity and differences along with inclusive
practices within care setting...................................................................................................6
P3 Discussing importance of protecting different services user towards improving quality in a
care setting..............................................................................................................................7
M2 Review of a practical impact on care setting of different requirement for meeting different
need of stakeholders for improving quality of service provision...........................................8
D2 Evaluation of involvement of services user staff member family and community in quality
improvement measures within care settings...........................................................................9
P4 Review working practices aspect within own setting to identify the improvement that can
made current level of quality..................................................................................................9
P5 Discussing why selected aspect are required improvement using different source of
information...........................................................................................................................10
M3 Justification of the improvement to working practices selected in term of impact on
service user experience in services.......................................................................................11
D3 Evaluating the evidence towards sharing information with different stakeholders for the
quality improvement requirements within working practicing aspect.................................11
P6 Producing detail plan for relevant quality improvement initiatives within own care setting
..............................................................................................................................................12
P7 Discuss in potential or any acute barrier that completing the quality improvement.......13
M4 Implementing appropriately plant quality improvement initiative................................13

M5 Critical review of plan justifying necessary adaptation based on observation of feedback
..............................................................................................................................................14
D4 Evaluating expected outcome of improvement initiative and discussion for the changes or
improvement data required...................................................................................................14
CONCLUSION..............................................................................................................................15
REFERENCES..............................................................................................................................16

INTRODUCTION
Healthcare quality improvement refers to a framework which are generally used to
systematically improving care ways for delivering patient better health and improvement in
practices for delivering proper care and treatment to the individual. Improve quality of the
healthcare setting can allow patient and healthcare professional to receive and deliver quality of
treatment and services that can be beneficial for patient for the improved health. There are some
legislation and policy which are effective for measuring and monitoring quality of practices
within health and social care (Santana and et. al., 2018). These are necessary and allow higher
authority to measure and monitor their quality of services which can allow for delivering better
healthcare treatment to their patient for improved health. There are various impact of monitoring
quality which can have a high impact on every individual within care setting. This includes
patient healthcare professional and other staff member. These are important within care setting
that can have high impact on their practices and outcome. It is important to improve the quality
within health and social care setting. Improvement in care setting can allow healthcare
professionals to deliver better and effective quality of services and treatment that can be
beneficial for the patient for receiving better and improved health with in less time. For
delivering better improvement, there is need to make a plan which can help to provide a quality
improvement within care setting. For this, there is also need to monitor the improvement of
quality during implementation of plan that could have a positive outcome. In this report, there is
discussion about assessing legislation and policy impact on measuring and monitoring quality of
practices within health and social care. There is also discussion about the impact of improving
quality on different individuals within care setting. There is also discussion about quality
improvement requirement with in care setting. There is also discussion about plan and monitor
improvement of quality within team that can have better outcome (Ferrell and et. al., 2018).
MAIN BODY
P1 Comparing how different legislation and statutory requirements are taken into account for
measuring and monitoring quality in health and social care through used in different
theories and approaches
There are different legislative and statutory requirement taken into account in measuring and
monitoring quality in health and social care setting with different theories and approaches. This

different legislation includes data protection law and equality law. Whereas, two statuary
requirements includes clinical commissioning group and National Institute for clinical excellence
(NICE). The two theories which includes theory of quality circle and theory of technical quality.
Along with this, two approaches includes total quality management approach and continuous
quality management approach (Cimo and et. al., 2018).
The data protection act 2018 and the equality law 2010 is associatd with the theories of
quality circle and the theory of technical quality. With this, the data protection help to reduce the
breach of privacy which may create conflict in the workplace and equality law is useful to
maintain the equillibrim within the workplace. Both act are effective and can provide better
imapct on the workplace to make more effective. As per this, the theory of quality circe help to
promote the quality and theory of technical quality is also take approach towards the technical
support and maintain the accountability of reducing scenario of braching of quality.
In this, the both legislation is predominalty helful approach to reduce the complication
which may have show the significance for the improvement of quality and play role in
developing quality based approach towards the workplace. The two statuary requirements named
clinical commissioning group and the national for the clinical excellence focus on the workplace
quality and make it more appropriate which provide additional support which make improvement
in the quality by this statuary requirement. Whereas, they are linked with the total quality
management approach and continuous quality management approach is used to play the role
which also configure and monitor the aspect which may create hindrance in the developmentof
quality (Hopman and et. al., 2020).
M1 Critically discussing about the processes for measuring, monitoring along with improving
quality of practices that have any impact on working ways within care setting
The process of measuring, monitoring and the process of continuous improvement in the
quality of practice is helpful to develop positive impact in the workplace. Whereas, the
measuring in the workplace used to configure such error which may intruppted the quality
function within workplace. In this, the monitoring is also help to play important role in order to
manage the error and area of improvement. The monitoring prospect provide a wide range of
clarification and detrrmine those area which is require instant change for the promotion of
quality in workplace. The monitoring also provide strength that focus on the error and weak
points which need to be change in order to promote quality based service within care setting.

Overall, it create positive impact on the work care setting that allow the service user to be
comfortable and compatible with the environment (Soukup and et. al., 2018).
This all aspect have coorelative factor within the care setting for the formulation of care
and support that develop resilence and well being in the workplace. This all is enhance due to
finding of error and area of improvement which must be undertaken for the development of
quality based service. It also play role in reducing the error within care setting.
D1 Critically assessing the impact of current set of external quality standard on system along
with working practices within care setting over a defined period
The formulation and the availability which is based on standard for the patient safety and
their compliance that show the working practice within the care setting with several of process.
In this, it help to develop and establish the minimum level of performance that show consistency
or the behaviour which is in the uniform way that show multiple individual individual and
workplace. There are another purpose for the standard which their set of expectation. The
publication and the dissemination of the standard which show some of the additional help
towards the expectation for the consumers. In this, the standard are usually formulated and used
on the public health with the process to configuration that based on quality of health and care
which follow the regulation of patient safety. The standard is also developed through the various
process based on the private voluntary process. Such as professional certification or the
organisational accreditation which usually follow within health setting or the care setting
(Kotsou and et. al., 2019).
P2 Discussing importance of promoting diversity and differences along with inclusive practices
within care setting
There is a importance of promoting diversity and differences in the inclusive practices in
care setting. This is effective and enhances need to higher professional from different
background with different skills. This can provide and have to enhance the quality of services
within care setting. Through involving and promoting diversity, this can have higher and better
impact on the care setting. Through promoting diversity different background of people came in
the care setting to get better care of the service and influence different type of people to use your
services without any type of issue. Through promoting diversity healthcare setting get enable to
attract large number of a patient for receiving their services and treatment.

Through this, care setting are able to attract large number of patient and get better
healthcare treatment and services. People from different background can have the access to
receive quality of care within care setting and inclusive practices allow different healthcare
professional from different background. Through using their skill for delivering quality of
services and healthcare treatment to the patient with different culture and background (Bolton
and et. al., 2018).
Inclusion is effective and help healthcare setting and healthcare professional to provide
access to health care services for every race, gender, orientation and different background
people. This can also allow to receive better healthcare treatment with easy access. There are
various importance of including different background people and promoting diversity within
healthcare. These benefits include higher employee morale, better care for diverse population,
better recruitment, high employee retention, stronger individual motivation, better result and
better problem-solving. These are highly effective and allow healthcare setting to involve
different background people for delivering quality services to broad aspect of population for
delivery improved health. Through promoting diversity health care setting are able to attract
large number of patient with different background and culture.
This can provide effective care treatment to different background people and provide
better outcome. Through inclusive practice healthcare setting can recruit healthcare professional
from different background which allow different background and cultural patient to get attract
towards the care setting and enhance the productivity within care setting. This enable healthcare
professional and patient to co-operate with each other for delivering a receiving better and
quality healthcare services and treatment (Kushner and et. al., 2018).
P3 Discussing importance of protecting different services user towards improving quality in a
care setting
In the healthcare setting, there is a need for improvement within quality of services that
can allow health care professional to deliver better and effective treatment and services for
patients improved health. In this, due to improved quality, patient are able to get quality services
that can allow them to get higher benefit in order to improve health. There are various
importance of protecting different services user towards improved quality within care setting.
These importance are effective and allow service user to get quality of care and better treatment
within a limited time period which saves financial cost, time and energy. Within care setting,

protecting different service user to may proving quality and have high benefit which can help to
reduce the cost of care services and reduces time that generally taken for an average service
delivery (Shen and et. al., 2020).
Through improving quality and performance healthcare setting are able to provide better
health benefit which may include reliability, sustained health care processes, cost-effectiveness
and help healthcare professional to achieve goal of improving care delivery for improved patient
health.There is need to safeguarding to patient within health and care setting that is needed to
ensure that venerable people are safe, secure and susceptible to harm, neglect and abuse. This
can allow to improve the quality of healthcare services within health care setting and help patient
to get better delivery of services. Protecting service user towards improving quality can help to
get better impact rather than its consequences. This can provide only benefit in regard to achieve
better and improved health.
M2 Review of a practical impact on care setting of different requirement for meeting different
need of stakeholders for improving quality of service provision
There is a impact of requirement at different stakeholders need within care setting that
can help to improve the quality of services and treatment within care services. There are some of
the stakeholders which includes patient health care professional and different people who have
the requirement to deliver and receive quality of healthcare services and treatment. This can have
better impact on patients health (Fatima and et. al., 2018).
In this, there is requirement for improved care within care setting that can provide quality
of service provision and allow better improvement within less time. This can provide patient to
get higher benefit on their health and have better impact that can allow to improve their health.
Internal and external stakeholders need to improve the quality of services and treatment within
care setting that provide higher benefit and cover large population and make them enable to
receive quality treatment and services for their improved health. This requirement impact on care
setting working through improving care practices with proper and improved quality that enable
healthcare professional to provide better health impact on patient health (Ahmed, and et. al.,
2017).

D2 Evaluation of involvement of services user staff member family and community in quality
improvement measures within care settings
There is involvement of service user, their family, staff and community in order to
receive quality care and services within care setting. Service user involvement provide health
care professional to deliver quality of services which can enable them to improve their quality
and provide effective healthcare treatment within less time. Service user involvement can help
and health care professional to easily deliver better service and treatment. Service user
involvement can leads to lack of support which can create difficulty for health care professional
for improving quality and delivering better and effective healthcare treatment.
Family involvement is highly important which enables them to receive quality of care for
their patient. This also enable healthcare professional to deliver better treatment with the consent
of family member and patient. Family involvement can create difficulty for health care
professional to manage them emotionally within care setting. Staff involvement is highly
important to deliver quality care services with enable to get support and help from staff member
that enable healthcare professional to deliver quality service for their patient. Community
involvement is also important in order to promote better health and quality services that can
improve measures in care setting (Berry and et. al., 2017).
P4 Review working practices aspect within own setting to identify the improvement that can
made current level of quality
The review practice have some of the aspect which is follow within the own setting include
quality improvement management that they focus on care that is safe, timely, effective, efficient,
equitable and the patient centered. There are some of the tool which is work under the workplace
to develop improvement capability. These include FMEA, SBAR, root cause analysis, daily
huddles and many more. These quality improvement tool help to done the improvement of
project in the continuous way with the help of quality managements. While taking the contrast of
monitoring or the process of review that help to find the areas which is need to change include
some of strategies that improve quality management. In this, they can build a company have a
culture which help to emphasizes that is based on quality improvement. Moreover, the healthcare
setting require optimisation of digital advancement because it help to provide support and care to
patient in the effective way. They used to design robust training program, and develop a detailed
quality inspection program, they also ensure that the equipment is based on regular way to

maintain. Time to time schedule for periodic internal audit that hold the level of improvement
and make appropriate change that is require for the better quality. In this, the all change above
mentioned have a ability to make change on the current level (Kaur and et. al., 2018).
In this, the above described legislation, theories and approach is helpful for the
development of quality based improvement within workplace. Moreover, they used to generate
various rules and regulation which help to carry the outcome which is based on total
improvement and management of improving the quality within the workplace. Whereas, other
aspect which also work as part of strategies which involve to improve designing and monitoring
the process which help to reduce or to eliminate waste that help to optimise the satisfaction and
enhance financial stability.
P5 Discussing why selected aspect are required improvement using different source of
information
The healthcare delivery system is defined as the working that improve the experience of
patient face challenge in taking the health benefits. The reflecting scenario change behaviour and
the practice across the multiple of level and the areas of education on workplace. The process of
planning, testing and the spreading those change which does not have view of overwhelming
approach. The healthcare organisation is work as key advantage that help to established the
principle and aspect to quality changes towards the better way and make the things more
effective which is associated with quality development. This is already familiar to the many of
provider which is involve in the clinical quality of improvement which is named as QI. As per
this, the major of source which is associated with quality improvement have approach and
method with reliable theory which play effective role in development of quality. There are some
of the basic principle associated with the quality imrprovement is an continuous activity. When
the change are implemented, there is no issue to address and challenge that should manage.
Sometime, there are thing that will never be perfect. The experience are usually learn from those
lesson which shift the strategy and make new intervention as they required (Albott and et. al.,
2020).
This all aspect are must improved in order to built effective way for the development of
quality by focusing on the people who need service in the care setting. The improvement is
needed for such instance because it usually create hindrance in building of quality cycle within
workplace. The source of information is reliable to make proper change which include various

approach and method. In this the PDSA cycle work as model for the proper improvement. The
PDSA stands for plan, do, study and act. This cycle is also applied in the systematic series of
step for the gaining of valuable learning and knowlwedhe for the continual imrpovment. It is also
act as source of information which is functional and elaborative which have tendency to accept
the previous intrupption and available to make new change which is benefical for the quality
improvement (Garbuio and et. al., 2019).
M3 Justification of the improvement to working practices selected in term of impact on service
user experience in services
The service user has a level of experience within the care setting. As per this, the number
of user are taking service in the setting with their own level of experience. To improve the
experience of service user, there are some of the ways which is applicable to know the user and
expand the experience by quality service. It usually include communication with the service user
in the effective (Gia and et. al., 2017).
The essential approach within a workplace or care setting in order to know and improve
the quality by communicating and interacting. However, the workplace take complaints and
concerns seriously and make change as according to the requirement of service user. It is helpful
to develop resilence and wellbeing which provide better experience within care setting. In this,
follow up is taken from the service user in order to measure the satisfaction. The satisfaction is
also a helpful meausremnt which develop a quality of aspect to know the experience of
consumer.
The service user also associated with the personal experience and to maintain the retention
the quality of care is being is used. In this, there are various aspect which is associated with the
approach which is follow under circumstance of quality of health and care within the care setting
(Grabowski and et. al., 2020).
D3 Evaluating the evidence towards sharing information with different stakeholders for the
quality improvement requirements within working practicing aspect
As per this, it is essential aspect to share the information with various stakeholder for the quality
improvement requirement within the working practice. The formation of the quality
improvement team is show approach and work as evidence towards the sharing of information.
In this, the improvement work invaribality usually involve with work across the multiple system
and discipline which is associated with workplace. The major of quality improvement team or

the committee team is defined as the group of people that they are related with practice which is
charged with carry out the improvement efforts. The team may be helpful to report to workplace.
It is effective where team should majorly include the representation of all areas of the workplace
which may be affected by the purpose of improvement as well as patient representation
(Behdioğlu and et. al., 2019).
The quality team committed some of ideal process for the continuous improvements. This
may be helpful and making the interest in building the ability towards the practice for the going
improvement that implemented for effective process that enable the improvement.
P6 Producing detail plan for relevant quality improvement initiatives within own care setting
Within the care setting, the quality and safety is usually focus on the individual
responsibilities of the nurse and other medical professional. In this, the quality improvement
usually make safety and quality system as priority. Moreover, quality improvement plan play
vital role in the development of quality based care to the patient in the care setting to expand the
experience. The quality improvements professional usually review th patient and the other
medical data and they are analyse process which is used in provide care. By evaluating the
information, they are work to idenitify the areas which is needed for the improvements and
highlight the aspect of area that based on execellence. The goals which is based on work used to
enhance the patient outcome are usually precived the efficiency in delivery of medical care and
basically helpful to reduce the healthcare cost. The real wordl impact on the quality improvement
in the healthcare includes:
 Reduction in the medical related adverse events.
 The optimisation of the care based on sepasis.
 Reduce the number of patient that associated with the urninary catheter iinfection.
 Minimise the hospital readmission for revisiting patient.
 The mediaction administration error is usually reduce that may create positive impact in
the health of patient (Brooks and et. al., 2018).
 In this, it also help to improve the electroni medical record documentation.
 Improved the care coordination among the cope of departments.
The most of the associated example is based on the improvement of healthcare which is
developed by the institute of medicine that identifies six primary goals for the patients.
According tpo the framework, patient majorlu includes:

Safe: They focus on the avoiding of harm during their medical treatments.
Effective: In this, they used to provide medical services to the patient who focus on the
advantage from them and avoid the use of services that unlike to outcome in better way.
Timely: Reduce the time that related with waiting time.
Efficient: Avoid the waste of medical equipments, time and energy.
Equitable: They also used to ensure that the quality of care does not vary because the service
user characteristic like gender, ethnicity and geography.
Patient centered: They respect individual need and their preferences which help to ensure that
the patient are being valued and involve in the decision related with th care (Buchbinder and et.
al., 2019).
P7 Discuss in potential or any acute barrier that completing the quality improvement
The acute barrier which is identified in the completion of quality of improvement is usually
focus on the dominanace of the non-clinical measure and they are focus on various external
accountability that act as perceived barrier in the quality improvement by the healthcare
professional. The other important barrier show the lack of time, autonomy and the ownership of
quality improvement work. The quality improvement work was sometime elaborated as the
avoiding quality degraded rather then the improvement towards the quality (Kirkwood and et. al.,
2018).
Apart from them there are most common complaints which act a reason of confusion
include insurance billing, medical terminology, compliance regimens, conflicting or creating the
aspect which is contradicting physician/ specialist opinions, complicated technology and
information system. There are example that act as example of quality improvement in healthcare.
Reduction in the medication which is related with the adverse events. They are optimisation
towards the sepsis care. This all barrier are redueced with the help of proper care plan and
therapeutic strategies that lead to create a healthy environment among the healthcare setting.
M4 Implementing appropriately plant quality improvement initiative
An improvement of the quality programs are generally a set of concentrated activities
which are usually designed to monitor, determine as well as enhances the quality of the processes
so that the healthcare results can be enhanced in an organization. By collecting as well as
analysing the information in the particular key areas, a healthcare organization can effectively
implement the modifications. Most of the programs are an organization-wide, ongoing as well as

the long term. In context with health care, it is concerned particulary with the healthcare cyclical
activities as well as the programs which involves a goal to enhance the levels of the performance
such as by enhancing the safety of the patients and reducing the mortality rates of the patients as
well. The quality improvement programs are quite crucial for the healthcare organization as they
generally drive the enhanced outcomes for the ill people (Rubin and et. al., 2020). the quality
improvement also enhances the efficiency of the working staff. In this, an implementation of the
quality improvements can leads to reduced wastes due to the failure of the processes. In addition
to this, the quality measures as well as the safety can generally track the progress of the
initiatives such as in improve the quality using an external benchmarks. The benchmarking in the
healthcare is generally defined as the continual as well as associated discipline of measuring and
can compare the results of key processeswith thise of the best performers while evaluating the
performance of an organization. It generally involves the two types which can be used to
evaluate the safety of the patients and the quality improvements as well. The main objective of
having a quality plan is to give an ongoing process by which an organization as well as its
stakeholders can utilize the measures so as to monitor and can evaluate the service quality in
both operational as well as clinical which are given to the patients.
M5 Critical review of plan justifying necessary adaptation based on observation of feedback
It is quite essential to evaluate the effectiveness of a care plan as it provides a systematic
approach to visualize a program, as well as practice, interventuions or inititaticves to understand
how well it can accomplish the goals or aims. An evaluation generally can aid to determine what
works well as well as what work could be enhanced in an intiatives opr the programs. The
evaluation of the programs can be used to demonstrate an impact to the funders. In addition to
this, the evaluation plan can generally illustrates about how the care provider will be monitor as
well as evaluate the programs as it results in the improvement of the programs and in making
decisions.
D4 Evaluating expected outcome of improvement initiative and discussion for the changes or
improvement data required
The evaluating outcomes of an improvement initiative measures generally can reflect the
healthcare services or the interventions on the well-being status of the patients. In this, the
measures which are generally used to access as well as compare the quality across the health care
system can be categorised as either a structural, process or an outcome measure. In context with

the structural measures, it provides the pateints a sense of health care provider’s capacity, system
as well as the processes to give a high quality care such as whether an organization can use a
electronic medical record or an entry system used in the medication order. In context with the
measure of processes, it generally depicts what a care provider can do to maintain or enhance the
well-being, which is either for healthy people or it can be for those who are generally diagnosed
with a well-being care conditions. The process measures usually mirror the accepted
recommendations which are used in clinical practices. Such as the percentage of public who are
recieveing the services that are quite preventive like immunizations. In this it also includes the
percentage of the public who had their tested thier blood sugar and can be controlled. The
measures of the processes usually intimates the patients about such medical care which they may
generally expect to receive for their illness. As these such medical care can effectively contribute
towards developing or improving the healthcare outcomes. In this, the mejaority of the care
quality services can be used for the public reporting are the measures of the process. Another
measure includes here in the outcomes is the outcome measures. It can mirror the impact of the
care services or the interventions on the well-being status of the patients such as the number of ill
people who generally died as a result of the surgery. It also includes the possiblity of the surgical
complications or the infections which are generally acquired in the healthcare organizations
(Farmanova and et. al., 2018).
CONCLUSION
As per the above discussion, it is analyse that the care setting require proper plan and action to
reduce the rising the issue with the help of measurement and monitorining. It is helpful aspect
that provide proper support and care towards the patient in the healthcare setting. The proper
support and care from the service provider provide them level of satisfaction which based on
their experience.

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