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Department of Health
THIRD SECTOR PARTNERSHIP TEAM
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Why is this work being undertaken?
Many small organisations are not subject to any standards and do not fall within the remit currently
covered by health and social care regulators.
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Why is this work being undertaken?
An organisation may have very good outcomes but there may be hidden problems around organisational
structures and governance
The majority of small businesses fail because they do not manage their business as well as they deliver their services.
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
What is Governance?
Governance is concerned with the way in which your organisation’s governing body carries out its responsibilities.
Governance encompasses the values, processes, controls and rules of accountability at the heart of your organisation - the means through which your organisation makes decisions and exercises power to achieve its objectives
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Why is this work being undertaken?
There is no accepted measure that enables commissioners to assess the safety of TSOs.
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Aim of TSBES
To develop a set of baseline standards that commissioners will recognise as evidence of
competency and ‘fitness for purpose'
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
TSBES Objectives are to:
Develop a set of ‘field tested’ standards that will present an opportunity for the Third Sector to demonstrate existing skills and professionalism and an evidence
base to platform the Third Sector’s particular strengths.
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
How is the work being undertaken?
Field testing the standards with Third Sector organisations, service users and commissioners.
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
How TSBES Relates to Sustainability
Provides a baseline measure of competency that will:
• Support local commissioners in assessing organisations that fall outside the scope of CQC (and other regulators) and who are new entrants into the commissioning process
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
How TSBES Relates to Sustainability
Provides a baseline measure of competency that will:
• Facilitate ongoing assurance with regard to contract (and grant) management of Third and independent sector service provision.
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Standards Categories (Phase 2 Pilot)
1. Management of Risk
2. Governance
3. Equality, Diversity and Anti-Stigma
4. Partnership Working
5. Service User Focus
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
STAGE 3
TSBES EVALUATOR TO EMAIL:
TSBE STANDARDS (including best practice reference sources and web based toolkit links)
QUESTIONNAIRE TO RATE TSBES COMPLIANCE
ORGANISATIONAL PROFILETaking a profile of each organisation enables us to identify commonalities from like to like organisations when we evaluate and compare results. It will not be possible to identify organisations from information provided in the final report.
STAGE 5
COMPLETE PILOT SESSION WITH PARTICIPATING ORGANISATION
Compliance rating and evaluation session with the evaluator on site
(approx 3 hours)Local infrastructure organisation to be present (where possible) to support the development and requirements of an action plan
STAGE 6
POST PILOT EVALUATIONof TSBES process
Two weeks following pilot
STAGE 1
PARTICIPATION IN TSBES AGREED BY ORGANISATION THROUGH SELF
SELECTION PROCESS
STAGE 2
ENGAGE LOCAL INFRASTRUCTURE SUPPORT ORGANISATION (WHERE AVAILABLE) IN THE PILOT PROCESS.
This will be of particular help where an action plan is to be developed.
STAGE 4
ORGANISATIONAL PROFILE RETURNED
SET DATES FOR PILOT EVALUATION(on site session)
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
1. Management of RiskWorking practices and procedures are in place to prevent or reduce the risk of harm to service users, staff and others.
Standards Evidences MET PARTMET
UNMET
P I P I P I
STANDARD C3Organisations should demonstrate:a) That staff (employees and
volunteers, temporary and permanent) have a knowledge of and adhere to Vulnerable Adults and Child Protection policy and
Procedures
E12 Staff members have received training to ensure practice complies with Vulnerable Adults and Child Protection policies and this is recorded
E13 Systems are in place to:a) identify incidents and circumstances where the welfare of children and
vulnerable adults may be at risk and this is recorded
a) Ensure that the procedures to protect children and vulnerable adults are carried out in a timely and co-ordinated manner and are in line with Local Authority guidance.
a) A knowledge and understanding of information sharing arrangements around child protection and vulnerable adults
E14 Information sharing policies and procedures are in line with Local Authority child protection and vulnerable adults policies
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Evaluating the Standards
1) The Standard and the evidences are clear and easy to understand:
Yes Not at all
0 1 2 3 4 5 6 7 8 9 10
I---------------------------------------------------------------------I----------------------------------------------------------------------I
1 a) If Q1 is rated 4 - 10 please say why:
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Evaluating the Standards
3) The organisation will be able to meet the standard in the future:
3 a) Please say why:
Easily Reasonablyeasily
With difficultyWith great difficulty
Not at all
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Evaluating the Standards
2) The information required to provide evidence for the standard will be:
2 a) Please say why:
Easy to collectReasonably
easy to collect
Quite difficult
to collect
Very difficult to collect
Not possible to collect
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
0
10
20
30
40
50
60
70
80
90
100
P I P I P I P I P I P I P I
% MET % MET % MET % MET % UNMET % MET % PARTLY
NATIONAL MEDIUM REGIONAL LARGE LOCAL LARGE LOCAL MEDIUM LOCAL Small
Organisation 3 Organisation 1 & 2 Organisation 4 Organisations 5 & 6 Organisation 7
CATEGORY 3: EQUALITY AND DIVERSITYStandards C9 & Developmental Standard D3
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
0
10
20
30
40
50
60
70
80
90
100
P I P I P I P I P I P I P I P I P I
% MET % MET % MET % PARTLY MET % MET % PARTLY MET % UNMET % PARTLY MET % UNMET
NATIONALMEDIUM
REGIONALLARGE
LOCAL LARGE LOCAL MEDIUM Organisation 7
Organisation 3 Organisation 1 &2
Organisation 4 Organisations 5 & 6 LOCAL Small
CATEGORY 2: GOVERNANCE - SUMMARY OF RESULTS Standards C5 to C8 & Developmental Standard D2
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Opportunities and Challenges
• Trustee involvement • Support to develop compliance • Strengthening the sector – evidence of achievement • Commissioner confidence• Extending the assurance and accreditation framework• Securing the provision of local services• Standardisation of commissioning and reporting processes
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
The Revised Standards
1. Working Safely and Protecting Others
2. Effective Management and Accountability
3. Valuing Workers and People Within The Service
4. Partnership Working
5. Focussing on People That Use The Service
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Standard 2.1 Governance structures are open, accountable and directed to achieving the aims of the organisation in the best possible way
PROCESSPOINT
Process Description Examples of Evidences (Evidences highlighted in bold are mandatory) MET UNMET
E2.1.3 There are clear lines of accountability to the Board and Chief Executive Officer / senior manager or other accountable person
Organisational chartAND
Job descriptions for chair, secretary , treasurer and trustees, officers and paid staff
E2.1.4 There is a clear management structure for all workers outlining roles and responsibilities. This is communicated to all workers at induction and changes are circulated as they arise.
Organisational chartAND
Induction recordsAND
Workers (paid and unpaid) updates
E2.1.5 A mission or vision statement has been developed with people that use the service, trustees, workers (paid and unpaid) and other key stakeholders
A mission / vision statement is included on all publicity and documents
AND Records of consultation meetings
E2.1.6 The organisation’s aims, objectives, policies and procedure of are consistent with the mission / vision statement.In responding to the day-to-day management of an organisation, it is easy to make revisions to policy and procedure that can conflict with the stated mission or vision.
• Service information and publicityAND
Service development plansAND
Records of planning meetingsAND
Records that aims, objectives, policy and procedure has been mapped against the mission / vision statement.
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Standard 5.1 People that use the organisation are informed and consulted about the service. Their views are listened to and acted upon.
PROCESSPOINT
Process Description Examples of Evidences (Evidences highlighted in bold are mandatory) MET UNMET
E5.1.1 People using services receive information about the organisation in a form they can easily understand, to include:1.The aims and ethos of the service2.What they can expect to receive from the service3.How and where this will be delivered
Advertising material – posters, leaflets etc is suitable for all potential service users.
AND Literature provided to people using services with:- clear description of services offered and- what people using the service can expect at all stages of care / support
AND List of places and resources where such information is available.
E5.1.2 People using services are consulted and fully involved in decisions about all aspects of their care and the services they receive and this is noted in all documents that record the planning; delivery and co-ordination of care.
Literature provided to people using servicesAND
Service user case filesAND
Care plans / action plans
E5.1.3 People using services, relatives and carers and significant others (in the view of the service user) are encouraged to express their preferences, and supported to make choices and shared decisions about their own care/ support.
Literature provided to people using servicesAND
Service user case filesAND
Care plans / action plans
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Rating compliance with the TSBE Standards provides
a health check for your organisation.
Low compliance does not signify a lack of commitment amongst workers, nor does it mean that outcomes for people using your organisation are less than high.
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Rating compliance with the TSBE Standards provides
a health check for your organisation.
However, it may show areas where your organisation’s structures and systems are unsafe. And in the face of a challenging situation or circumstance, you may not have the policies and procedures in place to provide a timely and appropriate response.
Department of Health
THIRD SECTOR BASELINE ENTRY STANDARDS (TSBES)
PHASE 2 PILOT
Developing an Action Plan.
The results of your standards health check will give you a ‘to do’ list which can be prioritised to give you an action plan. The actions you need to take to reach compliance are often relatively straightforward to put in place. There is no area covered by the standards where ‘the wheel has not already been invented’.