Cuan Mhuire, Bruree •Athy, Coolarne, Farnanes, Newry •Accreditation at the Level of a Corporate Organisation

Date: Tuesday 24th November 2015 CHKS Ireland Conference 2015 1 Presentation by Sr. Agnes Fitzgerald

• Who we are

• Where we are

• What we do Sr. Consilio Fitzgerald

2 Locations Nationwide 1. Athy 2. Bruree 3. Coolarne 4. Farnanes 5. Newry 6. Ballybay 7. Gardiner Street & Hamilton Street Dublin City 8. Galway City 9. Limerick City Red – Treatment Centre 10.Ballycarron Yellow – Transition House

Blue – Training Centre 11.Galilee House 3

What we do • Assessment • Detoxification • Treatment • 12/ 20 weeks programme • Aftercare • Family Support

4 Our facilities • 5 Treatment Centres • 82 Detoxification Beds • 393 Treatment Beds • 6 Step Down Houses • 98 Step Down Beds • Caters for approx. 3,000 admissions p/a • Treat approx. 50% of those in residential addiction treatment in Ireland

5 We are looking at a large voluntary organisation • Where to begin ? •Cuan Mhuire, Bruree •Athy, Coolarne, Farnanes, Newry •Accreditation at the level of a Corporate Organisation

Cuan Mhuire Bruree, Co. Limerick 7 Athy, Co. Kildare Coolarne, Co.Galway

Farnanes,Co.Cork 8 Step Down Facilities 9 Cuan Mhuire, Newry, Co.Down 10

Why did Cuan Mhuire seek Accreditation?

• A genuine desire to improve Quality and Safety on a continuous basis across all our Centres

• The need to establish a set of Quality Standards against which we could measure our performance as an organisation

• We were convinced that Accreditation could help Cuan Mhuire’s future development 11

Getting Ready For Accreditation : Mission Statement Cuan Mhuire is a way of life. It is focused on serving Christ in the person suffering from addiction and its effects. Wholly inclusive, and embracing especially those who feel marginalised and unloved. The Cuan Mhuire community seeks to help all to discover their giftedness and their infinite value. Cuan Mhuire provides a lived experience of Home, Family and Belonging. We are always attentive to providing the highest standards of excellence for those for whom we provide care and support. 12

Getting Ready For Accreditation: Clinical Governance Strategy

1. Clinical Effectiveness & Quality . Clinical Guidelines . Clinical Audits . Care Pathways . Care Plans

14 Supported by : • Clinical Governance Training • External Monitoring • Multi Disciplinary Meetings • Multi Disciplinary Audits • Key Performance Indicators • Service Improvement Programmes e.g Aftercare Co-ordination • Information Governance – HRB • Clinical Audits

Cuan Mhuire’s approach to Clinical Effectiveness and Quality could be summed up by saying that Cuan Mhuire aims to support

“ continuous improvement in the standards expected of Clinical Care in terms of structure, process and outcomes”

16 2. Staff Training & Accreditation • Human Resources Policies • Staff Induction • Staff Training & Development • Staff Appraisals • Mandatory Training • The needs of Individual Staff • The needs of the Organisation

3. Risk Management & Complaints Clinical & Non Clinical Risk Management – Health & Safety – Fire Safety – Security – Infection Control – Waste Management – Resuscitation – Medication Management – Management of Clinical Records

“Safety is everybody’s business”

• Definite Roles & Responsibilities – Risk Management Committee – Health & Safety Officer – Health & Safety Representative – Risk Registers 19

– Health & Safety Walkabouts – Security Walkabouts – Follow up action plans – Complaints Handling Procedures – Importance of Audits e.g. Waste Management, Infection Control, Clinical Records – Cuan Mhuire Aims to establish a fair and open culture which promotes responsibility and accountability amongst staff 20

4. Resident & Family Involvement

• Resident Involvement • Resident Feedback • Family Involvement • Family Feedback • Providing Information • Working with Health Partners e.g. HSE

21 This dimension of Clinical Governance is about recognising that :

• Services must be resident centred and seamless • We encourage feedback from residents, family and staff • The residents’ journey through our services • User Experience Workshop

22 Has Accreditation helped Cuan Mhuire to achieve its aims of : – Improved Quality and Safety on a continuous basis across all our Centres – By having a set of Quality Standards against which we could measure our performance as an organisation – Has it helped Cuan Mhuire’s future development?

23 Accreditation Has Helped Cuan Mhuire To Achieve its Stated Aims of: • Improved Quality & Safety on a continuous basis across all our Centres • Having a set of Quality Standards against which we could measure our performance as an organisation • With regard to Cuan Mhuire’s future development - Our Charismatic Leader • Accreditation highlighted the need to look critically at our Governance Structures and at our Organisational Chart • Inter-house co-operation • Where there is unity, teamwork & collaboration great things happen.

24 Board of Trustees & Members

The Guardian (CEO)

Person in Charge/Assistant Of each centre

Staffing/ Volunteers - At each centre and each transition House

Care of the Person Diversional Therapies Administration Facilities Management

Nursing Allied Health Profs Counselling Therapeutic/Rehab Accredited Secretaries Financial Personal Service, & House Keeping/ Maintenance /Therapy Work Exp Training Records/ Liaison for & on Chef and Estate Programmes. Reports behalf of Residents Management.

• Voluntary Organisation – New Regulations Charities Act • We draw more and more on the strengths of Staff • Staff involved in other centres • Has accreditation been worthwhile? • At times demanding but always worthwhile

26 What Made It Possible

• Focus on Mission Statement & Client Centred • The guidance of our client manager • The leadership of Sr.Consilio • The enthusiasm of our Staff

27 What is the greatest benefit of accreditation? • It helps us to focus on our Mission Statement and on its requirement that we are : “Always attentive to providing the highest standards of excellence for those for whom we provide care and support”