TQM – 4 principles from 8 principles and advantage and disadvantage

Explain at least 3 standards (one from each agency) with example from the organisation in case study
A-Standard- agreed level of achievable or measuring, referencing, targets, and resources
B-Establish fairness, give guideline, measure mistakes
Give us opportunity to do continuous improvement
C-CQC, NICE, NMC= visit their website
Eg, NMC   the code contains the professional standards that registered nurses and midwives must uphold.UK nurses and midwives must act in line with the code .whether they are providing direct care to individuals groups or communities or bringing their professional knowledge to bear on nursing and midwifery practice in other roles, such as leadership, education or research .one of the standards on NMC is ‘priorities people’. These codes give direction to put the interests of people using or needing nursing midwifery service first. To achieve this nurses and midwifes must make sure that those receiving care are treated with respect, that their rights are upheld and that any discriminatory attitudes and behaviours those receiving care are challenged
Relate to the case study- eg, NMC- medication, feeding
CQC- person-centre, care plan, flue jab, consent staffing fitness, what is regulations data protection Act
At least 2 models
1,TQM is mandatory,
 Advantage and disadvantage
-Quality system is structural system to measuring, managing improving of quality.
Advantage and disadvantage of the 2 of the models .
4 principles from 8 principles and advantage and disadvantage
Eg-Advange-the employee will be trained, less mistake, efficiency will be higher,
Disa-time consuming, cost y, data protection of the organisation.

  1. -What is TQM?
  2. How it works?
  3. PDCA-(plan do ,check Act).

 Plan –they collect info and analyse and they identify the cause
Do -Find out the solution
Check-check if the new change is beneficial or effective by monitoring and supervision. If it not effective they go back to from plan and check why it is not effective.
Act-find out the issue
-opinion which model is suitable or we can say they both are applicable
2, – CQI (ongoing quality improvement)
2.3  Analyse potential barriers to delivery of quality health and social care services in case study organisation.
A- Explain your understanding of barriers.
B- Analyse the impact of at least 3- 4 potential barriers from the organisation in case study to provide quality service (analyse each in separate paragraph.) eg-lack of monitoring ,lack of effective leadership…..
Lack of effective leadership: leadership is the combination of all managerial activities .The main purpose of leadership is to integrate all activities of organisation and provide necessary guidelines to perform those activities effectively. Leadership is responsible for maintain staffing level, provide required training and resources. If there is lack of leadership obviously service quality will be low than expected.
The leadership of RHCH failed to ensure required staffing level, as a result permanent staff are feeling stress with long working hours and overload works. Also family members of service uses are not getting information consistently.
Case study eg -Breach of regulation,
4.1: To answer the question:
Ways or methods of monitoring
Following are some common methods of monitoring.

  • Supervision
  • Observation
  • Peer review
  • Feedback
  • Audit
  • Benchmarking
  • Surveys
  • Focus group 
  • Feedback gives an indication, opinion, understanding of the service provided by staff to service users and family members’ which can generate and implement change. This can be internally and externally done either verbal or non-verbal (written).
  • Advantages are that feedback encourage positive behaviour, cost-effective, easily achievable, promotes engagement and boost work performance. It shows compassion, up-to-date information and can benchmark results.
  • Disadvantage is that feedback can be biased and partial rather than impartial. Feedback providers may try to settle scores with the person they are providing feedback for. It can also inculcate a sense of fear of retribution.

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