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General information

Information for providers of adult social care and support

Business continuity

Care home support

Dignity, equalities and human rights

Market position statement

Oxfordshire Market Position Statement 2019 - 2022

The Market Position Statement (MPS) sets out the current and anticipated demand for adult social care and related services and how we plan to meet these needs. It is aimed at existing and potential providers of care homes, home care, mental health services, Extra Care Housing, Supported Living, employment and daytime opportunities and other care services and provides essential information for all involved in the Oxfordshire care market.

It was co-produced with care providers and people that use services and is jointly published by Oxfordshire County Council and Oxfordshire Clinical Commissioning Group. We recognise that Oxfordshire’s care market is essential for providing both health and social care. We intend to engage with our care providers across all services to ensure Oxfordshire’s population has access to a wide range of good value, high quality and innovative services.

We have also produced an Extra Care Housing MPS Supplement which provides details of the demand for extra care housing and where we expect it to be developed.


Safeguarding (adults and children)

Health and safety 

Fire risk assessments

Shared care protocols

These joint working protocols have been developed by Oxfordshire County Council's Social and Community Services and The Primary Care Trust in Oxfordshire who represent the independent providers of domiciliary care services in Oxfordshire.

They are used when clients living in their own homes in the community require health and social care services from the Primary Care Trust and Social and Community Services to be delivered by providers of domiciliary care services.




Quality Improvement

Provider Assessment and Market Management Solution (PAMMS) is an online assessment tool, designed to help us assess the quality of care delivered by care providers.

 Oxfordshire Social and health care services have introduced PAMMS to support the delivery of high-quality assurances assessments of social care providers.

Many providers of care in Oxfordshire are aware of this development. Set out below is more detail about why we are using it and useful information for providers new to the process with answers to common questions.

Workforce Recruitment and Retention Fund (WRRF)

Read a summary of the fund and details of the allocation on our WRRF page

Frequently asked questions.

What are the benefits of using PAMMS?

  • Providers and the Quality and Contracts Team will work together to achieve better outcomes for residents of Oxfordshire
  • More opportunity for providers to feedback before quality reports are finalised
  • Standardised and consistent approach to quality auditing across Oxfordshire. 
  • Objective quality audit to support providers in establishing what is working really well and what areas may require improvement
  • Will help identify where we can provide additional support to providers
  • Can lead to improved CQC ratings

Who will carry out the PAMMS assessment?

  • A PAMMS assessment will be carried out by a Quality Improvement Officer from our Quality and Contracts Team. 
  • An officer will visit the provider location.
  • We will contact you to arrange a time and date for the visit to take place.

Will you need to do anything in preparation for the visit?

  • You need to provide us with copies of any relevant documentation in advance, as well as requested staff and service users’ files for the officer to review during the visit. 
  •  The officer will want to speak to a number of staff members and, where possible, service users, during the visit, as well as meeting with the manager. 
  • You may wish to talk about the visit with your staff beforehand and want to think about the best way to engage staff and service users in the visit.  If you are unsure about what to prepare before the visit, please let us know

What areas will be looked at during the PAMMS audit?

Your service will be rated by PAMMS in the following areas, based on the evaluation of the Quality and Contracts Officer:

  • Involvement and information
  • Personalised care and support
  • Safeguarding and safety
  • Suitability of staffing
  • Quality of management

What will the outcome of the PAMMS assessment be?

After the assessment is complete, your service will be given a rating of either: excellent, good, requires improvement or poor.

We will send you all of the Quality and Contracts Officer’s ratings and comments for you to supply your comments.  The officer will take your comments into account to reach their final decision.

If you receive a rating of ‘requires improvement’ you will need to submit an action plan, which the Quality and Contracts Officer who undertook the assessment will monitor.

The headline results are then published on the PAMMS website.

When will you be notified of the outcome?

The officer will give initial feedback before leaving that will provide you with an overview of the visit and a summary of findings.

Once the information has been collated and inputted onto the PAMMS system, an assessment will be generated and an email will be sent to you, giving a specific link allowing you access to view and make comments where appropriate.

What happens if you disagree with the outcome?

If you do not agree with our assessment, you can raise your concerns when you access your assessment.  You can enter comments on specific areas and present additional evidence to support your arguments.

How will I be supported after the PAMMS assessment?

If required, we will work closely with you to provide guidance and support to help you address any areas that require improvement. The PAMMS online system will provide an action plan indicating where improvements are required, and you will need to tell us what actions you will take to address these areas also.

Is this visit duplication of CQC’s inspection?

No, but there is a close relationship between PAMMS and CQC’s current inspection requirements. The PAMMS assessment is a supportive tool and can be used as an opportunity to prepare for a CQC visit, as well as showing any area(s) that your service is achieving high quality care. Similarly, any areas that are not achieving the same high standards can be identified quickly and support put in place to attain positive results.

Will the final PAMMS report be a public document?

The full report won’t be, but a summary of the ratings is accessible by the public.  It is also likely that at some point Oxfordshire County Council will publish these too.

What will the PAMMS assessment consist of?

PAMMS supports a consistent approach to monitoring providers, including their documentation (staff and service user files, care plans, risk assessments, policies and procedures), observation, and discussions with the manager; staff and residents (and/or family members, as appropriate).  During a visit we will request sight of files and documents (for example, the Whistleblowing, Bullying & Harassment, Complaints and Safeguarding Policies, the Business Continuity Plan template care plan/risk assessments, audit documentation and action plans). 

Examples of a few of the things for which evidence may be sought are as follows:

  • Staff having appropriate DBS checks and undertaking inductions, mandatory and refresher training, competency checks, supervisions and appraisals
  • Sufficient staffing
  • Regularly updated care and support plans which are sufficiently detailed, person-centred, and encouraging of independence and goal setting
  • Risk assessments being in place for all identified risks, and being cross referenced with care plans
  • Accurate daily records
  • That the provider gathers and circulates information and feedback appropriately to staff and residents, and evaluates the same
  • Robust procedures in relation to:
    • Dealing with complaints
    • Referrals to other agencies, such as SALT
    • Safeguarding (preventing/identifying/recording/notifying)
    • Supporting staff
    • Infection Control
    • The handling of medication
    • Managing both expected and unexpected changes in the service

Can I challenge the factual accuracy of something which has been included in the report, or disagree with the individual rating given?

Yes.  From receipt of the electronic version of the report, you have 14 days in which to comment on any points with which you do not agree.  The author may then make changes to the report.

How do I know if I need to put an action plan in place?

If the final report indicates that any areas are “requires improvement” or “poor”, you will need to complete an action plan within PAMMS.

How do I access the final report and create an action plan?

When the author finalises the report, you will receive an email from adass@connexica.com.  This will ask you to set up a password in the PAMMS Portal; the link to the PAMMS Portal is included in the email.

Once you log in, your report will be available as a summary, in full and as “areas for improvement”.  Within the “areas for improvement” tab, you can access any of the areas for improvement, in order to add details of actions to be undertaken to address the issue, together with a timeline and name of the person to be responsible for the action(s).  The action plan cannot be submitted until at least one action has been recorded against each issue.

Is there any guidance available in relation to creating and completing an action plan?

A short video guide is available to watch when you log into the PAMMS Portal.  On login, a text box will appear asking if you wish to view this.

How long do I have to complete the action plan and return it to the author?

14 days