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Performance Standards

Performance Standards describes the quality and performance levels of the Live at Home Framework agreement. It details how quality and performance will be monitored and assessed.

The Provider’s quality and performance shall be monitored and measured against the following:
(a) Key Performance Indicators;
(b) Contract Standards;
(c) Outcomes; and
(d) adherence to the Minimum Quality Standards.

Together these form the “Performance Standards”

This is Schedule 2 (Performance Standards) of the framework agreement.

Key Documents

These are the reporting periods for the framework. Please note there are different reporting periods for Tier 1 and Tier 2 providers.

KPI performance accounts for 50% of a providers total score, the other 50% being price.

TIER 1

 

Reporting period

 

Reporting Year

Reporting Period

Start Date

End Date

Date submitted by provider

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Year 1

1

Sunday 09/11/2025

Saturday 04/07/2026

Sunday 12/07/2026

Saturday 12/09/2026

Sunday 13/09/2026

2

Sunday 05/07/2026

Saturday 16/01/2027

Sunday 24/01/2027

Saturday 27/03/2027

Sunday 28/03/2027

Year 2

1

Sunday 17/01/2027

Saturday 03/07/2027

Sunday 11/07/2027

Saturday 11/09/2027

Sunday 12/09/2027

2

Sunday 04/07/2027

Saturday 15/01/2028

Sunday 23/01/2028

Saturday 25/03/2028

Sunday 26/03/2028

Year 3

1

Sunday 16/01/2028

Saturday 01/07/2028

Sunday 09/07/2028

Saturday 09/09/2028

Sunday 10/09/2028

2

Sunday 02/07/2028

Saturday 13/01/2029

Sunday 21/01/2029

Saturday 24/03/2029

Sunday 25/03/2029

Year 4

1

Sunday 14/01/2029

Saturday 30/06/2029

Sunday 08/07/2029

Saturday 08/09/2029

Sunday 09/09/2029

2

Sunday 01/07/2029

Saturday 12/01/2030

Sunday 20/01/2030

Saturday 23/03/2030

Sunday 24/03/2030

Year 5

1

Sunday 13/01/2030

Saturday 29/06/2030

Sunday 07/07/2030

Saturday 07/09/2030

Sunday 08/09/2030

2

Sunday 30/06/2030

Saturday 11/01/2031

Sunday 19/01/2031

Saturday 22/03/2031

Sunday 23/03/2031

 

TIER 2

Reporting period

 

Reporting Year

Start Date

End Date

Date submitted by provider

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Year 1

Sunday 09/11/2025

Saturday 16/01/2027

Sunday 24/01/2027

Saturday 27/03/2027

Sunday 28/03/2027

Year 2

Sunday 17/01/2027

Saturday 15/01/2028

Sunday 23/01/2028

Saturday 25/03/2028

Sunday 26/03/2028

Year 3

Sunday 16/01/2028

Saturday 13/01/2029

Sunday 21/01/2029

Saturday 24/03/2029

Sunday 25/03/2029

Year 4

Sunday 14/01/2029

Saturday 12/01/2030

Sunday 20/01/2030

Saturday 23/03/2030

Sunday 24/03/2030

Year 5

Sunday 13/01/2030

Saturday 11/01/2031

Sunday 19/01/2031

Saturday 22/03/2031

Sunday 23/03/2031

These are the KPI's for the framework. 

Providers are required to report KPI performance by individual branch on each Tier. For example a Provider with a branch that is Tier 1 in one district and Tier 2 in another is required to complete a Tier 1 report and a Tier 2 report at the respective reporting dates.

The Performance Report must capture data for all ECC domiciliary care packages delivered during the reporting period (this includes those packages that commenced before 9 November 2025 let under the 2021 framework and Spot contract) in relation to all districts on the framework that fall under that branch as well as data in relation to the staff operating out of that branch. Please note reporting must include data in relation to all specialisms and service types including Adults in receipt of Personal Care, 24 hour, Night awake and Night sleeping services.

Providers will be sent a link to an online form to complete their KPI return along with guidance on how to complete the form approximately one week prior to the close of the reporting period.

Tier 1

No.

KPI Name

KPI

Statement

Further detail

How

Who

Reporting Period

Percentage of Quality Score

Method of calculation

1

CQC Rating

Published CQC ratings for Key Lines of Enquiry (KLoE)

The published KLoE ratings for the branch will be used. If a branch has been re-registered and is unrated due to an organisational restructure, then the CQC rating for that branch prior to the change will be used. Where two branches have merged the most recent CQC rating will be used.

Maximum score: CQC rating of at least Outstanding for two KLoEs

Using published CQC ratings as at the reporting period end date

The Council

6 monthly

20%

The Council to calculate as per the scoring table at Appendix 7 to Schedule 2

 

2

PAMMS Rating

PAMMS overall rating

The PAMMS rating for the branch as published on the PAMMS Provider Portal or validated by the Council.

Maximum score: Outstanding overall rating

Using PAMMS ratings as at the reporting period end date

The Council

6 monthly

20%

The Council to calculate as per the scoring table at Appendix 7 to Schedule 2

 

3

Missed and unpunctual time critical visits

100% of planned visits (as recorded on a Provider’s rostering system) are attended. There are no missed visits.

 

100% of time-critical visits are started within an hour time window (half an hour either side of the planned start time as recorded on the Provider’s rostering system) e.g. an 8am planned start must start between (or at) 7.30am and 8.30am. There are no unpunctual time-critical visits

Every planned visit per Adult per day is carried out e.g. if there are 3 planned visits, 3 separate visits must be carried out by the end of that day (11pm). Also, each visit must be carried out prior to the next planned visit time as recorded on the Providers’ rostering / EHM system (not merged into one visit), otherwise it will be deemed as a missed visit.

The Provider should identify those Adults’ calls which are time critical on their EHM system. A time critical visit is defined in Annex 2 to Schedule 1 – Electronic Homecare Monitoring System Requirements.

Where the Adult has made a request to cancel the visit or delay a time critical visit, the provider may be required to present evidence of this to the Council.

A reason must be recorded in the provider’s EHM system for each missed or unpunctual visit.

Maximum score: There are less than 0.009% missed or unpunctual time critical visits.

Completion of on-line Performance Report, using the link issued by the Council, validated by data shared from the Provider’s EHM solution

Provider

6 monthly

10%

Total number of missed and unpunctual time critical visits in a reporting period divided by total number of planned visits in the reporting period, then multiply by 100 to give the %

4

Missed and unpunctual non-time critical visits

A minimum of 99.1% of care visits are started within a one and a half hour (1.5hr) time window.

 

E.g. an 8am call must start between (or at) 7.15am and 8.45am.

There are no unpunctual non-time critical visits

Care visits are carried out at or within 45 mins either side of the planned visit start time, as recorded on the Service Provider’s system.

Where the Adult has made a request to cancel a visit or delay a visit, the provider may be required to present evidence of this to the Council.

A reason must be recorded in the provider’s EHM system for each missed or unpunctual visit.

Maximum score:  A minimum of 99.1% of non-time critical visits commence with the agreed time window.

Completion of on-line Performance Report, using the link issued by the Council, validated by data shared from the Provider’s EHM solution

Provider

6 monthly

10%

Total number of unpunctual non-time critical visits in a reporting period divided by total number of planned visits in the reporting period, then multiply by 100 to give the %

5

EHM Data Submission

Submission of a CSV file from the provider’s EHM system

The Provider has submitted a CSV file containing the data specified in Schedule X ‘EHM Data Requirements’ for each 4 week payment period, for all Adults in receipt of the Service. Files must be submitted to the link / portal specified by the Council within 10 working days from the end of each four week period (Appendix 3, Payment Periods, Part 2 Terms and Conditions).

Maximum score:  A CSV file has been submitted for every 4 week payment period in the 6 month KPI reporting period and at least 80% of these have been submitted on time.

Provider to submit CSV file using the link provided by the Council

Provider

CSV file to be uploaded every 4 weeks, and the KPI score will be calculated 6 monthly

10%

The Council to calculate as per the scoring table at Appendix 7 to Schedule 2

 

6

Adult Satisfaction Survey

Satisfaction Survey score

See Appendix 7 to Schedule 2

 

Survey to be conducted by the Council

The Council

Annually. The score will be used until superseded by the next annual survey.

15%

The Council to calculate as per the scoring table at Appendix 7 to Schedule 2

 

7

Care Package Hand-backs

No care packages (adults) handed back

The Provider has not requested for any care packages to be terminated. The exceptions are care packages handed back due to a health and safety risk to care staff that cannot be mitigated. A hand-back will not be recorded as such if the Provider has informed Adult Social Care of the issue and tried to work with Adult Social Care Teams to resolve the issue prior to the hand-back. Package hand-backs identified as meeting these criteria will be at the discretion of the Council. This will be calculated in terms of number of Adults handed back i.e. a double- handed package is counted as 1.

Maximum score: 1% or less of adults supported in the reporting period are handed back within the reporting period.

The Council (appointed Brokerage Service) hand-back data

The Council

6 monthly

5%

The Council to calculate as per the scoring table at Appendix 7 to Schedule 2

 

8

Social Value

Amount of Social Value delivered in the reporting period as a proportion of the value of work commissioned with the Provider during the reporting period.

The Provider is required to deliver target of £0.14 of Social Value for each £1.00 of work commissioned by the Council.

See Appendix 5 to Schedule 2

Maximum score: Social value of 14p or more delivered for each £1 of work the Council commissions with the Provider.

Via the Council’s third party online survey tool

Provider

Annually

5%

The Council to calculate as per the scoring table at Appendix 5 to Schedule 2

.

9

Carbon Calculator

Submission of the Council’s Live at Home Carbon Calculator

 

A provider will be awarded a score of 5 if the Live at Home Carbon Calculator is submitted to the Council by the KPI submission deadline. The Carbon Calculator must be completed for all carers delivering care to Adults in receipt of the Service.

Maximum score:  Submission of the LAH Carbon Calculator

LAH Carbon Calculator e-mailed to the Council

Provider

Annually

5%

The Council to calculate as per the scoring table at Appendix 7 to Schedule 2

 

Tier 2

No.

KPI Name

KPI

Statement

Further detail

How

Who

Reporting Period

Percentage of Quality Score

Method of calculation

1

CQC Rating

Published CQC ratings for Key Lines of Enquiry (KLoE)

The published KLoE ratings for the branch will be used. If a branch has been re-registered and is unrated due to an organisational restructure, then the CQC rating for that branch prior to the change will be used. Where two branches have merged the most recent CQC rating will be used.

Maximum score: CQC rating of at least Outstanding for two KLoEs

Using published CQC ratings as at the reporting period end date

The Council

Annually

40%

The Council to calculate as per the scoring table at Appendix 7 to Schedule 2

 

2

Missed and unpunctual time critical visits

100% of planned visits (as recorded on a Provider’s rostering system) are attended. There are no missed visits.

 

100% of time-critical visits are started within an hour time window (half an hour either side of the planned start time as recorded on the Provider’s rostering system) e.g. an 8am planned start must start between (or at) 7.30am and 8.30am. There are no unpunctual time-critical visits

Every planned visit per Adult per day is carried out e.g. if there are 3 planned visits, 3 separate visits must be carried out by the end of that day (11pm). Also, each visit must be carried out prior to the next planned visit time as recorded on the Providers’ rostering / EHM system (not merged into one visit), otherwise it will be deemed as a missed visit.

The Provider should identify those Adults’ calls which are time critical on their EHM system. A time critical visit is defined in Annex 2 to Schedule 1 – Electronic Homecare Monitoring System Requirements.

Where the Adult has made a request to cancel the visit or delay a time critical visit, the provider may be required to present evidence of this to the Council.

A reason must be recorded in the provider’s EHM system for each missed or unpunctual visit.

Maximum score: There are less than 0.009% missed or unpunctual time critical visits.

 

Completion of on-line Performance Report, using the link issued by the Council, validated by data shared from the Provider’s EHM solution

Provider

Annually

10%

Total number of missed and unpunctual time critical visits in a reporting period divided by total number of planned visits in the reporting period, then multiply by 100 to give the %

3

Unpunctual non-time critical visits

A minimum of 99.1% of care visits are started within a one and a half hour (1.5hr) time window.

 

E.g. an 8am call must start between (or at) 7.15am and 8.45am.

There are no unpunctual non-time critical visits

Care visits are carried out at or within 45 mins either side of the planned visit start time, as recorded on the Service Provider’s system.

Where the Adult has made a request to cancel a visit or delay a visit, the provider may be required to present evidence of this to the Council.

A reason must be recorded in the provider’s EHM system for each missed or unpunctual visit.

Maximum score:  A minimum of 99.1% of non-time critical visits commence with the agreed time window.

Completion of on-line Performance Report, using the link issued by the Council, validated by data shared from the Provider’s EHM solution

Provider

Annually

10%

Total number of unpunctual non-time critical visits in a reporting period divided by total number of planned visits in the reporting period, then multiply by 100 to give the %

4

EHM Data Submission

Submission of a CSV file from the provider’s EHM system

The Provider has submitted a CSV file containing the data specified in Schedule X ‘EHM Data Requirements’ for each 4 week payment period, for all Adults in receipt of the Service. Files must be submitted to the link / portal specified by the Council within 10 working days from the end of each four week payment period (Appendix 2, Payment Periods, Part 2 Terms and Conditions).

Maximum score: A CSV file has been submitted for every 4 week payment period in the 6 month KPI reporting period and at least 80% of these have been submitted on time.

Provider to submit CSV file using the link provided by the Council

Provider

CSV file to be uploaded every 4 weeks, and the KPI score will be calculated 6 monthly

10%

EHM data is or isn’t received

5

Adult Satisfaction Survey

Satisfaction Survey score

See Appendix 7 to Schedule 2

 

Survey to be conducted by the Council

The Council

Annually. The score will be used until superseded by the next annual survey

15%

The Council to calculate as per the scoring table at Appendix 7 to Schedule 2

 

6

Care Package Hand-backs

No care packages (adults) handed back

The care provider has not requested for any care packages to be terminated. The exception is care packages handed back due to a health and safety risk to care staff that cannot be mitigated. A hand-back will not be recorded as such if the Provider has informed Adult Social Care of the issue and tried to work with Adult Social Care Teams to resolve the issue prior to the hand-back. Package hand-backs identified as meeting these criteria will be at the discretion of the Council. This will be calculated in terms of number of Adults handed back i.e. a double- handed package is counted as 1.

Maximum score:  1% or less of adults supported in the reporting period are handed back within the reporting period.

The Council (appointed Brokerage Service) hand-back data

The Council

Annual

5%

The Council to calculate as per the scoring table at Appendix 7 to Schedule 2

 

7

Social Value

Amount of Social Value delivered in the reporting period as a proportion of the value of work commissioned with the Provider during the reporting period.  This includes packages the Provider may have at contract commencement.

The Provider is required to deliver target of £0.14 of Social Value for each £1.00 of work commissioned by the Council.

See Appendix 5 to Schedule 2

Maximum score: Social value of 14p or more delivered for each £1 of work the Council commissions with the Provider.

 

Via the Council’s third party online survey tool

Provider

Annually

5%

The Council to calculate as per the scoring table at Appendix 5 to Schedule 2.

8

Carbon Calculator

Submission of the Council’s Live at Home Carbon Calculator

 

A provider will be awarded a score of 5 if the Live at Home Carbon Calculator is submitted to the Council by the KPI submission deadline. The Carbon Calculator must be completed for all carers delivering care to Adults in receipt of the Service.

Maximum score:  Submission of the LAH Carbon Calculator

LAH Carbon Calculator e-mailed to the Council

Provider

Annually

5%

The Council to calculate as per the scoring table at Appendix 7 to Schedule 2

 

No.

MI Name

MI

Statement

Further detail

How

Who

Reporting Period

Method of calculation

MI 1

Carers’ remuneration

Remuneration information for carers delivering care under this Agreement

The Provider reports on the remuneration of carers delivering the LAH service. Remuneration information to include:-

Carer hourly rates

Travel reimbursements

Training paid for

Using Excel spreadsheet provided by the Council and hereto the example at Appendix 6 to Schedule 2.

The Provider

Annually

Enter information requested into spreadsheet

MI 2

Overseas workers

Detail on the volume, proportion of carer workforce and expiry date of licenses for workers on a overseas visa scheme

The Provider reports on the following:

Volume of carers employed to deliver Services under the Agreement at the date of the end of the reporting period

Volume of carers employed to deliver Services under the Agreement under a visa scheme at the date of the end of the reporting period

Volume of carers with a visa due to expire within 18 months of the end of the reporting period

Using Excel spreadsheet provided by the Council and hereto the example at Appendix 6 to Schedule 2

The Provider

Annually

Enter information requested into spreadsheet

Criteria

Minimum Level

CQC Registration Number

Valid CQC registration number for each registered office address listed in Schedule 14 ‘Branches’.

Published CQC Rating

Tier 1 Providers

Tier 1 Providers must have on the date of closure of the ITT and at all times thereafter, a CQC Rating of either “Good” or “Outstanding” as an overall rating, each registered branch used in the delivery of services under this Agreement.

However, the exception to this is where a Provider has undergone an organisational restructure e.g. a merger, novation / name change that has resulted in the new organisation being unrated. In these circumstances the latest CQC rating from that Provider’s branch prior to the change will be used. Where two or more branches are merging into a new branch, the most recent CQC rating will

be used. – this exception DOES NOT include providers that have dissolved or otherwise wound up businesses and then reincorporated under new name and/or legal entity for example, where ABC ltd has wound up, but then reincorporated under DEF Ltd with some or all of the same staff.

For clarity, the opening of an additional branch is not covered by this exception.

 Where a provider’s branch rating drops below Good, that branch will be demoted to Tier 2 at the earliest opportunity of the council. If the branch is re-assessed as Good or above it will not be permitted to bid to rejoin Tier 1 until either a Tier 1 Review or LHRL Full Review is completed.

 

Tier 2 Providers

Tier 2 providers must achieve a minimum overall CQC rating of “Requires Improvement”.

However, the exception to this is where a Provider has undergone an organisational restructure e.g. a merger, novation / name change that has resulted in the new organisation being unrated. In these circumstances the latest CQC rating from that Provider’s branch prior to the change will be used. Where two or more branches are merging into a new branch, the most recent CQC rating will

be used. – this exception DOES NOT include providers that have dissolved or otherwise wound up businesses and then reincorporated under new name and/or legal entity for example, where ABC ltd has wound up, but then reincorporated under DEF Ltd with some or all of the same staff.

Unrated branches may be appointed to Tier 2 but shall be suspended, meaning they will not be offered referrals, until that branch has a published CQC rating.

For clarity, the opening of an additional branch is not covered by this exception any ‘new’ branches for an existing provider will remain suspended until such time that the branch receives a rating.

A provider rated “Inadequate” will not be permitted to join and may be terminated from the framework.

CQC Service Bands

Tier 1 Providers

Tier 1 providers must be registered for the following or hold equivalent registration that allows delivery to the same adult groups:

Service Type

Domiciliary Care Services

Regulated Activity

Personal Care

Service Bands

·         Adults aged 18-65

·         Adults aged 65+

·         Physical disability

·         Dementia

·         Sensory impairment

·         Learning difficulties or autistic disorder

 

Tier 2 Providers

Tier 2 providers must be registered for the following:

Service Type

Domiciliary Care Services

Regulated Activity

Personal Care

 

Electronic Homecare Monitoring (EHM)

All providers are required to utilise an EHM system capable of delivering the outputs as detailed in Schedule 12.

Minimum Acceptance Criteria

Tier 1

Providers are required to have accepted at least 5% of the total number of packages commissioned under that lot at the end of each reporting period, for the personal care service type only. The acceptance data will be calculated using the total number of admissions accepted in a lot across all service types, excluding ‘in lieu-of-reablement’ packages. The total number of packages commissioned in a lot will exclude those awarded to a provider (other than the provider being measured) as a result of adult choice. For a provider joining Tier 1 following a Tier 1 Review, they will not be assessed against the Minimum Acceptance Criteria for the first reporting period after the provider joins Tier 1 in that Lot, however they will be required to meet the Acceptance Criteria in subsequent reporting periods. Evidence of package acceptance will be acceptance of a Call Off Contract in line with paragraph 8 (Sourcing Process, Issue of ISP and Purchase Orders) of Part 3 (LHRL and Issue of ISP and Purchase Orders) of this Agreement.

Where a Provider does not meet the Minimum Acceptance Criteria for a Lot in a reporting period that branch will be demoted to Tier 2 in that Lot at the earliest opportunity of the Council. The branch will not be permitted to bid to rejoin Tier 1 in that Lot until a Tier 1 Review is undertaken.

Tier 2

Providers – there are no minimum acceptance requirements.

Tier 1 – Digital Social Care Record

Providers must have an NHS accredited Digitising Social Care Record system or a system that meets the requirements of the accreditation as assured by the Council and utilise this for all Adults receiving a Service under this Agreement.

DBS Checks

100% of all staff undergoes an enhanced DBS check prior to delivering services to individuals.

Recruitment Checks

100% of all staff have prior to commencing employment:

·         satisfied all necessary recruitment checks

·         an occupational health check (where appropriate)

·         uniforms that comply with relevant health and safety requirements, including PPE equipment

·         receive induction training that covers as a minimum:

Ø  a written induction pack including copies or summaries of all policies and procedures listed in this Agreement

Ø  a verbal induction that will include all of the Providers’ general procedures including (this list is not exhaustive):
Code of conduct;

            Confidentiality, Information Sharing and Data Protection;

            Philosophy of care;

            Missing person procedure;

            Anti-discriminatory practice;

            All Health and Safety responsibilities; and
            Training on the use of the Provider’s EHM system and Digital Social Care Record system

Person Centred Care

100% of staff:

·         have an understanding of person centre care and deliver services in a person-centred way using the ethos of reablement and rehabilitation that supports Individuals to maximise their independence and health and wellbeing;

·         have been trained in Adult Safeguarding Procedures; and

respect Adults and their property, and who keep information about them confidential.

Staff Training

·         100% of staff have completed the following training courses and these are recorded in the employee training record:

(a)   Medication Awareness

(b)   Food hygiene

(c)   People with Behaviour that Challenges

(d)   End of Life Care

(e) Manual handling

(f)   Dementia specific training as outlined in 17.3 of the Service Specification

·         Training should encompass the requirements of the Care Certificate

·         Staff are adequately trained, skilled and supported in order to tailor the care and support service to meet an Individuals’ needs and outcomes 100% of the time. Staff have appropriate training to ensure they can use any assistive technology in place correctly

Quality Audits

Last updated: 19/02/2026