The direct, detect and effect framework, which we signposted you to in the introductory film, was developed by Boyne et al (2002) and is intended to help evaluate regulation and inspection practice.

• Direct is about setting the direction for improvement, it does not mean telling services what to do, rather it is about being a guide.
• Detect is about scrutinising the outcomes of care that people with dementia experience and helping to share good practice as well as identifying shortfalls.
• Effect is bringing about change that improves care and support for people with dementia.

Walshe (2003) also highlights the importance of scrutiny and improvement organisations directing, detecting and effecting care. Furthermore, he highlights the importance of practical knowledge so that inspectors can facilitate critically reflective care practice and direct to best practice. Click on the image to explore one way that the framework and Walshe's key attributes can be used for improving care and support for people living with dementia.

Click to download this image as a PDF

Click to download this image as a PDF

References

• Boyne, G. Day, P. and Walker, R. (2002). The Evaluation of Public Service Inspection: A Theoretical Framework. Urban Studies 39 (7): 1197-1212.
• Brechin, A. (2000) Introducing Critical Practice. In Brechin, A., Brown, H., Eby, M. (eds) Critical Practice in Health and Social Care. Sage: London.
• Walshe, K. (2003) Regulating healthcare: A prescription for improvement? 1st Edition. Milton Keynes: Open University.