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EQUASS Annual Report 2011

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Annual report of the EQUASS activities and achievements in 2011 - updated 15/05/12

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Page 1: EQUASS Annual Report 2011

EQUASS

Annual Report

2011

Page 2: EQUASS Annual Report 2011

Editorial page 1

EQUASS adapted to the voluntary European Quality Framework page 4

EQUASS Certifications page 6

General overview 7

Overview per country 8

Local Licence holders page 15

EQUASS Auditors page 19

EQUASS trainings 19

Update of the EQUASS Auditor profile 20

Interview with an EQUASS Auditor 21

EQUASS Projects page 22

EQUASS piloting in Estonia 22

PRIME Project 24

EQUASS Events and PR page 25

EQUASS Awarding Ceremony 25

Benchmarking with EQUASS 26

Other EQUASS events 27

EQUASS Online communication 28

EQUASS Structures and Staff page 29

EQUASS Quality Control page 30

Feedback and results from applicants evaluation forms 30

Complaint management 31

Content

EQUASS Annual Report 2011 2

Page 3: EQUASS Annual Report 2011

Editorial

Dear readers,

Many examples demonstrate that introducing new quality

systems on a wide scale is a long-term process with some

difficult years before a “snowball-effect” can be seen. For

EQUASS, 2011 was the year that the snowball actually

started to roll in a few countries, resulting in a doubling of

the certified sites and organisations. 440 certified sites in 14

European countries exceed by far the targets as defined in

the business plan 2011 – 2013. 90.000 service-users getting

services from an EQUASS certified provider and about 20.000

staff members working in certified organisations make a

substantial contribution to the mission of EQUASS to engage

social service providers in quality and continuous

improvement.

This success of EQUASS puts however a greater responsibility on all the actors involved. It

demands a stronger management and stricter procedures. Increasing the duration and

level of auditors training, issuing transparent complaint procedures, and running an EQUASS

Core Group with advisory functions are just a few examples of the focus on governance

adopted in 2011. The ambition to make EQUASS compliant with the ISO 17021 standard fits

into this strategy to enhance the reliability and credibility of the EQUASS system.

2011 was also the year during which the EQUASS quality principles and criteria were

reviewed in the light of the voluntary European Quality Framework for Social Services which

was launched by the European Commission and the EU Member States in October 2010. This

document will be the reference for quality in social services in the coming years, and

EQUASS is currently the only system that can assess compliance with this quality framework

in practice. As such, EQUASS meets the needs and expectations from the sectorial

stakeholders and is prepared for the near future. All this makes EQUASS particularly

attractive to many policy makers and funders in the member states.

The EQUASS Annual Report adopts a new format this year, with the aim to reach a wider

dissemination scope, and in line with our fundamental belief in transparency and

accountability towards all stakeholders involved. Moreover, we hope to contribute in this

way to the modernisation of the social services sector, and to the ultimate goal of ensuring

quality of services to disadvantaged people throughout Europe.

Yours sincerely,

Jan Spooren

EQUASS Manager

EQUASS Annual Report 2011 3

Page 4: EQUASS Annual Report 2011

Origins of the Changes to EQUASS 2012

The 2012 version of the EQUASS framework takes its origins in the voluntary European Quality Framework (EQF) for Social Services developed by the Social Protection Committee, with contributions from the Common Quality Framework (CQF) for Social Services of General Interest (SSGI), developed by the Prometheus Project. The CQF for SSGI describes a set of domains, preconditions and principles, as well as a set of key criteria that influence the quality of social services.

Based on the EQF and the CQF, the EQUASS Awarding Committee decided to adopt the new principles and quality criteria so that all EQUASS certification programmes comply with these quality frameworks. Therefore the new EQUASS certification can be considered as the expression of the new requirements of the European Commission and the adaptation to the changing demands of stakeholders and the European Commission, and to the evolving context in the social sector.

What are the major changes of the EQUASS 2012?

The EQUASS certification programmes is offered at two levels:

� EQUASS Assurance

� EQUASS Excellence

All EQUASS certification programmes are based on the same framework: the 10 Principles for Quality including the 50 underlying criteria

Rights

Ethics

Partnership

Participation

Person-centred approach

Comprehensiveness

Continuous

improvement

Leadership

Sta

ff

Result

orientation

EQUASS adapted to the

voluntary European Quality Framework

EQUASS Annual Report 2011 4

Page 5: EQUASS Annual Report 2011

EQUASS adapted to the voluntary EQF (continued)

In the EQUASS Assurance certification programme, the 50 criteria are assessed on 100 Performance Indicators for Assurance, all of which have to be met to receive the two-year certification.

The EQUASS Excellence certification is assessed on a self-evaluation report in which the applicant describes its performance on the 50 criteria from the perspective of approach, deployment and achieved results. The performance is then evaluated and reported to the EQUASS Awarding Committee. The EQUASS Excellence certification is valid for a period of three years.

The two certification programmes are strongly linked to each other, and facilitate and encourage a natural way of quality development and improvement in organisations for social services. In order to reflect the latest developments on quality in the social sector, new elements have been added to the EQUASS certification programmes: self-determination, informed choices and empowerment of service users, proximity of services, competences of staff, position of volunteers, benefits for service users, added value of partnership and stakeholders, quality of life of service users and innovation. All those issues must be properly addressed by the applicants.

An interim level of recognition has also been developed in 2011: Stairway to Excellence. This recognition can be given once to organisations whose score is lower than the required threshold for EQUASS Excellence, or that cannot provide three years trends in results on the 50 criteria yet nor systematic benchmarking. Additional criteria for performance on approach, deployment and results are also applied. Stairway to Excellence is valid for 18 months, and should lead to a new application for EQUASS Excellence.

Implementation and Timeline

The ‘new’ EQUASS certification programmes (including criteria for awarding) have been implemented since 1 January 2012. The preparation of this implementation took place in 2011, through the organisation of information meetings, and the adaptation of all supporting documentation.

For additional information: please contact the EQUASS coordinator at [email protected].

EQUASS Annual Report 2011 5

Page 6: EQUASS Annual Report 2011

EQUASS Certifications in 2011

EQUASS certified organisations represent a wide range of service provision to clients. Their services range

from permanent adapted work or sheltered workshops (over 80% of all certified organisations in 2011) to

supported employment (over 34%) or labour market or occupational training such as vocational training,

on the job training or work preparation for in inclusive and sheltered work place (50%). Their clients can

choose from various training possibilities, from sectors such as healthcare and hospitality industry to

crafts and commercial occupations and computer-based work (web design, computer programming).

A great number of EQUASS certified organisations also serve children and youngster with disabilities with

the following types of services: early intervention (pre-school) and special needs education; respite care;

sports, culture, and leisure activities; family support; and psychological and medical services.

As of the end of 2011, the total number of EQUASS certified organisations are serving 60.000 persons with

disabilities and other disadvantaged groups; and employing over 15.000 staff members. Those numbers

demonstrate the real impact of EQUASS on the social services sector, and on service delivery to people

with disabilities or other disadvantages.

EQUASS Annual Report 2011 6

Images © Microsoft

Page 7: EQUASS Annual Report 2011

Overview 2011

Legend

Country where EQUASS Assurance

and/or Excellence certification(s)

took place in 2011

Country with a Local Licence

Holder in 2011

In 2011, EQUASS was awarded in 11 countries (total number of countries with EQUASS certified organisations : 14)

319 EQUASS

Assurance certified

organisations

7 EQUASS

Excellence certified

organisations

EQUASS Annual Report 2011 7

Page 8: EQUASS Annual Report 2011

EQUASS in Estonia “EQUASS developments in Estonia

are moving forward with a good

energy. Estonian Quality

Associa�on has awarded us with a

prize “Quality Accomplishment of

2011“, so there’s something to be

proud of! “

Keiu Talve, EQUASS project

manager and coordinator of

EQUASS Local Licence Holder in

Estonia

ESF Funding brings great rewards

The following organisations benefited from the European Social Fund support in 2011:

Tallinn Mental Health Centre - Kristiine Social Center ; Haapsalu Neuroloogiline Rehabilitatsioonikeskus

(HNRK) ; Astangu Vocational Rehabilitation Centre ; Jõhvi Welfare Hospital ; AS Hoolekandeteenused

Imastu Koolkodu AS

EQUASS in Finland

First EQUASS certification in Finland

On 20 April 2011, Ammattiopisto Luovi / Aikuiskoulutus in Finland

was awarded EQUASS Assurance for three of its sites: Joensuu,

Oulu and Tampere.

Luovi represents over 530 persons served, and 50 staff members.

In 2011 in Estonia:

6 organisations certified with EQUASS

Assurance

Representing over 5.500 persons served

Representing 368 staff members

EQUASS Annual Report 2011 8

Page 9: EQUASS Annual Report 2011

EQUASS in Greece

Theotokos Foundation awarded EQUASS

Assurance

The Theotokos Foundation in Ilion, Greece was

awarded with the EQUASS Assurance certification.

EQUASS in France

Traumatic Brain Injury in France

EQUASS awarded the Centre de Réadaptation de

Mulhouse - Unité d’Evaluation, de Rééntraînement et

d’Orientation Sociale et / ou professionnelle (UEROS) in

Mulhouse with the EQUASS Excellence Quality Mark.

CRM-UEROS provides professional coaching and vocational

training to people with traumatic brain injury.

The CRM-UEROS unit includes 10 staff members, and served

60 users in 2011.

Jan Spooren (EQUASS Manager) with

Séverine Golly (CRM)

Panagia Eleousa awarded with

EQUASS Excellence

The workshop “PANAGIA ELEOUSA” for people

with intellectual and related disabilities of the

of Etoloakarnania Prefecture in Greece was

awarded the EQUASS Excellence mark for its

centres in Messolonghi and Agrinio.

Panagia Eleousa represents 125 persons

served in 2011, and employed 40 staff

members.

EQUASS Annual Report 2011 9

Page 10: EQUASS Annual Report 2011

EQUASS in Germany

Berufsförderungswerk Hamm GmbH,

TSBW Husum and Antoniushaus

Hochheim were awarded with EQUASS

Assurance in 2011

In 2011 in Germany:

3 organisations certified with EQUASS

Assurance

Representing over 1.250 persons served

Representing 550 staff members

EQUASS in Ireland

EQUASS awarded RehabCare with the EQUASS Assurance quality mark

for 6 of its Resource Centres: Nenagh, Sligo, Bantry, Bray, Kildare and

Castlerea.

EQUASS awarded the National Learning Network in Ireland with

EQUASS Excellence for 28 of its sites in October 2011. NLN is

Ireland's largest non-government training organisation with

centres in almost every county in Ireland.

The 28-site audit and subsequent certification is a first in EQUASS

history.

Record-breaking Excellence certification for NLN

RehabCare

EQUASS Annual Report 2011 10

Page 11: EQUASS Annual Report 2011

“EQUASS Excellence quality mark is the best proof that we meet the

expecta�ons of clients, partners, funders, other stakeholders and society

and confirma�on of professional, united and solidarity team work as well.”

Valakupiai Rehabilita$on Centre

EQUASS in Lithuania

EQUASS awarded the Valakupiai Rehabilitation Centre with

EQUASS Excellence in November of 2011

EQUASS in the Netherlands

Pluryn Rea College succeeds in gaining

EQUASS recognition for 3 sites

On 31st of July, Pluryn Rea College was awarded

the EQUASS Assurance quality mark for three of its

sites: Hoensbroek, Nijmegen and Groningen.

These sites provide Vocational Rehabilitation, and

Vocational Education and Training (VET).

The certification encompasses over 480 persons

served, and represents 70 staff members.

EQUASS Annual Report 2011 11

Page 12: EQUASS Annual Report 2011

The Norwegian phenomenon:

Over 200 awarded organisations

“For me, EQUASS Assurance is two

improving cycles; one on individual and

one on system level.”

Sissel Andreassen – Norwegian EQUASS

Auditor

Read the rest of Sissel’s interview on

page 21

EQUASS in Norway

The whole list of certified organisations in Norway can

be found on the online publication:

http://issuu.com/eprehab

In 2011 in Norway:

212 organisations certified with EQUASS

Assurance

Representing over 21 800 persons served

Representing 5 200 staff members

Services offered by the EQUASS Assurance certified organisations in Norway

EQUASS Annual Report 2011 12

Page 13: EQUASS Annual Report 2011

EQUASS in Portugal

Services offered by the EQUASS Assurance certified organisations in Portugal

EQUASS

Excellence in

Portugal

In 2011, EQUASS awarded EQUASS Excellence to

two outstanding organisations in Portugal:

� Fundação AFID Diferença � APPACDM de Vila Nova de Gaia -

Associação Portuguesa de Pais e Amigos do Cidadão Deficiente Mental

Capacity Building with the

Fundo Social Europeu

In 2011 in Portugal:

93 organisations certified with EQUASS

Assurance

Representing over 26 500 persons served

Representing 13 000 staff members

The whole list of certified organisations in

Portugal can be found on the online publication:

http://issuu.com/eprehab

EQUASS Annual Report 2011 13

“I am sure that all social services, in all social

sectors, have the purpose to provide the best

service to their clients. And they have in EQUASS

the tool to help them to achieve that purpose and

to develop further their mission.”

Isabel Silva, Portuguese EQUASS Auditor

Page 14: EQUASS Annual Report 2011

EQUASS in Slovenia

EQUASS Excellence awarded to the

Vocational Rehabilitation Centre of

University Rehabilitation Institute Republic

of Slovenia (URI) Ljubljana

URI provides a wide

range of rehabilitation

services in Slovenia

and serves about

14.000 clients each year. The units audited by

EQUASS are located in Ljubljana and Maribor,

where 50 employees serve 700 clients

EQUASS Annual Report 2011 14

Enhancing performance and meeting needs

In social service provision

ZELVA d.o.o. – Center Zaposlitvene in Poklicne Rehabilitacije in Ljubljana

Zelva, was awarded EQUASS Assurance in 2011. Zelva is a company providing training and

employment of persons with disabilities, was established in 1991 by Sožitje – Association for

mental handicap in Slovenia. The original organisation was founded to provide work training

for young people with slight mental health issues (as well as physical disabilities ). The

services audited serve over 140 persons and employ over 150 persons

Page 15: EQUASS Annual Report 2011

The dissemination and expansion of EQUASS in Europe is assisted by a set of local

representatives, called Local Licence Holders. The LLH serve as a local intermediary between

the EQUASS customers and the EQUASS Secretariat, and coordinate the certification process

between applicants and auditors in the countries where an LLH is established. The EQUASS

Secretariat only comes into action when the full application dossier and Audit report are

submitted for approval.

In Estonia, Germany, Lithuania, Norway, Portugal and Slovenia, EQUASS Assurance certification services

can be obtained through the Local Licence Holders detailed hereafter. As of the beginning of 2012,

EQUASS does not have a LLH in Ireland anymore, as EIQA (Excellence Ireland Quality Association) has

stopped its LLH function. All Irish certification requests are dealt with directly by the EQUASS Secretariat.

For EQUASS Assurance certification in countries other than those listed above, and for EQUASS Excellence

certification in all of Europe, applications are made directly to the EQUASS Secretariat, based in Brussels,

Belgium. The EQUASS Secretariat in no way outsources or delegates to the Local Licence Holder the

decision on awarding the Quality Mark, but trains, supports and monitors the LLH.

National Stakeholder Committees are established in countries where the volume of certifications (actual

or expected) is significant, and requires to consult with the sectoral actors for input and scrutiny on the

role and implementation of EQUASS in the country. The Committee consultation and comments benefit

the cycle of continuous improvement for both for the LLH and the management of EQUASS in Brussels.

EQUASS Local Licence Holders (LLH)

Astangu 27, Tallinn 13519 , Estonia

Tel. +372 6877 223

Contact person: Keiu Talve [email protected]

www.equass.ee

Astangu Vocational Rehabilitation Center, EQUASS Eesti

Estonia

EQUASS Annual Report 2011 15

Astangu Vocational Rehabilitation Center was founded in 1995 under the administration of the Ministry

of Social Affairs. Astangu is the only vocational rehabilitation service provider in Estonia with clients all

over country and has a supportive role for the Ministry in decision making process.

EQUASS Assurance has been implemented in Estonia in 2010 and 2011 with the

support of the European Social Fund. This has resulted in 6 certified organisations.

Astangu has been acting as EQUASS Local Licence Holder in Estonia since January

2012 after having practiced this role in 2010 and 2011, thanks to the ESF capacity-building funds.

The National Stakeholders Committee consists of representatives from the Ministry of Social Affairs, the

Social Insurance Board, the Estonian Quality Association, the Estonian Chamber of Disabled People and

service provider Tallinn Mental Health Center.

Page 16: EQUASS Annual Report 2011

Lithuania

Vaidilutés str. 69 Vilnius LT-10100 - Lithuania

Tel: +370 5 2477542

Contact person: Daiva Besagirskaite [email protected]

www.reabilitacija.lt/en/

Valakupiai Rehabilitation Centre (VRC)

VRC, a public organisation funded under the Ministry of Social Affairs, has a leading role in

promoting quality in the Vocational Rehabilitation sector in Lithuania. VRC provides medical

and vocational rehabilitation services, social day care, practical driving assessment and a

driving school for people with disabilities.

VRC was also the recipient of the EQUASS Excellence Mark. The services audited serve over

100 persons and employ over 100 staff members.

EQUASS Deutschland is operated by the Brüsseler Kreis, a collaboration of the major Protestant and

Catholic social enterprises in Germany. The Brüsseler Kreis is active in providing care for persons with

disabilities, the elderly, youth and in education. With about 40 000 workers and more than 35 000 in-

patient, partly-in patient and out-patient care clients, they serve about 100 000 persons yearly, with a

turnover of around € 1.7 billion. The Brüsseler Kreis is being represented by the organisation Josefsheim

Bigge, located in Olsberg.

Heinrich-Sommer-Str. 13 - 59939 Olsberg

Tel: +49 2962 800 225

Fax: +49 2962 803 872 25

Contact person: Winfried Henke [email protected]

www.equass.de

EQUASS Deutschland c/o: Josefsheim Bigge gGmbH

Germany

EQUASS Annual Report 2011 16

Page 17: EQUASS Annual Report 2011

EQUASS Norge AS

The company EQUASS Norway AS was officially established in January 2012. In 2011, it was still operated

as a division of the Association of Vocational Rehabilitation Enterprises (AVRE). AVRE is an employer and

interest organisation for approximately 110 not-for-profit organisations spread across Norway. These

organisations provide vocational support (vocational assessment, permanently adapted work, research

support for a job or further education) to more than 35 000 disadvantaged persons yearly. In addition,

the organisations provide work preparatory trainings for persons who need to establish necessary basic

skills for any job, as well as supported employment for persons in need of extensive follow-up in the open

labour market.

EQUASS in Norway has benefited from a tremendous boom in operations due to the decision of the NAV,

the Norwegian Labour and Welfare Organisation, to recognise EQUASS as one of several certification

systems available to organisations providing services to people with disabilities. NAV moreover instructed

all concerned organisations to get certified by the end of 2011 in order to improve the overall quality

level in the rehabilitation sector.

EQUASS Norwegian Stakeholder Committee

On 27 June, the Norwegian Stakeholder Committee of EQUASS met

for its annual meeting. Representatives of umbrella organisations

for services users, funders, national authorities, service provider

organisations, employers and employees discussed the progress

and achievements of the implementation of EQUASS in the

Norwegian vocational rehabilitation sector.

Norway EQUASS Norge AS

Postboks 5473, Majorstuen

0305 Oslo

Phone: +47 23 08 86 50

www.equass.no

Contact persons: Elisabeth Erlandsen and Andreas Tømmerbakke [email protected] [email protected]

Members of the EQUASS Stakeholder Committee

National Federation for companies providing permanent jobs adapted to the individual (ASVL) Norwegian Labour and Welfare Administration (NAV) Norwegian Federation of Organisations for Disabled People (FFO) Norwegian Organisation for the disabled Norwegian Association of Local and Regional Authorities (KS) Norwegian United Federation of Trade Unions (Fellesforbundet) Landsrådet for arbeid til yrkeshemmede (LAFY) Association of Vocational Rehabilitation Entreprises (AVRE) Federation of Norwegian Commercial and Service Enterprises (HSH)

EQUASS Annual Report 2011 17

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Portugal

Serviços Centrais Rua I do Pólo Tecnológico de Lisboa , nº 3 (Lt 24) 1600-546 Lisboa - Portugal Tel: + 351 214996210 www.apq.pt

Contact person: Carla Cunha

[email protected]

www.equass.pt

Associação Portuguesa para a Qualidade - APQ

APQ is a membership based non-profit organisation founded in 1969. Its purpose is to promote and

spread knowledge and experiences in the field of quality organisational excellence, as well as practices

that lead to increase the productivity between organisations in Portugal. APQ is recognised as the

leading non-governmental institution of the Portuguese quality movement.

APQ regroups around 2200 members, covering organisations from various sectors and dimensions, public

and private, and a wide number of auditors, consultants and quality managers. APQ is also a Sectorial

Standardisation Body in the field of Quality Management, responsible for three Technical Committees -

Quality Management, Conformity Assessment and Risk Management.

Slovenia

Linhartova 51, 1000 Ljubljana - Slovenia

Tel: + 386 1 475 8 275

Contact person: Aleksandra Tabaj [email protected]

www.ir-rs.si/en/

Development unit of Employment Rehabilitation, University Rehabilitation

Institute, Republic of Slovenia

The development unit for vocational rehabilitation of URI in Ljubljana has a leading role in promoting

quality in the vocational rehabilitation sector of Slovenia. Its role is recognised through public mandate

and financially supported by the Slovenian Ministry of Labour, Family and Social Affairs. The University

Rehabilitation Institute in Ljubljana started its role as EQUASS Licence Holder in January 2011.

EQUASS Annual Report 2011 18

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New Training Format

The duration of the EQUASS auditor trainings has been revised in 2011

in order to better prepare participants for their role as auditors.

Indeed, the trainings used to last two days, but the feedbacks -

although positive overall - showed that the trainings were considered

too short by the participants. The EQUASS Awarding Committee

therefore decided to extend the length of the trainings to three full

days.

As a result of the revised training format, the auditor trainings offer more opportunities to exchange and

to calibrate individual performances of potential auditors as well as practical tips on how to write an

audit report, prepare a site visit and run interviews. Additionally, experienced auditors can attend

“calibration trainings” at a reduced price, and have a choice between a one day, or a full three-day

calibration training.

As for the consultancy trainings, they will pay more attention to all phases of implementation of the

EQUASS Excellence and Assurance programmes (self-evaluation process, implementation plan and

process, internal auditing, test audits and reporting).

2011 Trainings

In 2011, EQUASS organised 4 trainings following the new format:

� Two EQUASS Assurance Auditor trainings (in Tallinn and Oslo). The Tallinn training was organised and

funded by the ESF project in Estonia.

� Two EQUASS Excellence Auditor trainings (in Lisbon and Brussels).

In total, 52 participants have attended these trainings, both new auditors and experienced auditors

looking to update their auditing skills and understanding of the newly updated EQUASS Framework.

� 21 EQUASS Assurance auditors have been nominated for the first time, or have renewed their

nomination as a recognised Assurance Auditor.

� 20 EQUASS Excellence auditors have been nominated for the first time, or have renewed their

nomination as a recognised Excellence Auditor.

Each training resulted in an evaluation from the participants of the quality of the training. With an answer

rate over 80% , the participants could grade various aspects of the trainings between 1(very poor) and 5

(excellent). Here are the average 2011 results:

Overall Quality of training: 4,38 - Content of the training: 4,02 - Relevance of the training for your

organisation: 4,28 - Quality of the trainer / facilitator: 4,62 - Quality of the venue: 4,57

EQUASS Auditors

EQUASS Trainings

EQUASS Annual Report 2011 19

Page 20: EQUASS Annual Report 2011

Update of the EQUASS Auditor profile

New Auditor profile

The EQUASS Auditor profile was reviewed in 2011 following an analysis of the remarks and complaints from clients, stakeholders and the auditors themselves. An updated profile was adopted by the EQUASS Awarding committee in October, to be applied from 2012 onwards. This profile describes the specific expectations of the abilities of those willing to perform as an auditor in the EQUASS certification process:

Interpersonal skills

Ability to:

� Understand how others think and act

� Understand group processes

� Communicate effectively in written and spoken English

� Handle conflict constructively

� Give positive feedback

� Convey integrated concepts and opinions quickly

The auditor should be able to understand what a conflict of interest is, and act upon it.

Operational skills

Ability to:

� Make a quick overview of complex situations and determine the underlying themes and issues

� Translate management concepts into specific situation

� Think in a ‘process’ way

� Take a high level overview

� Assess, in a well-balanced way, the scope and outcome of situations and facts

Knowledge and experience

� Broad knowledge and experience of (Quality-) management

� A good record of achieving against objectives

� Ability to contribute to a multi-cultural environment and meet tight time deadlines

Desired skills:

� Qualified for auditing organisation according to EFQM (or national equivalent) and/or ISO 9000 (or other relevant Quality Management Systems)

� Experience and understanding of the social services sector

Credits system

The new auditor profile also comes with new requirements that reflect the feedback received from our customers, stakeholders, and auditors themselves.

A credit system was established in order to ensure a proper balance between theoretical auditor knowledge and audit practice over the years. The credit system promotes continued training updates for auditors, called calibration courses, to ensure that our pool of auditors are current on the latest developments of the EQUASS quality framework and practices.

EQUASS Annual Report 2011 20

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Interview with an EQUASS Auditor

EQUASS Annual Report 2011 21

Sissel Andreassen

EQUASS Auditor

Sissel Andreassen has visited 110 different rehabilitation organisations in Norway. She has performed 85 audits, 23 audit test-days and one supervision-day in organisations with a staff varying from 2 persons to 1500.

How and when did you first get involved with EQUASS?

Accidently on a Web-search, I found a notice that Norway was looking for EQUASS Assurance Auditors. At that time, I had been working as a nurse with Quality Improvement in Health Care service for many years. I hoped I could use my experience in another area, and followed an Assurance auditor training in Oslo in February 2007. It took some time before the organisations were ready for an audit, so my first visit to a rehabilitation organisation was in June 2008. Since then, I have been a lucky EQUASS auditor, having had the opportunity to visit 110 organisations.

Why would you recommend this system to social services providers?

The system contains agreed, necessary elements that, in my opinion, make it a good management tool to ensure development of the staff and the organisation and to achieve expected services for persons served and customers. Another benefit is the focus on results according to the organisational mission and not only on financial and production conditions. It is my opinion that the EQUASS certification results in a professionalization of service provision in Norway.

Can you describe one of the best moments of your career as an EQUASS auditor?

After visiting so many organisations, sure I have a lot of good moments in my memory! And luckily I have only very few bad moments. Perhaps the best one was one person served who told me that, thanks to EQUASS, his plan now was very good with “hairy goals!” Or another one, a person with a major disability, who told me that this was like a EU-control for cars: I check up some points every second year but they are responsible for daily maintenance! Isn’t it lovely? I have told this story many times.

It’s never fun to say “no - you do not comply with the criteria.” More than one organisation has told me that the process not being approved the first time had given them more confidence to the standard, and a necessary learning experience. This shows me the benefits of auditing, as an important tool in the improvement process, and a good moment for me.

What are some the challenges that you have faced?

Writing audit reports in English was my first challenge. Looking back, fortunately I can see a personal improvement during the past years!

It may also be a challenge during two days to get the necessary overview and understanding about the structure, system, culture and attitudes in big organisations, sometimes with several locations. But this is why auditing is so exciting and challenging! You must use all your knowledge about quality system and cooperative processes.

In some cases the organisations’ motivation might be a challenge since the system is required here in Norway, and is not something they had choosen themselves. Luckily I have just experienced difficult communication and cooperation a few times only.

Based on your extensive experience, do you have some advices for EQUASS auditors? And for social service providers?

To be an EQUASS Assurance Auditor requires structured work, humility and a special interest for organisation system and culture. It takes some time to get to know the framework well - to learn the system’s logic and coherence. This demands a volume of audits over a period of time. Just a few audits a year must be like starting all over again every time.

My overall advice to auditors must be: work systematic and with respect for the framework and the social service provider.

Some service providers say that the standard EQUASS Assurance is designed for big organisations. In Norway we have a lot of small organisations. When I ask them which element is not necessary for their organisation, the question is unanswered. It may look too comprehensive with 100 questions, but when they get familiar with the content and context – they all are useful. For me, the EQUASS Assurance is two improving cycles; one on individual and one on system level. I hope everyone learns to see the benefits of having a good management system like this.

My advice to service providers is: develop a system based on KISS – keep it small and simple and measure results of efforts. Every management system should give service providers motivational feedback. It’s my opinion that we are good at planning – very good at doing – not so good at studying our results of service provided - and not good at systematic, structured improvement based on facts. Learn by doing – and discover that it’s useful and fun!

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2011 saw the conclusion of the ESF- Funded project that aimed to pilot the EQUASS Assurance system to

seven rehabilitation service providers in Estonia. Moreover, the project intended to raise awareness on

quality of rehabilitation services to a wider sample of sectorial stakeholders, and to build capacity for a

further roll-out of EQUASS throughout Estonia in case of a positive evaluation.

As result of the project, 6 pilots have been awarded with the EQUASS Assurance certificate and the

implementation process have been appreciated and valued by all pilot sites, and as result of this

successful project all 100 Estonian organisations providing rehabilitation and social welfare services will

be encouraged to implement the EQUASS Assurance requirements in the coming year.

Below are the evaluation scores of the project pilot sites:

Scale: 1 = very poor, 2 = poor, 3 = satisfactory, 4 = good, 5 = excellent

Score: statistical average score of the criteria (Mean)

Min: minimum score on the criteria

Max: maximum score on the criteria

Cohesion: statistical average of deviation on the mean (Standard Deviation)

EQUASS Projects

EQUASS piloting in Estonia

No Criteria Score Min Max Cohesion

1 Overall quality of the site visit 4.2 5 3

2 Communica$on about the programme of the site visit 5.0 5 5

3 Relevance of the interviews with stakeholders 4.8 5 4

4 Performance of the auditor 4.6 5 4

5 Performance of the co-auditor 4.6 5 3

6 Site visit prepara$on form 4.4 5 3

7 Content (feedback) of the audit report 4.6 5 4

8 Informa$on about the EQUASS audit procedure 5.0 5 5

9 Respec$ng the procedure by the auditor 4.0 5 2

10 Respec$ng the procedure by Licence Holder 5.0 5 5

11 Respec$ng the procedure by the EQUASS Unit 5.0 5 5

12 Communica$on with the project management in Estonia 5.0 5 5

13 Communica$on with the EQUASS expert 5.0 5 5

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The ESF project in 2011 was marked by several significant events:

� The training of 10 EQUASS Assurance auditors on 23-24 May 2011

� The establishment of a Stakeholder Committee

� The Market development seminar on 18 October 2011on the topic of “social policy for developing

a more open market”. The seminar explored the consequences of the opening of the social ser-

vices market to procurement from other types of economic operators. The target groups were

staff members (policy makers) of the Estonian Ministry of Social Affairs and key stakeholders in the

social sector: service user organisations – funders and social provider associations.

� The project final conference on 15 December 2011, in the Europe Clarion Hotel in Tallinn.

EQUASS piloting in Estonia

Keiu Talve, receiving her prize for “Quality

Accomplishment of the Year - 2011” from the

hands of the Estonian Quality Association

Chairman of the Board Mrs. Tiia Tammaru.

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The PRIME project, short for PRoject for IMplementation of Equavet, is

funded under the Lifelong Learning Programme, a Leonardo da Vinci

Transfer of Innovation Action, and is led by the REA College Nederland,

in the Netherlands.

The project was launched on 21 November 2011 and will run until 2013.

PRIME aims to use EQUASS as a tool for the implementation of the EQAVET framework for quality in the

provision of Vocational Education and Training (VET) in Europe. The project will support the

implementation of EQUAVET in 6 providers of VET services for persons with disabilities in 5 EU countries:

Opera Don Calabria (IT)

BBW Adolf Aich gGmbH (DE)

CENTERKONTURA (SI)

Vilnius Centre for Psychosocial Rehabilitation (LT)

RCN-Heliomare (NL)

RCN Bartimeus (NL)

The PRIME project initial phase starts with cross-referencing the EQUASS and EQAVET principles and

frameworks, identify discrepancies, and provide the necessary adaptations.

The project will then provide the partnering institutions with the opportunity to implement the EQAVET

framework through the following steps:

- Method of self-evaluation and detailed planning,

- Sharing experiences and identification and exchange of good practice (bench learning),

- Implementation of a system for internal auditing and peer review,

- Recognition of successful implementation of EQAVET framework (certified VET-provider)

PRIME Project

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The 2011 EQUASS Awarding Ceremony was held in the framework of the EPR Annual Conference,

organised in Athens, Greece, on 10 November 2011. The Awarding Ceremony took place during a Gala

Dinner, where delicious Greek food, live music and dance were offered to the attendants.

Among all the organisations certified since the last Awarding event (November 2010), 18 came to

receive their EQUASS Assurance certificate, and 7 were present to receive their EQUASS Excellence

certificate.

AS Rehabil (Norway), Astangu Voca Rehabilitation Center (Estonia), Berufsförderungswerk Hamm, JG-

Group (Germany), Fretex Norge AS Norway), Haapsalu Neurological Rehabilitation Center (Estonia),

iFokus AS (Norway), Imastu Koolkodu (Estonia), iVekst AS (Norway), Kristiine Social Center (Estonia), Link

Arbeid kf (Norway), Luovi (Finland), MjøsAnker AS (Norway), Mølla Kompetansesenter (Norway), PLURYN

- REA College Nederland (The Netherlands), RehabCare (Ireland), Tallinn Mental Health Center

(Estonia), Theotokos Foundation (Greece), Jõhvi Hospital (Estonia)

The following organisations received an EQUASS Assurance certificate:

EQUASS Events and Public Relations

EQUASS Awarding Ceremony

The following organisations received an EQUASS Excellence certificate:

APPACDM Vila Nova de Gaia (Portugal), C.R.M Mulhouse - Unité d’Evaluation, de Réentraînement et

d’Orientation Sociale et professionnelle (UEROS) (France), Fundação AFID (Portugal), National Learning

Network (Ireland), Vocational Rehabilitation Centres of the University Rehabilitation Institute (Slovenia),

Valakupiai rehabilitation centre (Lithuania), Workshop “Panagia Eleousa” (Greece)

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Benchmarking with EQUASS

The objectives of the event were to allow its participants to:

� Learn from experiences of other centres complying with EQUASS quality principles how to get

around specific challenges of EQUASS certification and how to find the most appropriate

strategies to achieve goals.

� Get insight in concrete examples and approaches to improve an organisation’s practices in the

areas covered by EQUASS, and ultimately improve the EQUASS score.

� Be engaged in international benchmarking, which is one of the EQUASS Excellence

requirements.

On the 4 and 5 October 2011, 16 participants from 11 organisations and

from 5 European countries participated in a benchmarking event

organised by the European Platform for Rehabilitation in collaboration with

the EQUASS Unit, facilitated by the EQUASS Key Expert, and hosted at the

premises of RehabCare in Dublin, Ireland. The participants represented

different branches of the rehabilitation sector: vocational rehabilitation,

vocational training for persons with a disability and residential care

services for disabled persons.

The benchmarking event offered the participants the

opportunity to discuss and share various views on

benchmarking and bench learning, the aim and types

of benchmarking, the process of benchmarking and

the challenges in defining common agreed Key

Performance Indicators (KPIs) for approaches.

The challenge lies in defining KPIs that can be applied

in the various sectors in different national contexts, as

well as within cultural and national contexts.

Finally, the participants learned about the

concepts, results and lessons learned of

the Norwegian indicator project in the

Vocational Rehabilitation sector.

The seminar concluded on the

opportunities and possibilities for

benchmarking and bench learning within

the European Quality in Social Services:

The bench learning instrument, the

comparison of the audit results of EQUASS Excellence awarded organisations and the plans for EQUASS

to create an EQUASS community with an EQUASS benchmarking platform.

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Other Events:

Parlamentarischer Abend in Berlin

On 23 March 2011, the Brusseler Kreis (EQUASS Local licence Holder

in Germany) organised an evening for the German Members of

Parliament and other key stakeholders in the rehabilitation sector.

The event was organised at the National Representation of ‘Freie

und Hansestadt Hamburg’ in Berlin.

Guus van Beek, EQUASS Key Expert, was invited to give a keynote

speech on the European perspective of quality in the social sector,

and gave an overview of the current challenges the social sector is

facing and the latest developments on quality.

AFID Awarding Ceremony

Fundação AFID Diferença invited the EQUASS Key Expert to the official awarding ceremony for the

attribution of EQUASS Excellence. The ceremony, chaired by the Portuguese First Lady Sr.ª Dr.ª Maria

Cavaco Silva, was held on 18 May 2011 at Museu Electricidade in

Lisbon.

In his speech, Guus van Beek stressed the importance of quality

certification for social services providers and the outstanding

performance and commitment of staff at Fundação AFID Diferença

to provide quality services. Dr. Domingos Rosa, CEO of Fundação

AFID Diferença , received the EQUASS Excellence Certificate from the

Portuguese First Lady.

Workshop on EQUASS approach to

quality at board meeting of FEANTSA

The EQUASS Key Expert presented the results of the

Prometheus project at a workshop for the board

members of FEANTSA on 18 May 2011. Two FEANTSA

members participated in Prometheus as pilot sites,

and subsequently implemented the EQUASS Assurance criteria.

The workshop allowed for discussion on the experiences gained

from Prometheus and on the opportunities to adapt the EQUASS

Assurance certification programme to the homeless sector by

developing sector specific indicators.

EQUASS Information event organised by Qualitividade

On 4 July 2011 in Lisbon, Portugal, the

EQUASS Key Expert presented the

upcoming changes of the EQUASS

Assurance 2012 in a one-day seminar

organised by Qualitividade.

Qualitividade is a Portugal-based

consulting agency which has been

very successful in supporting social

service providers in implementing

EQUASS Assurance.

� Veneto Investimenti Sociali Seminar in Verona,

on 20 January 2011

� EQUASS Information for Greek Stakeholders in

Athens, 10 November 2011

� ENSA Elderly and Disability Network, Eskilstuna,

Sweden, 21 November 2011

� EQUASS in Practice project is announced “Best

Practice Project” in the Lifelong Learning

Programme of 2008 at the QUALLL Conference

in Berlin on 28 November 2011

� EQUASS Core Group Meetings on 8 February, 6-7

April and 3 October 2011

� EQUASS Awarding Committee Meetings on 17

May and 20 October 2011

Other EQUASS Events

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EQUASS Newsflash

EQUASS has published 4 issues of the EQUASS Newsflash in 2011, in April, July, October and December, as

well as a special 2010 Overview released in February 2011.

A new online format was introduced for the December 2011 issue of the EQUASS Newsflash. The improved

format allows for a greater interactivity and more content flexibility.

EQUASS Online Communication

New Dissemination format of EQUASS Certified Organisations

EQUASS has adopted a new way of advertising its certified organisations. The list, and the

logos and contact details of the successful applicants, as well as their certificate validity date

is displayed as an online brochure, and has a search function, and a convenient screen

reading display. The EQUASS Excellence and EQUASS Assurance catalogues can be

consulted at: http://issuu.com/eprehab

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Composition of the EQUASS Secretariat

Composition of the EQUASS Awarding Committee

Composition of the EQUASS Core Group

Karl-Wiggo Jensen, Durapart (Norway)

Jean-Claude Schrepfer, CRM (France)

Michael Crowley, RehabGroup (Ireland)

Jan Spooren, EQUASS Manager

Guus van Beek, EQUASS Key Expert

Marie Dubost, EQUASS Coordinator

European Platform for Rehabilitation (EPR) - Mr. Frank Flannery

European Social Insurance Platform (ESIP) - Mr. Wolfgang Schulz-Weidner and Mr Franz Terwey

European Association for Service Providers for Persons with Disabilities (EASPD) - Mr. Luk Zelderloo

Council of Europe (CoE) - Mr Thorsten Afflerbach

Employers’ Forum on Disability - Ms. Catherine Grinyer

Rehabilitation International (RI) - Mr. Jan Johansen

European Federation of Older People (EURAG) - Mr. Dirk Jarré

European Disability Forum (EDF) - Ms. Erzsébet Szöllösi and Ms. Simona Giarratano

European Network of Social Authorities (ENSA) - Mr. Johan Lindstrom

Jan Spooren

EQUASS Manager

Guus van Beek

EQUASS Key Expert

Marie Dubost

EQUASS Coordinator

EQUASS Structures and Staff

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All EQUASS applicants are given the possibility to give feedback on their experience with the EQUASS

system, audits and teams via a standardised evaluation form. The form encompasses 15 topics, with 9

questions requesting feedback on a grade going from 1 to 5; and 15 questions allowing for more

detailed feedback elaborations.

In total, 303 audits were performed in 2011, and the EQUASS Secretariat received 123 questionnaires

filled in by the clients. The 40,6% response rate can be considered very high for a voluntary feedback

questionnaire.

Additionally, the qualitative answers (allowing EQUASS customers to elaborate on their grade in a

sentence or two) were provided in average 58% of the time. This good response rate speaks for the level

of involvement of the EQUASS customers in the overall EQUASS certification process.

The grades were given with the following instructions:

1: very poor – 2: poor – 3: satisfactory – 4: good – 5: excellent

TOPIC Average Minimum Value

Maximum Value

Standard Deviation

Overall quality of the visit 4,54 3 5 0,58

Communication about the programme of the visit

4,58 2 5 0,57

Relevance of the interview with stakeholders 4,46 2 5 0,62

Performance of the auditor (s) 4,65 2 5 0,58

Site visit preparation form 4,36 1 5 0,78

Content (feedback) of the audit report 4,28 2 5 0,82

Information about the EQUASS audit procedure 4,36 2 5 0,77

Communication with the Local Licence Holder 4,28 2 5 0,82

EQUASS Quality Control

Feedback and Results from the Applicants evaluation forms

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EQUASS Complaint Management

EQUASS strives for continuous improvement, and has implemented a series of procedures used to

address complaints and resolve disputes.

The EQUASS complaint process is available to all and can be consulted at the following link http://

www.epr.eu/index.php/equass/certification/303

In 2011, the EQUASS Secretariat received a total of 7 formal complaints, one of which addressed several

complaint categories. Six of these complaints came from Portugal, and one from Estonia.

The table below gives an overview of the complaints received in 2011, and how they were dealt with.

Reason for the complaint

Number of complaints

Reaction Resolution

Third parties dispute that service provider deserves EQUASS certification

1

The EQUASS Manager performed an inquiry (via phone and e-mail) with the certified organisation and the auditor that had been assigned to the service provider, and investigated the relevance of the allegations raised by the complainant. The complainant was advised which allegations were not relevant to EQUASS for investigation (i.e. not related to the certification process), and which relevant points had been investigated.

The complainant was informed in a formal letter that no irregularity had been found in the process that led to the certification of the institution, and that, pending a request from the complainant to address the Ombudsman, rejecting the outcome of the investigation, the case was closed until further notice.

Complaint about auditor

6

The perspectives and explanations of both the auditors and the applicants were collected by the EQUASS Manager, and synthetized for the decision of the Awarding Committee.

The appropriate follow-up actions have ranged from: - removing a shadow auditor from its assignment - re-auditing the services with a new auditor - inviting an auditor to attend a calibration session to upgrade their auditing skills - advising the applicant that the audit procedures had been respected by the auditor, and the case was closed until presentation of further evidence.

Complaints from Auditors or Applicants about LLH

1

An investigation was launched by the manager of the EQUASS Unit. A response was issued explaining which issues were justified, which were not, explaining which concrete actions have been taken following to the complaint.

Some issues in the complaint could not be addressed fully and immediately, as the Secretariat cannot break its contractual engagement with the Licence Holder for the duration of the contract. These issues were nonetheless kept as a future point for discussion. All other points for improvement for the Licence Holder which could be addressed immediately were advised to the them, as a request for improvement.

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The European Quality in Social Services (EQUASS) is an initiative of the European Platform for

Rehabilitation (EPR). EQUASS provides a range of comprehensive services in the area of

approval and certification of quality, all of which comply with the European requirements for

quality in the provision of Social Services. The certification programmes are complementary to

existing quality certification programmes at the national level and are overseen by an

independent International Awarding Committee that includes representatives from key

European stakeholders.

What is EQUASS?

EQUASS Secretariat

Rue de Spa 15, 1000 Brussels, Belgium

Tel +32 2 736 54 44

Fax +32 2 736 86 22

Email [email protected]

Website www.equass.be

Editor-in-chief: Jan Spooren

Editors: Cinzia De Letis, Marie Dubost, Guus van Beek, Julie Buttier

www.equass.be