1

The future of adult social care regulation

Lynda Laney and Suzy Tucker. Inspectors

Working to improve quality of care

Staff

Providers

Regulators

Commissioners

Together

Public

CQC purpose and role

Our purposeWe make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve

Our role

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find, including performance ratings to help people choose care

3

The Mum (or anyone you love) Test

Is it good enough for my Mum?

Is it safe?

Is it caring?

Is iteffective?

Is it responsive to people’s needs?

Is itwell-led?

4

What we do:

Set clear expectations

Monitor and inspect

Publish and rate

Celebrate success

Tackle failure

Signpost help

Influence debate

Work in partnership

Regulation to inspire improvement

How we do it:

Five key questions

Respond to concerns

Key lines of enquiry

Specialist inspectors

Experts by experience

Ratings characteristics

Reports

Enforcement

Regulation to inspire improvement

Inspecting learning disability services

Safe

• Safeguarding.

• Risk assessments. Positive risk taking.

• Supporting people whose behaviour may challenge services.

• Accidents and incidents.

• Staffing levels. Recruitment.

• Medicines.

• Managing people’s finances.

• Premises.

7

Inspecting learning disability services

Effective

• Staff skill and knowledge.

• Induction, training and supervision. Bespoke training.

• Staff ability to communicate with people.

• Mental Capacity Act and DoLS.

• Eating and drinking.

• Health and adaptation of premises.

NB. New care certificate

8

Inspecting learning disability services

Caring

• Staff approach and relationships

• Response to Equality and Diversity

• Involving people

• Communication as a 2 way process, presenting info and listening.

• Advocacy

• Confidentiality, privacy and dignity.

9

Inspecting learning disability services

Responsive

• Person centred care. Assessment, planning and review.

• Activities, interests, education, work.

• How are people involved in the community?

• Concerns and complaints. How do you know if a person is unhappy? What do you do with that?

• Transitions between services.

10

Inspecting learning disability services

Well-led

• Culture of the service. Vision and values.

• Management and leadership.

• Openness and transparency.

• Responsibility and accountability.

• Community links.

• Auditing processes.

• Quality of service and keeping up to date with developments in your field.

11

Inspecting learning disability services. Before the visit.• PIR.

• Any notifications, concerns or enquiries.

• Contacting external professionals.

• Consider using experts by experience, specialist advisors, pharmacy inspectors or additional inspectors.

• Decide whether to announce the visit.

12

Inspecting learning disability services. On the day.• Pathway tracking.

• Observations (SOFI).

• Talking to people, relatives, carers and advocates.

• Talking to staff and managers.

• Records.

13

Reporting on learning disability services• Easy Read.

• Mental Capacity Act & DoLS.

• KLOES.

• One page summary.

• Rating.

• Factual accuracy process.

14

15

New for April 2015

Fundamental standardsFit and proper person requirement

Duty of candour

Special measures

Scores on the doors

Market oversight

16

Scores on the Doors

PurposePublic able to see rating of service quickly and easily

Actions for providersDisplay ratings in service and website

Suggest accompany with additional information

CQCWill provide template

Inspection – check that rating is displayed

17

What are we finding?

Outstanding

Good

Requires improvement

Inadequate

 

 

 

 

4329

23 (1%)

2516 (58%)

1448(33%)

342(8%)

Outstanding care

18

‘People’s preferences, likes and dislikes had been recorded and responded to by supporting people to achieve new targets and live life to their fullest ability.’

‘People went on exciting trips and experienced adventurous holidays.’

‘The registered manager told us she had a good staff team who had always responded to her challenge with innovative ideas.’

Ling Crescent

Another outstanding care home

"We didn't think we were outstanding. And perhaps that's why we were – I think it's because we see every single person as an individual. It is our privilege to support them to live the last years of

their life with as much happiness, love and security as we can give them."

Suzanne, Prince of Wales House, Ipswich

19

www.cqc.org.ukenquiries@cqc.org.uk

@CareQualityComm

20

Thank you and any questions.