ACEVO Conference

25 March 2014

David BehanChief Executive, Care Quality Commission

“A new approach to inspecting adult social care services”

Our purpose

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

Asking the right questions about quality and safety

Safe

Effective

Caring

Responsive to people’s needs

Well-led

Asking what matters

The Mum Test

Is it good enough for my Mum?

Safe?

Effective?Well led?

Responsive?

Caring?

Progress (1/4)

Co-production Group established – three meetings held, more scheduled

Planning for round table events – discussion about key issues with interested parties e.g. accreditation

Andrea’s weekly blog – regular information about progress (and other interesting stuff!)

Maintaining regular communications with individuals and groups

Communication

Progress (2/4)

Developing new methodology – lines of enquiry, judgement framework, guidance, documentation

Planning for first wave

264 locations (1%)

Size, geography, service type, expectations

Creating new Adult Social Care Directorate

Establishing Academy – learning & development for staff

Progress (3/4)Provider Handbook : Adult social care

Overview document – neutral position on c

Overt surveillance seeking views

Three handbooks: residential, community based services, hospices

Proportionate inspection frequency - 0 - 24 months

Proportionate inspection teams – many still single inspector

More experts by experience – part of reaching a judgement

Provider Information Return

Questionnaires for community services – including health and social care professionals and staff

Data packs to support inspection planning and visit

Some KLOEs but also some LOEs – testing in wave 1

Many common LOEs but some tailored to reflect differences in residential, community and hospice services

•

Progress (4/4) A common approach to ratings

The ratings guidance applies across sectors.

Ratings are based on what we find at inspection, what people tell us, intelligent monitoring data, and local information from the provider and other organisations.

Four – point scale: outstanding; good; requires improvement; or

inadequate.

Rate five key questions.

Timetable

Co-production and development to shape consultation proposals

Oct 2013 – March 2014

Consultation on regulatory approach, ratings and guidance

April 2014

Wave 1 pilot inspectionsApril – May 2014

Evaluation; guidance and standards refined

July – Sept 2014

Wave 2 pilot inspections including initial ratings of some services

June 2014

Oct 2014

New approach fully implemented and first ratings published

March 2016

Every adult social care service rated

Timetable

Co-production and development to shape consultation proposals

Oct 2013 – March 2014

Consultation on regulatory approach, ratings and guidance

April 2014

Wave 1 pilot inspectionsApril – May 2014

Evaluation; guidance and standards refined

July – Sept 2014

Wave 2 pilot inspections including initial ratings of some services

June 2014

Oct 2014

New approach fully implemented and first ratings published

March 2016

Every adult social care service rated