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1

Regulatory reflections, prospects and priorities

Andrea SutcliffeChief Inspector of Adult Social CareNCAS, 31 October 2014

9

Hello from David Behan

2

Our 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

2

3

The Mum 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?

5

New approach to inspection

Ratings

Market oversight

Supporting staff

Building confidence

Chief Inspector ASC: Priorities

6

Delivering on priorities (1)

A New Start

June 2013

Adult Social Care

Services signposting document Oct 2013

New ASC directorate

April 2014

Wave inspections

***

ASC co-production groups/ task and

finish groups/ roundtable groups

***

Public steering groups/focus groups

***

Provider and public online communities

ASC provider handbook

consultations April to June

2014

7

Delivering on priorities (2)

KLOES & Ratings

published September

2014

New approach

inspections rolled out October

2014

State of Care

Cracks in the Pathway

First Ratings

October 2014

New regulations including Fit and Proper Person and

Duty of Candour

introduced

April 2015

All ASC services rated by

March 2016

8

So what are we finding?

9

State of Care 2013/14: Variation

10

Adult social care

11

Dementia report: Cracks in the Pathway

The quality of dementia care is variable – not everyone is meeting the standards we expect

Across more than 90% of care homes and hospitals visited, we found some variable or poor care

Transitions between services should be improved

People are likely to experience poor care at some point

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Dementia report: Cracks in the Pathway - Findings (1)

13

Dementia report: Cracks in the Pathway – Findings (2)

14

Dementia report: Cracks in the Pathway – Findings (3)

15

First inspections and ratings

Outstanding

Good

Requires improvement

Inadequate

 

 

 

 

0

21

3

3As at 30 October 2014

9

Embedding our methodology

Corporate providers

Market oversight

Different models e.g. supported living

Special measures and enforcement

Next steps for CQC

9

Power of the Mum TestImportance of co-production

Reflections (1)

6

Reflections (2)

CQC has really changed

9

Social care is important……but really challenged:

ExpectationsDemand Resources Scrutiny

Reflections (3)

9

Stand up for adult social care

Priorities for social care leaders

And…always remember why we do this

Celebrate the good

Challenge the bad

Be positive and honest

Work together

10

Always remember why we do this

Copyright: Community Care

10

Always remember why we do this

Copyright: Community Care

10

Always remember why we do this

Copyright: Community Care

10

Always remember why we do this

Copyright: Community Care

10

Always remember why we do this

Copyright: Community Care

10

Always remember why we do this

Copyright: Community Care

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

@CareQualityComm

Andrea Sutcliffe Chief Inspector of Adult Social Care

@CrouchEndTiger727

Thank you

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