Joining up scrutiny of adult social care and health services

Rosie Lawrence

Senior Inspector

SDS Values and Principles

• Choice - for all accessing support

• Control - as much or as little as wanted

• Dignity and respect

• Fairness and transparency

• Rights –and responsibilities

• Safety - but not over protection

How are you doing

• Is your service is tailored around the individual’s support needs and outcomes rather than the individual ‘fitting into’ an existing service?

How do you know

• How do you organise the initial contractual arrangement with the client?

• Can you show that you prioritise the best interests of people using the service over commercial interests?

• Are your staff adequately trained and supervised and working in a way which promotes empowerment?

• How do you measure how well you are supporting people to meet their outcomes

How will we know

• Role of assessment staff in agreeing outcomes with the person

• How are care and support plans developed

• How are plans reviewed

• Who is involved and has the greatest say ?

Background

• Scottish Government policy developments

• HIS and Care Inspectorate Corporate Plans

• Learning from Multi agency inspections

• Crerar

• Improving outcomes

Joint Inspection of adult health and social care services

• Integration of health and social care

• Promoting and supporting independence

Joint Inspection of adult health and social care servicesKey Questions

• How well are their lives improving

• How well do partners work together to improve the heath and quality of life of adults and older people

• How well do partners lead and improve the quality of their work and achieve better outcomes for adults and older people

Joint Inspection of adult health and social care services

• Impact and outcomes

• Strategic planning and commissioning

• Governance, leadership and accountability

• Use of performance management and resources to deliver service

improvement

Joining up scrutiny

• Model of inspection –engaging with supported people, independent organisations

• Workforce - are they supported and empowered?

• Strategic commissioning – is it based on what people want?

• Assessment and review - is there a focus on outcomes .

Joint Inspection of adult health and social care services

• Scrutiny footprint

• Desk based analysis

• Targeted scrutiny activity

• Public reporting