ACEVO Health and Social Care Conference - David Behan
1. ACEVO Conference
25 March 2014
David Behan
Chief Executive, Care Quality Commission
“A new approach to inspecting adult social care services”
2. 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
3. Asking the right questions about
quality and safety
Safe
Effective
Caring
Responsive to
people’s needs
Well-led
4. Asking what matters
The Mum Test
Is it good enough for my Mum?
Safe?
Effective?
Well led?
Responsive?
Caring?
5. 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
6. 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
7. 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
8. 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.
9. 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
10. 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
Editor's Notes
Background
Strategy 2013 - 2016 Raising standards, putting people first, published April 2013
June 2013 First of a series of consultations on significant changes –
Principles of new model for all care services
Detail of NHS intelligence model, inspection and ratings
Regulations underpinning the changes
Further consultation in October 2013 on further detail and guidance on NHS regulation, fundamentals of care
Co-development, engagement and further consultation throughout
Safe - People are protected from physical, psychological or emotional harm.
Effective - in line with nationally-recognised guidelines. Improving health or independence.
Caring - People are treated with compassion, respect and dignity and that care is tailored to their needs.
Well-led - effective leadership, governance and clinical involvement at all levels. Open, fair and transparent culture. Using people’s views to make improvements.
Responsive to people’s needs - treatment and care at the right time, without undue delay, and that they are listened to in a way that responds to their needs and concerns.
