The document discusses two presentations from the Care Quality Commission on improving oversight of care services. [1] It summarizes the findings of reviews that found people staying in hospitals when they did not need to be and actions taken to improve community services. [2] It outlines the CQC's role in enforcing standards and inspections under a new joint program to move people out of hospitals and into community support. [3] Finally, it discusses the CQC's strategic review that aims to regulate different services tailored to their needs and strengthen relationships with the public, providers, and partners.

1. Care Quality Commission –
Finding a Better Way
Ann Ford: Head of Regional Compliance
Dot Metcalf : Quality and Risk Manager

2. CQC Finding a Better Way
• After Winterbourne and the Joint Programme of Action -
Dot
• CQC General Update and Strategic Review - Ann

3. After Winterbourne
•Inspections of Castlebeck services
•The Learning Disability review (150
services) found many people in
“hospitals” who did not need to be
there or stayed too long
•Steering group involving people
who use services, advocates and
family carers
• Followed up with action to improve
•Working with other stakeholders
and waiting for the DH to report.

4. DH Review and the Joint Programme
of Action –Dec 2012
Based partly on our LD review the DH review highlighted
 Widespread failure to design, commission and provide services
which give people the support they need close to home
 Hospitals are not where people should live
The joint programme of action
 Many actions for commissioners in reviewing individual needs and
planning and commissioning services
 Initiatives from government, providers and professional bodies to
improve the experiences of people with learning disability and
challenging behaviour.

5. CQC „s Role in the Joint Programme
Some key points
• Tough enforcement of standards of quality and safety
(including staff suitability).
• The “model of care” is part of the inspection and
registration of relevant services.
• Revised “guidance on compliance” due in 2013 and linked
to revised regulations
• Chief Exec will continue the stakeholder group created for
our LD review and use it to shape our work.
• Mental Health Act Commissioners will continue to visit the
most vulnerable and work to protect their rights.
• Sharing information.
• (Also we have followed through in detail the
recommendations of the Serious Case review).

6. CQC Finding a Better Way – General
Update
• We have more inspectors
• We are doing more inspections
• More expertise available for inspections.
• Better information for stakeholders – updating our website.
• Seeking information from people who use services
• Responding effectively to “whistleblowers”.
• Bringing dentists and now GPs into our inspections.
• We have a new Chief Executive
• Look out for our “regional road shows” in May
• Look out for Local Healthwatch – starting in April
• We have undertaken a strategic review with the
involvement of all our key stakeholders

7. CQC Finding a better way – The
strategic review
We have involved our key
stakeholders
7

8. Strategic review - Future Directions
• Regulating different services in different ways
• Strengthening the way we work with strategic
partners
• Build better relationships with the public
• Build our relationships with people who provide
care
• Strengthen our responsibilities around mental
health and mental capacity
• Work towards high performance and a better
understanding of our own effectiveness.

9. Any Questions?
???

10. Get in touch with us
03000 616161
enquiries@cqc.org.uk
www.cqc.org.uk