1. Dignity Matters
Jamie Rentoul, designate Director of Regulation & Strategy
Care Quality Commission
25 November 2008

2. Ensuring better care for people
Current strap line for CQC – open to offers if staff can think of a better one.
CQC will touch the lives of every family in England. 2

3. What is CQC ?
You are CQC.
CQC brings together three Commissions, all of which have a great track record and which have done / are doing some great work.
Today is about growing into one organisation – coming together.

4. What is CQC?
We will bring together and build on the excellent work of three commissions
As a new, combined and powerful regulator across health and social care, our work will touch the lives of everyone in England at some point
People who use services, their families and carers will be at the heart of everything we do
Talk through / elaborate on bullet points – this is what will make CQC special.
You all have a copy of the manifesto in your delegate packs and on your table. Everything we do over the next few years is about turning the manifesto into reality.

5. The CQC model of quality care
Safety and safeguarding
Outcomes, including clinical outcomes
Experience of people who use services
‘Functionality’, independence and quality of life
Access to services
Making best use of our resources
CQC quality model has six aspects.

6. Our values Put the people who use services first
Be independent, expert and authoritative
Champion joined-up care
Work with service providers and professions to agree definitions of quality
Be visible, open and transparent

7. Building on success – key functions
Registration
Provider assessment
Risk-based inspection
New enforcement powers
Commissioner assessment
Trusted, accessible information
Gatekeeping role
Knowledge to influence policy

8. How can CQC play its part in promoting dignity in health and adult social care?
Current strap line for CQC – open to offers if staff can think of a better one.
CQC will touch the lives of every family in England. 8

9. How do people define dignity?
Not being given food or help with eating/drinking
I don’t believe it.!!!
Being spoken about as if they were not there
Being placed in a mixed sex accommodation
Not seeking their consent and/or not following their wishes
Not being given proper information
Lack of protection of personal property including personal aids – hearing or visual
Being addressed in an inappropriate manner
Being subjected to abuse and violent behaviour
Being left in soiled clothes
Being in a noisy environment at night thus causing lack of sleep
Being left in pain
Being exposed in an embarrassing manner
Having to use premises that are unclean and smelly – toilet and wards
There is no standard definition of ‘dignity’.

10. How good is existing care?
‘State of social care’ – personal dignity & respect:
74% of councils ‘good’ or ‘excellent’;
88% of care homes meet relevant standards.
Surveys of people in healthcare settings:
78% always treated with dignity in acute hospitals;
Over 80% treated with respect & dignity in community mental health services;
93% of those seeing a GP treated with dignity ‘all of the time’; but…
20% of those needing help to eat did not get it;
Significant proportion still sharing accommodation when first admitted or sharing bathrooms later on;
Considerable variation between providers of care.

11. Dignity in care – the golden thread
Dignity is an integral part of providing care in any care setting.
Dignity is central to the personalisation agenda.
Maintaining dignity does not always require resources, small changes can make a big difference to people.
Dignity is fundamental to CQC’s human rights based
approach

12. Caring for dignity – building blocks
Involving people in their care
A culture focussed on delivering personal care in a way that ensures dignity for the person using services
A workforce that is equipped to deliver good quality care
Strong leadership at all levels
Supportive environment
Source: “Caring for Dignity”, Healthcare Commission 2007

13. Who has a role in improving quality?
PROMs
National Quality Board
NHS Litigation Authority
Commissioning
ADASS
Other Regulators
Performance Management
Commissioners
GMC
Staff
Darzi review
NPSA
RIEPs
3rd Sector
NHS Constitution
NMC
E&D
GSCC
Audit Commission DH
LAA
Improvement Agencies
Quality observatories
DCLG
CAA
Quality Framework
SCIE
NICE
Quality Accounts
JSNA
Human Rights
JIPs
Providers
NHS Choices
Personalisation
Professional accreditation
Political landscape

14. Topics for registration requirements
Department of Health consultation:
Making sure people get the nourishment they need
Making sure people get care & treatment in safe, suitable places which support their independence, privacy & personal dignity
Using equipment that is safe & suitable for people’s care & treatment and supports people’s independence, privacy & personal dignity
Involving people in making informed decisions about their care & treatment
Responding to people’s comments & complaints
Supporting people to be independent
Respecting people and their families & carers – people’s privacy, autonomy & dignity are safeguarded and their human rights & equality are respected. Where appropriate, people are assisted to maintain their private and family lives and social support networks

15. How can regulation help?
Giving people using services & their carers a stronger voice
Ensuring that all providers meet registration requirements
Assessing performance of all providers
Assessing performance of Local Authorities and Primary Care Trusts as commissioners of care
Giving people trusted information that helps them & their carers make decisions on their care
We need your help to ensure our work reflects what is important to people

16. ?
Your questions