1. Improving Lives in Our Communities Leading through the CQC Inspection Process

2. Improving Lives in Our Communities Plan for this session Presentation: the story so far Facilitated table top discussions: Our roles as leaders in preparing for the inspection in March How do we know that we are leading well? How do we embed learning across our Trust? What do we need to do and what help do we need to do it? Feedback and final comments

3. Improving Lives in Our Communities The story so far – NHS Inspections Last three years – change in inspection model to regain confidence in the CQC following North Staffs, Winterbourne View and Morecambe Bay New fundamental standards – legal requirement to comply with these New inspection model – team of inspectors over a week with follow up inspections as required Overall rating for Trusts – same as Ofsted

4. Improving Lives in Our Communities The Big Picture – some numbers As at 22 October 2015 the CQC had carried out comprehensive inspections on: 113/138 (82%) acute non-specialist NHS Trusts / Foundation Trusts 8/18 (44%) acute specialist trusts / Foundation Trusts 15/18 (83%) stand alone community health trusts 4/10 (40%) ambulance trusts 42/56 (75%) mental health trusts Source: CQC CEO Board Report 22 Oct 2015

5. Improving Lives in Our Communities The Big Picture… By the end of September 2015 the CQC had issued 143 ratings: Source: CQC CEO Board Report 22 Oct 2015

6. Improving Lives in Our Communities The Big Picture…… Source: CQC CEO Board Report 22 Oct 2015

7. Improving Lives in Our Communities State of Care – CQC annual report Key findings: Increased pressures: changing care needs and financial demands Variation in quality: by geography, patient group (including condition, ethnicity or social group) and between services within the same provider Data and Transparency: Data needs to be accurate to provide assurance to the organisation and to help us learn, transform and improve

8. Improving Lives in Our Communities State of Care – CQC Annual Report Safety: 13% of hospitals, 10% of social care and 6% of primary medical services were rated as inadequate for safety: failure to investigate incidents properly ineffective safety and risk management systems concerns about staffing numbers and skill mix concerns about skills, training and supervision and support Staffing: Having the right number of staff and skill mix with the right skills and relevant training were all considered critical to delivery of high quality care

9. Improving Lives in Our Communities State of Care - Leadership Where leadership was strong, safe, effective, caring and responsive care tended to follow. Excellent leadership noted as: Leaders visible and who engage widely with people that use their services and their staff Leaders who promote a strong safety culture Leaders who put strong governance systems and processes in place and who plan their resources well 94% of services rated good or outstanding were also good or outstanding for their leadership 84% of services rated as inadequate overall were inadequately led

10. Improving Lives in Our Communities CQC Areas to focus on and develop: Build a collaborative culture that reaches out to people who use the services and engages with all staff to ensure a shared vision and ownership of the quality of care they deliver Be open and transparent and learn from mistakes, ensuring data and information is to hand to make good decisions Ensure that services have the right staff and skill mix in place to ensure that care is always safe

11. Improving Lives in Our Communities What does this mean for us? We are one of the last three Community Trusts for inspection The process is now well established and the inspectors will know a lot about us before they visit We can learn a lot from inspection reports about other Trusts

12. Improving Lives in Our Communities Table discussions Facilitated discussion based on some statements made by CQC about a community trust that they inspected earlier this year Think about whether this could be said about your service – is there something you could do about this? Is there something you need help with to address? We will as for some feedback from each table – please make notes as you have your discussion

13. Improving Lives in Our Communities Feedback from tables

14. Improving Lives in Our Communities Conclusion Compliance with the CQC regulations is the right thing to do – we just need to prove it in March Keep CQC high on the agenda with your teams so that everyone knows about what to expect Be proud of what we do well and open and honest about where we need to improve and what we have planned to carry out that improvement