An update from CQC Debbie Ivanova DCI South and London Regions 1 1

Our purpose The Care Quality Commission is the independent regulator of health and adult social care in England. We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

Shaping the future: CQC’s strategy 2016 to 2021 A changing environment Use and delivery of regulated services is changing CQC must deliver its purpose with fewer resources Adapt and improve We want to become more efficient and effective to stay relevant and sustainable for the future The public, and organisations that deliver care, have told us we have improved but we know there is more to do Strategy Slides - 24 May 2016 - MASTER

Four priorities to achieve our strategic ambition Our ambition for the next five years: A more targeted, responsive and collaborative approach to regulation, so more people get high-quality care Encourage improvement, innovation and sustainability in care Deliver an intelligence-driven approach to regulation Promote a single shared view of quality Improve our efficiency and effectiveness Strategy Slides - 24 May 2016 - MASTER

Our next phase of regulation We plan to update our approach and assessment framework to reflect the changing provider landscape Two consultations on these changes: December 2016/17 (now closed) and Summer 2017 more integrated approach that enables us to be flexible and responsive to changes in care provision more targeted approach that focuses on areas of greatest concern, and where there have been improvements in quality greater emphasis on leadership, including at the level of overall accountability for quality of care closer working and alignment with NHS Improvement and other partners so that providers experience less duplication 5

Consultations on our proposed changes to inspections 20 December 2016 – 14 February 2017 New care models and complex providers Cross sector changes to assessment frameworks Updated guidance for registration of learning disability services Changes to Hospitals inspection methodology Summer – Autumn 2017 (TBC) Changes to Adult Social Care inspection methodology Changes to Primary Medical Services inspection methodology Changes to registration Clarifying guidance on Fit and Proper Person Requirements Regulating place-based models of care How we rate large and complex providers NHS Improvement consultation on Use of Resources and ‘well-led’ has also now been closed 6

Consultation 2: adult social care inspection methodology Our next consultation will cover a range of areas, including the end to end process for inspecting adult social care services Specific focus on how we will encourage improvement in services that are repeatedly at requires improvement Improved processes for inspecting services providing care to people in their own homes Our effectiveness and consistency of how we use our enforcement powers 7

Consultation 2: registration Outlines the principles and proposal to register providers at the level of the ‘guiding mind’ Proposes changes to how the register will record the services that providers are registered to deliver Describes what this means for new models and complex providers We will also be consulting on our proposed changes to primary medical service inspections, ratings, combined providers, quality in a place and FPPR 8

Quality matters: a collective effort The public – people who use services, families and carers Staff – capable, confident and supported Providers – culture, organisation, expectations Commissioners and funders – expectations of quality Regulators – monitor, inspect, rate, take action, celebrate

Quality Matters: ambition Champion the importance of high-quality care and support Have a shared understanding of what good quality care is and what needs to be done to improve it Agree shared priorities for quality improvement and a shared commitment to taking collective action to address them Foster stronger and more effective partnerships Collective action that creates the conditions for improvement See an improvement in quality that makes a real difference to the lives of people using adult social care

Quality Matters: a shared view of quality for health and social care Person-centred high quality care for all Safe Effective Caring & Responsive (positive experience) Sustainable use of resources Well-led

Quality Matters: learn from the best People are at the centre and staff want them to have a life not just a service Good leadership extends beyond the manager and values are shared to inspire staff Transparent, open culture with people who use services, staff, families, carers and partners Strong links with local community Creative and innovative A can do, will do attitude – staff dedication Safe care actively promoted Always looking to improve Focus is on people not the regulator!

Adult Social Care Deputy Chief Inspector London and South Thank you www.cqc.org.uk enquiries@cqc.org.uk @CareQualityComm Debbie Ivanova Adult Social Care Deputy Chief Inspector London and South 13