RM network Marianne Davis

Good and outstanding care Guide Recommendations and practical examples from CQC regulated services One of the most frequent questions Skills for Care has been asked since the CQC revised their inspection process in 2014 has been, “how do we achieve good or outstanding?” Meeting the “CQC Fundamental Standards for Quality and Safety” is essential for all regulated services. However, the CQC does not produce any “how to” guides … leaving some services unclear about what is considered good and best practice Building on some limited examples shared by the CQC and others across the sector from their own CQC inspection, Skills for Care has looked closely at the CQC inspection process and what is being recognised and celebrated as good and outstanding care. Meeting and exceeding the CQC standards is something that not only should be celebrated across the organisation … but across the sector. Good and outstanding organisation can help set future standards and show practical (and often cost effective) ways for others to strengthen their own care and support.

What does Good and Outstanding ‘Safe’ look like Safeguarding Managing risk Staffing Medicines Cleanliness, infection control and hygiene

Exercise On the Flip chart paper all share what you are doing around the key area of practice As you write this down describe how you would evidence this

What does Good and Outstanding ‘Safe’ look like The registered manager had developed a culture in the service that considered imaginative ways to manage risk and increase people's opportunities. Each situation and opportunity was assessed for how it would enhance the person's quality of life and what the potential risks were. What steps are you taking to empower the people who you and your team work with?

Why is this important? Regulated services need to meet the CQC standards Delivering good / outstanding care is essential to the continued success of services Practical solutions and building on existing good practice is a route to success Common mistakes can damage reputation “I firmly believe that prevention is better than cure. It is important that we keep on top of our customers’ welfare and health needs.” Whilst the majority of services are rated Good and Outstanding, those rated Requiring Improvement or Inadequate will need to improve or risk closure. For some, learning about common recurring issues often picked up by inspectors will help avoid similar issues. For others, more fundamental changes will be required such as culture and leadership changes With the CQC completing their inspection of all adult social care services using their new approach, Skills for Care believed it was the right time to share learning and showcase what works, what doesn’t and how services can review their practice to put them in a strong position to achieving or exceeding the Fundamental Standards In preparation for new guidance and support, we discussed good and outstanding practice with 100+ services including a series of focus groups and discussions with Registered Manager Networks. We also reviewed 250+ CQC inspection reports, including all services rated Outstanding up to January 2017 + a selection of reports rated Good, Requiring Improvement or Inadequate.

What’s available? Guide Workbook Films Our new Good and Outstanding Care resources are practical tools to provide insight for CQC regulated services Good and outstanding care Guide This free downloadable guide available from the CQC Regulations section of the Skills for Care website includes; Focus on 26 areas of care across the 5 key questions covered by CQC inspection Evidence of practical solutions from a wide range of services Examples of how successful services plan for CQC inspection and celebrate successes Good and outstanding care Guide: Workbook Edition Exclusively available for Registered Managers renewing their Membership, this includes; Hard copy of the Good and outstanding care Guide + prompts and checklists to help compliance and identifying areas for improvement Membership is available for £35 per annum and includes additional resources, comprehensive monthly newsletters and wider discounts on other Skills for Care resources Films + “Spotlight On” Case Studies Focusing on four services rated Good or Outstanding, the films show the impact delivering high standards of care have on the managers, staff, people who need care and support … and wider community

What’s included Recommendations, tips, practical examples … and what to avoid The guide and workbook key content includes insight into 26 care themes including; Safe - safeguarding, risk assessments staffing levels, medication Effective – recruitment, induction, continued development, health and wellbeing Caring - kindness and compassion, involving people, dignity and respect Responsive – care plans, individual needs, complaints and concerns, Mental Capacity Act, End of life care Well-led – vision and values, visibility, leadership, staff support, community and partnerships, continued improvement etc. Each of these section includes Recommendations drawn from recurring good practice seen in reports and advised by services Practical examples of how the service has achieved this, many of which have been singled out by CQC inspectors Examples of the comments given to CQC Inspectors and documented in their reports to back up the rating they have awarded A list of the most frequently recurring issues that lead to a poor inspection rating A list of products and services available to help you to better understand the issues and plan future improvements These themes can all be accessed in the main guide and workbook edition … but employers can also use Care Improvement Works to select those most relevant to their needs

Guide, workbook, films, examples, support All latest resources are available from www.skillsforcare.org.uk/go As the CQC continues to refine their inspection process and what they look at with providers, Skills for Care will periodically update our guide We are always looking for Good and Outstanding services to celebrate and if you have something you wish to share that will enhance future versions of this guide, let us know via information.team@skillsforcare.org.uk www.skillsforcare.org.uk/go www.careimprovementworks.org.uk