1 The future of adult social care regulation Lynda Laney and Suzy Tucker. Inspectors

Working to improve quality of care Staff Providers Regulators Commissioners Together Public

CQC purpose and role Our purpose We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve Our role We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find, including performance ratings to help people choose care 3

The Mum (or anyone you love) Test Is it good enough for my Mum? Is it safe? Is it caring? Is it effective? Is it responsive to people’s needs? Is it well-led? 4

What we do: Set clear expectations Monitor and inspect Publish and rate Celebrate success Tackle failure Signpost help Influence debate Work in partnership Regulation to inspire improvement

How we do it: Five key questions Respond to concerns Key lines of enquiry Specialist inspectors Experts by experience Ratings characteristics Reports Enforcement Regulation to inspire improvement

Inspecting learning disability services Safe Safeguarding. Risk assessments. Positive risk taking. Supporting people whose behaviour may challenge services. Accidents and incidents. Staffing levels. Recruitment. Medicines. Managing people’s finances. Premises. 7

Inspecting learning disability services Effective Staff skill and knowledge. Induction, training and supervision. Bespoke training. Staff ability to communicate with people. Mental Capacity Act and DoLS. Eating and drinking. Health and adaptation of premises. NB. New care certificate 8

Inspecting learning disability services Caring Staff approach and relationships Response to Equality and Diversity Involving people Communication as a 2 way process, presenting info and listening. Advocacy Confidentiality, privacy and dignity. 9

Inspecting learning disability services Responsive Person centred care. Assessment, planning and review. Activities, interests, education, work. How are people involved in the community? Concerns and complaints. How do you know if a person is unhappy? What do you do with that? Transitions between services. 10

Inspecting learning disability services Well-led Culture of the service. Vision and values. Management and leadership. Openness and transparency. Responsibility and accountability. Community links. Auditing processes. Quality of service and keeping up to date with developments in your field. 11

Inspecting learning disability services. Before the visit. PIR. Any notifications, concerns or enquiries. Contacting external professionals. Consider using experts by experience, specialist advisors, pharmacy inspectors or additional inspectors. Decide whether to announce the visit. 12

Inspecting learning disability services. On the day. Pathway tracking. Observations (SOFI). Talking to people, relatives, carers and advocates. Talking to staff and managers. Records. 13

Reporting on learning disability services Easy Read. Mental Capacity Act & DoLS. KLOES. One page summary. Rating. Factual accuracy process. 14

15 New for April 2015 Fundamental standards Fit and proper person requirement Duty of candour Special measures Scores on the doors Market oversight

16 Scores on the Doors Purpose Public able to see rating of service quickly and easily Actions for providers Display ratings in service and website Suggest accompany with additional information CQC Will provide template Inspection – check that rating is displayed

17 What are we finding? Outstanding Good Requires improvement Inadequate (1%) 2516 (58%) 1448 (33%) 342 (8%)

Outstanding care 18 ‘People’s preferences, likes and dislikes had been recorded and responded to by supporting people to achieve new targets and live life to their fullest ability.’ ‘People went on exciting trips and experienced adventurous holidays.’ ‘The registered manager told us she had a good staff team who had always responded to her challenge with innovative ideas.’ Ling Crescent

Another outstanding care home "We didn't think we were outstanding. And perhaps that's why we were – I think it's because we see every single person as an individual. It is our privilege to support them to live the last years of their life with as much happiness, love and security as we can give them." Suzanne, Prince of Wales House, Ipswich 19

20 Thank you and any questions.