Registered Managers’ Networks in the South West: Leadership Event Part 1: Better Leadership, Better Care: Strengthening leadership for yourself and your teams Debbie Sorkin National Director of Systems Leadership, the Leadership Centre Emerson’s Green Village Hall, Bristol, 24 th October 2014

Better Leadership, Better Care: Strengthening leadership for yourself and your teams Introduction Why leadership matters in social care Why it’s especially important now – for everyone in social care How to make leadership real What happens when leadership goes wrong What happens when leadership goes right: how you can strengthen your own leadership and drive a leadership culture in your service: practical (and non-costly) things you can do Everyone has a part to play: leadership starts with all of us

Why leadership matters in social care “The sector needs high-quality leadership at all levels…[it] is essential to the delivery of all the proposals in this White Paper.” Caring for our future: reforming care and support, July 2012 “Strong and collaborative leadership, nationally and locally, is a key condition to achieving better outcomes [for Service Users].” Independent Service Transformation Challenge Panel, 2014 “[Social Care] lacks confidence. As a result it is timid in its vision and ambition for how adult social care services can be delivered.” Social Care: A Review. Dame Denise Platt, 2007

Leadership is important because some traditions die hard…. All photos © NSA for Social Care and Skills for Care

And leadership is especially important now – for everyone in social care Unprecedented mix of growing demand, funding cuts and changes in organisations External environment characterised by increasing complexity – more stakeholders and audiences Struggle to match growing demand with smaller resource pot: e.g. £3.53bn taken out of social care budgets (ADASS survey 2014) At the same time, changes in public expectations – personalisation, co-production, independent living And social care is never credited for what it does – e.g. “There is too much awful care that is actually happening.” (CQC Oct 2014)

In times of change/difficulty, good leadership can be a lifeline To help you manage the funding pressures – at just the time demand is growing: both private and public sector issue To help you do more – and more complex - with less To be comfortable working with a wider group of stakeholders – CCGs, public health, personal budget holders, housing, planning To be able to work with adaptability/innovation - reconfiguring services, working with new client groups, providing flexible care models To re-inculcate the old virtues and values – dignity, compassion – emphasised especially post-Winterbourne, Mid-Staffs: see Cavendish Review, Driving Up Quality Code, Oldham Review

And we know it works – that leadership is synonymous with quality Research base:Skills Academy 2012“Who Cares?” research survey: 94% of respondents linked quality of leadership with quality of service 93% wanted more investment in leadership Policy context:“Delivering the vision demands a capable and well-trained workforce...[and increased] leadership capacity in order to deliver...” A Vision for Adult Social Care, November 2010 Anecdotal evidence:Biggest variable in staff feeling empowered and engaged is the quality of management

So…how do you make leadership real in social care? Think of a good leader that you know. Then think of one word that would describe them.

Answer: you ground leadership in behaviours Not just about authority at the top of organisations It’s a practical understanding – and awareness – about how you do what you do, and the impact on others So it’s about behaviours, and taking responsibility for them And it’s everyone’s business – people working at all levels in all sectors “People do not experience our values, they experience our behaviours” Bill Mumford, CEO, MacIntyre

On the basis that things can only get better….what happens when leadership goes wrong? Think of some examples you’ve had, or seen, where things when wrong: where better leadership would have made a difference. What happened? What were the knock-on effects?

When leadership goes right: how you can strengthen leadership The Leadership Qualities Framework Guide to what good leadership looks like Describes what good leadership looks like in different settings and situations Defines good leadership for people at different levels: o Front-line staff o Front-line leaders o Operational leaders o Strategic leaders Basis in values and behaviours that flow from them: written in plain English to be as accessible as possible Applicable in integrated services/settings

The Leadership Qualities Framework: how it works Based on structure of NHS Leadership Framework Groups behaviours into seven areas, called Dimensions Five Dimensions relate to areas in which all social care professionals need to demonstrate leadership Two apply specifically to senior staff Each Dimension has four elements The LQF takes each element and gives a short description of what quality leadership looks like at different levels

The Leadership Qualities Framework: how it can help you Use the descriptions that show what good leadership looks like at different levels of your organisation – e.g. for safeguarding or managing Use these in recruitment, induction, supervision, performance management and appraisal Use online self-assessments for benchmarking: 360° feedback tool: 1:1 organisational assessment – to measure, track and strengthen leadership capacity The LQF is mapped to CQC ‘Well-led’ inspection criterion and the Social Care Commitment: so use it as part of the inspection process

Example: Using the LQF to strengthen people management Dimension: Managing Services/Managing People Front-line Worker Supports colleagues, service users, families and carers to deliver high quality care and support. Is approachable, engenders trust and quickly builds rapport with others Front-line Leader Models and encourages staff to enable service users to gain real control over their care. Guides, directs and supports colleagues...personal style that engenders trust Operational Leader Maintains a personal style that gets the best out of others across the service...builds supervision and review processes that reinforce continuous improvement Strategic Leader Models exemplary behaviour that gets the best out of others, being prepared to lead cultural change needed

How you can strengthen leadership: Actively recruit and select for leadership behaviours and social care values Online toolkit for employers and managers Aims to place values-based recruitment in everyone’s reach Explains the approach and what it means for social care Examples of job ads Examples of interview questions Evaluation of personality profile tool and examples Link to LQF and other information sources

How you can strengthen leadership: See leadership as for everyone, see it as a craft, and develop it “...there are certain aspects that must be there in any leader: intelligence and emotional intelligence are two aspects, but you can teach skills, you can give people opportunity to develop leadership confidence. “ “So while you do need some basic core principles and values and intelligence, you can teach leadership.” Commodore Jake Moores, Head of Royal Naval College, Dartmouth: Skills Academy Seminar Series for Senior Leaders.

How you can strengthen leadership: Focus on behaviours and use coaching/ reflective approaches Examples: Future Directors: Joint Programme across health, social care, public health and children’s services Lead to Succeed: NSA Programme Elizabeth Garrett Anderson: NHS Leadership Academy Programme “I am now constantly assessing my own practice and have the means to better myself, which in turn creates a happier, smoother workplace, which most importantly improves the quality of service we offer.”

How you can strengthen leadership: Get involved in the national Registered Managers’ Programme © Everyday Excellence, 2013

How you can strengthen leadership: Get involved in the national Registered Managers’ Programme

How you can strengthen leadership: Measure something Use any of the seven Dimensions and the behaviours described in them You don’t need to be an academic or have a research grant Ask your Staff, Service Users and Carers/Relatives What is interesting to you? If you measure something interesting, you’ll find something interesting Just start – be a ‘positive deviant’

How you can strengthen leadership: Recognise, celebrate and influence: stand up for social care WorldSkills 2013 UK National Final Medal Winners, Caring Competition

How you can strengthen leadership: Recognise, celebrate and influence: stand up for social care Social care as key driver of local economies Social care as growth sector Social care as local employer Social care as community hub/link Social care as source of innovation Social care as source of good news stories for local media/MPs/ CCGs/Councils/ Health and Wellbeing Boards Social care staff as people to be celebrated

Summary: You can make leadership part of what you do every day Leadership is about behaviours: taking responsibility for your own practice and addressing poor practice elsewhere. It follows that leadership can support great service quality, embedding it as everyone’s business You can use the Leadership Qualities Framework and Leadership Starts with Me to instil and embed leadership behaviours which actively promote quality There are lots of other free online tools and techniques to help you There is a national Registered Managers’ Network for you to join You can embody what good leadership behaviours look like right here, right now You can instil a high quality culture through celebrating great social care

Everyone has a part to play: Leadership is about all of us. Because everyone can do something about changing what they do and how they do it. So everyone can be a leader to some degree. Everyone can have a go, and everyone can make a difference. And everyone can be a force for change and a force for good.

What next: Thinking about your own leadership On the basis of what you’ve heard: Think of what you’ve been doing right in your leadership. Then think of one way you’re going to extend it, or try something new.

The Leadership Centre – more information The Leadership Qualities Framework for Adult Social Care, Leadership Starts with Me and Everyday Excellence are all © the National Skills Academy for Social Care and Skills for Care.