1. The current state of adult social care – how resilient is it?
Andrea Sutcliffe, Chief Inspector Adult Social Care
Principal Social Worker’s Network
21 July 2017 1 1

2. 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
Strategy Slides - 24 May MASTER

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

4. The State of Adult Social Care
Not good enough
Yes!
Source: State of adult social care services 2014/17. CQC ratings data 5 May Numbers show total active locations rated

5. The State of Adult Social Care: by key question
Source: State of adult social care services 2014/17. CQC ratings data 5 May Figures in bars are percentages.
Source: State of adult social care services 2014/17

6. The State of Adult Social Care : by key service type
Source: State of adult social care services 2014/17. CQC ratings data 5 May 2017.
Source: State of adult social care services 2014/17

7. Current overall ratings by size and type of care home
Source: State of adult social care services 2014/17. CQC ratings data 5 May 2017. 7

8. Current overall ratings by size of domiciliary care service
Source: State of adult social care services 2014/17. CQC ratings data 5 May 2017. 8

9. Re-inspection of inadequate services – all providers
686 originally rated inadequate 9

10. Re-inspection of requires improvement services
3,951 originally rated requires improvement 10

11. Re-inspection of good and outstanding services
1,830 originally rated good
8 originally rated outstanding 11

12. What can we do about it? 12

13. How resilient? Challenging context: Resources Staffing
Growing demand & unmet need
Majority of services are good but quality is precarious:
Few Outstanding services
Safety and leadership at risk
Struggle to improve, especially Requires Improvement
Deterioration of some good services 13

14. Quality matters: a shared commitment to high quality, person-centred adult social care14

15. What people told us they wanted 15

16. Quality matters: a collective effort
People who use services, families, carers – giving feedback
Staff – capable, confident and supported
Providers – culture, organisation, expectations
Commissioners and funders – expectations of quality
Regulators – monitor, inspect, rate, take action, celebrate 16

17. Promote quality through everything we do
Our principles
Promote quality through everything we do
Support and encourage improvement
Coordinate action 17

18. Our action plan priorities
Acting on feedback, concerns and compliments
Measuring, collecting and using data more effectively
Commissioning for better outcomes
Better support for improvement
Shared focus areas for improvement
Improving the profile of adult social care
In order to ensure we are clear about how we will achieve concrete action to improve quality, our shared priorities are set out in an action plan.
This lists the six things that we want to do first in order to make our commitment a reality, and each of these six things is supported by different organisations working in collaboration.
The action plan is a ‘live’ document and will be updated as actions are achieved and as new priorities emerge – remaining in the spirit of the principles set out in the central Quality matters document.
As we embark on our journey to improve the quality of adult social care, we will focus on these six priorities for action. These initial priorities have been identified by people who use services, their families and carers, providers, commissioners, and organisations that support and oversee adult social care services.
Priority 1 –
Acting on feedback, concerns and complaints
Ensure that people who use services, their families and carers receive information that is clear and standardised, and that complaints are handled quickly and effectively.
Ensure that there is a strong approach to the duty of candour so there is a culture of being open and honest when something goes wrong.
Measuring, collecting and using data more effectively
Review quantitative and qualitative data across the system and develop a common approach to measuring key quality metrics to ensure consistency.
Collect and share the common metrics among commissioners, regulators and providers as suitable and proportionate.
Agree and make available suitable and relevant information for the needs of the public.
Commissioning for better outcomes
Identify opportunities and risks from this approach and embed in commissioning practice.
Don’t commission new services that are failing.
Review guidelines for quality in commissioning and ensure these are co-produced.
Explore how information about people’s experience of care can be used to improve the commissioning process.
Better support for improvement
Review sector-level improvement initiatives to support all organisations to improve.
Describe clearly the role of national organisations within social care and how they work together to encourage improvement.
Shared focus areas for improvement
Ensure that adult social care is considered across health and social care initiatives (such as Sustainability and Transformation Plans) and that people work collaboratively across sectors.
Improving the profile of adult social care
Champion everything that is great about adult social care so more people understand, support and celebrate the fantastic difference care and support makes to people’s lives.
Attract even more talented people to a career in adult social care. 18

19. Our single shared view of quality19

20. Chief Inspector of Adult Social Care
Thank you
#Qualitymatters
#Stateofsocialcare
@CareQualityComm
Andrea Sutcliffe
Chief Inspector of Adult Social Care
@CrouchEndTiger7 20 20