1. CQC Inspections: seeking assurance of good practice
Prof. Ursula Gallagher, Deputy Chief Inspector of General Practice (London)
Janice Waters, National Advisor - Safeguarding Children and Adults
University of East Anglia 15th September 2017 1 1

2. Our role
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. Monitor, inspect and rate
Our current model of regulation
Register
Monitor, inspect and rate
Enforce
Independent voice
We register those who apply to CQC to provide health and adult social care services
We monitor
services, carry out expert
inspections, and judge each service, usually to give an overall rating, and conduct thematic reviews
Where we find poor care, we ask providers to improve and can enforce this if necessary
We provide an independent voice on
the state of health and adult social care
in England on issues that matter to the
public, providers and stakeholders

4. A changing environment
Why a new strategy?
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 MASTER

5. It's fundamental to high-quality health and social care.
Safeguarding means protecting people's health, wellbeing and human rights, and enabling them to live free from harm, abuse and neglect.
It's fundamental to high-quality health and social care.

6. What is our role in safeguarding?
Ensuring providers have effective systems and processes
Using intelligent monitoring to assess risk
Making sure the right people act at the right time to keep people safe
Raising safeguarding issues we discover during inspections and alerting local authorities/police if necessary
Holding providers to account and taking regulatory action
Publishing our findings
Regulation 13

7. State of Care 2015/16 What we have found Safeguarding practice
Safeguarding reporting 7

8. Safeguarding incidents by sector
*Please Note: Sector is based on primary inspection category. Due to S3 moving into Hospital on the 1st April 2017, incidents at S3 locations are counted as ASC for the purposes of this analysis

9. Consultations on our proposed changes to inspections
Closed 8 Aug 17
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
12 June – 8 August 2017
Changes to Adult Social Care regulation
Changes to Primary Medical Services regulation
Clarifying how we define registered providers and improving the structure of registration
Updating guidance on Fit and Proper Person Requirements
Closed
Winter 2017
Changes to Independent Acute inspection methodology
A joint consultation on Use of Resources with NHS Improvement is expected in Winter 2017

10. Safeguarding adults in prisons or approved premises
Discussion
Safeguarding adults in prisons or approved premises

11. Safeguarding adults in prisons or approved premises
Care Act 2014:
Sections 42 and 47 (safeguarding: enquiry by local authority and protection of property) do not apply in the case of an adult who is—
(a) detained in prison, or
(b) residing in approved premises

12. Safeguarding adults in prisons or approved premises
Potential legislative impact – reduced assurance:
National prison service guidance (PSI 16/2015) is subject to local interpretation and implementation is variable, including information sharing and engagement with local SABs
Health and social care providers can no longer rely on support from local safeguarding teams/boards
Absence of independent scrutiny of the prison management and investigation of safeguarding concerns (outside periodic inspection by HMI Prisons and CQC)
CQC cannot require prisons to investigate concerns or share the outcome of their investigation with us.

13. Our roles and responsibilities for safeguarding adults and children
More information
Our roles and responsibilities for safeguarding adults and children
Information about joint inspections
The fundamental standards
In depth information about regulation 13

14. Deputy Chief Inspector of General Practice (London)
Thank you
@CareQualityComm
Prof. Ursula Gallagher
Deputy Chief Inspector of General Practice (London)
Generic Acute Deck - October 2015