1. An update from CQC
Debbie Ivanova
DCI South and London Regions 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.

3. Shaping the future: CQC’s strategy 2016 to 2021
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

4. Four priorities to achieve our strategic ambition
Our ambition for the next five years:
A more targeted, responsive and collaborative approach to regulation, so more people get high-quality care
Encourage improvement, innovation and sustainability in care
Deliver an intelligence-driven approach to regulation
Promote a single shared view of quality
Improve our efficiency and effectiveness
Strategy Slides - 24 May MASTER

5. Our next phase of regulation
We plan to update our approach and assessment framework to reflect the changing provider landscape
Two consultations on these changes:
December 2016/17 (now closed) and Summer 2017
more integrated approach that enables us to be flexible and responsive to changes in care provision
more targeted approach that focuses on areas of greatest concern, and where there have been improvements in quality
greater emphasis on leadership, including at the level of overall accountability for quality of care
closer working and alignment with NHS Improvement and other partners so that providers experience less duplication 5

6. Consultations on our proposed changes to inspections
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
Summer – Autumn 2017 (TBC)
Changes to Adult Social Care inspection methodology
Changes to Primary Medical Services inspection methodology
Changes to registration
Clarifying guidance on Fit and Proper Person Requirements
Regulating place-based models of care
How we rate large and complex providers
NHS Improvement consultation on Use of Resources and ‘well-led’ has also now been closed 6

7. Consultation 2: adult social care inspection methodology
Our next consultation will cover a range of areas, including the end to end process for inspecting adult social care services
Specific focus on how we will encourage improvement in services that are repeatedly at requires improvement
Improved processes for inspecting services providing care to people in their own homes
Our effectiveness and consistency of how we use our enforcement powers 7

8. Consultation 2: registration
Outlines the principles and proposal to register providers at the level of the ‘guiding mind’
Proposes changes to how the register will record the services that providers are registered to deliver
Describes what this means for new models and complex providers
We will also be consulting on our proposed changes to primary medical service inspections, ratings, combined providers, quality in a place and FPPR 8

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

10. Quality Matters: ambition
Champion the importance of high-quality care and support
Have a shared understanding of what good quality care is and what needs to be done to improve it
Agree shared priorities for quality improvement and a shared commitment to taking collective action to address them
Foster stronger and more effective partnerships
Collective action that creates the conditions for improvement
See an improvement in quality that makes a real difference to the lives of people using adult social care

11. Quality Matters: a shared view of quality for health and social care
Person-centred high quality care for all
Safe
Effective
Caring & Responsive
(positive experience)
Sustainable use of resources
Well-led

12. Quality Matters: learn from the best
People are at the centre and staff want them to have a life not just a service
Good leadership extends beyond the manager and values are shared to inspire staff
Transparent, open culture with people who use services, staff, families, carers and partners
Strong links with local community
Creative and innovative
A can do, will do attitude – staff dedication
Safe care actively promoted
Always looking to improve
Focus is on people not the regulator!

13. Adult Social Care Deputy Chief Inspector London and South
Thank you
@CareQualityComm
Debbie Ivanova
Adult Social Care Deputy Chief Inspector London and South 13