1. Quality care and CQC
Andrea Sutcliffe, Chief Inspector Adult Social Care
LCAS Spring Seminar
11 May 2016 1 1

2. CQC purpose and role Our purpose Our role
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 responsive to people’s needs?
Is it good enough for my Mum?
Is it
effective?
Is it safe?
Is it
well-led?
Is it caring?

4. Current ratings overall for active locations
Note: Figures in chart are percentages
Source: CQC ratings data from 5 May 2016

5. Current ratings by key question for active locations
Note: Figures in chart are percentages
Source: CQC ratings data from 5 May 2016

6. Current overall ratings by service type
Source: CQC ratings data from May 2016

7. Current overall ratings by size of care home
Note: One inadequate rated residential home has been omitted due to data quality issue
Source: CQC ratings data from 5 May 2016

8. Overall ratings by size of DCA
This graph demonstrates a similar pattern for domiciliary care whereby larger agencies are frequently rated less favourably by CQC.
At this stage the ongoing financial challenge and its impact on quality and inspection volumes is unknown.
Source: CQC ratings data from May 2016

9. Quality is variable

10. Sustainable quality
Caring not just coping

11. Market Oversight Aims Spot if a ‘Southern Cross’ could happen again
OFFICIAL SENSITIVE
Market Oversight
Aims
Spot if a ‘Southern Cross’ could happen again
Protect people in vulnerable circumstances
Monitor finances of ‘difficult to replace’ providers
Provide early warning to local authorities and assist in coordinating system response if failure occurs
MO does not:
Protect providers from failure
Pre-empt failure through disclosure of information
Mechanism – analysis of quarterly financial and quality information to provide the necessary notification to LA(s) so they can invoke contingency planning arrangements
50 providers in the scheme

12. 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

13. Our vision for quality regulation in 2021
Quality regulation can and does make a real and positive difference – it helps to achieve a health and care system where:
1. People trust and use expert, independent judgements about the quality of care
2. People have confidence that good and poor care will be identified and action taken where necessary so they are protected
3. Organisations that deliver care are encouraged to improve quality
4. Organisations are encouraged to use resources as efficiently as possible to deliver high-quality care

14. Our strategic ambitions
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
These are snapshot and taken directly from current version (v2.7) of the Strategy document
Subject to change.
Encourage improvement, innovation and sustainability in care
We will encourage continuous improvement in health and social care by highlighting good practice, sharing learning, and adapting our approach so we can regulate and support new and varied ways of providing services.
Deliver an intelligence-driven approach to regulation
We will use our information more effectively to target our resources where the risk to the quality of care provided is greatest and to check where quality is improving, and we will make sure that we take a proportionate approach to regulation.
Promote a single shared view of quality
We will strengthen how we work with all our partners, improving our processes and working together to encourage improvement and reduce duplication.
Improve our efficiency and effectiveness
We will work more efficiently, reducing our expenditure by xx% and building our capability to deliver an excellent service in a cost-effective and sustainable way.

15. An 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

16. Thank you www.cqc.org.uk enquiries@cqc.org.uk @CareQualityComm
David Behan
Chief Executive
Andrea Sutcliffe
Chief Inspector of Adult Social Care
@CrouchEndTiger7 16