1. Equally Outstanding Yvonne Ellaway Care Managers Network
19 December 2018 1
Generic ASC deck (June Final) 1

2. Our purpose and 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
Register
Monitor and inspect
Use legal powers
Speak independently
Encourage improvement
Today I want to update you on 4 areas
State of care
Quality matters
Local system reviews
Next phase
Our purpose remains the same – our focus and drive behind all that we do.
People have a right to expect safe, good care from their health and social care services
Strategy Slides - 24 May MASTER

3. 2018 21,982 Adult Social Care Services inspected.
Statistics for 2018
,982 Adult Social Care Services inspected.
1% Inadequate
17% Requires Improvement
79% Good
3% Outstanding
Geraldine

4. Outstanding Ratings South Devon and Torbay The Bay Care Group
Tracey House
Mount Olivet Nursing Home
Rawlyn House
Hestia Care at Home
Love to Care
Summon Bonum Support & Care
Geraldine

5. Outstanding Ratings in 1 KQ
South Devon and Torbay
Geraldine

6. How does CQC assess a service?
CQC’s Assessment Framework
Five Key Questions – Is service Safe, Effective, Caring, Responsive, Well Led?
Ratings Characteristics – Criteria for the different ratings for each key question
Key Lines of Enquiry (KLOEs) – for exploring the Key Questions against the Ratings Characteristics
Prompts – Questions to ask when following the Key Lines of Enquiry's (KLOEs)
The Regulations
Outstanding is not just about compliance with the law…
Geraldine

7. How does CQC assess a service…continued
Geraldine

8. Principles into action Culture of staff equality
Equally outstanding:
Common success factors
Committed leaders
Principles into action
Culture of staff equality
Apply equality & human rights thinking into quality improvement
Staff as improvement partners
People who use services at centre
Use external help
Courage
Continuous learning and curiosity
1. Committed leadership
Key role of leaders who are enthusiastic and committed to equality and human rights
2. Principles into action
Equality & human rights as a thread from organisational values, through leadership behaviours and actions to frontline staff and their work
3. Culture of staff equality
Broad work to develop an open and inclusive culture and work to tackle specific workforce inequalities
4. Apply equality & human rights thinking to quality improvement
Start with the improvement issue - make space to innovate & think about equality and human rights as a solution
5. Staff as improvement partners
In planning & delivering change to improve care quality through equality & human rights
6. People who use services at centre
Listening carefully – including to their “life outside services” and to future aspirations
7. Use external help
Reach out to others – and be prepared to have a mirror shone on their work
8. Courage
Honesty, positive risk-taking, tackling difficult problems
9. Continuous learning and curiosity
Start somewhere, learn from mistakes, always look for the next thing to work on

9. What we expect from an Outstanding service
Values that are centred on people, known by everyone, threaded into culture and practice.
People’s needs and ambitions are at the centre of service delivery; in advertising; how people are welcomed; in needs assessments and staff training; how staff care, communicate and deliver.
People’s Equality, Diversity and Human Rights, are not an “add on”. But are part of the culture and how care is delivered. (Person-centred care)
Geraldine

10. What we expect from an Outstanding service…continued
Culture of staff equality: The provider develops a culture of equality and human rights for their staff as a basis for quality improvement. This is likely to include both broad work to develop an open and inclusive culture and, particularly in larger organisations, work to tackle specific workforce inequalities.
Apply equality and human rights thinking to improvement issues: The provider starts with a quality improvement issue, creates some space to innovate and then applies “equality and human rights thinking” to the issue – rather than thinking “we must do something about equality and/ or human rights”.
Geraldine

11. Resources Driving Improvement: Adult Social Care
Driving Improvement: Mental Health
Local System Reviews: final report
Never Events thematic review
State of Independent Acute Care
Karen 11

12. Resources Values Impact Leadership Governance
Equality, Diversity and Human Rights (EDHR) - Equally outstanding (CQC) Relaunched in November 2018, with new training attached
Person centred – Better Care in My Hands (CQC)
Characteristics – Quality Matters (CQC)
Continuous improvement - Characteristics (CQC)
Best Practice - Celebrating Good Care & championing outstanding services (CQC), Skills for Care – Helping you deliver good and outstanding care
Making a positive difference –Characteristics (CQC)
Communication – The Accessible Information Standard (NHS England)