1. Supporting Equality and Human Rights
WSPiC Symposium- Equality Diversity and Inclusion
Supporting Equality and Human Rights
Jane Jewell
Inspection managers, Adult Social Care. 1 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
Our purpose
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 register care providers.
We monitor, inspect and rate services.
We take action to protect people who use services.
We speak with our independent voice, publishing regional and national views of the major quality issues in health and social care.
People have a right to expect safe, good care from their health and social care services
Strategy Slides - 24 May MASTER

3. Ambition Our ambition for the next five years:
A more targeted, responsive and collaborative approach to regulation, so more people get high-quality care 3

4. Four priorities to achieve our strategic ambition
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

5. Our strategic approach to human rights
Paying attention to equality and human rights improves care for people using services because it gives people the outcomes that they want 5

6. Human rights approach in regulation
Our human rights approach
Is integrated into the inspection process,
Was used to check that inspection guidance, KLOEs, ratings descriptors and other methods cover human rights topics
Will help develop intelligence to inform inspections

7. Why have a human rights approach to regulation?
People will only receive safe, effective, responsive, and caring services if providers address equality and human rights
Using human rights principles helps us to regulate services by looking at care from the perspective of people using the service, than at ‘what services should deliver’
CQC has a crucial role in protecting the basic human rights of people using health and social services

8. Person centred model, equality and human rights

9. Equally Outstanding:
How can a focus on equality and human rights improve the quality of care in times of financial constraint? 9 9

10. Equally Outstanding
A good practice resource developed with partners and with outstanding providers
Aligns with our purpose of encouraging care services to improve
Not linear: Interactive web-based resource and E learning with embedded links and reflective practice questions
Strategy Slides - 24 May MASTER

11. Why focus on equality and human rights?
Ethical case
Business case
Economic case
Legal case
Leads to outcomes people want
Person-centred care is a human rights and equality based approach
Attention also needed at a service-level to promote equality & rights
Workforce equality is linked to good care and saves money
Diverse workforce adds value
Link between equality & human rights performance & overall care quality
Improves staff morale, increases efficiency, wins contracts
Saves money for the health and social care system
Equality and human rights for people who use services – and for staff- saves money for the wider economy
Helps providers meet requirements of:
Equality Act 2010
Human Rights Act
CQC regulations
Mental Health Act and Mental Capacity Act

12. Common success factors
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 12
Strategy Slides - 24 May MASTER

13. Common success factors
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 13
Strategy Slides - 24 May MASTER

14. Herstmonceaux integrative care centre
Outstanding providers using equality and human rights
Shadon House
Dimensions Kent
Castlebar Care Centre
East London NHS Trust
The Christie NHS Trust
The Docs GP practice
Herstmonceaux integrative care centre
Very different services with a number of common features – particularly about organisational culture – that other services could learn from. Looking at the common “success factors” in the best providers none of these took a large amount of resources.

15. Key roles of others in supporting providers
Putting equality and human rights requirements into contracts
Contract monitoring (including existing requirements e.g. Accessible information Standard EDS2, WRES)
Recognising equality and human rights implications of commissioning decisions by listening to people who use services and providers
Commissioning to meet the needs of particular equality groups
Commiss-ioners
Regulators
Equality and human rights in regulatory frameworks and methods
Building staff confidence around equality and human rights
Tackling “unintended consequences” of regulation – e.g. risk aversion which might impact on right to autonomy, choice and control
Sharing good practice discovered through regulatory activity
Policy makers
Ensuring equality and human rights are embedded into policy
Equality and human rights in system co-ordination – eg Equality and Diversity Council 15
Strategy Slides - 24 May MASTER

16. Key messages
Equality and human rights is a solution to providing good care – not a problem in providing care. There are ethical, business, economic and legal “cases” for a focus on equality and human rights.
Providers could learn from the best in using equality and human rights to improve the quality of care. They have common features.
Providers may still face challenges in times of constraint: but impact on people using services and staff can be minimised by mitigating any negative impacts on equality and human rights.
Providers cannot do this work alone.
Empowering people and communities is essential to advance equality and human rights. 3
Strategy Slides - 24 May MASTER

17. What are equality objectives? 2019 to 2021
CQC is required by law to set equality objectives at least every four years.
This is because despite progress being made on equality, some people from particular groups are still less likely to receive good quality health and social care.
We have chosen to set objectives every two years because we are ambitious to work for change on equality.
Strategy Slides - 24 May MASTER

18. CQC’s equality objectives 2019 to 2021
We choose our objectives based on where they can help us make an impact on care quality.
Confidence with difference- Person-centred care and equality-
Accessible information and communication
Equality and the well-led provider
Equal access to care and equity in outcomes in local areas
Continue to improve equality of opportunity for all staff and those seeking to join CQC
Strategy Slides - 24 May MASTER

19. Skills for care Resources
Skills for care Confident with difference: News story about: Confident-with-difference.aspx Link to Skills for Care Confident with difference resource: learning-and-development/equality-and-diversity/Equality-and- diversity.aspx

20. Person-centred care and equality – our focus on LGBT+
Over the last two years we have focused on how providers ensure person-centred care for lesbian, gay, bisexual and transgender (LGBT+) people who use services and religion and belief.
Strategy Slides - 24 May MASTER

21. Keep up to date
Subscribe to receive our monthly bulletin:
Follow us on Twitter:
@CQCProf
Join our provider online community to share your views: our-online-communities-providers

22. Remember why we do this……
Copyright: Community Care

23. Thank you www.cqc.org.uk enquiries@cqc.org.uk @CareQualityComm
Generic ASC deck (June Final)