acevo health and social care conference - david behan
TRANSCRIPT
ACEVO Conference
25 March 2014
David BehanChief Executive, Care Quality Commission
“A new approach to inspecting adult social care services”
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
Asking the right questions about quality and safety
Safe
Effective
Caring
Responsive to people’s needs
Well-led
Asking what matters
The Mum Test
Is it good enough for my Mum?
Safe?
Effective?Well led?
Responsive?
Caring?
Progress (1/4)
Co-production Group established – three meetings held, more scheduled
Planning for round table events – discussion about key issues with interested parties e.g. accreditation
Andrea’s weekly blog – regular information about progress (and other interesting stuff!)
Maintaining regular communications with individuals and groups
Communication
Progress (2/4)
Developing new methodology – lines of enquiry, judgement framework, guidance, documentation
Planning for first wave
264 locations (1%)
Size, geography, service type, expectations
Creating new Adult Social Care Directorate
Establishing Academy – learning & development for staff
Progress (3/4)Provider Handbook : Adult social care
Overview document – neutral position on c
Overt surveillance seeking views
Three handbooks: residential, community based services, hospices
Proportionate inspection frequency - 0 - 24 months
Proportionate inspection teams – many still single inspector
More experts by experience – part of reaching a judgement
Provider Information Return
Questionnaires for community services – including health and social care professionals and staff
Data packs to support inspection planning and visit
Some KLOEs but also some LOEs – testing in wave 1
Many common LOEs but some tailored to reflect differences in residential, community and hospice services
•
Progress (4/4) A common approach to ratings
The ratings guidance applies across sectors.
Ratings are based on what we find at inspection, what people tell us, intelligent monitoring data, and local information from the provider and other organisations.
Four – point scale: outstanding; good; requires improvement; or
inadequate.
Rate five key questions.
Timetable
Co-production and development to shape consultation proposals
Oct 2013 – March 2014
Consultation on regulatory approach, ratings and guidance
April 2014
Wave 1 pilot inspectionsApril – May 2014
Evaluation; guidance and standards refined
July – Sept 2014
Wave 2 pilot inspections including initial ratings of some services
June 2014
Oct 2014
New approach fully implemented and first ratings published
March 2016
Every adult social care service rated
Timetable
Co-production and development to shape consultation proposals
Oct 2013 – March 2014
Consultation on regulatory approach, ratings and guidance
April 2014
Wave 1 pilot inspectionsApril – May 2014
Evaluation; guidance and standards refined
July – Sept 2014
Wave 2 pilot inspections including initial ratings of some services
June 2014
Oct 2014
New approach fully implemented and first ratings published
March 2016
Every adult social care service rated