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CQC into the future

Malcom Bower-BrownDeputy Chief Inspector of Adult Social Care

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Overview

Purpose Structure5 Key QuestionsRegulatory ModelRatingsTimetable Measuring Success

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Our purpose and role

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 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

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Our principles

Our principles1.We are always on the side of people who use services. 2.We promote equality, diversity and human rights.3.We are independent, rigorous, fair and consistent. 4.We have an open and accessible culture. 5.We work in partnership across the health and social care system. 6.We are committed to being a high performing organisation and apply the same standards of continuous improvement to ourselves that we expect of others.

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Our new structure

• Moved from generic to specialist approach

• Three Chief Inspectors:

• Deputy Chief Inspectors leading specialist teams in each region

• One CQC

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5 Key Questions

We ask these questions of all services:

Is it safe?Is it effective?Is it responsive?Is it caring?Is it well-led?

CREWS

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The Mum Test

The Mum Test

Is it good enough for my Mum?

Safe?

Effective?Well led?

Responsive?

Caring?

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New Regulatory Model

Surveillance

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Four point scale

High level characteristics of each rating level

Innovative, creative, constantly striving to improve, open and transparent

Consistent level of service people have a right to expect, robust arrangements in place for when things do go wrong

May have elements of good practice but inconsistent, potential or actual risk, inconsistent responses when things go wrong

Severe harm has or is likely to occur, shortfalls in practice, ineffective or no action taken to put things right or improve

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How do we decide a rating?

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Timetable – Adult Social Care

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

June 2014

Oct 2014

New approach fully implemented

March 2016

Every adult social care service rated

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Making a difference?

For people using services and the public:

You believe CQC is on your side and acts in your best interests – public common sense test

We engage compassionately with you and listen carefully to what you tell us

We act quickly and decisively in response to poor care and abuse

You have increasing confidence in us and trust our independence, expertise and judgement

We provide you with clear and authoritative reports

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Making a difference?

For local authorities and other commissioners:

We respond collaboratively to safeguarding issues

You can rely upon the judgements we make to reduce duplication

We share information information between ourselves to inform the timing and focus of inspections

Our whole system overview supports integration between health and social care

We provide annual State of Care reports at national and local level.

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Making a difference?

For organisations providing care and support:

You respect CQC as being open, professional, expert and independent

Our service provides value for money

We are proportionate, consistent and use fair processes

We share your commitment to improving services and our ratings help to drive improvement

www.cqc.org.uk

Malcolm Bower-BrownDeputy Chief Inspector of Adult Social Care

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Thank you