20150226 presentation care conference final...
TRANSCRIPT
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Fundamental Standards: Improving services through regulation
Jo Walsh
CQC 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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The Mum (or anyone you love) Test
Is it good enough for my Mum?
Is it safe?
Is it caring?
Is it effective?
Is it responsive to people’s needs?
Is it well-led?
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What we do: ! Set clear expectations ! Monitor and inspect ! Publish and rate ! Celebrate success ! Tackle failure ! Signpost help ! Influence debate ! Work in partnership
Regulation to inspire improvement
How we do it: ! Five questions ! Respond to concerns ! Key lines of enquiry ! Specialist inspectors ! Experts by experience ! Ratings characteristics ! Reports ! Enforcement ! Co-production
Regulation to inspire improvement
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Implementing the new approach
KLOES & Ratings
published September
2014
New approach inspections rolled out
October 2014
New regulations including Fit and Proper Person
and Duty of Candour
Introduced April 2015
All ASC services rated by 2016
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New for April 2015
! Fundamental standards ! Duty of candour ! Fit and proper person requirement
! Special measures ! Scores on the doors ! Market oversight
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Duty of candour
! Purpose ! Promotes adoption of openness and transparency in
services ! Supports development of safety culture
! Actions required ! Inform people when things go wrong ! Provide support, truthful information & apology
! CQC ! Registration ! Inspection – existing key lines of enquiry
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Fit and proper person requirement
• A provider cannot appoint an individual as a director unless the individual: • Is of good character, has necessary qualifications and experience, is in good health,
is not linked to serious misconduct or mismanagement in the course of the provision of regulated activities
• Is not an undischarged bankrupt, on a barred list, or prohibited from holding the office by statute
• Has not been convicted of an offence or removed from a professional regulator’s register
• The provider must make available to CQC specified documentary proof of the above and relevant employment history
• If a director no longer meets these requirements, the provider must replace the director and inform the director’s professional regulator if the director is a registrant.
• CQC must refuse to register a provider unless it is satisfied this requirement is met.
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Fit and proper person requirement
! Purpose ! Ensure directors or equivalents are held accountable
for the delivery of care and ! They are fit and proper to carry out this role
! Actions required ! Ensure recruitment of ‘directors’ tests whether
candidates meet the requirement ! CQC ! Registration ! Respond to concerns raised
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Special measures
! Purpose ! Ensure failing services improve or close
! Actions required ! Use time available to improve service
! CQC ! Services rated as inadequate will go into special
measures ! Time limited period to improve ! If improvements made – out of special measures ! If no improvement – move to cancel registration
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Scores on the Doors
! Purpose ! Public able to see rating of service quickly and easily
! Actions required ! Use CQC template to display ratings in service and
website ! Suggest accompany with additional information
! CQC ! Will provide template ! Inspection – check that rating is displayed
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CQC and market oversight
! Clear relationship between quality of care and finances
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What will market oversight do?
Purpose: ! Protect people in vulnerable circumstances by spotting if a
provider may fail – and make sure right action is taken
! CQC will: ! Monitor finances of ‘difficult to replace’ providers
! Provide early warning to local authorities ! Assist with system response if failure occurs
It will not: ! Either ‘bail out’ struggling providers, or pre-empt failure
through inappropriate disclosure of information
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Proposed model for market oversight
Entry to scheme
Regular monitoring
Further risk analysis
Provider engagement
on risk
Regulatory action &
engagement
Formal notification
to LAs
1 2 3 4 5 6Step
Activity
If concerns identified and addressed
Key: Assessment of risk to financial sustainability (all provisional) no cause for concern/very low risk possible risk/medium risk
likely risk/high risk risk clearly identified/very high
risk
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Delivering market oversight
! New capacity and capability internally:
! New team with expertise and experience in
! judging business failure risk
! managing restructuring and insolvency processes
! Supplemented by:
! Access to external advice where needed, e.g. Independent Business Reviews
! Advisory Group to scrutinise and challenge delivery of market oversight function
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So what are we finding now?
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Latest ASC inspections and ratings
Outstanding
Good
Requires improvement
Inadequate
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1863
1046
2802
80
28028
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As at 27 April 2015
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An outstanding care home
‘Relatives and friends visiting the home told us they only had positive experiences and praise for this service’
‘Staff told us that they would not like to work anywhere else’ Vida Hall, Harrogate
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Another 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
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Latest ASC inspections and ratings
Outstanding
Good
Requires improvement
Inadequate
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791
353
93 As at 23 February 2015
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www.cqc.org.uk [email protected] @CareQualityComm
Andrea Sutcliffe Chief Inspector of Adult Social Care
@CrouchEndTiger7 22
Thank you
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