meeting Robert Sobotka Inspection Manager Wednesday 13 April 2016 2 CQC purpose and role Our purpose We make sure health and social care services provide people with safe effective compassionate highquality care and we encourage care services to ID: 722057
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Slide1
1
LCAS
Registered Managers’ meeting
Robert Sobotka
Inspection
Manager
Wednesday 13 April 2016Slide2
2CQC purpose and role
Our purposeWe make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.Our roleWe 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.Slide3
Is it good enough for my Mum?
Is it safe?Is it caring?
Is iteffective?Is it responsive to people’s needs?Is itwell-led?
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Ambition for social care: The Mum Test (or Anyone You Love test)Slide4
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Regulation to inspire improvement
What we do:Set clear expectationsMonitor and inspectPublish and rateCelebrate success
Tackle failureSignpost help
Influence debate
Work in partnershipSlide5
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Our new approachSlide6
6Previous RegulationsCare and welfare of service usersAssessing and monitoring the quality of service provision Safeguarding service users from abuse Cleanliness and infection control Management of medicines Meeting nutritional needs Safety and suitability of premises Safety and suitability of equipment Respecting and involving service users Consent to care and treatment Complaints Records Requirements relating to workersStaffing
Supporting workers Cooperating with other providers New RegulationsPerson-centred careDignity and respectNeed for consentSafe care and treatmentSafeguarding service users from abuseMeeting nutritional needsCleanliness, safety and suitability of premises and equipmentReceiving and acting on complaintsGood governanceStaffingFit and proper persons employed and
Fit and proper persons requirement for directorsDuty of candour
Fundamental standardsSlide7
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Delivering on priorities (1)
Slide8
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Delivering on priorities (2)
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Fit and proper person requirement
PurposeEnsure directors or equivalents are held accountable for the delivery of care andThey are fit and proper to carry out this roleActions for providers
Ensure recruitment of ‘directors’ tests whether candidates meet the requirementCQC
Registration
Respond to concerns raisedSlide10
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Special measures
Purpose
Ensure failing services improve or close
Actions for providers
Use time available to improve service
CQC
Services rated as inadequate will go into special measures
Time limited period to improve
Improvements made – out of special measures
No improvement – move to cancel registrationSlide11
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Scores on the doors
Purpose
Public able to see rating of service quickly and easily
Actions for providers
Display ratings in service and website
Suggest accompany with additional information
CQC
Will provide template
Inspection – check that rating is displayedSlide12
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Example of Provider Level Poster
Scores on the doorsSlide13
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What market oversight do?
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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 – 40-50
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 informationSlide14
14
Our enforcement powers
Requirements (formerly known as compliance actions)Warning noticesS.28 warning noticesProtect people who use services by requiring improvement
Civil enforcement powersImpose, vary or remove conditions of registration Suspension of registration
Cancellation of registration
Urgent procedures
Failing services
Immediate action to protect from harm
Time-limited ‘final chance’
Coordination with other oversight bodies
Criminal powers
Penalty notices
Simple cautions
Prosecutions
Holding individuals to account
Fit and proper person requirement
Prosecution of individuals
Hold
providers
to account for failure
Severity
Protect people who use services by requiring improvement Slide15
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Latest ratings at
4 April 2016Slide16
Outstanding care at home
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‘Staff were given the opportunity to build meaningful relationships with people and ample time to meet people’s needs and provide companionship’
‘People
felt care workers treated them with kindness and respect’
‘The
registered manager delivered dementia training to the public – including bank and shop staff – to help them understand how to help people with dementia’
Home Instead Senior Care,
West Lancashire and Chorley Slide17
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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Five influences on quality
Working together
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Focusing on qualityProviding better informationEncouraging innovation Becoming a more efficient regulator
Working with partners to encourage improvementOur new strategy for 2016-2021 will help us to achieve these goals
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The future for CQCSlide21
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www.cqc.org.ukenquiries@cqc.org.uk@CareQualityCommRobert SobotkaInspection Manager