Transcript CQC Sue Howard - role of the regulator

Improving
Quality: the
regulator’s role
ADASS and SCIE
seminar
Sue Howard
Interim Deputy Chief Inspector of Adult Social Care
9 January 2015
1
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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Ambition for social care: The Mum
Test (or Anyone You Love test)
Is it
effective?
Is it responsive to
people’s needs?
Is it
safe?
Is it
well-led?
Is it
caring?
Is it good enough for my Mum?
3
Future of regulation
For people using services:
4
Future of regulation
For organisations providing care:
5
Future of regulation
For local authorities and commissioners:
6
Social care context
Social care has the power
to transform people’s lives
…but is really challenged:
Expectations
Demand
Resources
Scrutiny
9
Influences on quality
Staff
Providers
Commissioners
Regulators
Public
8
Our new approach
9
First ASC inspections and ratings
Outstanding
Good
0
245
Requires
improvement
81
Inadequate
24
As at 5
January 2015
10
State of Care 2013/14: Variation
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Adult social care
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Our enforcement powers
Not an
escalator –
more than one
power can be
used
Special measures
New regime from April 2015
‘Inadequate’ services face special measures
Limited time to make improvements or CQC will close
them down
Special measures will tackle those that repeatedly cause
concern, or do not improve quickly enough
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Encouraging improvement
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A word about market oversight
Starts April 2015 (pending passage of Care Bill)
Targeted, proportionate and risk-based
Purpose:
Spot if a “Southern Cross” could happen again
Protect vulnerable people, ensure continuity of care
Action:
Monitoring finances of ‘difficult to replace’ providers
Provide early warning to local authorities
Co-ordinate the system response if failure occurs
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Continuing challenges for CQC
Embedding the new approach
Consistency
Timeliness
Intelligent monitoring
Data, views of people using
services
Market oversight
Corporate providers
Special measures and enforcement
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Challenges for us all
Stand up for adult social care
Celebrate
the good
Challenge
the bad
Be positive
and honest
Work
together
And…always remember why we do this…
12
People are at the heart of it
19
Thank you
www.cqc.org.uk
[email protected]
@CareQualityComm
Sue Howard
Interim Deputy Chief Inspector of Adult Social Care
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