Gale Stirling - Care Quality Commission
Transcript Gale Stirling - Care Quality Commission
now and for
Head of Inspection, Adult Social Care, South East
Our purpose and role
We make sure health and social care
services provide people with safe, effective,
compassionate, high-quality care and we
encourage care services to improve
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
The Mum Test
Is it responsive to
Is it safe?
Is it caring?
Is it good enough for my Mum?
Delivering on priorities (1)
groups/ task and
Provider and public
April to June
Delivering on priorities (2)
State of Care
Cracks in the
The new approach
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
First inspections and ratings
As at 31
State of Care 2013/14: Variation
Adult social care
Next steps for CQC
Different models e.g.
Special measures and
Why market oversight?
Clear relationship between quality of care and
What can Market Oversight do?
Market oversight aims to:
Spot if a ‘Southern Cross’ could happen again
Protect people in vulnerable circumstances
Monitor finances of ‘difficult to replace’ providers
Provide early warning to local authorities
Assist in co-ordinating the system response if failure occurs
Market oversight is not there to:
Protect providers from failure
Pre-empt failure through disclosure of information
Timelines for market oversight
Sept – Dec
• Development of CQC approach and
• CQC engagement on proposed methods
Jan – Feb
Identify and liaise with providers that
meet the market oversight entry criteria
• Formally notify providers of their
inclusion in the scheme and respond
• Start to undertake financial
assessments of providers in the
Bring specialist providers into the
Our enforcement powers
more than one
power can be
Five areas of quality and safety in
our new approach to inspections
Our new inspections will cover the following:
Are services safe?
Are they effective?
Are they caring?
Are they responsive to what people tell them?
Are they well-led?
KLOEs – Caring
For residential adult social care we ask:
C1 How are positive caring relationships developed with
people using the service?
C2 How does the service support people to express their
views and be actively involved in making decisions about
their care, treatment and support?
C3 How is people’s privacy and dignity respected
C4 How are people supported at the end of their life to
have a private, comfortable, dignified and pain free death?
What is SOFI?
A CQC framework for directly observing and reporting
on the quality of care experienced by people who may
not be able to describe this themselves.
It’s allows an observer to attempt to tune into the
A way of corroborating other evidence
Principles of SOFI
Helps us to give positive feedback on person-centred
care for services for people living with cognitive and
SOFI is only for use by regulators of health & social care
i.e inspectors who have completed the training & are on
the CQC SOFI register
Quality of care is recognised
Overview of how inspectors
It’s flexible; the observation time recording what’s
happening in one to five minute timeframes
One to five people observed
Detailed notes to support other evidence
A person-centred value base
Valuing people and those who care for them
Treating people as individuals who are unique
Looking at the world from the perspective of the
person and listens to their ‘voice’
Recognises that people need an enriched social
environment that compensates for their impairment
and fosters opportunities for personal growth
Power of the Mum Test
Importance of co-production
Why does this matter?
Head of Inspection