Devon team CQC inspectors

Who are we?

We make sure people get better care Who are we improving care for ?

People who use services, carers and families People in more vulnerable circumstances Our priorities Focus on quality, and acting swiftly to help eliminate poor quality care Public and taxpayers Making sure care is centred on people’s need and reflects their rights What we will do to achieve our priorities Special reviews and studies Regular reviews of performance Registration and ongoing monitoring Enforcement Mental Health Act visits Publishing information

2

Why regulate?

People can expect services to meet essential standards of quality, protect their safety and respect their dignity and rights, wherever care is provided, wherever they live People have a right to choice and to know that providers are held accountable

Scale of CQC regulated care

Primary medical services 9,000 locations Independent healthcare 2,500 locations Independent ambulances 350 locations NHS Trusts 2800 locations Combined outpatients and inpatients 77.4 million Adult social care 24,000 locations People using adult social care services 1.75 million Primary dental care 10,000 locations Dental appointments 36.4 million

The standards

Parliament Dept of Health

Care Quality Commission (Registration) Regulations 2009

CQC

Single system of registration Health and Social Care Act 2008 (Regulated Activities) Regulations 2009 Single set of standards Strengthened and extended enforcement powers

Registration timeline

April 2010 Oct 2010 April 2011 April 2012 April 2013 NHS trusts Adult social care and independent healthcare providers (CSA) Primary dental care (dental practices) and independent ambulance services Primary medical services (providing out of hours services) Primary medical services (GP practices, walk-in centres and others)

How we gather evidence to monitor compliance

Looking at

outcomes

, a person’s experience of the care they receive

Involving people

who use services in our reviews of compliance Using a wide

range of sources

evidence of Focusing on

how

care is delivered Being

targeted

and

responsive

taking swift action to follow up concerns –

CQC in a changing environment

– continued We have had a

critical

are

acknowledging

external environment mistakes and

adapting

– but we to changing circumstances CQC was set up as a risk-based regulator – but the

public and providers want regular inspection

across the board We have committed to

review and evaluate our model

and are seeking

additional funds

from government

Refining our regulatory model

Since April 2010 CQC have registered NHS services and providers of independent health and adult social care, against our new essential standards During this time, we have listened to challenges to our regulatory model In response, we are seeking to strengthen and simplify our regulatory model to improve how we inspect and take action Our approach will continue to be outcome-focused, responsive and risk-based but in addition to this we want to: inspect most providers more often target our inspections to focus on the relevant standards take swift regulatory action to tackle non-compliance Consultation on our proposals will begin on September 19 th 2011

Refining our regulatory model

Simplifying the bar – compliant or non-complaint

CQC will no longer issue minor, moderate or major concerns – providers will be either compliant or non-compliant

Scheduled inspections

CQC intend to inspect all adult social care services, independent health care services, NHS acute hospitals and ambulance trusts at least once a year – this is our scheduled inspection programme Scheduled inspections will focus on key standards; the choice of standards will depend on: The type of care provided The amount of information we hold on the provider

Information for those who choose services

From autumn, the CQC website will provide improved, accessible, useful, up-to-date information for the public, including:

a summary of CQC’s judgement of compliance with essential standards and a provider’s compliance history an update on improvements against compliance conditions or CQC’s recommendations an alert when CQC intend to carry-out a planned or responsive review of the service information from people who have used the service

How it will look

Homepage

• Consumer focused • Clear about what we do/can offer the public • Focused on ability to look up location level reports/see major action we’re taking • Information for providers and corporate information clearly signposted 12

How it will look

Search results

• Designed to help people start to evaluate and compare different options 13

How it will look

Syndication

• Linking to places where we know people research health and social care decisions and to providers themselves 14

Hot off the press

Health Select Committee findings- published 14 September 2011 •Bias to registration activity •Inspector vacancies •Budgetary constraints •Caseloads •Numbers of inspections

•Quality Risk Profile •Reporting to other professional regulators •Whistleblowing •Registration •Information •Excellence Award •Acting together- experts by experience