Transcript Dave Cave - London Voluntary Service Council

About CQC
Sarah Seaholme
Ram Sooriah
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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Underpinning our approach
Our judgements will be independent of the health
and social care system; and politics
We will always be on the side of people who use
services
Our relationship with providers will be constructive
not adversarial
Patients and other users will be at the heart of the
regulatory process
Providers and clinicians remain responsible for
safety and quality
No 100% guarantees
3
Five things we will look at
We will tackle the following five questions about
services:
Are they safe?
Are they effective?
Are they caring?
Are they well led?
Are they responsive to people’s needs?
4
Things we will do differently
Appoint chief inspectors of hospitals, adult
social care and support, and primary and
integrated care
Develop fundamental standards
Specialist inspectors leading expert teams,
including clinical and other experts, including
experts by experience
NHS hospitals: national teams with expertise to
carry out in depth reviews of hospitals with
significant problems
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Things we will do differently
NHS hospitals: a clear programme for failing
trusts that makes sure immediate action is
taken to protect people and deal with failure
Predict, identify and respond more quickly to
services that are failing, or likely to fail, by
using information and evidence in a more
focused and open way – including people’s
views and experiences
Improve understanding of how well different
care services work together
Work more closely with our partners in the
health and social care system to improve the
quality and safety of care
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Things we will do differently
Publish better information for the public,
including ratings of services
A more thorough test for organisations applying
to provide care services, making sure named
directors, managers, and leaders commit to
meeting standards which is tested
Strengthen the protection of people whose
rights are restricted under the Mental Health
Act
Build a high performing organisation that is well
run and well led, has an open culture that
supports its staff and is focused on delivering
its purpose
7
What we will continue to do
A programme of unannounced inspections and
reporting across the sectors we regulate
Inspections at any time in response to
concerns
Inspections and reviews on particular areas of
care
Regulatory and enforcement action
8
Next steps
Changes for 2013/14 set out in our Business Plan
We will deliver:
New fundamental standards
New hospital inspection methods
Hospital ratings
Begin to develop changes for other sectors
Continued involvement of staff, providers, stakeholders,
public in the development of our work
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Closing comments
People have a right to know that care is safe,
effective, compassionate and high quality
We are changing the way we inspect and
regulate to play a vital role in making sure that
care meets those expectations
Consultation launch date – Monday 17 June
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Regulated care in the London
Primary medical
services
Independent
healthcare
Independent
ambulances
1550 locations
234 locations
51 locations
NHS Trusts
Adult social
care
Primary dental
care
217 locations
2,381 locations
1,004 locations
5491
locations
Regulated care in Team 1
Primary medical
services
Independent
healthcare
Independent
ambulances
184 locations
35 locations
3 locations
NHS Trusts
Adult social
care
Primary dental
care
9 locations
271 locations
161 locations
673
locations
The law says that health and social care
services must meet essential standards.
This is so that people know what to expect
from health and social care services.
We, the Care Quality Commission, have
made rules about what people can
expect when services are meeting the
essential standards.
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How we checked Rainbow
House
We asked people for their views.
We asked staff and managers for their
views.
We looked at policies, records and care
plans.
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We watched to see how staff treated
people using the service.
We thought about what we learnt.
We decided what Rainbow House was
doing right and what it was not doing well.
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What they were doing right
at Rainbow House
Before a person moves into Rainbow
House their needs are checked.
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The person and people important to
them are asked what they think.
Rainbow House gives people
information about what it is like to
live there in a way they understand.
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People were usually able to choose
what activities they would like to do.
Activities took place regularly inside
the home and outside.
People got the right care and support
in a safe way.
Staff helped make people feel safe.
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There were enough staff to care for
people.
More staff worked in the home when
they were needed.
Staff got training to make sure they
meet people’s needs in the best way.
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The owner often checked Rainbow
House to make sure care was good
and people were safe.
The owner checked all staff and
supported them to do their work.
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What Rainbow House was
not doing well
The owner did not always make sure
bedrooms were warm and safe, and the
home well decorated.
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People’s records when they saw
doctors and other professionals were
not available.
What happens next?
We have asked the owner to tell us
how and when they will make things
better. We will check they have done
this.
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