Transcript Better Leadership, Better Care: Strengthening leadership and driving up quality in organisations Integrated Care Council Conference Maureen Hinds Head of Programmes - National Skills Academy.

Better Leadership, Better Care:
Strengthening leadership and driving
up quality in organisations
Integrated Care Council Conference
Maureen Hinds
Head of Programmes - National Skills Academy for Social Care
Leadership............
The task of Leadership is not to put greatness into
humanity, but to elicit it,
for the greatness is already there....
(John Buchan 1875 – 1940)
The role of leadership in social care
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Introduction: the role of the Skills Academy in social care leadership
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What leadership means in social care: why it matters, how it helps
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How you can strengthen leadership and drive quality: practical (and non-costly)
things you can do:
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Use The Leadership Qualities Framework
Recruit and select for social care values
See leadership for everyone
Use coaching and reflective approaches
Use the national Registered Managers’ Programme
Measure something
Collaborate, celebrate and influence: stand up for social care
Everyone has a part to play: leadership starts with all of us
Introduction: the role of the Skills Academy around leadership
•
“The sector needs high-quality leadership at all levels... [it] is essential to the
delivery of all the proposals in this White Paper.”
Caring for our future: reforming care and support, July 2012
•
“[Social Care] lacks confidence. As a result it is timid in its vision and ambition for
how adult social care services can be delivered.”
Social Care: A Review. Dame Denise Platt, 2007
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“There is a unique culture within social care....Social care is often positioned ‘in
the shadows’. This is disempowering [and] has the effect of reducing confidence
and stifling innovation.”
Feedback from Skills Academy consultation on Leadership Strategy
for Adult Social Care, 2012
The role of the Skills Academy:
Leading on leadership in social care
Specific remit to improve leadership and
commissioning, and to support Registered Managers
Employer-led: but as well as employers we also
reach training providers, local authorities and other
commissioners, alongside individuals
Covering adult social care but also working with
health and children’s services
Membership body for individuals and organisations
More members than most, including SCA
Leadership guidance/programmes for all levels
Endorsement for high quality trainers
Backed by Department of Health
Working with CQC on what ‘well-led’ will mean
Examples of Skills Academy Members
All regions, all client groups, all sectors
Cheshire Homecare Services Ltd
Stronger together.....
 One stop shop for 17,000 Adult Social Care
employers
 Cover induction right through to Senior
management roles
 One strategically focused organisation to support
1.56 million strong workforce
Leadership:
What does it mean in social care?
Think of a good leader that you know.
Then think of one word that would
describe them.
Leadership:
What we think it means in social care (i): based on behaviours
Not just about authority at the top of
organisations
It’s a practical understanding – and
awareness – about how you do what
you do, and the impact on others
So it’s about behaviours, and taking
responsibility for them
And it’s everyone’s business – people
working at all levels in social care
“People do not experience our values,
they experience our behaviours.”
Bill Mumford, CEO, MacIntyre
Leadership:
What we think it means – Systems Leadership
About leading: when you’re not in charge
when you need to ask
when you have no money
Systemic – i.e. not piecemeal or divided
into silos - and based on shared ambition
Participative – i.e. involving many people’s
energies, ideas, talent and expertise
Emergent – i.e. allows for partial/clumsy
solutions , able to work with uncertainty
...and based on trust/relationships – so
back to behaviours
8 prototypes, 25 current programmes
around the country
Leadership: why it matters, especially now :
(i) In times of change/difficulty, good leadership is a lifeline
Unprecedented mix of circumstances: demand, supply, structural change, cultural
stasis – leading to:
o Funding pressures for employers and managers – at just the time demand is
growing: both private and public sector issue
o Need to do more – and more complex - with less
o Working with wider group of stakeholders – CCGs, public health, personal budget
holders, housing, planning
o Need for adaptability/innovation - reconfiguring services, working with new
client groups, providing flexible care models
o Need to re-inculcate the old virtues and values – dignity, compassion –
emphasised especially post-Winterbourne, Mid-Staffs: see Cavendish Review,
Driving Up Quality Code, Social Care Commitment
Leadership: why it matters, especially now :
(i) Good leadership is the basis for delivering excellent care
Research base:
“Who Cares?” NSA research survey:
94% of respondents linked quality of leadership with
quality of service
93% wanted more investment in leadership development
Policy context:
“Delivering the vision demands a capable and welltrained workforce...[and increased] leadership capacity
in order to deliver...” A Vision for Adult Social Care,
November 2010
Anecdotal evidence:
The biggest variable in staff feeling empowered and
engaged is the quality of management and leadership
How you can strengthen leadership in your service:
Use The Leadership Qualities Framework
Guide to what good leadership looks like
Describes what good leadership looks like
in different settings and situations
Defines good leadership for people at
different levels:
Front-line Staff
Front-line Leaders
Operational Leaders
Strategic Leaders
Basis in values and behaviours that follow
on from them
Grounded in everyday practice and written
in plain English, so accessible to everyone
Applicable in integrated services
The Leadership Qualities Framework:
How it works
Based on structure of NHS
Leadership Framework
Groups behaviours into seven areas,
called Dimensions
Five Dimensions relate to areas in
which all social care professionals
need to demonstrate leadership
Two apply specifically to senior staff
Each Dimension has four elements
The LQF takes each element and
gives a short description of what
quality leadership looks like at
different levels
The Leadership Qualities Framework:
how it can help you in strengthening different
aspects of your service
Use the descriptions that show
what good leadership looks like at
different levels of your organisation
– e.g. for safeguarding or managing
Use these in recruitment, induction,
supervision, performance
management and appraisal
Use online self-assessments for
benchmarking: 360° feedback tool:
1:1 organisational assessment – to
measure, track and strengthen
leadership capacity
The LQF is mapped to CQC Essential
Standards and the Social Care
Commitment: so use it as part of
the inspection process
The Social Care Manager’s
Handbook
 Developed in consultation with sector
 The ‘go-to’ guide for Registered
Managers and others
 Social care Values form foundation
 11 Sections mapped across LQF,
legislation, CQC Inspection
Framework
 Free to Registered Manager
Members, or £35 to non-RM
members
 In hard copy and online
How you can strengthen leadership in your service:
Actively recruit and select for leadership behaviours
and social care values: Use the VBRT
New initiative launched July 2013
Online toolkit for employers and managers
Aims to place values-based recruitment in
everyone’s reach
ims to reduce isolation, better-equip
Explains the approach and what it means
for social care
Examples of job ads
Examples of interview questions
Simple online personality profile tool being
piloted by not-for-profit providers with
candidates for front-line roles
Link to LQF and other information sources
Graduate Management Training
Scheme..Purpose...
To providers the Executives of the future into Adult Social Care
The Scheme is intended to meet the needs of
social care practically, stimulate new thinking in
social care in support of realising personalisation,
and help improve its perceived status. It
provides a year of management and leadership
experience for graduates in order to develop the
management skills necessary to become a
successful leader in the field.
• Now working with our 5th cohort of trainees
•Fully funded 12 month fast track management programme
Aspects of the Programme
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Workplace-based learning within host organisation
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Development days
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▪
ILM Management Qualification
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Managing in Social Care Development Days
▪
Action Learning Sets
A range of learning methods (including leadership centre,
development days, distance learning and virtual classroom sessions,
scheduled tutorials and action learning)
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A series of assignments to complete
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Peer coaches
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Real-time project work
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Real-time return on investment
How you can strengthen leadership in your service:
Focus on behaviours and use coaching/reflective approaches
Example: Front-Line Leaders Programme
“I am now constantly assessing my own
practice and have the means to better
myself, which in turn creates a happier,
smoother workplace, which most
importantly improves the quality of
service we offer.”
Leadership development for front-line or
first-time leaders
Workplace-based: uses coaching and selfreflection, building self-awareness around
impact on others and using outcomes as
basis for action
How you can strengthen leadership in your service:
Join the national Registered Managers’ Programme
Results from Everyday Excellence
How you can strengthen leadership in your service:
Get involved in the national Registered Managers’ Programme
from the Skills Academy
New programme launched March 2013
Aims to reduce isolation, better-equip
Registered Managers for their role,
strengthen leadership confidence
Expert online and phone advice on HR, legal
and professional issues
Online information/resources, + new Guide
Membership group/community of practice
within the Skills Academy
Funding for local networks, workshops and
action learning sets around the country
‘Bottom-up’ approach – working with local
groups, employers and care associations
How you can strengthen leadership in your service:
Come together in a new social care landscape
Practice leadership - networks and
forums of support, e.g. for
Registered Managers
Collaborative leadership - links
with commissioners – health,
social care, individual
Community leadership - links with
and for community groups and
micro-employers: focus on assets
and social capital
How you can strengthen leadership in your service:
Recognise, celebrate and influence: stand up for social care
WorldSkills 2013 UK National Final
Medal Winners, Caring Competition
How you can strengthen leadership in your service:
Celebrate and influence: stand up for social care
Social care as key driver of local economies
Social care as growth sector
Social care as local employer
Social care as community hub/link
Social care as source of innovation
Social care as source of good news
stories for local media/MPs/ CCGs
Councils/Health and Wellbeing Boards
Social care staff as people to be celebrated
Summary:
Leadership is part of what you do every day
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Leadership is about behaviours: taking responsibility for your own practice and
addressing poor practice elsewhere. And it can be shared
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It follows that leadership can support great service quality, embedding it as
everyone’s business
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You can use the Leadership Qualities Framework and Leadership Starts with Me to
instil and embed leadership behaviours which actively promote quality
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There are lots of other free online tools and techniques to help you
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There is a national Registered Managers’ Network for you to join
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You can embody what good leadership behaviours look like right here, right now
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You can instil a high quality culture through celebrating great social care
Everyone has a part to play:
Leadership starts with all of us.
Because everyone can do
something about changing what
they do and how they do it.
So everyone can be a leader to
some degree.
Everyone can have a go, and
everyone can make a difference.
And everyone can be a force for
change and a force for good.
Strengthening leadership in your organisation:
select for leadership behaviours and social care
values
Communication
Compassion
Adaptability & imagination
Treating people with dignity and respect
Empathy
Team working
Integrity
Self-awareness
Courage & responsibility
Ability to build relationships
We can all make that difference
...
The National Skills Academy for Social Care
www.nsasocialcare.co.uk
[email protected]