Housing support and regulation 12 th November 2014 Dundee Yvette Burgess Unit Director, Housing Support Enabling Unit
National Care Standards review Heather Dall
National Care Standards Review – Update • Pre consultation events 2013 • NCS Project Board • Public Consultation – 17 September 2014 • Consultation events – The Alliance, Age Scotland, Advocacy Services and providers (18)
NCS Consultation questions • Human Rights Based approach • Overarching standards/rights for health and social care • Restructure NCS – Streamline • Specific Standards ? • Care Inspectorate and Healthcare Improvement Scotland - developing standards and inspection methodology
Responses indicate … • Human Rights Based Approach • Overarching health and social care • Streamlining standards • Care Inspectorate – delegated powers
Comments and observations • Training and common understanding HRA • Outcome focused • Children’s Services ? • Be careful not to complicate standards • ‘Care’ ‘Standards’ ? • Improve Inspection and Registration • Commissioning and Regulation • Involve People • Accessible, promote, meaningful
? Questions ?
Next Steps • January 2015 – Project Board Meeting • Final report • Development of action plan, project plan and review of Project Board • Communication • Development phase of NCS review • Implementation and publicity
Exercises • Generic/Core Standards ? • Specialist Standards ? • Legislative changes ?
Reviewing our scrutiny and improvement work Rami Okasha Head of Quality and Improvement
Vision • The Care Inspectorate believes that people in Scotland should experience a better quality of life as a result of accessible, excellent services that are designed and delivered to reflect their individual needs and promote their rights.
Frontline regulated care services
14,000 services • • Adoption agencies Childcare agencies • • Adult placement Childminders • • Care at home services Nurseries & after school • • Care homes for: Criminal justice supported accommodation - young people • Fostering and family placement - older people • - people with physical & sensory Housing support impairments • Nurse agencies - people with learning disabilities • School care accommodation - people with mental health • Secure care accommodation problems • Short breaks and respite care - people with drug and alcohol misuse problems • Support services
Change is coming… • Currently engaged in a full review of our scrutiny and improvement methodology • Several drivers of change: – New national care standards – human rights based – Changes in national policy – Tailored approach for different service types – Interface between scrutiny at service & strategic level – Greater focus on outcomes of services – Challenge of rising expectations and limited resources • Inspections of childminders now based on Getting It Right for Every Child - outcomes
Consultation to date • E-consultation - service providers (incl staff) and commissioners [1232] • E-consultation - public [570] • E-consultation - CI staff [172] • Focus groups x 12 - providers and managers of services [70] • Discussions with SG and scrutiny partners • Currently consulting with a range of service user groups
Areas of consensus • Widespread support for inspection • Essential to maintain standards & protect vulnerable people • Provides reassurance, affirmation and motivation to improve • Purpose should be improving experiences and outcomes for people who use services • Needs to be manageable for all • Inspection should lead to improvement
Areas of ‘tension’ • scrutiny support • independence familiarity • time to improve risks of delay • report for public report for provider • predictability bespoke • intelligence led preconceived • rigour deliverability / minimising intrusion
Works well when…. Approach: supportive – improvement focused - shared goals – risk-based – proportionate – transparent Attitude: open-minded - flexible - fair Behaviour : dialogue -accessible - advice - smile! Knowledge: understands service, area of work Activity: spend time with users of service
Focus attention on…. • Clarifying and communicating expectations – includes defining good practice • Simplifying processes and increasing reliability of responses • Improving consistency and transparency • Maximising time observing practice and meeting people who use the service • Reporting clearly on people’s experiences and the difference services are making to their lives
Direction of travel • Inspection framework with clear quality indicators • Examples of “very good” and “weak” practice • Evaluation framework shared with providers • Inspection and improvement toolbox which we inspect against and which providers can use for quality assurance • More robust, dynamic self-assessment • Intelligence profiles for services and CPPs • Improvement and partnership ambassadors
Challenges • Determining risk • Maintaining proportionality • Making user focus a reality • Outcome-focused reporting • Ensuring consistency and quality • Coherence between inspections at different levels • Balancing scrutiny and improvement
Cheryl Campbell Senior Registration Officer Registration
About the Register • Registration commenced in April 2003 • There are 21 different parts of the Register • There are currently 70,765 registrants across the different parts • 29% of these registrants are registered subject to a qualification condition
Mandatory Registration Part of the Register Mandatory No. % registration Regstd Qualified Social Workers Sept 2005 10966 100% Students May 2004 1794 N/A Care Inspector Staff Mar 2010 281 78% Residential Child Care Workers Sept 2009 6272 70% Managers of Adult Day Care Nov 2009 382 73% Services Managers of Care Homes Services Nov 2009 638 67% for Adults Supervisors in Care Homes Mar 2012 3073 42% Services for Adults
Mandatory Registration Part of the Register Mandatory No. % registration Regstd Qualified Practitioners in a Care Homes Services for Mar 2013 5777 60% Adults Managers of Day Care of Children Services Nov 2010 2517 34% Practitioners in a Day Care of Children Sep 2011 20379 87% Service Support workers in a Day Care of Children June 2014 5001 45% Services All Residential School Care Accommodation Nov 2013 369 38% Workers Managers of Housing Support Services Jan 2014 1201 49% Managers of Care at Home Services Jan 2014 876 46%
Future Dates for Mandatory Registration Part of the Register Date Date of Register Mandatory Opens Registration Support Workers in Adult Care Home April 2009 30 September 2015 Services Supervisors in Housing Support & July 2014 30 June 2017 Care at Home Workers in Housing Support & Care 2017 Expected 2020 at Home All workers new into their role are required to be registered within six months of starting in the new post. This includes workers in posts in the above categories where registration is not yet mandatory.
Eligibility • Workers must be working in a service regulated by the Care Inspectorate to be eligible for registration. Workers cannot apply for registration in advance of being recruited into a role. • This requirement does not apply to social workers. • Workers already registered with another regulatory body e.g. the Nursing and Midwifery Council are not eligible for registration with the SSSC. • Volunteers are not eligible to be registered with the SSSC.
Register Parts • How do I know which part of the Register I should be applying for? Workers should discuss this with their employers based on: • Definitions of register parts on the SSSC website • The role the worker undertaking not their job title • Workers should apply for each part of the Register they are carrying out the role for
Who is responsible for Registration? • Employers are responsible for ensuring they are employing registered workers – it can take up to 60 days to process an application for registration. It can take longer if the application is referred to Fitness to Practise. • Have you changed your contracts of employment? • As part of an inspection of a care service, the Care Inspectorate are checking the registration status of staff. • Workers are responsible for maintaining their registration, including achieving qualifications.
Avoid delays in the application process • Employer provide PVG Membership or Disclosure Scotland number and date carried out at the point the application is endorsed 16 Digit Number commencing: (2011) 11 _ _ _ _ _ _ _ _ _ _ _ _ _ _ (2012) 12 _ _ _ _ _ _ _ _ _ _ _ _ _ _ (2013) 13 _ _ _ _ _ _ _ _ _ _ _ _ _ _ (2014) 14 _ _ _ _ _ _ _ _ _ _ _ _ _ _
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