Priorities for regulating and inspecting dementia services - - PowerPoint PPT Presentation

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Alison Murray, Head of Inspection Westminster Health Forum 30 January 2017

Priorities for regulating and inspecting dementia services

Our purpose The Care Quality Commission is the independent regulator of health and adult social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

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The Mum (or anyone you love) Test

Is it good enough for my Mum?

Is it safe?

Is it caring?

Is it effective?

Is it responsive to people’s needs? Is it well-led?

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State of Care 2016

• Published

13 October 2016

State of Care 2016: Adult social care

• Many services are providing good

quality care – over 70%

• More than three-quarters of re-

inspected inadequate locations improved

• 84% of community social care

locations, including 92% Shared Lives services, Good or Outstanding

• Caring achieves highest scores –

90% Good, 2% Outstanding

The good news

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Great care

The provider and staff supported people in a number of creative ways to lead a fulfilling life with a commitment and determination to promote people's quality of life. A person who liked heavy metal had a CD player and headphones. Another person liked birds – they had their

• wn budgies and love

birds to look after. Relatives told us they were amazed and moved by the changes they saw in their family member when they used their iPads. Innovative ways of involving people were used so people were at the heart of everything. People were listened to and their comments acted on.

State of Care 2016: Adult social care

• 26% services Require Improvement

and 2% are Inadequate

• Poorer performance for safety and

leadership

• Nearly a quarter of re-inspected

inadequate services did not improve

• Half of services rated requires

improvement did not improve on re- inspection – 8% became inadequate

• Services for older people fare worse

than those for people with a learning disability

The worrying news

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Poor care

One member of staff when asked about MCA “I probably have had training, I can’t think what it is off hand, is it when people are too ga ga?” The home was not clean. Bins outside the home were over-flowing and household rubbish was kept in the garden which could encourage pest infestation. Staff employed at the home did not have the skills and knowledge required to support people safely. People were not receiving medicines safely and the temperature for storing medicines was too high to ensure medicines were effective. There has been inconsistent leadership at the home, with management changes and periods of management absence.

• Care providers:
• Help people living with

dementia maintain independence for as long as possible

• Enable people living with

dementia to live life to the full

• Make sure families and carers

feel cared for and supported

• Ensure end of life care is the

best it can be

• See the person not the

diagnosis

Dementia care

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• Age UK estimated in 2015 over a

million older people have unmet social care needs, up 800,000 from 2010

• 26% fewer older people receive LA

funded care – 81% of councils reduced spending on social care

• Five-year increase in nursing home

beds now stalled

• Some providers resigning contracts,

councils warn of more

• Recruitment and retention of staff a

challenge

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Source: CQC – State of Care 2015/16

State of Care 2016: approaching a tipping point?

Quality matters: a collective effort

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The public – people who use services, families and carers Staff – capable, confident and supported Providers – culture, organisation, expectations Commissioners and funders – expectations of quality Regulators – monitor, inspect, rate, take action, celebrate

Our next phase of regulation: a more targeted, responsive and collaborative approach

The purpose of the consultations

How we propose to update our approach and our assessment framework to reflect the changing provider landscape There will be two consultations on these changes: one in Winter 2016/17, and another in Spring 2017

more integrated approach that enables us to be flexible and responsive to changes in care provision more targeted approach that focuses on areas of greatest concern, and where there have been improvements in quality greater emphasis on leadership, including at the level of

• verall

accountability for quality of care closer working and alignment with NHS Improvement and other partners so that providers experience less duplication

Consultations on our proposed changes to inspections

NHS Improvement consultation on Use of Resources and ‘well-led’ scheduled for December

20 December 2016 – 14 February 2017

New care models and complex providers Cross sector changes to assessment frameworks Updated guidance for registration of learning disability services Changes to Hospitals inspection methodology Developing quality ratings for NHS trusts and other complex providers

Spring 2017 (TBC)

Changes to Adult Social Care inspection methodology Changes to Primary Medical Services inspection methodology Changes to registration

Changes to our assessment framework

• Reducing the number KLOEs

sets from 11 to two; one for healthcare and one for ASC

• Majority of the KLOEs and

prompts relevant to all health

• r adult social care sectors
• Continue to provide additional

sector-specific materials

• Also informs evidence when

registering providers

To be made available primarily as online information

Strengthen and simplify

We are not proposing a significant shift in what we already ask of providers; rather, our proposals for change represent an evolution of

• ur framework.

Strengthen

• Based on learning over the past

three years and changes in the sectors

• Not ‘raising the bar’ for providers
• Providers to be able to demonstrate

how they are developing and adapting

Simplify

• Aligning the questions we ask of

different sectors

• Promote a single shared view of

quality

• A simpler process to reduce

regulatory burden on providers

Get involved

Respond to the first consultation on our next phase of inspections until 14 February 2016

• www.cqc.org.uk/nextphase
• nextphase@cqc.org.uk
• @CareQualityComm using #CQCnextphase

To respond to the NHS Improvement joint consultation on Use of Resources and the ‘well-led’ domain, please follow the link on the above web page.

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Thank you

www.cqc.org.uk enquiries@cqc.org.uk @CareQualityComm

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