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Modernising our inspection methodology. Helen Happer Marie Paterson. Head of Quality & Improvement Project lead, methodology review. Why?. Revision of national care standards – Human Rights based approach - using principles to inform and explain decision-making
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Modernising our inspection methodology Helen Happer Marie Paterson Head of Quality & Improvement Project lead, methodology review
Why? • Revision of national care standards – Human Rights based approach - using principles to inform and explain decision-making • Influence of national policy on design and delivery of care in Scotland • More tailored approach required for different service types/ needs • Need a better interface between scrutiny at care service, corporate and strategic partnership levels • Commitment to supporting the best possible experiences and outcomes for people who use care services • Challenge of rising expectations and limited resources
Whose views? • Current, future and past users of care services, and their families • The public • Providers and commissioners of services • Front line staff in services • Care Inspectorate staff • Scottish Government • Scrutiny partners • Other bodies
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
What did service providers tell us about how inspections feel for them?
What did inspectors tell us about how inspections feel for them?
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
A new framework • EFQM-based self-assessment and inspection framework – relationship between impact, outcomes and processes • A suite of Quality Indicators, illustrations at Very Good & Weak for each • A published judgement framework • Increased expectations of self-assessment and evidence to support it • Shared tools for inspectors and providers to support QA and improvement • Outcome-focused public report
Process..... Direction setting Consultation Framework dev’tDirection check Consultation/review Enabler development Review/direction check Testing Implementation Consultation and review
Meanwhile….. • Restructuring into specialist teams • New approach to inspection of childminding services/reporting • Shared inspection and capacity-building with Education Scotland - early years • Improved information-sharing to inform strategic inspections • Review of key processes - enforcement and requirements follow-up, registration • Developing our workforce • Strengthening quality assurance • Website development and The Hub • Review of annual returns • Creation of ‘expert’ groups to support capacity building • “Quality conversations” forums across the country • Publication of inspection frameworks
Over to You Small group discussion