Achieving Quality in a New Era

2. Achieving Quality in a New Era Paul Dunnery Operations Director Alzheimer’s Society

3. Easy read summary • This is an easy read of the short version of the Social Care Institute for Excellence’s (SCIE) guide to co-production. • SCIE has done the summary in partnership with the Think Local Act Personal partnership. • The Think Local, Act Personal partnership was set up to make social care for adults better with person centred and community support. • Co-production means services working together with people who use services and carers. A lot of this summary is about what co-production means.

4. Co-production is important for all services and can help them with all the big problems they have at the moment. • It can: • help save money • make services better for people • help people work together better in their community • help services to work together more

5. What is co-production? • Co-production basically means making something together. It is also about people with different views and ideas coming together to make things better for everyone. • Co-production is about people who use services, carers and professionals working together as equals. Being equals means nobody is more important than anyone else.

6. These are the things that are most important about co-production: • people who use services, carers and professionals all work together to do the same things • people who use services and carers • start to have more power and control

7. people who use services and carers are part of everything to do with services • services understand that people who use services and carers are useful because of what they know and what they can do • people get something for what they do for services – sometimes they are paid money and sometimes they can do things for free • or to learn new things • the staff who work with people who use services and carers have more say in how things are done instead of the managers

8. Principles are the ideas about what are the most important things to do and how to do them. • Equality - everyone has something to give and nobody is more important than anyone else • 2. Diversity – everyone should be able to be part of co-production and it is important for services to include everyone

9. Access - there shouldn’t be any thing that makes it difficult for any group of people to take part in co-production • Reciprocity – this means everyone getting something for what they do in co-production. Sometimes they get money. Sometimes they get something for free. It is also about making friends with people and feeling good about helping people.

10. Structure • The structure of the organisation is about the way the different parts of it work together and the things they do to make sure everything happens the way they want it to.

11. Culture • The culture of an organisation comes from the things it believes and the things that the people who are in charge of the organisation thinks are important.

12. Practice Practice is about the way the people who work for the organisation do their work.

13. Review • Review means checking on how you are doing something and finding out what can be done better. • It is important for organisations to check how they are doing with co-production and if it is making a difference to people’s lives.

16. Achieving quality in the new era Cathryn Bramham Inspection Manager Central Region 02 April 2014 16

17. 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 17

18. Regulation for Inspiration • The Mum Test • Is it good enough for your Mum? Responsive? Safe? Caring? Effective? Well led?

19. New Operating Model Surveillance

20. Timetable • Oct 2013 – March 2014 • Co-production and development to shape consultation proposals • April 2014 • Consultation on regulatory approach, ratings and guidance • April – May 2014 • Wave 1 pilot inspections • June 2014 • Evaluation; guidance and standards refined • July – Sept 2014 • Wave 2 pilot inspections and initial ratings of some services • Oct 2014 • New approach fully implemented and indicative ratings confirmed • March 2016 • Every adult social care service rated

21. Chief Inspector ASC: Priorities • Inspection regime • Ratings • Market oversight • Developing our people • Building confidence • People who use services, carers, families and the public • Providers • Commissioners • National stakeholders 21

22. Our top ten proposed changes (1/2) • More systematic use of people’s views and experiences, including complaints • Inspections by expert inspectors, with more experts by experience and specialist advisors • Tougher action in response to breaches of regulation, particularly services without a registered manager for too long • Checking providers who apply to be registered have the right values and motives, as well as ability and experience • Ratings to support people’s choice of service and drive improvement 1 2 3 4 5

23. Our top ten proposed changes (2/2) • Better data and indicators to help us target our efforts • New standards and guidance to underpin the five key questions • Avoid duplication of activity with local authorities • Focus on leadership, culture and governance with a different approach for larger and smaller providers • Frequency of inspection to be informed by ratings 6 7 8 9 10

24. Progress (1/2) • Co-production Group established – three meetings held, more scheduled • Round table events – discussion about key issues with interested parties e.g. accreditation schemes • Andrea’s weekly blog – regular information about progress • Maintaining regular communications Communication

25. Progress (2/2) • Developing new methodology – lines of enquiry, judgement framework, guidance, documentation • Planning for first wave – start April 2014 • Creating new Adult Social Care Directorate and working with CIs of hospitals and primary care • Establishing Academy – learning and development for staff

26. Thank you www.cqc.org.uk Cathryn Bramham Inspection Manager 26