Martin Haines, Inspection Manager, Adult Social Care Directorate, Care Quality Commission, will present an overview of adult social care inspections carried out in the borough and those planned for the future, drawing out key trends and lessons regarding the quality of care delivered across Haringey.
Minutes:
The Panel considered a presentation from Martin Haines, Inspection Manager, Adult Social Care Directorate, Care Quality Commission, London Region.
Mr Haines commenced his presentation by explaining the Care Quality Commission (CQC) was the independent regulator of health and social care in England. It was noted that the purpose of the CQC was to ensure health and social care services provided safe, effective, compassionate, high-quality care, and to encourage services to improve.
Mr Haines provided details concerning information that had been published by the CQC, including performance ratings and the methodology and approach that had been used. The following points were considered in relation to the practicalities of inspection:
- Unannounced except where this would be impractical
- Provider Information Returns (PIR)
- The emphasis that was placed on hearing people’s voices
- The use of bigger inspection teams, including specialist advisors and experts by experience
The Panel was informed that under the new CQC framework, inspectors assessed all health and social care services against five key questions - is a service: safe, effective, caring, responsive to people’s need and well-led? Mr Haines explained that a judgement framework supported this assessment, providing a standard set of key lines of enquiry directly relating to the five questions. The panel noted that the new ratings system used the assessment of these five areas to rate services as: outstanding, good, requires improvement or inadequate. This enabled people to easily compare services. The panel was informed that services rated as outstanding were normally re-inspected within 2 years; good services within 18 months; services requiring improvement within a year; and inadequate services within 6 months.
Mr Haines concluded his presentation by providing information on the latest national and local CQC ratings. The Panel was asked to note the overall ratings for Adult Social Care services, summarised below.
|
|
Total
|
Inadequate |
Requires Improvement
|
Good |
Outstanding |
|
National
|
19,610 |
597 (3%) |
4,886 (25%) |
13,924 (71%) |
203 (1%) |
|
Haringey
|
69 |
2 (3%) |
24 (35%) |
43 (62%) |
0 (0%) |
(Source: CQC – 1 October 2016)
During the discussion reference was made to a number of issues, including:
- The CQC’s enforcement powers.
- The fact the CQC was close to completing inspections for all services they regulated and that this had given a unique understanding of quality across the country.
- Lessons learned and themes emerging from national and local inspections.
- Guidance for providers to display ratings.
- The work that had been carried out by the Scottish Care Inspectorate in relation to promoting physical activity in care homes and how this work was being taken forward via the Physical Activity for Older People Scrutiny Project.
The Panel thanked Mr Haines for his attendance and it was agreed that the Care Quality Commission should attend a Scrutiny Panel meeting during 2017/18 to provide an update on their inspection programme for Haringey.
AGREED:
(a) That the presentation from Martin Haines, Inspection Manager, Adult Social Care Directorate, Care Quality Commission, be noted.
(b) That the Care Quality Commission be invited to attend a Scrutiny Panel meeting during 2017/18 to provide an update on their inspection programme for Haringey.