CQC into the future

1. CQC into the future Malcom Bower-Brown Deputy Chief Inspector of Adult Social Care 1

2. Overview • Purpose • Structure • 5 Key Questions • Regulatory Model • Ratings • Timetable • Measuring Success 2

3. 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 3

4. Our principles Our principles We are always on the side of people who use services. We promote equality, diversity and human rights. We are independent, rigorous, fair and consistent. We have an open and accessible culture. We work in partnership across the health and social care system. We are committed to being a high performing organisation and apply the same standards of continuous improvement to ourselves that we expect of others. 4

5. Our new structure • Moved from generic to specialist approach • Three Chief Inspectors: • Deputy Chief Inspectors leading specialist teams in each region • One CQC 5

6. 5 Key Questions • We ask these questions of all services: • Is it safe? • Is it effective? • Is it responsive? • Is it caring? • Is it well-led? • CREWS 6

7. The Mum Test • The Mum Test • Is it good enough for my Mum? Responsive? Safe? Caring? Effective? Well led?

8. New Regulatory Model Surveillance

9. Four point scale 9

10. How do we decide a rating? 10

11. Timetable – Adult Social Care • 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 • Oct 2014 • New approach fully implemented • March 2016 • Every adult social care service rated

12. Making a difference? • For people using services and the public: • You believe CQC is on your side and acts in your best interests – public common sense test • We engage compassionately with you and listen carefully to what you tell us • We act quickly and decisively in response to poor care and abuse • You have increasing confidence in us and trust our independence, expertise and judgement • We provide you with clear and authoritative reports

13. Making a difference? • For local authorities and other commissioners: • We respond collaboratively to safeguarding issues • You can rely upon the judgements we make to reduce duplication • We share information information between ourselves to inform the timing and focus of inspections • Our whole system overview supports integration between health and social care • We provide annual State of Care reports at national and local level.

14. Making a difference? • For organisations providing care and support: • You respect CQC as being open, professional, expert and independent • Our service provides value for money • We are proportionate, consistent and use fair processes • We share your commitment to improving services and our ratings help to drive improvement

15. Thank you www.cqc.org.uk Malcolm Bower-Brown Deputy Chief Inspector of Adult Social Care 15