Quality care and CQC Andrea Sutcliffe Chief Inspector

Quality care and CQC Andrea Sutcliffe, Chief Inspector Adult Social Care LCAS Spring Seminar 11 May 2016 1

CQC 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 2

The Mum (or anyone you love) Test Is it effective? Is it responsive to people’s needs? Is it safe? Is it well-led? Is it caring? Is it good enough for my Mum? 3

Current ratings overall for active locations Note: Figures in chart are percentages Source: CQC ratings data from 5 May 2016 4

Current ratings by key question for active locations Note: Figures in chart are percentages Source: CQC ratings data from 5 May 2016 5

Current overall ratings by service type Source: CQC ratings data from May 2016 6

Current overall ratings by size of care home Note: One inadequate rated residential home has been omitted due to data quality issue Source: CQC ratings data from 5 May 2016 7

Overall ratings by size of DCA Source: CQC ratings data from May 2016 8

Quality is variable 9

Sustainable quality Caring not just coping 10

Market Oversight Aims 1. Spot if a ‘Southern Cross’ could happen again 2. Protect people in vulnerable circumstances 3. Monitor finances of ‘difficult to replace’ providers 4. Provide early warning to local authorities and assist in coordinating system response if failure occurs MO does not: 1. Protect providers from failure 2. Pre-empt failure through disclosure of information Mechanism – analysis of quarterly financial and quality information to provide the necessary notification to LA(s) so they can invoke contingency planning arrangements 50 providers in the scheme 11

Why a new strategy? A changing environment Use and delivery of regulated services is changing CQC must deliver its purpose with fewer resources Adapt and improve We want to become more efficient and effective to stay relevant and sustainable for the future The public, and organisations that deliver care, have told us we have improved but we know there is more to do 12

Our vision for quality regulation in 2021 Quality regulation can and does make a real and positive difference – it helps to achieve a health and care system where: 1. People trust and use expert, independent judgements about the quality of care 2. People have confidence that good and poor care will be identified and action taken where necessary so they are protected 3. Organisations that deliver care encouraged to improve quality 4. Organisations are encouraged to use resources as efficiently as possible to deliver high-quality care 13

Our strategic ambitions 1. Encourage improvement, innovation and sustainability in care 2. Deliver an intelligence-driven approach to regulation 3. Promote a single shared view of quality 4. Improve our efficiency and effectiveness 14

An outstanding care home "We didn't think we were outstanding. And perhaps that's why we were – I think it's because we see every single person as an individual. It is our privilege to support them to live the last years of their life with as much happiness, love and security as we can give them. " Suzanne, Prince of Wales House, Ipswich 15

Thank you www. cqc. org. uk enquiries@cqc. org. uk @Care. Quality. Comm David Behan Chief Executive Andrea Sutcliffe Chief Inspector of Adult Social Care @Crouch. End. Tiger 7 16