Regulation and Inspection of Social Care Wales Act

Regulation and Inspection of Social Care (Wales) Act 2016

It’s all about well-being. . . Social Services and Well-being (Wales) Act Well-being of Future Generations (Wales) Act A revised, streamlined framework for the regulation and inspection of social care services Quality of care and support Regulation and Inspection of Social Care (Wales) Act Strengthening protection Increasing accountability Giving a stronger voice 1

. . . and regulating for success Ø From compliance with minimum standards to how services improve people’s well-being Ø Reducing complexity of the law and providing flexibility Ø Developing workforce skills to provide the best care and support Ø Increasing transparency and public confidence 2

Who does it affect? Advocacy services Adoption and fostering Local authority social services Residential family centres Domiciliary support Care homes – adults and children Secure accommod -ation Adult placements 3

What does the Act change? Market stability Local authority social services Service regulation Regulation and Inspection of Social Care (Wales) Act Social Care Wales Workforce regulation 4

Social Care Wales Introducing Social Care Wales Ø From the Care Council and SSIA to Social Care Wales Ø Wider functions to drive continuous service improvement Ø CSSIW and SCW have a duty to co-operate Ø Increased public confidence in the social care workforce Ø Create an ‘agent for change’ at the heart of the sector 5

Registration and skills Workforce regulation Ø Mandatory registration of social care workforce Ø Regulation includes care worker training and education Ø Key workforce regulation processes secured in primary legislation Ø Flexibility to respond to changes in the sector Ø Recognises broad nature of workforce and ensures training of whole workforce is to sufficient standard 6

Service regulation Old service registration Establishment based model CSSIW Suncare Ltd Care home Bridgend Care home Cardiff Domiciliary care RCT Suncare Ltd Domiciliary care Merthyr Ø Registration of each separate establishment and agency Ø Each service has a registered manager with CSSIW and CCW Ø Responsible individual nominated but not registered 7

Service regulation New service registration Service provider-based model Registration service CSSIW Ø Simplified service registration model being introduced Ø Each care agency/site registered as a condition (sub-registration) of the service registration with link ‘responsible individual’ Ø No registration of managers by CSSIW, only Social Care Wales

Service regulation Better accountability Ø Responsible individual designated as part of the service registration Ø Senior representative e. g. owner, partner, board member or local authority senior officer Ø Duty to oversee and ensure the quality of the service Ø Ensures accountability for service quality and compliance at an appropriate level Ø Provides clearer communication and oversight to frontline services 9

Service regulation Securing improvement Ø New improvement notices introduced giving providers specific time frames to make improvements Ø Strengthen protection for people who use services Ø More flexibility for the regulator in dealing with continued non-compliance 10

Service regulation Greater transparency Ø Providers to prepare annual returns outlining their performance Ø Published on the CSSIW website alongside the inspection report Ø Includes staff retention, training and development, etc Ø More transparency and comparability for service users Ø Makes it easier for people to make well-informed choices about their care 11

Service regulation Inspecting for outcomes Local authority social services Ø Inspections to include assessment of how well services are meeting the well-being outcomes of the people who use them Ø Supports and inspires improvements Ø Provides citizens with a clearer view of the quality of services 12

Standardised reporting Local authority social services Ø Directors of Social Services to publish annual reports on how they have carried out their social services functions in a new reporting template Ø Standardises the reporting requirements across local authorities Ø Makes it easier for people to make comparisons 13

Market stability Ø Local authorities to publish market stability reports Ø These must take account of the population assessment and feed into a national stability report Ø Market oversight of important providers to avoid unexpected market exits Ø Everyone in the sector able to respond to market changes Ø Consolidates work by local authorities and SSIA on market position statements 14

When will it change? National Minimum Standards until service re-registers Jan 2016 Apr 2017 Apr 2018 - Apr 2019 April 2020 Bill became an Act Workforce regulations come into force Workforce register opens to domiciliary care workers All providers register services under new Act in a phased reregistration process New system of service regulation and inspection fully operational Workforce register opens for adult care home workers Social Care Wales created Consultation(s) on regulations and testing of inspection framework 15

In summary Ø Standardised reporting across local authorities Ø Local authority inspections focus on impact and well-being Market stability Local authority social services Ø Local and national market stability reports linked to population assessments Ø Better market oversight of important providers Social Care Wales Well-being Ø Changes to CSSIW service registration Ø Better accountability through responsible individuals Service Ø New annual regulation provider returns Ø Provider inspections focus on impact and well-being Workforce regulation Ø Social Care Wales an agent for change and improvement in the sector Ø Duty to co-operate with CSSIW Ø Mandatory registration of wider range of staff Ø Workforce registration with Social Care Wales Ø Regulation of care worker, as well as social worker training 16