Outcomes from service inspection Is the quality of care in Scotland improving? October 2007

Outcomes from service inspection

Is the quality of care in Scotland improving?

October 2007

Is the quality of care in Scotland improving?

Our purpose

• to regulate for improvement

Our working principles

• keeping people safe• promoting dignity and choice• supporting independence

Is the quality of care in Scotland improving?

What we regulate:

15,179 services

• 4,221 services for adults• 10,832 services for children• 126 independent health care

services

Is the quality of care in Scotland improving?

Delivering services:

Private sector 57%Voluntary sector 23%Local authorities 20%

Is the quality of care in Scotland improving?

Awareness of the National Care Standards:

General public 27%Care Service users 41%Carers 44%Care Service providers 100%Older people in care homes 9%

Is the quality of care in Scotland improving?

Quality information is based on:

• Outcomes of inspection• Outcomes from complaints• Enforcement • Satisfaction surveys

Is the quality of care in Scotland improving?

What needs to improve

• Care homes for older people

• Care homes for children and young people

• Secure care and special schools

Is the quality of care in Scotland improving?

Complaints upheld for every 1000 services

2002/03 35.1%2003/04 50.1%2004/05 57.6%2005/06 69.6%

Proxy outcome indicator

Is the quality of care in Scotland improving?

Requirements when regulation is breached:

• More - Care homes – all user groups Special schoolsSecure careSupport services

Proxy outcome indicator

Is the quality of care in Scotland improving?

Enforcement - % of services

2004/05 0.4% (63)

2005/06 0.7% (99)

16 services cancelled in 2005/06

Is the quality of care in Scotland improving?

Regulating for Improvement project

A three year project 2006/07 to 2008/09 roll out:

• Quality grading scheme• More information on care services list• Greater involvement of experts by experience• Focus on services that need more support to

improve• Signposting to best practice• Fewer forms and paper

Is the quality of care in Scotland improving?

Where are we now?

Regulations breached and action required

26%

Enforcement Notices 0.7%

Cancellations16

No requirements/compliance

74%

Is the quality of care in Scotland improving?

Regulating for ImprovementWhere we want to be

Good

Weak

Poor

Excellent6

Very good5

4

Adequate3

2

1