Achieving Quality in a New Era

Paul DunneryOperations Director Alzheimer’s Society

Easy read summary

• This is an easy read of the short version of the Social Care Institute for Excellence’s (SCIE) guide to co-production.

• SCIE has done the summary in partnership with the Think Local Act Personal partnership.

• The Think Local, Act Personal partnership was set up to make social care for adults better with person centred and community support.

• Co-production means services working together with people who use services and carers. A lot of this summary is about what co-production means.

• Co-production is important for all services and can help them with all the big problems they have at the moment.

• It can: • help save money

• make services better for people

• help people work together better in their community

• help services to work together more

What is co-production?

• Co-production basically means making something together. It is also about people with different views and ideas coming together to make things better for everyone.

• Co-production is about people who use services, carers and professionals working together as equals. Being equals means nobody is more important than anyone else.

These are the things that are most important about co-production:

• people who use services, carers and professionals all work together to do the same things

• people who use services and carers • start to have more power and control

• people who use services and carers are part of everything to do with services

• services understand that people who use services and carers are useful because of what they know and what they can do

• people get something for what they do for services – sometimes they are paid money and sometimes they can do things for free

• or to learn new things

• the staff who work with people who use services and carers have more say in how things are done instead of the managers

Principles are the ideas about what are the most important things to do and how to do them.

• Equality - everyone has something to give and nobody is more important than anyone else

• 2. Diversity – everyone should be able to be part of co-production and it is important for services to include everyone

• Access - there shouldn’t be any thing that makes it difficult for any group of people to take part in co-production

• Reciprocity – this means everyone getting something for what they do in co-production. Sometimes they get money. Sometimes they get something for free. It is also about making friends with people and feeling good about helping people.

Structure

• The structure of the organisation is about the way the different parts of it work together and the things they do to make sure everything happens the way they want it to.

Culture

• The culture of an organisation comes from the things it believes and the things that the people who are in charge of the organisation thinks are important.

Practice

Practice is about the way the people who work for the organisation do their work.

Review

• Review means checking on how you are doing something and finding out what can be done better.

• It is important for organisations to check how they are doing with co-production and if it is making a difference to people’s lives.

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Achieving quality in the new era

Cathryn Bramham Inspection Manager Central Region02 April 2014

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Our purpose and role

Our purposeWe make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve

Our roleWe 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

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Regulation for Inspiration

The Mum Test

Is it good enough for your Mum?

Safe?

Effective?Well led?

Responsive?

Caring?

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New Operating Model

Surveillance

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Timetable

Co-production and development to shape consultation proposals

Oct 2013 – March 2014

Consultation on regulatory approach, ratings and guidance

April 2014

Wave 1 pilot inspectionsApril – May 2014

Evaluation; guidance and standards refined

July – Sept 2014

Wave 2 pilot inspections and initial ratings of some services

June 2014

Oct 2014

New approach fully implemented and indicative ratings confirmed

March 2016

Every adult social care service rated

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Inspection regimeRatingsMarket oversightDeveloping our peopleBuilding confidence

People who use services, carers, families and the public

Providers

Commissioners

National stakeholders

Chief Inspector ASC: Priorities

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Our top ten proposed changes (1/2)

More systematic use of people’s views and experiences, including complaints

Inspections by expert inspectors, with more experts by experience and specialist advisors

Tougher action in response to breaches of regulation, particularly services without a registered manager for too long

Checking providers who apply to be registered have the right values and motives, as well as ability and experience

Ratings to support people’s choice of service and drive improvement

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Our top ten proposed changes (2/2)

Better data and indicators to help us target our efforts

New standards and guidance to underpin the five key questions

Avoid duplication of activity with local authorities

Focus on leadership, culture and governance with a different approach for larger and smaller providers

Frequency of inspection to be informed by ratings

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Progress (1/2)

Co-production Group established – three meetings held, more scheduledRound table events – discussion about key issues with interested parties e.g. accreditation schemesAndrea’s weekly blog – regular information about progress Maintaining regular communications

Communication

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Progress (2/2)

Developing new methodology – lines of enquiry, judgement framework, guidance, documentationPlanning for first wave – start April 2014Creating new Adult Social Care Directorate and working with CIs of hospitals and primary careEstablishing Academy – learning and development for staff

www.cqc.org.uk

Cathryn BramhamInspection Manager

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Thank you