CARE PROVIDER FORUM 30 th January 2015 Welcome

JULES GREGORY Market Manager – Bed Based Care JENNET HARTRICK Market Manager – Home Support

Agenda Quality Ratings Update KPMG Open Book 3 YA Consultation Update SProc.Net Update Birmingham Care Awards Supported Living Update ECMS Update

QUALITY RATINGS UPDATE MIKE EWINS Performance Management Officer

Adapt BCC quality ratings to new CQC inspection framework Review ‘rating’ questions in SAQ Review quality rating bandings and public information Promote public quality ratings dashboard Make better use of feedback from citizens, family/friends & members of the public What do we want to do?

Replaces Essential Standards compliance with a Quality Rating Five new categories: Safe, Effective, Caring, Responsive & Well-Led Four possible outcomes: Outstanding, Good, Requires Improvement, Inadequate Ratings for the five categories combined to produce an overall rating using the same four outcomes New CQC Inspection Framework

CQC non-compliance deductions currently used: - 3 points for minor concerns - 8 points for moderate concerns - 20 points for major concerns For new CQC inspections we will apply the following deductions for each of the five categories: Requires improvement - 8 points Inadequate - 20 points New CQC Inspection Framework

We will analyse provider comments recorded in SAQ over the last 12 months We will work with providers to develop a revised set of ‘Rating’ questions and scoring system We will aim to introduce a revised SAQ and scoring system by Autumn 2015 Review of ‘Rating’ Questions

We will review our current public quality ratings dashboard using feedback from providers and the public We will work with providers to incorporate the new CQC quality ratings into the dashboard We will look at how we identify providers with ‘Outstanding’ or ‘Inadequate’ CQC quality ratings Review of Quality Rating Bandings

We will continue to promote the dashboard through the media, events, external partners etc. We will promote ‘good practice’ examples where providers have encouraged citizens & others to provide feedback into ‘Healthwatch Birmingham’ We will continue to explore ways in how we can incorporate citizen ‘review’ data and outcomes delivery into the quality ratings process Promoting Quality Ratings

KPMG OPEN BOOK 3 CHRIS MacADAMS Strategic Market Manager

Additional analysis on Open Book 2 to identify and separate out ‘Care’ and ‘Hotel’ costs for both OA and YA bed based care Consult with YA providers to develop alternative pricing models which could include: a price banding structure linked to outcomes; and/or an enablement approach where the price reduces over time; and an assessment of whether to offer a specialist hourly rate Open Book 3 Process

To include YA Home Support, Supported Living and Housing with Care (“Extra Care”) Develop a methodology to take into account future changes in the main cost drivers and therefore future proof the process for establishing fees Open Book 3 Process

KPMG OPEN BOOK 3 CHARLES WHITWORTH Senior Management Consultant

Key Principles KPMG have done this before! One of the ‘Big 4’ accountancy firms Professionalism KPMG will work at ‘arms length’ ‘Evidence based analysis’ from data gathered Independence

Key Principles We will discuss approach and share output We will have the evidence for every assumption and result Transparency Our tools have been refined through previous work KPMG will support and validate the data Engagement and Support

Creation of questionnaire and reporting tool Manage data gathering process Support providers through the process Validate provider responses Consolidation, aggregation and analysis of data Independent report of findings KPMG Role

Understand actual local costs of care including staff and non-staff costs Understand local and national context of these costs e.g. What are the challenges and pressures affecting costs, both now and expected in the future? Understand occupancy, capacity and future plans of the local market Objectives

Process Stages StageActivitiesTiming 1. Design approach and outcomes (scope) Create questionnaire, pilot with small group of providers Complete by Friday 14 th February 2. Gather DataSend out questionnaire for completion to all providers 3 weeks, complete by 7 th March 3. Perform AnalysisKPMG check data, group data, anonymise, and develop cost structures 7 th March until end of March 4. Validate with marketShare findings with providers (participation rates & ‘aggregated’ data) Early April

Cost data should reflect local market dynamics and structure Minimise use of industry/national averages and assumptions – local data is critical! Grouping questions will be asked and used to segment data – home size, care type etc. Maximum coverage – sent to all providers Not a lengthy process – 4 weeks response time Questionnaire Principles

We are seeking a small group of providers to assist with: - Tailoring a questionnaire for the local market - Ensuring it is easily understood - Ensuring the process is reasonable - Ensuring the process is relevant - Ensuring the process is comprehensive - Fine tuning to avoid confusion etc. The Pilot

The Data Gathering Period Engagement StepProposed Timing Questionnaire sent to bed-based care homes w/c 11 th February Ongoing support, calls, updates, FAQs and visits if required 11 th February to 8 th March Closing of response period8 th March Data analysis and clarification of any outstanding questions with homes 11 th March onwards

On receipt by KPMG, your questionnaire is manually validated Your questionnaire is uploaded into a database and all identifying data in the tool is removed (care home names, contact details, second part of postcodes) At the end of the data gathering process all responses (written and ) will be destroyed We will write to all providers to confirm the destruction/deletion of all data Confidentiality

This will be transparent – we will share summary information with you A report outlining the costs of care in Birmingham will be shared with all providers This report will clearly state the sample size, approach to data analysis (e.g. averages), any exclusions and assumptions made Sharing the Output

There will not be a direct link made between this report and fee levels There will be no reference to individual, identifiable homes in this report Sharing the Output

We will provide as much support as is required FAQ’s Calling a sample of Providers on a daily basis Visiting Providers if additional support is required Providing a help number/ for queries In Addition

CHRIS MacADAMS Strategic Market Manager CHARLES WHITWORTH Senior Management Consultant

YA CONSULTATION UPDATE

Consultation Themes 1.Introduction of a Framework Agreement 2.Introduction of a Micro-Procurement process

SPROC.NET UPDATE

814 packages started in last 12 months Jan 14 – Dec 14 (new clients or changes of provider) 50% of packages procured through SProc.Net (last 3 months) Average starting weekly costs - last 12 months Residential Care Fees SProc.NetNot SProc.Net £421£437

538 packages started in last 12 months Jan 14 – Dec 14 (new clients or changes of provider) Over 60% of packages procured through SProc.Net (last 3 months) Average starting weekly costs - last 12 months Nursing Care Fees SProc.NetNot SProc.Net £472£484

120 packages started in last 12 months Jan 14 – Dec 14 (new clients or changes of provider) 92% of packages procured through SProc.Net (last 3 months) Average starting weekly costs - last 12 months Residential Dementia Care Fees SProc.NetNot SProc.Net £425£484

90 packages started in last 12 months Jan 14 – Dec 14 (new clients or changes of provider) 90% of packages procured through SProc.Net (last 3 months) Average starting weekly costs - last 12 months Nursing Dementia Care Fees SProc.NetNot SProc.Net £528£612

3036 packages started in last 12 months Jan 14 – Dec 14 (new clients or changes of provider) 94% of packages procured through SProc.Net (last 3 months) Average blended hourly rate - last 12 months Home Support Fees SProc.Net £11.48

Home Support Fees Citizen GroupAverage blended hourly rate Aged 18-64£11.56 Aged 65 Plus£11.47 Dementia£11.25 Learning Disability£11.43 Mental Health Act£11.67 Mental Health£11.53 Physical Disability£11.51 Sensory Impairment£11.24

SAFEGUARDING (last 12 months)

Safeguarding (last 12 months) Type of AbuseNumber% Neglect Physical Emotional Financial Institutional Sexual422.3 Other392.1 Grand Total

Safeguarding (last 12 months) PerpetratorNumber% Social Care Staff Other Citizen Health Care Worker Other Grand Total

Safeguarding (last 12 months) Source of Referral Number% Social Care Staff Health Care Worker Family Member CQC694.9 Other Grand Total

Safeguarding (12 months) Location of Incident Number% Care Home Own Home Supported533.8 Other Grand Total

BIRMINGHAM CARE AWARDS

SUPPORTED LIVING UPDATE

ECMS UPDATE

CARE PROVIDER FORUM DATES Tuesday 28 th April 2015 Tuesday 28 th July 2015 Wednesday 28 th October 2015

JULES GREGORY Market Manager – Bed Based Care JENNET HARTRICK Market Manager – Home Support CHRIS MacADAMS Strategic Market Manager