1 Livewell South West (Plymouth CIC) Inspection Overview Andy Brogan – Chair Pauline Carpenter – Head of inspection Inspection managers – Michelle McLeavy & Nigel Timmins

2 Our approach

3 Preparation Listening to people, talking to stakeholders, comment cards data packs, formation of inspection team. Site visit 3-4 days, mixed teams. Up to 15 core services announced and unannounced parts. MHA monitoring. MCA monitoring. Reporting Report writing. Quality assurance Ratings. Publication. Quality Summit.

Discuss the outline plans with the trust and other key stakeholders. Hold discussions with stakeholders to get feedback and tell us what they know. Collect data from a range of sources including Livewell Southwest. Listen to views of people who had use the services and carers via groups and comment cards. Create a bespoke inspection team with skills and experience of the core services. Provide the data pack for the organisation to check and ensure accuracy. Plan the site visits in detail. Provide training and information to all specialist advisors joining the inspection team. 4 Our approach: pre site visit

Core services – mental health 1. Acute wards for adults of working age and psychiatric intensive care units. 2. Long stay/rehabilitation mental health wards for adults of working age 3. Forensics in patient secure wards 4. Child and adolescent mental health wards 5. Wards for older people with mental health problems 6. Community based meant health services for adult of working age 7. Mental health crisis services and health based places of safety 8. Specialist community mental health services for children and young people 9. Community based mental health services for older people 10. Community mental health services for people with learning disability's or autism 11. Community substance misuse services 5

Core services – community health 1. Specialist community for children and young people and families 2. Community services for adults 3. Community inpatient services 4. End of life care 6

Our approach: site visit Invite the provider to present themselves to the inspection team. Set inspection team expectations and objectives for the coming week. Visit all core services over all sites. Hold focus groups with staff and interview senior staff individually. Meet with patients and carers to discuss their views on services. Collect evidence from a range of sources using a variety of tools and carried out MHA monitoring. Corroborate findings each evening, in which we encourage challenges and debate. 7

We hold a management review meeting to discuss the immediate findings. Core team leaders distil the evidence and information collected and begin to write the reports which include an ongoing quality assurance approach. We share the findings with the chair of inspection for challenge and comment. Present findings to the National Quality Assurance Group (NQAG) and decide on ratings. Present the draft report to the provider organisation for factual accuracy checks. Undertake further review of ratings, discussed with the chair of the NQAG. Publish the report. 8 Our approach – post site visit

9 Inspection Comparison - Approaches Wave One ApproachNew Approach Location based not core serviceComprehensive, we look at all areas Significantly smaller team of inspection staff, advisors and experts Specialist advisors and Experts by Experience bring specialist knowledge Short planning phase, limited notice and data collection demands 20 weeks planning notice, lots of data collected pre inspection Sample of inpatient wards/services and community locations. All core services inspected. All inpatient wards, selection of community sites.