Helping providers to implement the Care Act 2014 and changes to CQC regulation and inspection venue: Radisson Blue Hotel, Leeds date: 29 January 2015

Policy update and round up of current issues for care providers Gill Boston Project Manager National Care Forum

Care home residents recreate famous movie scenes for calendar Policy update and round up of current issues

In summary 1.Getting ready for the Care Act The context and market dynamics 3.Quality issues and initiatives 4.Workforce matters 5.Implications for providers

Making sense of the Care Act 2014: Modernises over 60 years of care and support law into a single, clear statute Clarifies entitlements to care and support Provides for the development of national eligibility criteria Treats carers as equal to the person they care for putting them at the centre of the law and on the same legal footing 1. Getting ready…

Making sense of the Care Act 2014: Reforms how care and support is funded, to create a cap on care costs Rebalances the focus of care and support on promoting wellbeing and preventing (or delaying) needs Provides new guarantees and reassurance to people needing care, to support them to move between areas or to manage if their provider fails Simplifies the care and support system and processes to provide the flexibility for local authorities and care professionals to integrate with other local services

1. Reforms coming into effect on 1 April 2015 Paying for Care A universal deferred payments scheme No-one will have to sell their home in their lifetime to pay for residential care. Help to financially plan Improved information and advice to help people financially plan Financial services expected to develop new products to help with care costs Care and Support Reform A national minimum eligibility standard Making access to care more consistent around the country New rights for carers Carers will have a legal right to support to meet their needs for care for the first time A modern system More personalised, preventive and integrated care

1. Getting ready… From April 2016 funding reforms will come into effect Consultation on funding proposals as still awaited from DH Government interpretation of Dilnot recommendations Legal right to financial protection: cap on care costs and £100k threshold

2. Context and market dynamics

Public sector finance Commissioning and market shaping Overview of the market proposals Major changes to CQC inspection 10 year transformation programme

3. Quality issues and initiatives

Concerns about quality – new standards, ‘special measures’ regime and market oversight Transparency and openness but quality metrics discontinued; scorecards? Return of the quality ratings ‘Mapping Quality’ TLAP Quality Forum Details on CQC regulatory changes later

4. Workforce matters Continuing workforce challenges: zero hours, NMW, recruitment and retention… Leadership and management: Fit & Proper Person Care Certificate Learning, training and development Skills for Care sessions will highlight resources and support

5. Implications for providers

Personal budgets and Direct Payments – new forms of commissioning? Integration, integration, integration Continuing specialisation to meet highest needs

5. Implications for providers Being fully prepared The constant of change Innovation, flexibility …and new ways of working It’s about the frontline manager

And finally…

“You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete.” B. Fuller