Quality Conversation – ADULT SERVICES Gordon Paterson, Chief Inspector, Adult Services @CIGPaterson

Care Inspectorate Restructure Strategic Scrutiny Adult Social Care Reform Programme The Keys To Life

CARE INSPECTORATE RESTRUCTURE (ADULT SERVICES) Gordon Paterson Chief Inspector Marie Paterson Service Manager Claire Drummond Service Manager Team Managers 3 X COMPLAINTS TEAMS 10 X INSPECTION TEAMS 13 X Senior Inspectors

STRATEGIC SCRUTINY – ADULT SERVICES Joint Scrutiny of Health and Social Care Partnerships (STRATEGIC PLANS AND STRATEGIC COMMISSIONING; KEY PERFORMANCE OUTCOMES; LEADERSHIP AND CULTURE) Thematic Scrutiny in relation to Adult Support and Protection (TO EVALUATE HOW EFFECTIVELY ADULTS AT RISK OF HARM ARE IDENTIFIED, AND IF APPROPRIATE, TIMELY MEASURES ARE TAKEN TO MAKE SURE THEY ARE SAFE, SUPPORTED AND PROTECTED.) Thematic Scrutiny of Self-Directed Support (TO EVALUATE THE EFFECTIVENESS OF DEVELOPMENTS TO SUPPORT IMPROVED CHOICE AND CONTROL FOR INDIVIDUALS.)

ADULT SOCIAL CARE REFORM The purpose of social care is to support ‎people to live the lives they want to lead. In doing so, the overall aim of this reform programme is: Social care support should enable people to achieve meaningful personal outcomes: working with people, recognising their assets and those of their family and wider community and supporting them to live in the way that they choose. To achieve this we must continue the move away from focusing on “time and task” towards sustainable integrated services which can support personal outcomes through a human rights based approach of dignity, respect and collaboration. Local and national measurement frameworks should reflect and enable this change.

ADULT SOCIAL CARE REFORM NATIONAL CARE HOME CONTRACT REVIEW Cost of Care Calculator Nursing Care Quality and Standards A NATIONAL DEPENDENCY TOOL HOME CARE SELF-DIRECTED SUPPORT

THE KEYS TO LIFE – INSPECTION FOCUS AREA - To examine the quality of care of services supporting adults with a learning disability - To consider the extent to which the key principles of The Keys to Life were being advanced in registered care services - Phase One; Awareness Raising in 186 Care Homes in relation to K2L and the Review of Winterbourne View - Phase Two; Self-evaluation and focussed scrutiny on K2L in 382 care services for adults with a learning disability - Phase Three; Analysis of findings and public reporting

FINDINGS FROM OUR INSPECTION FOCUS AREA ‘A Healthy Life…..’ Managers of services reported different experiences of accessing health care services across the NHS for the people they support, ranging from generally excellent access to much more limited access. ‘Choice and Control……’ In many services we found good examples of person-led care and support, where choices were being promoted and rights being protected. Strong communication between staff and the people they were supporting and active knowledge of individual’s preferences and choices were the cornerstone of effective and high quality support.

FINDINGS FROM OUR INSPECTION FOCUS AREA ‘Independence…..’ Many services demonstrated how they were embedding person-centred approaches which underpinned independence. ‘Active Citizenship……’ High quality support was often characterised by committed staff who helped people to access leisure and recreational activities and to develop skills and confidence to access local community groups. Some areas for improvement; support to access activities, learning and employment opportunities; aligning support plans to outcome measures; medication management; incomplete care plans; staffing issues impacting on quality and person-centred approaches; liaison with Guardians; community connectedness.

Quality Conversation – ADULT SERVICES Gordon Paterson, Chief Inspector, Adult Services @CIGPaterson