1 Regulating quality in austerity David Behan and Andrea Sutcliffe Chief Executive and Chief Inspector of Adult Social Care ADASS Spring Seminar 17 April 2015

CQC purpose and role Our purpose We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve Our role We 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 2

3 What are we finding? Outstanding Good Requires improvement Inadequate Total by 13 April: 2645

Ratings by key question 4

Ratings by service type 5

Ratings by size of care home 6

Ratings by manager turnover or absence – care homes 7

8 Market oversight and austerity New responsibility to spot failure so right people can take right actions CQC will notify local authorities if there is: Business failure and likely service failure Fragile market Local authority response critical Not to pre-empt failure (likely does not mean definitely) Plans and preparation Market shaping

9 CQC’s journey in 2015 – Regulating new care models 2.Looking at quality of care pathways 3.Looking at quality of care in your locality

Regulating new care models 10 Registering care providers and assessing delivery of safe, effective, responsive, caring and well-led services Developing a modern and efficient online registration process Working with Five Year Forward View vanguard sites to assure high quality and encourage improvement Sharing our learning and good practice with providers and the public Reinforcing CQC’s expectations about joined-up care centred around the people who use services

Looking at quality of care pathways 11 Using thematic reviews to better understand: care pathways outcomes for people diabetes care in the community mental health crisis care care for older people end-of-life care urgent care

Quality of care in your locality 12 Inspect most care services in some local places by end 2015 Describe quality of local system by bringing together inspection findings across sectors Trial in two areas in 2015/16 Identify issues at cross- organisational and provider level

No compromise on standards Trust our information for: Commissioning Quality assurance Market failure Market shaping Regulating quality in austerity

14 Thank you David Behan Chief Executive Andrea Sutcliffe Chief Inspector of Adult Social