ADASS SPRING SEMINAR SECTOR LED IMPROVEMENT A new approach to excellence in Adult Social Care

2 1. CONTEXT ●Emphasis on Accountability to residents ●CQC Withdrawal ●National outcomes and transparency framework ●Think Local, ACT Personal ●Benchmarking and Improvement initiatives (LGID, Info Centre, regions) ●ZBR (Zero Based Review of Social Care data) ●LGID Developments ●Rapidly reducing resources ●Health Service Change

3 2. ADASS Principles – Guiding our approach ●Reduce the burden ●Locally owned improvement ●Considerable improvement needed in information for Adult services (eg Reablement, Safeguarding and Personalisation) ●Citizen/User/Carers should be central to defining and judging quality ●Whole System focus overtime (e.g. health and well-being, Think Local Act Personal)

4 ●New version of ‘what good looks like’ needed ●No rolling programmes of inspection, but need a ‘safety net’ ●We are partners but don’t lead on intervention ●Where are the resources? 2. ADASS Principles – Guiding our approach

5 3. Emerging National Framework Issue Local Accounts and local Quality Assurance ‘What good looks like’ Data National Support tools/offer (Inc peer review and self assessment) Positives ADASS agrees that all Councils produce and account in 2011/12 reviewing last years performances and highlighting priorities for the year ahead. Some guidance and good practice will be published in June Jeff Jerome leading a piece of work to define this for future years. We collect a wide range of data currently to inform improvement. A zero based review is currently being carried out to define future data requirements for 2012/13 onwards. ADASS aims to reduce the burden and improve benchmarking data on Personalisation, Productivity, Re-ablement and Safeguarding. Data should be open source and shared. Much already exists but it will be reviewed and updated in partnership with SCIE, National Skills Academy, Skills for Care, LGID etc… ADASS needs to facilitate more accredited peers at DASS/AD Level

6 3. Emerging National Framework Regions National Overview Brokering Support Escalation of concerns/threshold for intervention ‘Adequate’ Councils Resources National Standards for Adult Social Care Children’s Services Regional role needs further development but we believe it should continue to be key in support and identification of issues. Need to maximise JIP legacy. ADASS Chairs Out outcomes and Intelligence Board that will develop national support offer, share intelligence and recommend councils/issues for National attention. ADASS Region and LG Group to develop an approach and respond individual cases Being developed by ADASS, LGG, DH and CQC Arrangements in place to support improvements brokered by ADASS, LGID Discussion with ADASS, LGID and DH ongoing re: National and regional resources to support the model. Now the responsibility of NICE. Early engagement being sought. New standards unlikely for some time. ADASS positioning is different in light of different position of regulators and Resourcing of children’s model

7 4. RISKS AND OPPORTUNITIES High profile failure ADASS role confusion No resources to deliver Deterioration in performance due to resource reduction Duplication and gaps - LGID, DH, CQC RISKS Focus on what matters to users/carers Reduced burden New version of excellence which we help design OPPORTUNITES

8 5. WHAT DOES IT MEAN FOR ADASS ●More attention to peer support ●Contribute to system which identifies failure ●Helping to design a new model of excellence ●Adapting our role as an organisation ●Evolving role of regional Branches ●Join up national policy, standards and data developments

9 6. WHAT DOES IT MEAN FOR MY COUNCIL ●Strong local quality assurance systems ●User/carers help judge progress ●Produce a local account ●Support bench-marking initiatives ●Ensure there is independence in your arrangements ●Decisions on focus – Health and Well-being, LSP wide, Adult Social Care, inclusion of wider marker and self funders?

10 7. Quality Assurance Framework Independent Challenge Provider Challenge Professional challenge User/Carer Challenge Independent Audit Harrow LINk Peer Review Inspection Improvement Board Scrutiny User & Carer Research User & Carer Engagement Customer Service Standards Complaints Case File Audit Peer Audit Independent Audit Care Reviews CRILL / LAMA Monitoring Contract and SLA Monitoring User & Carer Outcomes

11 7. Examples of Good Practice ●Hearsay! Run by Oxfordshire LINk with Oxfordshire County Council ●West Midlands Reablement Dashboard ●Safeguarding Adults QA Model (Southwest) ●Lancashire Approach to Engagement and Local Account

12 8. Discussion ●What are the opportunities/challenges in making this work locally? What support/guidance would be helpful? ●What are the opportunities/challenges regionally? What support would help? ●Discussion of ADASS positioning and implications nationally