Outcomes from service inspection Is the quality of care in Scotland improving? October 2007

Is the quality of care in Scotland improving? Our purpose to regulate for improvement Our working principles keeping people safe promoting dignity and choice supporting independence

Is the quality of care in Scotland improving? What we regulate: 15,179 services 4,221 services for adults 10,832 services for children 126 independent health care services

Is the quality of care in Scotland improving? Delivering services: Private sector 57% Voluntary sector 23% Local authorities 20%

Is the quality of care in Scotland improving? Awareness of the National Care Standards: General public27% Care Service users41% Carers44% Care Service providers100% Older people in care homes9%

Is the quality of care in Scotland improving? Quality information is based on: Outcomes of inspection Outcomes from complaints Enforcement Satisfaction surveys

Is the quality of care in Scotland improving? What needs to improve Care homes for older people Care homes for children and young people Secure care and special schools

Is the quality of care in Scotland improving? Complaints upheld for every 1000 services 2002/0335.1% 2003/0450.1% 2004/0557.6% 2005/0669.6% Proxy outcome indicator

Is the quality of care in Scotland improving? Requirements when regulation is breached: More -Care homes – all user groups Special schools Secure care Support services Proxy outcome indicator

Is the quality of care in Scotland improving? Enforcement - % of services 2004/050.4% (63) 2005/060.7% (99) 16 services cancelled in 2005/06

Is the quality of care in Scotland improving? Regulating for Improvement project A three year project 2006/07 to 2008/09 roll out: Quality grading scheme More information on care services list Greater involvement of experts by experience Focus on services that need more support to improve Signposting to best practice Fewer forms and paper

Is the quality of care in Scotland improving? Where are we now? Regulations breached and action required 26% Enforcement Notices 0.7% Cancellations 16 No requirements/compliance 74%

Is the quality of care in Scotland improving? Regulating for Improvement Where we want to be Good Weak Poor Excellent 6 Very good 5 4 Adequate 3 2 1