1. Keynote Session: Strengthening Leadership The Great British Care Show South West 15 th May 2013 Terri Myers The National Skills Academy for Social Care

2. What this presentation covers  Introduction: the role of the Skills Academy around leadership  What we think Leadership is  Why we think Leadership matters – especially now  How you can strengthen Leadership: practical steps: o The Leadership Qualities Framework o Recruitment and selection o Development and continuous improvement o Recognition and celebration o Support for Registered Managers o Better leadership in commissioning...and it all starts with me

3. Introduction: the role of the Skills Academy around leadership “[Social Care] lacks confidence. As a result it is timid in its vision and ambition for how adult social care services can be delivered.” Social Care: A Review. Dame Denise Platt, 2007  “There is a unique culture within social care....Social care is often positioned ‘in the shadows’. This is disempowering [and] has the effect of reducing confidence and stifling innovation.” Feedback from Skills Academy consultation on Leadership Strategy for Adult Social Care, 2012

4. Traditions...

5. The role of the Skills Academy: leading on leadership in social care Backed by DH and BIS Covering adult social care but also working with health and children’s services Specific remit to improve leadership and commissioning, and to support Registered Managers Employer-led: reaching providers, trainers, local authorities and other commissioners Membership body leadership programmes for all levels endorsement for high quality trainers Leadership Qualities Framework, being followed by Leadership Strategy and Leadership Development Forum

6. Some of our Members Cheshire Homecare Services Ltd

7. Leadership: what we think it is Not just about authority at the top of organisations It’s a practical understanding – and awareness – about how you do what you do, and the impact on others So it’s about behaviours, and taking responsibility for them And it’s everyone’s business – people working at all levels in social care “People do not experience our values, they experience our behaviours.” Bill Mumford, CEO, MacIntyre

8. “Who Cares?”: key leadership behaviours identified by people in social care Communication Adaptability Focus on continuous improvement Team working Self-awareness Ability to build relationships Coaching and development

9. Why we think Leadership matters: so we can adapt to challenging circumstances and still achieve the outcomes we want  Revenue challenges and funding pressures for employers – and for some, issues of managing growth  Need to do more – and more complex - with less  Working with wider group of stakeholders – CCGs, public health, personal budget holders, housing, planning  Need for adaptability/innovation - reconfiguring services, working with new client groups, providing flexible care models  Reversion to the old virtues and values – dignity, compassion – emphasis especially post-Winterbourne and Mid-Staffs

10. And the crucial role of Leadership is recognised across the sector... Policy context:“The sector needs high-quality leadership at all levels...[it] is essential to the delivery of all the proposals in this White Paper.” Caring for our future: reforming care and support, July 2012 Practice base:“Who Cares?” pan-sector survey: 94% of respondents linked quality of leadership with quality of service; 93% wanted more investment in leadership development Anecdotal evidence:The biggest variable in staff feeling empowered and engaged is the quality of leadership External environment:Unprecedented mix of circumstances: demand, supply, structural change, cultural stasis

11. How you can strengthen Leadership: practical steps The Leadership Qualities Framework Guide to what good leadership looks like Describes what good leadership looks like in different settings and situations Defines good leadership for people at different levels: Front-line Staff Front-line Leaders Operational Leaders Strategic Leaders Basis in values and behaviours that follow on from them Grounded in everyday practice and written in plain English, so accessible to everyone Applicable in integrated services

12. The Leadership Qualities Framework: how it helps Essential tool for small, medium and large employers to measure and strengthen leadership capacity Also for micro-providers, user-led organisations, service users who commission services and personal employers For commissioners and regulators to use as a guide/quality indicator Recruitment and selection aid At-a-glance guide Benchmarking tool Supervision, appraisal, CPD

13. The Leadership Qualities Framework: putting it into practice Free online individual/organisational self- assessments based on LQF 360° feedback and 1:1 organisational assessments, mapped to CQC essential standards Leadership development programmes mapped to LQF for all levels and to support career development/succession planning Links with CQC/regulation and inspection reaching providers, trainers, Links with local authorities and other commissioners, and other sectors (integration agenda) Part of support programme for Registered Managers

14. How to strengthen Leadership: other practical tools and solutions Recruitment and selection Development ontinuousFocus on continuous improvement Recognition: celebrating skills and achievements Support for Registered Managers Better leadership in Commissioning

15. Strengthening leadership in your organisation: select for leadership behaviours and social care values Examples: MacIntyre, Anchor – plus new values-based toolkit being launched this Spring The MacIntyre Profile: Great Interactions Starting point: “what makes a great care worker?” Led to personality profile for people who consistently deliver high quality, personalised care, and framework for recruitment Now shapes overall workforce policy: all employees responsible for standard of their own practice: line managers responsible for team practice

16. Strengthening leadership in your organisation: see it as for everyone, see it as a craft, and develop it “...there are certain aspects that must be there in any leader: intelligence and emotional intelligence are two aspects, but you can teach skills, you can give people opportunity to develop leadership confidence. “ “So while you do need some basic core principles and values and intelligence, you can teach leadership.” Commodore Jake Moores, Head of Royal Naval College, Dartmouth: Skills Academy Seminar Series for Senior Leaders.

17. Strengthening leadership in your organisation: focus on behaviours and use coaching/reflective approaches Example: Front-Line Leaders Programme “I am now constantly assessing my own practice and have the means to better myself, which in turn creates a happier, smoother workplace, which most importantly improves the quality of service we offer.” Leadership development for front-line or first-time leaders Workplace-based: uses coaching and self- reflection, building self-awareness around impact on others and using outcomes as basis for action

18. Strengthening Leadership: support for Registered Managers Context: Registered Managers as lead professionals in care homes and home care Leadership role of Registered Managers acknowledged in White Paper Caring for our future Growing recognition of, and concerns around, increasing complexity of role and frequent isolation New programme from Spring 2013 led by the Skills Academy, including: national network community of practice funding for local networks free training events advice, guidance and support

19. Strengthening Leadership: better Leadership in Commissioning  Commissioning Now  Comprehensive education and leadership development programme  Based around what excellent commissioning looks like and how to achieve it even in current circumstances  Incorporates personalisation, co- production and partnership  Variations in production for CCGs and in relation to commissioning for dementia

20. Summary Leadership can make a difference – it’s for everyone and there are practical ways to strengthen and embed it at minimal cost Leadership is about behaviours – see leadership as based around behaviours that demonstrate values and embed a culture of care The Leadership Qualities Framework is out there and free of charge – use the LQF as a benchmark and a guide in assessment, selection, supervision and appraisal Recruit for leadership behaviours and social care values Development is for everyone - see leadership as a craft: everyone can do something Use different approaches - use coaching and reflection for continuous improvement We are strengthening leadership support for Registered Managers and Commissioners – programmes being launched shortly And we think everyone can do something to strengthen leadership.

21. Leadership starts with each of us. Everyone can have a go, and everyone can make a difference Because everyone can do something about changing what they do and how they do it. So everyone can be a leader to some degree. And everyone can play a part in strengthening leadership.

22. The National Skills Academy for Social Care www.nsasocialcare.co.uk terri.myers@nsasocialcare.co.uk