1. Back to the 80s Sheila Grant / Simon Spoerer ARC Annual Conferences
8 & 21 November 2017 1
Generic ASC deck (June Final) 1

2. ASC regulation The Poor Law (1587 – 1834 – 1948)
Parishes, Poor Law Unions, Local Authorities
The National Assistance Act 1948
Local Authorities
The Residential Homes Act 1980
The Registered Homes Act 1984
The Care Act 2000
National Care Standards Commission
Commission for Social Care Inspection
Care Quality Commission
The Health and Social Care Act 2008
(Regulated Activities, not services)
Generic ASC deck (June Final)

3. Social care by bricks and mortar
The National Assistance Act 1948
‘Part III’
Private and voluntary provider registration
Several exclusions
Power to inspect
Numbers condition
Fit person, fit premises, fit conduct
1979 – Benefits for care home fees
The Residential Homes Act 1980
Private and voluntary sector
By discretion to age, sex, other needs
Power to make regulations (not exercised)
Generic ASC deck (June Final)

4. Social care market Registered Homes Act 1984
Fees benefits leads to explosion in private sector care home market
Growing public concern about poor and exploitative services leads to:
Registered Homes Act 1984
Care homes / Nursing Homes / Mental nursing homes
‘Personal care’
New conditions at any time
Urgent cancellation
Representations / Tribunal
Specified regulations
Staffing, records, facilities & services, annual inspection
Notifications
Warning Notices
Registered Managers
Generic ASC deck (June Final)

5. Commissioning NHS & Community Care Act 1990
Griffith Report 1983
Social and health care markets
The beginnings of personalised care
Supported Living (learning disability)
Registered Homes (Amendment) Act 1991
As before, plus small care homes brought into registration (4 or fewer people)
Led to the creation of arrangements for the regulation of ‘adult placement’ schemes – now known as ‘Shared Lives’.
National Association of Adult Placement Schemes launched June 1992
Local authority care homes brought into scope of inspection 1994
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6. Protection to personalisation
Growing shift from bricks and mortar, inputs and service focus towards care at home, empowerment, and person centred outcomes
Marketisation of social care
Deregulation task force
Regulation / accreditation
Shared rooms & spatial standards
‘A Better Home Life’
‘Homes are for Living In’
Supported Living
Generic ASC deck (June Final)

7. Care Standards Act 2000 National Care Standards Commission
All providers (including LAs)
National Minimum Standards
Commission for Social Care Inspection
Inspecting for Better Lives
Ratings
Care Quality Commission
Both health and social care
1: Compliance
Francis Report – huge impact
2: Fresh Start
5 Key Questions
KLOEs / CoRs
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8. Personalisation Walking the talk Winterbourne View
Building the Right Support
Registering the Right Support
Specialist housing issues?
Older people?
Active support / positive behaviour support
Next phase
Registration transformation programme
Focus on improvement
Rapid intervention & enforcement when needed
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10. Shelia Grant / Simon Spoerer
Thank you
@CareQualityComm
Shelia Grant / Simon Spoerer
Generic ASC deck (June Final)