1. CARE INSPECTORATE JANET HENDERSON
ADULT SERVICES

2. Who we are
We are Scotland’s independent scrutiny and improvement body responsible for:
regulation of care and support services (including criminal justice services). This includes registration, inspection, enforcement and investigating complaints.
scrutiny of social work services
joint inspections, with partners, of services for adults and children.

3. Who we are
We regulate and inspect care services for people of all ages
We help services improve the quality of care
We were established under the Public Services Reform (Scotland) Act 2010 as “SCSWIS” (Inspectors are appointed as Authorised persons under the Act)
We operate independently from the Scottish Government but are accountable to it and publicly funded.

4. Vision and Objectives
The Care Inspectorate believes that people in Scotland should experience a better quality of life as a result of accessible, excellent services that are designed and delivered to reflect their individual needs and promote their rights. 
Provide assurance
Contribute to building a rights based, world class care system in Scotland
Support people’s understanding of high quality, safe and compassionate care
Build capacity in care services
Support and inform local and national policy development
Perform effectively as a independent scrutiny and improvement body working in partnership with others.

5. What we do
We inspect and grade around 13,500 regulated care services used by people of all ages
We provide scrutiny of social work services in Scotland’s 32 local authorities
With partner bodies, we carry out joint inspections of children’s and adult services on a strategic basis

6. It’s our job to…
Provide assurance and protection for people who use services, their families and carers and the wider public
Play a key part in improving services for adults and children across Scotland
Act as a catalyst for change and innovation
Promote and signpost to good practice

7. Our values
Person-Centred: we will put people at the heart of everything we do
Fairness: we will act fairly, be transparent and treat people equally
Respect: we will be respectful in all that we do
Integrity: we will be impartial and act to improve care for the people of Scotland
Efficiency: we will provide the best possible quality and public value from our work

8. How we inspect Our inspection plan is agreed by Scottish Ministers
Most inspections are unannounced or short- notice
More focus on poorer and high risk services
Inspectors use a variety of methods to inspect
We follow up inspections with requirements recommendations, areas for improvement and enforcement action if necessary

9. Inspecting
We visit every service we inspect and speak with people who experience care and their carers and families
We speak with staff and managers privately & in groups
Examine what quality of care is being provided
Look at the activities and interactions on the day – may use observation tools
Examine records and files
Ensure people have choices that reflect their needs and promote their rights

10. Inspecting Visits can last a day or multiple days
The number of inspectors can vary
We take account of:
Health and Social Care Standards
Quality Framework for are homes for older people
Best practice guidance
Other intelligence - Social Work, Police Scotland, Health and Safety Executive, members of the public
Recommendations/Requirements we made previously
any enforcement actions we have
Care Standard Questionnaires
Inspection volunteers
any complaints against the service

11. Inspecting We also look at complaints
We received 4,696 concerns, investigated over 2,000 and over half were upheld (2017)
26.2% - about general health and welfare – 470 upheld
15.7% – about specific healthcare concerns – 281 upheld
14.9% - about staff or staffing concerns – 267 upheld
13.6% - about communication – 244 upheld
5.7% - about policies and procedures – 103 upheld
5.4% - about choice – 96 upheld

12. Grading 4 quality themes are assessed: quality of care and support
quality of environment
quality of staffing
quality of management & leadership
Still being used for adult services, care at home, housing support, day services
Moving to a new Quality Indicator Framework and taking new Health and Social Care Standards into account.

13. Quality Framework for care homes for older people
5 Key questions;
How well do we support peoples wellbeing
How good is our leadership
How good is our staff team
How good is our setting
How well is our care and support planned

14. Health and Social Care Standards
Implemented 1 April 2018 and apply to NHS, Care services registered with the Care Inspectorate and Health Improvement Scotland
They are focused on improving peoples experience of care and support and are based on five outcomes
I experience high quality care and support
I am fully involved in all decisions about my care and support
I have confidence in the people who support me
I have confidence in the organisation providing my care and support
I experience a high quality environment if the organisation provides the premises

15. Health and Social Care Standards
Underpinned by 5 principles:
Dignity and respect
Compassion
Be included
Responsive care and support
Wellbeing

16. Inspections
Inspectors can draw advice from a team in-house experts providing professional information and support:
dementia,
child & adolescent mental health,
pharmacy,
palliative care,
mental health,
continence,
nutrition,
infection prevention & control,
tissue viability,

17. What staff think they have to do
Inspection
What you say you do
What staff think they have to do
What actually happens

18. Grading All regulated care services are graded: Grade 6 – Excellent
Grade 5 – Very good
Grade 4 – Good
Grade 3 – Adequate
Grade 2 – Weak
Grade 1 – Unsatisfactory
Care Inspectorate Grading Criteria

19. Reports All reports are published; www.careinspectorate.com
Report available from
the service

20. After the inspection
What happens next

21. Care Inspectorate Receive action plan from the service. We may also:
- ask for additional evidence/information
- update risk assessment
- review the frequency against the
inspection plan.
- liaise with relevant agencies.
continue to monitor intelligence.
Be involved in supporting improvement.

22. What we expect Service should feedback to; - staff residents relatives
A written vision for the service;
what, where, who, when and how.
Operational development and improvement plan using self-evaluation

23. Resources, Guidance and Best Practice
Care Inspectorate HUB
Health and Social Care Standards
Codes of Practice
NMC and SSSC
Best practice guidance
CAPA, Falls resource, Animal magic, Improvement Strategy, Quality Framework, Come on in.

24. Get in touch Visit: www.careinspectorate.com
Call our helpline:

25. And finally ……………
Any questions?