1. NCA Regional Debate: Peterborough Wednesday 28th September Ed Watkinson - Director of Care Quality

2. ‘Outstanding’ – Is it achievable?

3. 10,456 Adult Social Care services rated
Of which:
4.4% inadequate
33.5% requires improvement
65.9% good
0.6% outstanding!
Low % outstanding – inspecting riskier services first – maybe affecting overall statistics

4. So on the face of it, the chances of being rated outstanding are minimal but there are things you can do…..
Betting person – wouldn’t bet on something that had a 0.6% chance of return

5. Preparation and understanding …..
An inspection is a real opportunity for you
To be outstanding overall only two questions out of five need to be rated as outstanding
Read reports on the CQC website
Understand the Key Lines Of Enquiry (KLOEs)
Compare what you do to the CQC ‘characteristics of ratings’
Gather views and opinions from service users, professionals
so few outstanding is an opportunity to shine
Focus on the areas you know you are doing best
‘Peregrine House’ in Whitby all 5 questions rated outstanding (first one!)
Compare with other services rated as outstanding

6. Before the inspection………
Focus on your strengths
Spend time on the Provider Information Return (when requested)
PIR should alert you to an inspection – usually within 8 weeks
Develop an evidence file of what you do that is ‘innovative’, ‘exceptional’ or ‘extraordinary’
Think about what you do in your service - don’t be afraid to share with inspectors
Prepare your staff for inspection – mock inspection
Focus on strengths – but only when weaknesses are to an acceptable standard
PIR – make it a priority – use it to identify areas to review / develop
Chance to shine – prepare staff, demystify and make it ‘unconscious competent’ – more you do something the easier it is
Not very observant – watch face ??

7. During the inspection……..
Be open and transparent with inspectors
A smile from staff goes a long way
Trust and encourage your staff
Don’t rely on inspectors ‘finding’ good or ‘outstanding’ practice
Show them what you do – give them evidence to take away with them
But don’t claim you do things when you don’t – these have a habit of coming back to bite you!

8. During the inspection……..
Be a presence on ‘the floor’, get involved and share your passion
Don’t assume that other services do what you do
Remember it may be the first time an inspector has seen what you do
Sell yourselves, treat the inspectors as potential clients
Small things can sometimes have a big impact
Ask if there is any more evidence that they need to come to a judgement
Big impact :
Holding hands / with gloves
Greenhouse – vegetables and used in cooking
Receptionist wedding invite for residents
Test is when people do it when no one looking – inspectors do listen at doors etc / you should do this

9. After the inspection……..
Send additional information / evidence to the inspector if appropriate
Reward your team ( and yourself!)
Sit back and wait for the ‘outstanding’ report to arrive!

10. How can QCS help you……..
A full compliance and management system that is always up to date
Paper and online updates
‘Horizon scanning’ on your behalf
A wide range of experts to provide guidance and support at all stages of your ‘journey’
Come and see us and take up the free trial offer to see what we can do for you

11. Thank you ……
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