1. NCA – Spring Event 16th March 2017 Ed Watkinson Director of Care Quality (QCS)

2. Quality and improvement: ‘The Never Ending Story....’
80s childens sci fi movies have it all!!
Labyrinth – self explanatory
ET –story about x2 very different people supporting each other reach their goals (Elliot – care home owner and ET CQC?)
Dark crystal – finding a way to heal to different parties

3. Quality in care is tricky……..
Care services could be seen to have lots of ‘masters’ all with different ‘measures’ on how they define quality :
Service users
CQC
Families
Local authorities
NHS
Banks
Press
Best Practice organisations
Are CQC the client? Probably not need to be led by service users and get this right – need to lead not follow

4. Additional challenges in care……..
Unpredictable variables
Increasingly complex
Undervalued and usually an ‘unwanted’ purchase
Asked to do ‘More with less’
Recruitment
Public opinion / understanding
Regulation

5. Need to embed quality..
Use CQC ‘Characteristics of ratings’ as a benchmark
Be led by the people that use your service
Start small and build
Be creative and confident
Aspire to lead not follow
Encourage all staff – nurture don’t control
Evidence what in your view is quality

6. Improvement and how CQC can help you……
Are they a Regulator or an Improvement Agency?
CQC putting more emphasis on self awareness and pseudo self regulation
CQC strategy is about being more ‘intelligence driven’
CQC will have less resources - goal to be self funding
Opportunity to change the dynamic of the relationship

7. Improvement and focus areas …..
All services now rated – so you all know areas to focus on
Mental Capacity Act and DoLS
Medication
Governance
Culture

8. Improvement and making it stick …..
Sustainability important – embed good practice slowly
Make improvement a journey you are all on
Give responsibility to others / involve others
Embed culture / provide evidence that you are Well-led
Treat CQC as a contract that needs to be won
If you don’t think you need to improve – you do!
bike with stabilisers – fall if do too much too quickly

9. Find a motivation…..

10. Thank you ……
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