1. Skills for Care Pia Rathje-Burton Locality Manager Kent and Medway

2. Who we are, what we do
The employer-led workforce development body for adult social care in England.
Largely funded by Department of Health and Social Care
Lead on workforce, leadership and learning and development.
Develop practical resources and provide support for the workforce including front line workers, Registered Managers and people in other leadership, management and strategic roles.
Visit
Overview of Skills for Care.
Gather intelligence – for Department H&SC and resources.
Practically mean – work with KCC engagement. RMN, CCG provider forums,

3. The state of the adult social care sector and workforce in Kent 2018/9
41,000 jobs in adult social care
806 CQC regulated services
31.2%
2400 (6.1%)
24%
Before I talk about the our resources
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9% have an EU background
2400 vacancies at any one time – in England 8%
Under 24 years old 10%, 55 years 24%, 9800 will reach retirement in the next 10 years 43
Adults Social Jobs in South East by 2035
380,000

4. How do we to get to be outstanding!
What’s needed to be outstanding?
Outstanding managers
Outstanding teams
Outstanding evidence
One the questions we can asked most at Skills for Care
An ‘outstanding’ rating is a massive achievement for any adult social care service; 44 services in Kent have achieved this. If you are one of them congratulation.
The CQC have set the bar high when it comes to ‘outstanding’. There’s lots that goes into achieving this rating, and these will be specific to your service and the people you support.
Services that achieve ‘good’ should be very proud of the fact … but equally they should be realistic of what sets the ‘outstanding’ services apart. If your goal is to achieve ‘outstanding’; implementing a few minor improvements before your next inspection will not get you there.
Outstanding services are innovative and exceptional. These are services that go the extra-mile and deliver care over and above what is expected … but they are also managed and led by the best … but front and foremost, these are services that have exceptional managers and leaders at the heart of them.
Skills for Care has been increasingly looking at how services deliver the highest standards of care. Such insight helps inform our products and services aimed at strengthening those managing and leading care services.
In this presentation I will cover some of the resources that we have to help you to prepare and collect evidence for your next inspection.
Hands-up activity - Please can you all put your hands up and keep them up if each of the following statements relate to your service: be honest in your answer.
Our managers and leaders have a deep understanding of CQC regulations and ensure that we comply with them
The core values of our service is evidenced in everything that we do
Our registered manager has an 'open door' policy
The service shares best practice at a local and/or national level
We have established close links with the local community and continue to forge mutually beneficial relationships
We learn from mistakes, take appropriate improvements, communicate these - and we can show you the documentation to prove it
The service delivers innovative approaches to meeting the needs of people who need care and support
We have won or been short listed for awards for our service
We continually review and plan for improvements, and clearly document and evidence them
All staff would recommend the service as a good place to work
Congratulate anybody who has kept their hands up throughout - and also congratulate anybody for whom any of the statements were relevant to their service.
Each of these statements relate to what Skills for Care has found to be some of the most common characteristics of adult social care services rated ‘outstanding’ for Well-led.
…But whilst those in the room knew the answer to the statements, how confident that those back at your services would know the answer to these questions … and what evidence could be provided if the CQC inspectors arrived at your service today whilst you are at this event?

5. Know how to delegate and empower others when you are not around
Lead the service in striving for excellence, seeking out the latest best practice and new technologies. Every opportunity are maximised, all learning embraced.
Inspire you teams to deliver the best care possible.
Be visible across the service – staff and people who need care and support know who you are.
Be committed to your own development, and that of your teams, particularly succession planning for future managers.
Know how to delegate and empower others when you are not around
Unsurprising, you will not find an ‘outstanding’ service without the best managers and leaders at the centre of it. Outstanding’-rated services have leaders who are committed to delivering high quality care and support, and making the necessary changes and improvements to do this.
If you want to achieve and maintain ‘outstanding’ care, it will require strong and focused leadership to drive change
For an organisation to achieve ‘outstanding’ for Well-led, the CQC will expect…

6. Ensure you have the time to proactively engage with others
Be committed to continually improving your service, and engage with a wide range of people to identify areas for improvement
Be open and transparent about challenges and issues that your service faces, and learn from incidents and/or mistakes.
Ensure you have the time to proactively engage with others
Connected with other registered managers and services, the wider community and healthcare providers, and work together to improve outcomes for people who need care and support.
It is clear that if you want to be ‘outstanding’, you must have ‘outstanding’ managers and leaders at the heart of your service … and be prepared to demonstrate this at the point of inspection
Look at the last point on the slide – leads to next slide.

7. Registered Manager Networks
Established by registered managers and supported by Skills for Care. Each network:
is chaired by a registered manager
sets its own aims and purpose in line with the interests and needs of local managers
balances a mix of formal and informal discussions
meets a minimum of three times a year
Relates to KLOE W5 How does the service work in partnership with other agencies
6 Networks in Kent
speakers such a CQC, Marketing Consultant, NICE, Ambulance service, Recruitment Expert and many more.
RMN -
Notice the KLOE?
KLOE W5 How does the service work in partnership with other agencies -
A chance to network
Keep yourself up to date
It can be lonely at the top; there are 22,000 registered managers in England, but many report feeling professionally isolated.
Look after yourself; you will be a better manager if you make time for you.

8. These meetings have been of great value; networking with other professionals, chatting about different situations, sharing information and supporting one another……. its priceless thank you.
I asked some of the managers that attend the network what the value of attending is for them, their service, their organisation ….
“I have found the managers network to be useful in many ways, its an opportunity to realise we are all struggling in certain areas”
“Preparing for CQC inspection and advice/ suggestions on how to maintain the overall good rating
keeping up to date with all the things that are happening with the care sector”
We are always happy to share tool and resources; the only resource we wont share is our workforce!

9. Registered Manager Membership
Skills for Care has developed Registered Manager Membership to enable registered managers to share learning, develop their knowledge and expertise, and keep up to date with the latest best practice.
As a member, registered managers will receive:
a copy of our ‘Social care manager’s handbook’
a monthly members’ newsletter containing ‘Cut out and keep’ updates to print out and add to your handbook
discounts on key resources, including our leadership programmes and CQC seminars
access to our members-only Facebook group
dedicated online resources on specific subjects
the opportunity to train to become a mentor, or receive mentoring
a membership certificate and logo.
When you renew your membership, you get an exclusive free resource each year. this year’s renewal resource is our new ‘Guide to improvement’. These renewal resources are extended workbook editions of popular resources, which include exercises, checklists and action plans to help you plan and improve your service.
Registered managers can buy membership online. If you work for a large provider that has multiple registered managers, we offer bulk purchase discounts.

10. Outstanding teams
The team has understanding of your organisations vision, values and objectives and work towards the same goals
Your team members are innovative and creative,
Staff are able to make decisions outside of the boundaries of their role
Team success is recognised and celebrated
Your team trusts one another and are open to feedback
Staff are given opportunities to do regular learning and development
For ‘outstanding’ care to be delivered, your leaders and managers need to empower your staff to do so.
Your teams need to be able to work together effectively on a shared goal in order to do this. High performing teams within ‘outstanding’ services are likely to have the following;
shared responsibility and accountability across the team,

11. How to develop a positive workplace culture
Our free toolkit can help! 1 2 3
A sense of identity
Shared values and assumptions
Norms and expectations 4 5 6
Lines of communication
Complex subcultures
Continuous change and development
And to have all that you need to have a positive workplace culture.

12. Developing staff teams resources
Skills for Care promotes guidance, advice and funding towards helping you to develop and manage you staff team.
Our “Learning and development guide” covers most of the essentials including;
What qualifications, apprenticeships and learning programmes are available … and how funding can help employers access these
How to commission quality training and what is available from our own endorsed learning providers
How to continually develop your teams, not only remaining compliant around refreshing learning … but how best to develop new expertise
Our “Effective supervision guide” provides practical insight into how to use supervisions to support and develop staff to their full potential, making the most of these regular opportunities

13. Outstanding evidence
Gather evidence from day one – start compiling new evidence the day after your last inspection
Create an evidence folder – Keep it live
Ensure staff and others that use or engage with your service know what your evidence so they can back up what is documented
Develop an improvement plan
Regularly reflect on your own best practice
If you want your service to achieve ‘outstanding’ in your next inspection, you need to be prepared.
The CQC publishes a characteristics about what they look for in ‘outstanding’ services. This can help you to see what sets different ratings apart. .
Between inspections, collect evidence to show what your service has achieved and in particular, how it achieves the characteristics of an ‘outstanding’ service.
Start collecting new evidence the day after your last inspection. – Are you evidencing that you are here today?
Your evidence needs to be a live document, so that you’re prepared and have evidence of your achievements when the inspector arrives. This also ensures that you remember what you’ve done since your last inspection. .
Make sure that your evidence:
aligns with your service’s policies and procedures
presents a picture of consistence care (inconsistency is one of the most common factors of services rated ‘requires improvement’)
is effectively documented – don’t tell an inspector about something that you did, if you can’t evidence it and the impact it made.
Improvement plan – have you learnt something today that you now will implement in your service – make sure you add it to your improvement folder.
Regularly reflect on it to ensure that it contains your strongest examples of best practice

14. Good and outstanding care guide
EachStep Blackburn was rated ‘outstanding’ by the CQC. The ‘Good and outstanding care’ guide was a massive help in getting us there.
Skills for Care product
Our ‘Good and outstanding care’ guide shows the key characteristics that differentiate CQC ratings, and shares recommendations and best practice under each area of inspection.
It draws on learning from over 300 CQC inspection reports (including from over a 100 reports from services that are rated ‘outstanding’), and case studies from ‘good’ and ‘outstanding’0-rated services.
It also outlines some of the most common pitfalls that prevent services from achieving a ‘good’ CQC rating.
You can download a free online version of the guide from our website.
You can also purchase a printed workbook edition from our bookshop, which has exercises and actions plans to help you self-assess your service and decide what to improve.
Phil Benson, Registered Manager, EachStep Blackburn (Part of Community Integrated Care) (Rated ‘outstanding’ in 2018)

15. Guide to improvement www.skillsforcare.org.uk/guidetoimprovement
The guide is for managers in adult social care services, to help them plan, implement and monitor improvements to meet and exceed the CQC’s fundamental standards.
Whether you’re responding to a negative CQC rating or striving for an ‘outstanding’ rating, this practical good will help you to help you to reflect on your current performance, identify what you want to improve and plan and implement the changes that you need to make.
You can download the free online version from our website.
Registered manager members will get a printed workbook edition of the guide when they renew their membership from 1 April If your membership doesn’t need renewing, members can buy a copy from our online bookshop. This workbook edition includes exercises and templates to put your learning into practice.

16. Care Improvement Works www.careimprovementworks.org.uk
A free online tool to help CQC regulated providers pre and post inspection
A quick way to find out about all the Skills for Care and SCIE products and services relating to CQC inspectors key lines of enquiry
Relates to KLOE E1. Are people’s needs and choices assessed and care, treatment and support delivered in line with current legislation, standards and evidence-based guidance to achieve effective outcomes?
E1 Are people’s needs and choices assessed and care, treatment and support delivered in line with current legislation, standards and evidence-based guidance to achieve effective outcomes?
How do you find this? Hours on the internet?
Do you look at research? Ours research knowledge database, bench making - Learn from Others , SCIE, NICE
Care Improvement Works was co-produced by Skills for Care and SCIE (Social Care Institute for Excellence) and was supported by TLAP (Think Local Act Personal)
It was developed following feedback from providers who wanted to know which of our products and services would help them around areas of CQC inspection
The tool is really simple to use –

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@PiaRathje