1. 1 Improving Quality: the regulator’s role ADASS and SCIE seminar Sue Howard Interim Deputy Chief Inspector of Adult Social Care 9 January 2015

2. 2 Our purpose and role Our purpose We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve Our role We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find, including performance ratings to help people choose care 2

3. 3 Ambition for social care: The Mum Test (or Anyone You Love test) Is it good enough for my Mum? Is it safe? Is it caring? Is it effective? Is it responsive to people’s needs? Is it well-led?

4. 4 Future of regulation For people using services:

5. 5 Future of regulation For organisations providing care:

6. 6 Future of regulation For local authorities and commissioners:

7. 9 Social care has the power to transform people’s lives …but is really challenged: Expectations Demand Resources Scrutiny Social care context

8. 8 Staff Providers Commissioners Regulators Public Influences on quality

9. 9 Our new approach

10. 10 First ASC inspections and ratings Outstanding Good Requires improvement Inadequate 0 245 81 24 As at 5 January 2015

11. 11 State of Care 2013/14: Variation

12. 12 Adult social care

13. Our enforcement powers Not an escalator – more than one power can be used

14. 14 Special measures New regime from April 2015 ‘Inadequate’ services face special measures Limited time to make improvements or CQC will close them down Special measures will tackle those that repeatedly cause concern, or do not improve quickly enough

15. 15 Encouraging improvement

16. 16 A word about market oversight Starts April 2015 (pending passage of Care Bill) Targeted, proportionate and risk-based Purpose: Spot if a “Southern Cross” could happen again Protect vulnerable people, ensure continuity of care Action: Monitoring finances of ‘difficult to replace’ providers Provide early warning to local authorities Co-ordinate the system response if failure occurs

17. 11 Embedding the new approach Consistency Timeliness Intelligent monitoring Data, views of people using services Market oversight Corporate providers Continuing challenges for CQC Special measures and enforcement

18. 12 Stand up for adult social care Challenges for us all And…always remember why we do this… Celebrate the good Challenge the bad Be positive and honest Work together

19. 19 People are at the heart of it

20. www.cqc.org.uk enquiries@cqc.org.uk @CareQualityComm Sue Howard Interim Deputy Chief Inspector of Adult Social Care 20 Thank you