1. SCSWIS and the New Regulatory Regime Jacquie Roberts Interim Chief Executive Social Care and Social Work Improvement Scotland

2. Public Services Reform (Scotland) Act 2010 Creation of: Social Care and Social Work Improvement Scotland : Part 4 Creation of: Healthcare Improvement Scotland : Part 5

3. SCSWIS HIS: Regulation of private health services HMIE Child Protection Multi-Agency Inspections Care Commission SWIA

4. Commencement 1 April 2011 Chair appointed November 2010 Interim Chief Executive appointed December 2010 Board appointed March 2011

5. Vision SCSWIS believes that people in Scotland should experience a better quality of life as a result of accessible, excellent services which are designed and delivered to reflect their individual needs and promote their rights

6. Purpose To provide high quality scrutiny and assurance – which means: Efficient and effective regulation and inspection Supporting improvement Signposting good practice Being a catalyst for innovation

8. Three Year Change Programme Progressive integration of functions X Progressive alignment of functions

10. Three Year Strategic Change Programme Build effective new relationships – working with partners to co-ordinate and integrate key scrutiny processes Develop and implement a business information and intelligence strategy Develop our people : relevant skills and knowledge Build a new organisational culture : customer focused – effective – high performing

11. Three Step Changes 1.Integrated Children’s Services Inspections Year 1 – Karen Anderson 2.Scrutiny improvement: doing the core business well Year 1 – Gill Ottley 3.Integrated Adult Services Inspections Year 2 – David Cumming

12. Changes from April 2011 New organisational structure New alignment to local authority and health board areas National complaints function National registration function National enquiries team Unannounced inspections whenever possible Integrated inspection ‘clusters’ – more joining up of former functions

13. What Information is SCSWIS Starting With? Findings from SWIA Findings from the Care Commission

14. Findings from SWIA Strategic Commissioning Was not sufficiently focused on outcomes or best value Better developed for some groups than others Some councils were successful in building commissioning around engagement with people who use services and strategic partners, including service providers Some councils made procurement decisions, including re-tendering, without taking sufficient account of the impact on peoples lives Many councils did not have a clear rationale about their role as a provider or purchaser and took a short-term view of commissioning Source: SWIA 2005-2011

15. Findings from SWIA Older People’s Services Seventeen councils showed a decrease in the levels of home care in a single year to 2009 Intensive home care continues to increase overall, but with uneven progress at council level (range 4.9-34.0 per 1000 aged 65+) Usage of care homes is declining overall (2% over the last five years) Source: SWIA 2005-2011

16. Findings from SWIA Services and Supports for Adults Levels of intensive home care remained low in some areas and services needed to improve the responsiveness of home care services In most councils, resources for adult services were under pressure at a time of increased needs and service pressures Eligibility criteria for services and support were tightened in many parts of the country but this was not well monitored or reported Support for people with dementia needed to get more priority in most areas Source: SWIA 2005-2011

17. Findings from SWIA Slower Progress has been made on: Personalised approaches and measuring outcomes Increased carers’ assessment Risk assessment and risk management Strategic planning and commissioning Governance in partnerships Source: SWIA 2005-2011

18. Findings from the Care Commission Inspections 2009-20102010-2011 All Grades 1 or 2 All Grades 5 or 6 All Grades 1 or 2 All Grades 5 or 6 Care at Home only 1 (0.7%)42 (29.1%)1 (<1%)55 (33%) Care at Home combined with Housing Support 8 (1.5%)157 (29.1%)4 (<1%)176 (32%) Care Homes for Adults33 (2.4%)285 (21%)15 (>1%)263 (20%)

19. Findings from the Care Commission There are good outcomes when we find: Good care planning and management Safe systems for medication Good management of unexpected staff absence Support is relationship-based, not activity-based Person-centred support is enhanced People who have no close family support are safeguarded

20. Messages for SCSWIS Key Messages Poor performers in all sectors Monitoring performance is a challenge for all of us Re-ablement needs more attention Independent providers need to be round strategic commissioning table Key Challenges Matching resources to risk Getting service users and families to use regulation Avoiding getting in the way of innovation

21. How can SCSWIS work with you to lead and develop improvement and innovation?

22. How best can SCSWIS engage with the wider stakeholder group? What would work best for you?