1. Joining up scrutiny of adult social care and health services Rosie Lawrence Senior Inspector

2. SDS Values and Principles Choice - for all accessing support Control - as much or as little as wanted Dignity and respect Fairness and transparency Rights –and responsibilities Safety - but not over protection

3. How are you doing Is your service is tailored around the individual’s support needs and outcomes rather than the individual ‘fitting into’ an existing service?

4. How do you know How do you organise the initial contractual arrangement with the client? Can you show that you prioritise the best interests of people using the service over commercial interests? Are your staff adequately trained and supervised and working in a way which promotes empowerment? How do you measure how well you are supporting people to meet their outcomes

5. How will we know Role of assessment staff in agreeing outcomes with the person How are care and support plans developed How are plans reviewed Who is involved and has the greatest say ?

6. Background Scottish Government policy developments HIS and Care Inspectorate Corporate Plans Learning from Multi agency inspections Crerar Improving outcomes

7. Joint Inspection of adult health and social care services Integration of health and social care Promoting and supporting independence

8. Joint Inspection of adult health and social care services K ey Questions How well are their lives improving How well do partners work together to improve the heath and quality of life of adults and older people How well do partners lead and improve the quality of their work and achieve better outcomes for adults and older people

9. Joint Inspection of adult health and social care services Impact and outcomes Strategic planning and commissioning Governance, leadership and accountability Use of performance management and resources to deliver service improvement

10. Joining up scrutiny Model of inspection –engaging with supported people, independent organisations Workforce - are they supported and empowered? Strategic commissioning – is it based on what people want? Assessment and review - is there a focus on outcomes.

11. Joint Inspection of adult health and social care services Scrutiny footprint Desk based analysis Targeted scrutiny activity Public reporting