st7. quality in adult social care - andrea sutcliffe ... · st7. quality in adult social care -...
Post on 05-Mar-2021
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Welcome
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Margaret Willcox OBEPresident
ADASS
Good Care Bad Care: lived experiences
Sue Kelley
Expert by Experience and
Insight and Engagement Partner2
Disability and attitude
• A negative attitude held by society can disable a person just as much as a flight of steps or inaccessible information
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Me
• I have a neurological disorder resulting in a multiple disability since 1980
• In 2006 I was diagnosed with cancer (4a) and have lived with its activity and remissions since
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Poor care
• Poor Care in my experience amounted from:• Ignorance: my own and that of the
professionals• Stereotyping: ‘Does she take sugar
syndrome?’ • Arrogance: ‘Because the doctor
thought or implied so”• Fear of retribution
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Good care
• My experience of good care:
• December 2015 my mother diagnosed with advanced pancreatic cancer
• Move from hospice to home
• Finding an appropriate domiciliary care agency
• Personal care and social interaction
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Why is poor care out there?
• I know that good care can be provided to meet individual needs….
• ….so why is poor care and support still to be found in large numbers throughout the system?
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Andrea Sutcliffe
Chief Inspector Adult Social Care
NCAS
12 October 2017
Quality in
adult social
care: where
are we now?
State of Care
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Our purpose
The Care Quality Commission is
the independent regulator of
health and adult social care in
England
We make sure health and
social care services provide
people with safe, effective,
compassionate, high-quality
care and we encourage care
services to improve
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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?
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The Mum (or anyone you love) Test
Published this week:
10 October 2017
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Health and care services are at full
stretch – which impacts upon people
Increased complexity of demand = new challenges
Providers must change to meet complexity and challenges
Future quality of care is precarious
• Providers struggling to cope with more complex demand
• People waiting over four hours at A&E
• More planned operations cancelled and people waiting longer
• Increasing demand for mental health services, affecting
waiting time
• Fewer nursing home beds
• Adult social care providers handing back contracts
• One in eight older people are not receiving help they need
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Are adult social care services closer to
the tipping point?
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Variation and the tipping point
Some areas closer to the tipping point, others further away
Factors affecting the tipping point vary geographically – ratings
variation is one aspect
Percentage of
good and outstanding
Top 20%
Upper 20-40%
Middle 20%
Lower 20-40%
Bottom 20%
ADULT SOCIAL
CARE RATINGS
BY LOCAL
AUTHORITY
Sourc
e: C
QC
ratin
gs d
ata
, 31 J
uly
2017
Adult social care findings 1/2
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• 78% rated good, but 19% rated requires
improvement and 1% (303 locations) inadequate
• Community services rated best. Nursing homes
biggest concern with 28% requires improvement and
3% inadequate, affecting c6,300 people
• Caring rated best – 92% good and 3% outstanding.
Safe and well-led poorest – 22% requires
improvement and 2% inadequate
Adult social care findings 2/2
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• High-performing services have strong leaders –
innovative registered managers known to staff,
people using the service, carers and families
had a positive impact
• High-quality services are person-centred – staff get to
know people as people, understanding their interests,
likes and dislikes
• Most enforcement for poor care relates to
governance, safety, staffing and person-centred care
• Quality matters joint commitment developed
Local collaboration and joined-up care
• People first – personalised care
• Shared vision and strong leadership
• All staff to share that vision and deliver
• Work together as part of a system
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Complexity + challenges = collaboration
Golden thread connecting vision to delivery
Challenges
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• Improve planning,
delivery and experience
for mental health –
Mental Health Act and
the Green Paper
• Long-term sustainable
solution for adult social
care needed
• Services in all sectors
must collaborate locally
State of
Care
available on
stand A32
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What can we do about it?
Quality matters: a shared commitment to high quality, person-centred adult social care
Margaret Willcox OBE, ADASS President
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What is Quality matters?
Co-produced with:
• People who use services, their families and carers
• Professionals and staff
• Providers
• Commissioners
• National bodies that oversee and support adult social care
A shared commitment for everyone using, working and supporting adult social care.
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Why is this important?
The quality and sustainability of adult social care is at risk:
• More people with complex needs
• The cost of care is rising
• More people paying for their own care
• Serious challenges in recruiting and retaining staff
• No shared view of what quality means
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Our principles
• Promote quality through everything we do
• Support and encourage improvement
• Coordinate action
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How do we improve quality in adult social care?
• A shared understanding of high-quality care
• Effective and aligned support
• Joined-up action
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Quality matters: a collective effort
People who use services, families, carers – giving feedback
Staff – capable, confident and supported
Providers – culture, organisation, expectations
Commissioners and funders – expectations of quality
Regulators – monitor, inspect, rate, take action, celebrate
Our single shared view of quality
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Our single shared view of quality
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What does quality mean to people?
“I feel in control
and safe”
“I have the
information I need
when I need it”
“I have access to a
range of support that
helps me live my life”
“I am in control
of my support, in
my own way”
“I have considerate
support delivered by
competent staff”
“I can decide the
kind of support I
need”
By following these principles and encouraging others to
do the same, we enable people using services to say:
Our action plan priorities
1. Acting on feedback, concerns and compliments
2. Measuring, collecting and using data more effectively
3. Commissioning for better outcomes
4. Better support for improvement
5. Shared focus areas for improvement
6. Improving the profile of adult social care
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What people told us they wanted
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www.penmendonca.com
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Get involved
• What commitments can you or your organisation make towards improving quality?
• Share your work on Twitter and join in the Quality matters conversation by using the hashtag #QualityMatters
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This is a Q & A to you!
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Person-centred co-ordinated
high quality care for all
What do commissioners need, in terms of their own processes, to commission good quality care?
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This is a Q & A to you!
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Person-centred co-ordinated
high quality care for all
What good practice examples do you have in your local area on
working with providers to drive quality improvement?
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It is worth it!
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Person-centred co-ordinated
high quality care for all
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Thank you
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#Qualitymatters
#StateofCare
Andrea Sutcliffe
Chief Inspector of Adult
Social Care
@CrouchEndTiger7
@CQCProf
Margaret Willcox OBE
ADASS President
@1adass
Sue Kelley
Expert by Experience
#NASC17
@LGAcomms
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