Quality Conversation –
ADULT SERVICES
Gordon Paterson, Chief Inspector, Adult Services
@CIGPaterson
1. Care Inspectorate Restructure
2. Strategic Scrutiny
3. Adult Social Care Reform Programme
4. The Keys To Life
CARE INSPECTORATE RESTRUCTURE
(ADULT SERVICES)
Gordon Paterson
Chief Inspector
Marie Paterson
Service Manager
Claire Drummond
Service Manager
Team Managers
3X
COMPLAINTS TEAMS
10 X
INSPECTION TEAMS
13 X Senior Inspectors
STRATEGIC SCRUTINY – ADULT SERVICES
Joint Scrutiny of Health and Social Care Partnerships
(STRATEGIC PLANS AND STRATEGIC COMMISSIONING; KEY PERFORMANCE
OUTCOMES; LEADERSHIP AND CULTURE)
Thematic Scrutiny in relation to Adult Support and Protection
(TO EVALUATE HOW EFFECTIVELY ADULTS AT RISK OF HARM ARE IDENTIFIED, AND IF
APPROPRIATE, TIMELY MEASURES ARE TAKEN TO MAKE SURE THEY ARE SAFE,
SUPPORTED AND PROTECTED.)
Thematic Scrutiny of Self-Directed Support
(TO EVALUATE THE EFFECTIVENESS OF DEVELOPMENTS TO SUPPORT IMPROVED
CHOICE AND CONTROL FOR INDIVIDUALS.)
ADULT SOCIAL CARE REFORM
The purpose of social care is to support people to live the lives they
want to lead.
In doing so, the overall aim of this reform programme is:
Social care support should enable people to achieve meaningful
personal outcomes: working with people, recognising their assets
and those of their family and wider community and supporting them
to live in the way that they choose. To achieve this we must continue
the move away from focusing on “time and task” towards
sustainable integrated services which can support personal
outcomes through a human rights based approach of dignity,
respect and collaboration. Local and national measurement
frameworks should reflect and enable this change.
ADULT SOCIAL CARE REFORM
- NATIONAL CARE HOME CONTRACT REVIEW
- Cost of Care Calculator
- Nursing Care
- Quality and Standards
- A NATIONAL DEPENDENCY TOOL
- HOME CARE
- SELF-DIRECTED SUPPORT
THE KEYS TO LIFE – INSPECTION FOCUS AREA
- To examine the quality of care of services supporting adults
with a learning disability
- To consider the extent to which the key principles of The
Keys to Life were being advanced in registered care services
- Phase One; Awareness Raising in 186 Care Homes in
relation to K2L and the Review of Winterbourne View
- Phase Two; Self-evaluation and focussed scrutiny on K2L in
382 care services for adults with a learning disability
- Phase Three; Analysis of findings and public reporting
FINDINGS FROM OUR INSPECTION FOCUS AREA
‘A Healthy Life…..’
Managers of services reported different experiences of accessing
health care services across the NHS for the people they support,
ranging from generally excellent access to much more limited
access.
‘Choice and Control……’
In many services we found good examples of person-led care
and support, where choices were being promoted and rights
being protected. Strong communication between staff and the
people they were supporting and active knowledge of
individual’s preferences and choices were the cornerstone of
effective and high quality support.
FINDINGS FROM OUR INSPECTION FOCUS AREA
‘Independence…..’
Many services demonstrated how they were embedding personcentred approaches which underpinned independence.
‘Active Citizenship……’
High quality support was often characterised by committed staff
who helped people to access leisure and recreational activities
and to develop skills and confidence to access local community
groups.
Some areas for improvement; support to access activities, learning
and employment opportunities; aligning support plans to outcome
measures; medication management; incomplete care plans; staffing
issues impacting on quality and person-centred approaches; liaison
with Guardians; community connectedness.
Quality Conversation –
ADULT SERVICES
Gordon Paterson, Chief Inspector, Adult Services
@CIGPaterson