In her first major announcement as the Chief Inspector of Adult Social Care, Andrea Sutcliffe has outlined her priorities for transforming how the Care Quality Commission (CQC) will monitor, inspect and regulate care homes and other adult social care services, with a greater focus on public involvement and improvement.
Key proposals include awarding ratings to every care home and adult social care service by March 2016 to help people make informed decisions about their care and establishing expert inspection teams involving people who have experience of care services.
The Chief Inspector’s plans and priorities are set out in A Fresh Start for the Regulation and Inspection of Adult Social Care, ahead of a full public consultation in spring 2014.
Andrea Sutcliffe, Chief Inspector for Adult Social Care said:
“This is a fresh start for how care homes, home care, and other adult social care services are inspected and regulated across the country. I will be leading CQC’s new approach by making more use of people’s views and by using expert inspection teams involving people who have personal experience of care.
“We will always be on the side of the people who use care services. For every care service we look at, I want us to ask, is this good enough for my Mum? If it is, this should be celebrated. If not, then as the regulator, we will do something about it.
“Adult social care is the largest and fastest growing sector that CQC regulates and so it is imperative that we get it right.
“A Fresh Start sets out my initial priorities so that we can build confidence in CQC’s role and support our staff to deliver. I am looking forward to working with everyone in this vitally important area as we develop our approach in the coming months.”
Inspections of adult social care services will be structured around the five key questions that matter most to people – are the services safe, caring, effective, well-led and responsive to people’s needs. CQC will explore what each of these means for the adult social care sector.
CQC intends to rate care services as outstanding, good, requires improvement or inadequate, so that the public has clear information about services. As part of these changes, CQC will explore how its ratings can encourage services to improve and how they can influence the timing of future inspections.
Other plans and priorities in A Fresh Start for Adult Social Care include:
- From April 2015 and subject to the Care Bill becoming law, CQC will monitor the finances of an estimated 50 to 60 care providers that would be difficult to replace if they were to go out of business.
- CQC will take a tougher stance when registering care services by ensuring that those who apply to run them have the right values, motives, ability and experience. Also, CQC is committed to taking tougher action against services that do not have registered managers in place.
- CQC will discuss the risks and potential benefits of mystery shoppers and hidden cameras to monitor care, and whether they could contribute to promoting a culture of safety and quality, while respecting people’s privacy and dignity.
- CQC will encourage those providing care in residential homes to explore how they can be involved in the local community and will work with Healthwatch to get its views on care homes locally.
The next steps are for CQC to discuss and explore these proposals with the public, people who use services and their carers, care providers, CQC’s own staff, and organisations with an interest in its work, ahead its public consultation in spring 2014.