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Formal intervention – inspection triggered by (i) recommendation of Prog. Board,

Promoting excellence in councils’ adult social care – a model for accountability. National accountability. Local accountability. ≈ 30%. Formal intervention – inspection triggered by (i) recommendation of Prog. Board, (ii) DH, or (iii) HealthWatch England.

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Formal intervention – inspection triggered by (i) recommendation of Prog. Board,

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  1. Promoting excellence in councils’ adult social care – a model for accountability National accountability Local accountability ≈30% Formal intervention – inspection triggered by (i) recommendation of Prog. Board, (ii) DH, or (iii) HealthWatch England. CQC undertakes inspection of council. Dependent on state of council, may lead to recommendation for further action: Best practice in councils, can lead sector support offers Engagement with sector-based support activity. Progress monitored by Prog. Board CQC issues statutory improvement notice. Notice may require engagement in sector-led activity, formal improvement plan (monitored by CQC/Prog Board). Distribution of all councils Council identifies own needs, engaging as it sees fit. Prog. Director makes offer of sector support – council engages voluntarily Formal intervention by Secretary of State Council manages own improvement through self-assessment and peer review, engaging voluntarily in sector support offers. Prog. Board monitors overall performance to flag risks and target support where necessary. Councils share data through ASCOF. 0% Excellent Good – steady with some specific issues Declining or coasting performance Specific issues of concern – good capacity to improve Serious issues of concern – doubt capacity to improve Serious failure – no capacity to improve ‘tipping point’

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