Improving regulation for people with challenging behaviour

1. Improving regulation for people with challenging behaviour 4 October 2011 Dame Jo Williams Chair, CQC

2. Palette of Regulation Inspection Analysis Voices • Scheduled inspections • Themed inspections • Responsive inspections • Themed reviews • Quality Risk Profiles • Other data sources • Website feedback • Telephone or written feedback • Third party feedback • Whistleblowing • Safeguarding

3. Since Winterbourne View … • Inspected all 23 Castlebeck services • Found four services to be of serious concern; seven services were not compliant with essential standards; twelve services were compliant • Themes identified: • lack of staff training; • inadequate staffing levels; • poor care planning; • failure to notify relevant authorities of safeguarding incidents; • failure to involve people in decisions about their own care

4. Learning Disability inspections … • CQC conducting review of 150 learning disability services • Focus on: care and welfare of people using services; and safeguarding people using services from abuse • Same methodology as dignity and nutrition inspections: inspector; professional expert; expert by experience • Six pilot inspections conducted in early September • Will publish a report on each location visited and a national overview report. Reports will also be available in easy read versions • Set up advisory group to provide advice on these inspections. Chaired by Jo Williams and made up of stakeholders from charitable, voluntary and other sectors

5. Learning and improving … • Conducted early assessment of CQC’s actions in Winterbourne View • Conducting in-depth management review of actions since Winterbourne View was registered • Management review will be CQC contribution to serious case review, chaired by independent person, Margaret Flynn • Department of Health review of roles of all agencies involved in Winterbourne View. Advised by: Mark Goldring; Professor Jim Mansell; Anne Williams • Ministers will report to Parliament when findings known; then decide any further action necessary

6. Role of information • Essential to share appropriate information at local level with commissioners from Primary Care Trust and Local Council • Share information at national level with other regulators eg. Monitor, NHS Commissioning Board; professional regulators • Quality and Risk Profiles • Provider profiles • Information for people who choose and use services - clear and accessible

7. How the new website will look • Homepage • Consumer focused • Clear about what we do/can offer the public • Focused on ability to look up location level reports/see major action we’re taking • Information for providers and corporate information clearly signposted 7

8. Thank you • Care Quality Commission • www.cqc.org.uk • Tel: 03000 616161