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CQC Inspections: seeking assurance of good practice

Learn about the role of the Care Quality Commission (CQC) in safeguarding and how they inspect and regulate health and social care services in England. Find out about their new strategy for adaptability and efficiency.

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CQC Inspections: seeking assurance of good practice

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  1. CQC Inspections: seeking assurance of good practice Prof. Ursula Gallagher, Deputy Chief Inspector of General Practice (London) Janice Waters, National Advisor - Safeguarding Children and Adults University of East Anglia 15th September 2017 1

  2. Our role 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

  3. Our current model of regulation Register Monitor, inspect and rate Enforce Independent voice We provide an independent voice on the state of health and adult social care in England on issues that matter to the public, providers and stakeholders We register those who apply to CQC to provide health and adult social care services We monitor services, carry out expert inspections, and judge each service, usually to give an overall rating,and conduct thematic reviews Where we find poor care, we ask providers to improve and can enforce this if necessary

  4. Why a new strategy? A changing environment Use and delivery of regulated services is changing CQC must deliver its purpose with fewer resources Adapt and improve We want to become more efficient and effective to stay relevant and sustainable for the future The public, and organisations that deliver care, have told us we have improved but we know there is more to do

  5. Safeguarding means protecting people's health, wellbeing and human rights, and enabling them to live free from harm, abuse and neglect. It's fundamental to high-quality health and social care.

  6. What is our role in safeguarding? • Ensuring providers have effective systems and processes • Using intelligent monitoring to assess risk • Making sure the right people act at the right time to keep people safe • Raising safeguarding issues we discover during inspections and alerting local authorities/police if necessary • Holding providers to account and taking regulatory action • Publishing our findings • Regulation 13

  7. State of Care 2015/16 • What we have found • Safeguarding practice • Safeguarding reporting 7

  8. Safeguarding incidents by sector *Please Note: Sector is based on primary inspection category. Due to S3 moving into Hospital on the 1st April 2017, incidents at S3 locations are counted as ASC for the purposes of this analysis

  9. Winter 2017 Changes to Independent Acute inspection methodology Consultations on our proposed changes to inspections Closed 8 Aug 17 Closed • A joint consultation on Use of Resources with NHS Improvement is expected in Winter 2017

  10. Discussion • Safeguarding adults in prisons or approved premises

  11. Safeguarding adults in prisons or approved premises • Care Act 2014: • Sections 42 and 47 (safeguarding: enquiry by local authority and protection of property) do not apply in the case of an adult who is— • (a) detained in prison, or • (b) residing in approved premises

  12. Safeguarding adults in prisons or approved premises • Potential legislative impact – reduced assurance: • National prison service guidance (PSI 16/2015) is subject to local interpretation and implementation is variable, including information sharing and engagement with local SABs • Health and social care providers can no longer rely on support from local safeguarding teams/boards • Absence of independent scrutiny of the prison management and investigation of safeguarding concerns (outside periodic inspection by HMI Prisons and CQC) • CQC cannot require prisons to investigate concerns or share the outcome of their investigation with us.

  13. More information • Our roles and responsibilities for safeguarding adults and children • Information about joint inspections • The fundamental standards • www.cqc.org.uk/content/safeguarding-people • In depth information about regulation 13 • http://www.cqc.org.uk/content/regulation-13-safeguarding-service-users-abuse-and-improper-treatment#full-regulation

  14. Thank you www.cqc.org.uk enquiries@cqc.org.uk @CareQualityComm Prof. Ursula Gallagher Deputy Chief Inspector of General Practice (London)

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