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Modernising our inspection methodology

This project aims to modernize care inspection by revising national standards, tailoring approaches for different services, and improving scrutiny partnerships. Feedback from various stakeholders highlights the need to support positive experiences and outcomes in care services. The project involves consultation with service providers, staff, and the public to ensure alignment with evolving expectations and limited resources. Key areas of consensus include the importance of maintaining standards, protecting vulnerable individuals, and using inspections to drive improvement. The project emphasizes a supportive, improvement-focused, and transparent approach to enhance the quality of care inspections.

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Modernising our inspection methodology

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  1. Modernising our inspection methodology Helen Happer Marie Paterson Head of Quality & Improvement Project lead, methodology review

  2. Why? • Revision of national care standards – Human Rights based approach - using principles to inform and explain decision-making • Influence of national policy on design and delivery of care in Scotland • More tailored approach required for different service types/ needs • Need a better interface between scrutiny at care service, corporate and strategic partnership levels • Commitment to supporting the best possible experiences and outcomes for people who use care services • Challenge of rising expectations and limited resources

  3. Post Crerar

  4. Whose views? • Current, future and past users of care services, and their families • The public • Providers and commissioners of services • Front line staff in services • Care Inspectorate staff • Scottish Government • Scrutiny partners • Other bodies

  5. Consultation to date • E consultation - service providers (incl staff) and commissioners [1232] • E consultation - public [570] • E consultation - CI staff [172] • Focus groups x 12 - providers and managers of services [70] • Discussions with SG and scrutiny partners • Currently consulting with a range of service user groups

  6. Areas of consensus • Widespread support for inspection • Essential to maintain standards & protect vulnerable people • Provides reassurance, affirmation and motivation to improve • Purpose should be improving experiences and outcomes for people who use services • Needs to be manageable for all • Inspection should lead to improvement

  7. Areas of ‘tension’ • scrutiny support • independence familiarity • time to improve risks of delay • report for public report for provider • predictability bespoke • intelligence led preconceived • rigour deliverability / minimising intrusion

  8. What did service providers tell us about how inspections feel for them?

  9. What did inspectors tell us about how inspections feel for them?

  10. Works well when…. Approach: supportive – improvement focused - shared goals – risk-based – proportionate – transparent Attitude: open-minded - flexible - fair Behaviour: dialogue -accessible - advice - smile! Knowledge: understands service, area of work Activity: spend time with users of service

  11. Focus attention on…. • Clarifying and communicating expectations – includes defining good practice • Simplifying processes and increasing reliability of responses • Improving consistency and transparency • Maximising time observing practice and meeting people who use the service • Reporting clearly on people’s experiences and the difference services are making to their lives

  12. A new framework • EFQM-based self-assessment and inspection framework – relationship between impact, outcomes and processes • A suite of Quality Indicators, illustrations at Very Good & Weak for each • A published judgement framework • Increased expectations of self-assessment and evidence to support it • Shared tools for inspectors and providers to support QA and improvement • Outcome-focused public report

  13. Process..... Direction setting Consultation Framework dev’tDirection check Consultation/review Enabler development Review/direction check Testing Implementation Consultation and review

  14. Meanwhile….. • Restructuring into specialist teams • New approach to inspection of childminding services/reporting • Shared inspection and capacity-building with Education Scotland - early years • Improved information-sharing to inform strategic inspections • Review of key processes - enforcement and requirements follow-up, registration • Developing our workforce • Strengthening quality assurance • Website development and The Hub • Review of annual returns • Creation of ‘expert’ groups to support capacity building • “Quality conversations” forums across the country • Publication of inspection frameworks

  15. Over to You Small group discussion

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