Chief Inspector of Adult Social Care
At the Care Quality Commission (CQC), we have been monitoring, inspecting and rating every adult social care service in England since our new regulatory approach was first introduced in October 2014 so that people can be clear whether the care they receive is Outstanding, Good, Requires Improvement or Inadequate.
To date, our ratings show that the majority of services,around 70%, are getting this right by providing and sustaining Good or Outstanding care. However, this is not the case everywhere with concerns about safety and leadership letting down people’s quality of care in too many services. We are clear this has to change for the benefit of people using these services.
In today’s challenging financial climate of restricted budgets, rising costs and increasing demand it is vital that corners are not cut when it comes to maintaining high-quality care. As our inspection reports show, the best services make sure person-centred care provided by well-trained staff who feel valued and supported is at the heart of all they do. We know it can be done!
As well as setting clear expectations, providing transparent information about our judgments and tackling poor care when we find it, our 2016–2021strategy explains how we will continue to develop the way we regulate quality in the future.
A key area is better use of information. In adult social care we are not blessed with the amount of data, nationally and consistently collected, as the NHS.
There is some and we need to work hard to develop this further but our best source of information comes from people who use services and their families as well as other professionals. Their insight helps to focus our inspections. Establishing a shared view of quality is also an important focus. If providers, commissioners and regulators could all agree on what good quality looks like, we can reduce duplication and more importantly make life easier for the public.
Our purpose to make sure people receive care that is safe, compassionate, high-quality and effective remains central to our work. We need to be able to answer the Mum Test positively – that these are services we would be happy for our loved ones to use.