Chief Inspector of Adult Social Care, Kate Terroni on how the CQC is engaging with the people who draw on social care to help develop the right strategy, policy and approach to regulation.
Thank you to colleagues across social care for your continued hard work and dedication. It has been an unimaginably tough eighteen months and I know many of you are exhausted and are having to face challenges with colleagues leaving your services and the ongoing difficulties of recruiting people. Working together with everyone involved in delivering, supporting and receiving care is going to be vital as we move forward from the pandemic.
CQC’s new strategy has shown our ambition to listen to the experiences of people who draw on care, their relatives and advocates, and put these valuable insights into how we regulate. I often speak about sharing my platform and the importance of listening to people who draw on care, whether at a conference, in meetings or events. I believe it’s important to put the voices and experiences of people who draw on care at the heart of what CQC and the whole system does.
Sharing a Platform
The ‘I pledge’ which I made with Social Care Future back in June to ensure that, where possible, I request the inclusion of people with lived experiences and/or people who draw on care either as active panel members, speakers or attendees, is something that I continue to take very seriously and uphold wherever possible.
When I spoke with Anna Severwright, Convener at Social Care Future, along with Selina Litt an expert by experience on our podcast, CQC Connect, we agreed that it is important to have people who draw on care involved in panels and discussions on social care. They are not only able to share their experiences, but they can highlight where care has worked well and where it has fallen short – they are experts and we should be learning from them.
This month I shared the stage with Julie at The Care Show in Birmingham. Julie spoke about her experiences of caring for her mother and son; their experience of inconsistent care and what is fundamentally needed to ensure care for people is done right. The message she shared with us, was that every minute counts, we need to think about opportunities to treat people with dignity and respect and what we can do to create meaningful daily interactions, with people and for people.
Our commitment to co-production
It’s not only conferences where we look for the perspectives of people who draw on care, we hold a number of ‘co-production events’ where we engage with people who receive care, providers, professionals and organisations that represent all of these groups. These events help us develop the right strategy, policy and approach to regulation.
This has included recent sessions on how we bring our key questions to life using Think Local Act Personal’s (TLAP) making it real I/We statements, and the role people’s experiences of care will play in our assessments and judgements. You can read more about this from the TLAP website.
We have started the coproduction of our methodology on how we will be assuring local authorities (LA) and Integrated Care Systems (ICS).
Last week I chaired an expert advisory group with people who draw on care, relatives, providers, local authority representatives and other stakeholders. In this forum we talked about CQC’s proposed new responsibilities within the Health and Care Bill which is currently going through Parliament. This is just one of many ways we are engaging with people about our approach. Our work looking at LA assurance and ICS oversight is part of developing a wider view on systems.
This first session was focused on our new role with local authorities and we invited the group to share with us what their priorities are when we take on this new role. We heard from the group about the importance of people having assessments of their care needs in a timely way, the focus on prevention and the need to improve transitions. We will digest this feedback and update you in future columns as our thinking develops.
We are also committed to developing an approach to assuring local authorities that can also apply to ICS, as we know few people experience care in isolation, usually it’s through pathways and systems.
What I hope you take from this, is that finding a way to collaborate with people may have its challenges, but taking steps to reach out to people who draw on care, their relatives or advocates will add value to the work we all do. I’d also encourage you to share the link to the webpage on people’s experiences of care, so we can hear about the ways you’ve collaborated with or listened to the voices of people who draw on care.