ADASS SPRING SEMINAR

SECTOR LED IMPROVEMENT

A new approach to excellence in Adult Social Care

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1. CONTEXT

● Emphasis on Accountability to residents● CQC Withdrawal● National outcomes and transparency framework● Think Local, ACT Personal● Benchmarking and Improvement initiatives (LGID, Info

Centre, regions)● ZBR (Zero Based Review of Social Care data)● LGID Developments● Rapidly reducing resources● Health Service Change

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2. ADASS Principles – Guiding our approach

● Reduce the burden● Locally owned improvement● Considerable improvement needed in

information for Adult services (eg Reablement, Safeguarding and Personalisation)

● Citizen/User/Carers should be central to defining and judging quality

● Whole System focus overtime (e.g. health and well-being, Think Local Act Personal)

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● New version of ‘what good looks like’ needed● No rolling programmes of inspection, but

need a ‘safety net’● We are partners but don’t lead on

intervention ● Where are the resources?

2. ADASS Principles – Guiding our approach

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3. Emerging National Framework

IssueLocal Accounts and local Quality

Assurance

‘What good looks like’

Data

National Support tools/offer (Inc peer review

and self assessment)

PositivesADASS agrees that all Councils produce and account in2011/12 reviewing last years performances and highlighting priorities for the year ahead. Some

guidance and good practice will be published in June

Jeff Jerome leading a piece of work to define this for future years.

We collect a wide range of data currently to inform improvement. A zero based review is currently being carried out to define future data requirements for

2012/13 onwards. ADASS aims to reduce the burden andimprove benchmarking data on Personalisation, Productivity, Re-ablement and Safeguarding. Data should be open source and shared.

Much already exists but it will be reviewed and updated in partnership with SCIE, National Skills Academy, Skills for Care, LGID etc…ADASS needs to facilitate more accredited peers at DASS/AD Level

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3. Emerging National Framework

Regions

National Overview

Brokering Support

Escalation of concerns/threshold for intervention

‘Adequate’ Councils

Resources

National Standards for Adult Social Care

Children’s Services

Regional role needs further development but we believe it should continue to be key in support and identification of issues. Need to maximise JIP legacy.

ADASS Chairs Out outcomes and Intelligence Board that will develop national support offer, share intelligence and recommend councils/issues for National attention.

ADASS Region and LG Group to develop an approach and respond individual cases

Being developed by ADASS, LGG, DH and CQC

Arrangements in place to support improvements brokered by ADASS, LGID

Discussion with ADASS, LGID and DH ongoing re: National and regional resources to support the model.

Now the responsibility of NICE. Early engagement being sought. New standards unlikely for some time.

ADASS positioning is different in light of different position of regulators

and Resourcing of children’s model

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4. RISKS AND OPPORTUNITIES

• High profile failure• ADASS role confusion• No resources to deliver• Deterioration in performance due to resource reduction• Duplication and gaps - LGID, DH, CQC

RISKS

• Focus on what matters to users/carers• Reduced burden• New version of excellence which we help design

OPPORTUNITES

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5. WHAT DOES IT MEAN FOR ADASS

● More attention to peer support

● Contribute to system which identifies failure

● Helping to design a new model of excellence

● Adapting our role as an organisation

● Evolving role of regional Branches

● Join up national policy, standards and data developments

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6. WHAT DOES IT MEAN FOR MY COUNCIL

● Strong local quality assurance systems

● User/carers help judge progress

● Produce a local account

● Support bench-marking initiatives

● Ensure there is independence in your arrangements

● Decisions on focus – Health and Well-being, LSP wide, Adult Social Care, inclusion of wider marker and self funders?

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7. Quality Assurance Framework

Independent ChallengeProvider Challenge

Professional challengeUser/Carer Challenge

Independent Audit

Harrow LINk

Peer Review

Inspection

Improvement Board

Scrutiny

User & Carer Research

User & Carer Engagement

Customer Service Standards

Complaints

Case File Audit

Peer Audit

Independent Audit

Care Reviews

CRILL / LAMA Monitoring

Contract and SLA Monitoring

User & Carer Outcomes

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7. Examples of Good Practice

● Hearsay! Run by Oxfordshire LINk with Oxfordshire County Council

● West Midlands Reablement Dashboard● Safeguarding Adults QA Model (Southwest)● Lancashire Approach to Engagement and Local

Account

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8. Discussion

● What are the opportunities/challenges in making this work locally? What support/guidance would be helpful?

● What are the opportunities/challenges regionally? What support would help?

● Discussion of ADASS positioning and implications nationally