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About CQC

Sarah SeaholmeRam Sooriah

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Our purpose and role

Our purpose

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve

Our role

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find, including performance ratings to help people choose care

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Our judgements will be independent of the health and social care system; and politics

We will always be on the side of people who use services

Our relationship with providers will be constructive not adversarial

Patients and other users will be at the heart of the regulatory process

Providers and clinicians remain responsible for safety and quality

No 100% guarantees

Underpinning our approach

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We will tackle the following five questions about services:

Are they safe?

Are they effective?

Are they caring?

Are they well led?

Are they responsive to people’s needs?

Five things we will look at

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Appoint chief inspectors of hospitals, adult social care and support, and primary and integrated care

Develop fundamental standards

Specialist inspectors leading expert teams, including clinical and other experts, including experts by experience

NHS hospitals: national teams with expertise to carry out in depth reviews of hospitals with significant problems

Things we will do differently

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NHS hospitals: a clear programme for failing trusts that makes sure immediate action is taken to protect people and deal with failure

Predict, identify and respond more quickly to services that are failing, or likely to fail, by using information and evidence in a more focused and open way – including people’s views and experiences

Improve understanding of how well different care services work together

Work more closely with our partners in the health and social care system to improve the quality and safety of care

Things we will do differently

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Publish better information for the public, including ratings of services

A more thorough test for organisations applying to provide care services, making sure named directors, managers, and leaders commit to meeting standards which is tested

Strengthen the protection of people whose rights are restricted under the Mental Health Act

Build a high performing organisation that is well run and well led, has an open culture that supports its staff and is focused on delivering its purpose

Things we will do differently

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A programme of unannounced inspections and reporting across the sectors we regulate

Inspections at any time in response to concerns

Inspections and reviews on particular areas of care

Regulatory and enforcement action

What we will continue to do

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Changes for 2013/14 set out in our Business Plan

We will deliver:

New fundamental standards

New hospital inspection methods

Hospital ratings

Begin to develop changes for other sectors

Continued involvement of staff, providers, stakeholders, public in the development of our work

Next steps

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Closing comments

People have a right to know that care is safe, effective, compassionate and high quality

We are changing the way we inspect and regulate to play a vital role in making sure that care meets those expectations

Consultation launch date – Monday 17 June

Regulated care in the London

Primary medical services

1550 locations

NHS Trusts

217 locations

Independent healthcare

234 locations

Adult social care

2,381 locations

Independent ambulances

51 locations

Primary dental care

1,004 locations

5491locations

Regulated care in Team 1

Primary medical services

184 locations

NHS Trusts

9 locations

Independent healthcare

35 locations

Adult social care

271 locations

Independent ambulances

3 locations

Primary dental care

161 locations

673locations

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The law says that health and social care

services must meet essential standards.

This is so that people know what to expect

from health and social care services.

 We, the Care Quality Commission, have

made rules about what people can

expect when services are meeting the

essential standards.

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How we checked Rainbow House

 We asked people for their views.

We asked staff and managers for their

views.

We looked at policies, records and care

plans.

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We watched to see how staff treated

people using the service.

 

 

  We thought about what we learnt.  

We decided what Rainbow House was

doing right and what it was not doing well.

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What they were doing right at Rainbow House

 

 

Before a person moves into Rainbow

House their needs are checked.

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The person and people important to

them are asked what they think.

 

  

Rainbow House gives people

information about what it is like to

live there in a way they understand.

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People were usually able to choose

what activities they would like to do.

 

Activities took place regularly inside

the home and outside.

   

People got the right care and support

in a safe way.

Staff helped make people feel safe.

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There were enough staff to care for

people.

More staff worked in the home when

they were needed.

  

Staff got training to make sure they

meet people’s needs in the best way.

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The owner often checked Rainbow

House to make sure care was good

and people were safe.

  

 

The owner checked all staff and

supported them to do their work.

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What Rainbow House was

not doing well

  

The owner did not always make sure

bedrooms were warm and safe, and the

home well decorated.

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People’s records when they saw

doctors and other professionals were

not available.

 

What happens next?

We have asked the owner to tell us how

and when they will make things better.

We will check they have done this.