better leadership, better care: how strengthening leadership can help you drive quality lcas forum...
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Better leadership, better care:
How strengthening leadership can help you drive quality
LCAS Forum Tri-Borough EventHammersmith, 117th July 2013
Debbie SorkinChief Executive, The National Skills Academy for Social Care
What this presentation covers
Introduction: the role of the Skills Academy around leadership
Leadership; what we think it is, why we think it matters – especially now
What leaders can do to make social care excellent: practical steps
o Use The Leadership Qualities Frameworko Recruit and selecto Focus on development and continuous improvemento Measure somethingo Support your Registered Managerso Come together in a new social care landscapeo Recognise and celebrate: stand up for social care
How everyone has a part to play: Leadership starts with all of us
Introduction: the role of the Skills Academy around leadership
• “The sector needs high-quality leadership at all levels...[it] is essential to the delivery of all the proposals in this White Paper.”
Caring for our future: reforming care and support, July 2012
• “[Social Care] lacks confidence. As a result it is timid in its vision and ambition for how adult social care services can be delivered.”
Social Care: A Review. Dame Denise Platt, 2007
“There is a unique culture within social care....Social care is often positioned ‘in the shadows’. This is disempowering [and] has the effect of reducing confidence and stifling innovation.”
Feedback from Skills Academy consultation on Leadership Strategy for Adult Social Care, 2012
Traditions...
The role of the Skills Academy: leading on leadership in social care
Backed by DH and BIS
Covering adult social care but also working with health and children’s services
Specific remit to improve leadership andcommissioning, and to support Registered Managers
Employer-led: reaching providers, trainers,local authorities and other commissioners
Membership body leadership programmes for all levelsendorsement for high quality trainers
Leadership Starts with MeLeadership Qualities Framework Leadership Development Forum
Some of our Members
Cheshire Homecare Services Ltd
Leadership: what we think it is
Not just about authority at the top of organisations
It’s a practical understanding – and awareness – about how you do what you do, and the impact on others
So it’s about behaviours, and taking responsibility for them
And it’s everyone’s business – people working at all levels in social care
“People do not experience our values, they experience our behaviours.”
Bill Mumford, CEO, MacIntyre
Leadership:why we think it matters, especially now
• Demand growing and becoming more complexe.g. ageing population, ‘the oldest old’,changes in people’s expectations
• Supply/Resources reducing in relation to time and moneye.g. local authority cuts, lower householdincome, fewer resources for training
• Changes bewildering and far-reachinge.g. in structures, customer base,regulation and relationships
• Culture some things aren’t changing enough“Who Cares?”: 83% of respondents felt the care sector was
negatively represented in the media
Demand: (Life) expectancy and expectations
Leadership:why we think it matters, especially now
• Demand growing and becoming more complexe.g. ageing population, ‘the oldest old’,changes in people’s expectations
• Supply/Resources reducing in relation to time and moneye.g. local authority cuts, lower householdincome, fewer resources for training
• Changes bewildering and far-reachinge.g. in structures, customer base,regulation and relationships
• Culture some things aren’t changing enough“Who Cares?”: 83% of respondents felt the care sector was
negatively represented in the media
Implications: good leadership can be a lifeline: the place of leadership is to help you deliver quality in difficult times
Unprecedented mix of circumstances: demand, supply, structural change, culturalstasis – leading to:
o Revenue challenges and funding pressures for employers – and for some, issues of managing growth/consolidation
o Need to do more – and more complex - with less
o Working with wider group of stakeholders – CCGs, public health, personal budget holders, housing, planning
o Need for adaptability/innovation - reconfiguring services, working with new client groups, providing flexible care models
o Need to re-inculcate the old virtues and values – dignity, compassion – emphasised especially post-Winterbourne and Mid-Staffs
What you can do to strengthen leadership:The Leadership Qualities Framework
Guide to what good leadership looks like
Describes what good leadership looks likein different settings and situations
Defines good leadership for people atdifferent levels:
Front-line StaffFront-line LeadersOperational LeadersStrategic Leaders
Basis in values and behaviours that follow on from them
Grounded in everyday practice and written in plain English, so accessible to everyone
Applicable in integrated services
The Leadership Qualities Framework: how it works
Based on structure of NHS Leadership Framework
Groups behaviours into seven areas, called Dimensions
Five Dimensions relate to areas in which all social care professionals need to demonstrate leadership
Two apply specifically to senior staff
Each Dimension has four elements
The LQF takes each element and gives a short description of what quality leadership looks like at different levels
The Leadership Qualities Framework: how it can help you in driving quality
Essential tool for small, medium and large employers to measure and strengthen leadership capacity
Also for micro-providers, user-led organisations, and service users who commission services
For commissioners and regulators to use as a guide/quality indicator
Use for recruitment, performance management, appraisal and CPD
Mapped to CQC Essential Standards
Online self-assessments for benchmarking: 360° feedback: organisational assessment
What you can do to strengthen leadership: actively recruit and select for leadership behaviours and social care values
Examples: MacIntyre, Anchor Values-based toolkit for employers - go to www.nsasocialcare.co.uk
The MacIntyre Profile: Great Interactions
Starting point: “what makes a great care worker?”
Led to personality profile for people who consistently deliver high quality, personalised care, and framework for
recruitment
Now shapes overall workforce policy: all employees responsible for standard of their own practice: line managers
responsible for team practice
What you can do to strengthen leadership: see leadership as for everyone, see it as a craft, and develop it
“...there are certain aspects that must be there in any leader: intelligence and emotional intelligence are two aspects, but you can teach skills, you can give people opportunity to develop leadership confidence. “
“So while you do need some basic core principles and values and intelligence, you can teach leadership.”
Commodore Jake Moores, Head of Royal Naval College, Dartmouth: Skills Academy Seminar Series for Senior Leaders.
What you can do to strengthen leadership: focus on behaviours and use coaching/reflective approaches
Example: Front-Line Leaders Programme
“I am now constantly assessing my own practice and have the means to better myself, which in turn creates a happier, smoother workplace, which most importantly improves the quality of service we offer.”
Leadership development for front-line or first-time leaders
Workplace-based: uses coaching and self- reflection, building self-awareness around impact on others and using outcomes as basis for action
What you can do to strengthen leadership:measure something
Use any of the seven Dimensions and the behaviours described in them
You don’t need to be an academic or have a research grant
Ask your Staff, Service Users and Carers/Relatives
What is interesting to you?
If you measure something interesting, you’ll find something interesting
Just start – be a ‘positive deviant’
What you can do to strengthen leadership:support your Registered Managers
New programme now available from the Skills Academy, including:
national network
community of practice
funding for local networks
free training events
advice, guidance and support
HR, legal and experienced Registered Manager support
Online resources
What you can do to strengthen leadership:come together in a new social care landscape
Practice leadership - networks and forums of support, e.g. for Registered Managers
Collaborative leadership - links with commissioners – health, social care, individual
Community leadership - links with and for community groups and micro-employers: focus on assets and social capital
What you can do to strengthen leadership:recognise and celebrate: stand up for social care
What you can do to strengthen leadership:Celebrate and influence: stand up for social care
Social care as key driver of local economies
Social care as growth sector
Social care as local employer
Social care as community hub/link
Social care as source of innovation
Social care as source of good news stories for local media/MPs/ Councils/Health and Wellbeing Boards
Social care staff as people to be celebrated
Everyone has a part to play: Leadership starts with all of us.
Because everyone can do something about changing what
they do and how they do it.
So everyone can be a leader to some degree.
Everyone can have a go, and everyone can make a difference.
And everyone can be a force for change.
The National Skills Academy for Social [email protected]