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From YouTube: CQC Connect: Sexual safety through empowerment
Description
In this episode of CQC Connect, the podcast from the Care Quality Commission, we discuss our 'Sexual safety through empowerment publication' and launch Skills for Care's new guidance on supporting personal relationships.
You can find the guidance here: https://www.skillsforcare.org.uk/Developing-your-workforce/Care-topics/Supporting-personal-relationships/Supporting-personal-relationships.aspx
Listen to more podcasts from the CQC: https://soundcloud.com/carequalitycommission
Find out more information about the CQC and how it regulates health and social care in England: https://www.cqc.org.uk/
A
My
name
is
stefan
kelly
and
I'm
an
inspection
manager
for
adult
social
care
here
at
the
cqc
and
I'm
also
very
proud
and
feel
privileged
to
have
been
part
of
the
group
leading
on
this
topic.
Within
the
organization
we
published
our
report
promoting
sexual
safety
through
empowerment
in
february
this
year,
and
today
we'll
discuss
this
report.
Updating
you
on
the
recommendations
in
it
today,
I'm
very
pleased
to
be
joined
by
jim
thomas,
whose
program
had
four
workforce
innovation
at
skills
for
care
and
debbie
ivanova,
deputy
chief
inspector
of
adult
social
care
here
at
cqc.
A
So
welcome
and
thank
you
for
joining
us
today.
Let's
start
by
introducing
who
you
are
and
why
this
topic
is
important
to
you,
and
I
shall
make
a
start
so
I'm
currently
the
inspection
manager
for
the
blackpool
and
northwest
lancashire
team
in
adult
social
care
and
by
background.
So
that's
my
life
before
cqc,
I'm
an
autism
practitioner
and
that's
still
very
much
an
area.
A
I'm
passionate
about
and
as
cqc
earlier
this
year,
we
published
our
refreshed
guidance
on
write,
support
right
care
by
culture
and
that
very
much
outlines
the
need
for
people's
choice,
control,
independence,
inclusion
and,
ultimately,
their
rights
to
be
promoted
in
services
for
autistic
people
and
learning,
disability
services
and
I've
had
the
pleasure
of
being
involved
in
the
development
of
that
guidance.
And
for
me,
it
links
very
closely
with
our
work
to
promote
sexual
safety
through
empowerment,
because
I
think,
understanding,
respecting
and
empowering
people's
sexuality
and
safety
and
ultimately
improving
their
quality
of
life.
B
Thank
you
stefan,
so
for
me
this
is
important
because,
actually
I
I
think
sexuality
and
and
personal
relationships
are
a
fundamental
part
of
being
a
human
being,
whether
you
are
you
gay
straight
trans,
whether
you
have
a
physical
disability,
a
learning
disability,
mental
health
needs,
whether
you're,
50,
60,
70,
80,
90
years
old
and
younger
than
that.
One
of
the
things
we
never
lose
in
life
is
is
sexuality.
B
It
changes
over
time
things
change
with
the
generations,
but
but
it
it
it's
a
really
important
part
of
being
human.
How
we
define,
who
we
are
as
as
in
the
individuals
and
how
we
have
confidence
in
who
we
are
as
a
person
at
many
many
times
across
all
aspects
of
our
life,
and
even
if
you
are,
if
you
need
care
and
support,
then
that
doesn't
take
away
your
your
your
feelings,
your
your
sense
of
being
around
who
you
are
your
sexuality
and
your
need
for
personal
relationships.
C
Hi,
I'm
debbie
even
over-
and
this
is
a
subject-
that's
been
really
important
to
me
for
for
many
years,
my
experience
of
working
in
and
running
learning
services
to
people
with
learning
disabilities.
I
know
it's
been
a
live
issue
for
for
a
period
of
time.
Well,
I've
been
in
I've
been
in
the
field
for
30
years,
so
for
a
long
time
this
has
been
an
issue
and
it
isn't
being
addressed
enough.
C
People
don't
feel
able
to
be
open
enough
about
their
sexuality
and
staff,
don't
feel
confident
enough
to
respond,
and
this
can
really
lead
to
people's
needs
not
being
met
or
more
seriously
sexual
abuse
not
being
identified.
So
it's
a
really
important
topic
for
me
and
I'm
absolutely
delighted
that
we're
now
trying
to
get
this
addressed
and
really
support
the
work
we're
doing.
A
C
C
We
wanted
to
make
sure
that
those
stories
help
to
encourage
people
and
staff
to
know
that
they
can
disclose
sexual
incidents
and
are
fully
supported
when
they
do
so.
But
on
the
other
side,
we
also
had
heard
from
people
who
wanted
support
so
that
they
could
have
relationships
and
and
be
supported
to
express
their
sexuality.
C
And
so
we
wanted
to
also
highlight
the
need
for
more
open
conversations
about
supporting
people
accessing
care
to
have
those
relationships
and
to
express
their
sexuality.
When
we
actually
did
the
work.
What
we
found
was
that
people
were
not
always
having
those
needs
associated
with
their
sexuality
or
their
desire
to
have
their
sexual
relationships
recognized.
C
We
also
found
that
where
people
don't
have
the
opportunity
to
talk
about
this
openly
and
where
staff
were
afraid
of
having
those
conversations
that
it
was
much
more
difficult
to
pick
up
the
signs
when
something
was
wrong,
so
people
were
both
starting
to
learn
or
or
show
it
show
behaviors
that
were
not
helpful
within
the
setting
that
they
lived.
So
some
overtly
sexual
behaviors
that
were
staff
were
having
more
difficulty
coping
with,
and
also
people
weren't
picking
up
where
there
were
signs
that
some
of
the
those
people
may
have
experienced
some
form
of
sexual
abuse.
A
C
We've
had
a
period
of
time
where
there's
been
lots
of
instructions,
lots
of
ways
of
dealing
with
things
that
focus
on
how
the
service
is
run,
how
it
operates,
and
it
will
be
very
easy
during
this
period
of
time
to
forget
that
people
have
individual
needs
and
there's
lots
and
lots
of
things
that
that
we
need
to
keep
addressing
and
saying.
Actually
these
things
haven't
gone
away.
We
still
have
all
of
these
individual
needs
and
sexual
needs
are
one
of
those.
C
A
Absolutely
thanks
debbie,
so
my
role
in
this
journey
is
very
much
to
help.
Make
our
recommendations
happen
and,
like
you've
just
mentioned,
is
really
opening
up
cultures,
but
almost
expected
to
be
talking
about
these
things.
I
know
jim.
You
mentioned
that
as
well,
and
tackling
the
taboo
and
opening
up
those
conversations
is
part
of
our
recommendations
and
we've
highlighted
in
our
recommendations
that
a
lack
of
awareness
of
good
practice
and
sexual
safety
and
sexuality
can
place
people
at
real
risk
of
harm.
We
as
cqc
and
the
regulator.
A
We've
got
a
strong
role
in
making
sure
that
people
using
services
are
protected
and
supported,
and
that
means
we
want
to
promote
a
culture
to
be
developed
where
people
and
staff
feel
empowered,
of
course,
to
talk
about
sexuality
and
raise
concerns
around
safety,
and
we
can't
do
that
without
great
system
and
partnership
working
so
jim.
Could
you
tell
us
a
bit
more
about
your
new
guidance
and
how
that
came
about
and
who
who
it's
for.
B
B
Why
have
you
got
nothing
about
personal
relationships
and
sexuality,
and
I
I
must
admit,
I
was
really
surprised
that
they
came
to
us
and
asked
us
about
that,
because
I'd
actually
been
around
in
the
early
1990s,
where
there
was
masses
of
learning
and
development
done
in
in
social
care,
around
personal
relationships,
sexuality
and
sexual
safety,
and
I
I'd
assumed
that
that
that
was
carrying
on
and
everything
had
been
solved,
and
there
wasn't
really
anything
to
talk
about
in
this
area.
How
wrong
was
I
you
know
so
so
we
we.
B
B
So
so
we
developed
some
guidance
which
we
which
we
published
initially
two
or
three
years
ago
and
and
then
about
18
months
ago.
Colleagues
at
cqc
came
to
us
and
said
we
like
your
gardens,
but
we
think
it
could
be
better
and
here's
some
work
we're
doing.
Do
you
think
you
could
work
with
us
to
develop
that
further
and
at
the
same
time
as
as
you
doing
there,
a
little
organization
called
supported,
loving,
came
to
me
and
said
we
like
your
guidance
too,
but
we
think
we
could
make
it
better.
B
Building
on
that
idea
of
values,
respect
understanding,
difference
enabling
and
empowering
people
to
lead
different
lives
and
understand
how
sexuality
and
personal
relations
is
different
for
different
people
and,
at
the
same
time,
being
able
to
with
confidence,
recognize
that
when
you
are
living
within
some
kind
of
system,
there
may
be
checks
and
balances
on
on
your
ability
to
be
able
to
lead
an
ordinary
life
that
are
slightly
different
to
out
there
in
the
real
world.
And
it's.
How
do
we
mitigate
for
some
of
those
things
as
well,
where
you're
a
vulnerable
person.
A
Absolutely
and
it's
been
really
great
working
with
you
and
supported
loving
on
on
this
training,
materials
and
and
great
piece
of
partnership
working,
and
I
think
you've
touched
on
something
that
is
it's
just
really
putting
yourselves
in
the
shoes
of
other
people
and
and
understanding
how
their
their
thinking
and
their
perception
of
situations
might
be
different
to
your
own.
So
the
person
might
be
saying
things,
and,
and
just
really
I'm
using
your
understanding
of
of
the
person
like
debbie,
said
that
real
person
centered
care.
A
You
know
what
what
is
that
frame
of
expectation
for
that
person?
Is
that
all
that
person's,
ever
known
and
and
actually
how
did
how
they
experiencing
things
is-
is
a
good
starting
point,
and
I
know
that
when
I've
been
speaking
with
with
providers
and
services,
for
example
around
the
experiences
of
lgbt
plus
people,
which
I
know
you
mentioned
mentioned,
jim
there's
been
some
very
interesting
conversations.
I've
had
because
we
know
from
lg
bt
plus
people
that
many
of
them
are
absolutely
terrified
of
having
to
move
into
a
care
home.
A
C
We
can
come
back
to
that
word
again
that
empowerment
word,
because
I
think
that's
really
kind
of
core.
So
it's
services,
where
the
culture
of
a
culture
of
openness
and
empowerment,
so
people
being
really
able
to
talk
about
and
express
their
needs
people
feeling
that
they
are
going
to
be
recognized
and
valued
as
individuals
when
they
do
so
that
has
to
be
led
by
management
management
have
to
lead
that
and
they
have
to
train
and
support
their
staff
to
be
able
to
do
this.
C
This
comes
naturally
to
some
people,
but
not
to
everybody,
and
you
can
learn
and
you
can
put
in
place
for
staff
a
really
good
support
network
that
helps
them
to
do
that.
Helps
them
to
do
that
in
a
way
that
you
know
will
will
really
make
sure
that
people
feel
both
well
protected
against
sexual
violence
and
abuse,
but
also
empowered
to
express
their
sexuality
and
have
those
needs
fully
met.
So
we've
seen
some
great
examples.
C
I
think
when
we
were
doing
this
about
people
who
were
unable
to
live
their
lives
together
to
actually
be
able
to
have
a
full
relationship
and
we're
working
towards
marriage,
where
we
also
saw
people
who
were
able
to
talk
for
the
first
time
in
their
whole
life
about
their
sexuality
and
what
that
meant
to
them
and
about
relationships
that
they'd
had
in
the
past.
They've
never
been
able
to
really
talk
about
so
outstanding
care
is
where
that's
enabled
to
happen.
I
think.
A
Absolutely-
and
I
think
you
know
just
to
to
pick
up
on
the
point
of
empowerment-
both
empowerment
and
protection
are
equally
parts
of
of
safeguarding
principles
and
therefore
they
do
go
hand
in
hand.
So
it's
quite
important
that
we
that
we
look
at
those
jim
was
there
anything
you
wanted
to
say
about
outstanding.
B
Its
simplest
level,
it's
being
able
to
have
open
and
honest
conversations
about
sexuality
and
where
organizations,
families,
staff
people
lived
experience,
able
to
have
those
open
and
honest
conversations,
and
that
also
means
saying
I
don't
know
what
that
means.
What
do
you
mean
by
by
that
I'll?
Give
you
an
example,
so
so,
a
number
of
years
ago
I
I
used
to
run
training
courses
on
personal
relationships
and
sexuality
and
the
icebreaker
we
used
to
do
with
people
was
we'd,
say:
okay,
we
want
you
to
write
down
every
single
word.
B
C
Dude,
I
think
it's
really
interesting
one
this,
because
that
was
always
the
reason
that
I
was
given
by
providers
for
not
addressing
this
issue.
So
I
think
there's
two
things.
I'd
want
to
say
the
first
thing
is
it's
not
good
enough
to
put
this
issue
in
a
too
difficult
to
discuss
box
and
it's
particularly
because
these
topics
are
sensitive
and
complex,
that
they
shouldn't
be
ignored,
so
using
people
don't
want
to
talk
about
it
is
is,
is
in
my
in
my
book.
We've
got
to
first
of
all
really
get
under.
C
That
is
that
right
is
people
really
being
given
the
opportunity?
Has
your
service
been
portrayed
to
them
and
and
in
in
a
way
that
this
is
a
place
where
we
look
at
everyone's
needs?
Is
this?
Is
this
talked
about
right
from
the
beginning
of
somebody
coming
into
the
service?
You
know:
have
you
done
the
ground
work
before
you
can
say?
C
But
I
think
it's
important
that
people
are
given
that
opportunity
in
a
really
meaningful
way
right
from
the
beginning
that
that
culture
set
up,
you
know
we're
going
to
talk
about
things,
we're
going
to
give
you
that
opportunity
right
from
the
word,
go
and
then
you'll
find
as
you
develop
the
relationship
with
the
person
who's
living
in
the
service
that
they
will
feel
able
to
confide
and
explain
what
what
what
it,
what
they
need
to
have
their
needs,
really
met.
So
back
to
the
open
culture.
A
bit
again
for
me
here.
A
Absolutely-
and
I
I
always
reflect
there
on
myself,
and
so
I
was
the
whenever
I
meet
the
new
person.
It's
like
a
new
coming
out
for
myself
and-
and
I
always
thought
if
I
was
to
if
I
had
to
move
into
a
camp,
would
I
come
out
straight
away?
What
would
me
what
would
influence
that?
Because
I
think
you
need
to
feel
at
ease
and
then
it's
not
not
not
that
you
don't
trust
people,
but
I
think
you
need
to
feel
in
a
safe
environment.
B
Their
sex
life-
I
think
I
think
both
of
you
are
absolutely
right
and-
and
it
comes
back
to
the
thing
we've
said
between
us
now-
it's
we
must
make
the
assumption
that
people
wouldn't
want
to
talk
about
this,
but
we
also
have
to
respect
the
that
people
may
need
to
feel
confident
to
be
able
to
discuss
different
issues
around
personal
relationships
and
sexuality
with
us,
and
I
think
it
brings
me
back
to
something
in
the
guidance
which
is
about
human
rights
and
there's
two
bits
of
of
human
rights
that
really
stand
out.
For
me.
B
The
first
is
a
right
to
consent,
consensual
sexual
expression
in
private
and
the
second
human
right,
which
is
article
10,
which
is
around
freedom
of
expression
and
the
right
to
receive
information,
including
the
public
right
to
know.
How
can
you
really
really
understand
some
of
these
things
if
you've
actually
never
been
given
the
information
to
really
understand?
Why
is
it
I
feel
like?
Why
am
I?
Why
am
I
attracted
to
men
rather
than
to
women?
B
A
Being
respected
absolutely
and
I
think,
raising
that
awareness
through
staff
training
as
well
as
that,
as
debbie
said
you
know,
the
managers
will
definitely
leave
that
lead.
Service
leaders
and
and
providers
will
will
lead
this.
But
it's
it's
really
insane
that
confidence
and
stuff
through
training,
and
you
gave
some
brilliant
examples.
Didn't
you
jim
to
to
give
that
background,
an
underpinning
knowledge,
but
also
just
to
promote
that
ease
of
asking
those
questions,
and
that's
that's
that
openness.
A
B
Well,
what
doesn't
work
so
well,
what
works
in
different
environments
for
different
people,
different
cultures,
etc,
etc.
So
any
examples
that
people
might
have
around
that,
please
do
let
us
know
what
we
want
to
do
is
once
we've
got
that
better
understanding
of
what's
already
out
there.
He
is
we're
going
to
curate
that
to
be
able
to
kind
of
help,
people
find
things
that
are
relevant
to
the
particular
thing
that
they're
wanting
to
explore.
C
So
I
think
it'd
be
really
important
that
that
our
staff
are
enabled
also
to
feel
confident
to
deal
with
this
topic
when
they're
out
on
inspections.
So
we're
looking
at
what
support
they'll
need
to
do
that.
Some
training
for
our
staff,
some
guidance
about
how
to
ask
the
right
questions
about
how
to
raise
this
as
a
topic
on
their
inspections
too.
C
But
we
will
be
expecting
them
to
follow
it
up
and
to
see
what
services
are
doing
and
to
look
for
some
really
good
practice
that
we
can
share
with
other
people
around
that
and
then
giving
people
a
bit
of
a
time
to
actually
put
this
into
into
place
and
implement
it.
We'll
go
back
again
and
we'll
have
another
look
and
see.
Have
people
done
how
well
have
we
actually
managed
to
address
this
issue
and
tackle
it?
A
Brilliant,
thank
you
so
much
and
absolutely
as
that,
as
a
manager
within
my
teams,
I'll
keep
those
conversations
going
and
as
someone
who
said
many
of
those
conversations
with
with
previous
staff
teams
around
how
to
promote
that
sexual
safety
and
and
empower
people
with
a
learning,
disability
or
autistic
people,
I'm
really
happy
to
have
those
conversations
and
I
think,
as
a
group
driving
this,
that's
really
something
that
we're
aiming
to
do
as
well,
fantastic.
This.
This
has
been
great.
Thank
you
again
for
joining
us
and
sharing
your
views
here
today.