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From YouTube: June CQC Engagement session - Developing an assessment framework for our future direction
Description
We’ve now launched our strategy, which outlines how we plan to change and transform to deliver more effective regulation. To ensure that the delivery of this strategy is effective we want to develop how we’ll implement it in partnership with people who work in health and social care.
To support this we held an engagement session where we started coproducing and discussing changes to our assessment frameworks. The session brought together providers and professionals who work in health and social care and organisations who represent them. This was the first of a series of monthly engagement sessions where we will aim to coproduce elements of our transformation programmes.
A
For
our
future
direction
workshop,
it's
absolutely
lovely
to
see
some
of
your
faces.
If
I
may
ask,
and
because
there's
so
many
of
us
on
this
call,
if
you
kindly
switch
your
camera
off
during
this
presentation
section
and
then
when
we
go
out
into
breakout
rooms,
it'll
be
fabulous
to
have
your
cameras
back
on
again
as
well.
So
if
you'd
be
so
kind
as
to
have
camera
off
and
be
on
mute
during
this
opening
session,
that
would.
B
A
As
well,
so
if
you
could
do
that
would
be
lovely.
So
I
want
to
start
by
saying
a
massive
thank
you
for
giving
up
your
time
to
come
and
join
us
today,
a
few
bits
of
housekeeping
that
we
are
all
familiar
with,
but
still
we
all
know
the
number
of
meetings
we're
in
on
a
daily
basis
where
we
still
forget
to
come
off
meet
when
we
start
talking.
So
just
a
quick
recap:
we're
going
to
stick
to
time,
so
I'm
going
to
run
through
the
agenda
shortly.
A
Please
use
the
hand,
raising
function
and
put
questions
and
comments
in
the
chat
as
we
go.
If
there's
things
that
you're
thinking
about
that,
you
want
to
make
sure
doesn't
get
lost
again.
Please
pop
that
in
the
chat
function,
and
we
will
make
sure
that
we
pick
that
up.
If
we
can
move
on
to
the
next
slide,
I
will
just
introduce
myself
and
give
you
a
run
through.
So
I'm
kate,
tarone,
I'm
chief
inspector
of
adult
social
care
here
at
the
care
quality
commission
and
I'm
providing
some
opening
comments.
A
I'm
really
pleased
to
be
joined
by
amanda
dave
and
lara
from
our
policy
team
who
will
be
walking
you
through
the
opening
presentation,
and
then
we've
got
a
number
of
colleagues
who
are
going
to
be
facilitating
the
breakout
rooms
and
the
note
taking
so
big.
Thank
you
to
everyone.
Everyone
involved
today,
so
the
plan
between
now
and
2
30.
A
We
could
say
on
the
previous
slide
that
be
fab
jen,
so
amanda
and
dave
are
gonna
set
the
scene,
they're
gonna
talk
a
bit
about
our
assessment
framework
and
how
we
go
about
developing
a
new
assessment
framework.
So
you're
gonna
hear
a
bit
of
talking
at
you
to
kick
us
off,
but
hopefully
it
will
all
be
things
that
are
of
interest
to
you.
A
You're
then
going
to
be
sent
into
different
breakout
rooms
where
we
want
to
ask
you
some
questions
and
hear
your
thoughts
and
then
at
quarter
past
two
we'll
come
back
together
in
this
main
group
to
hear
feedback
and
to
have
some
wrapping
up
comments.
So
that's
the
plan-
and
we
will
finish
on
time
today
as
well.
So
that's
the
agenda
for
the
next
hour
and
a
half
or
so,
and
then
just
a
few
comments
from
me
about
why
we're
here
today.
A
Doing
what
we
can
to
change
the
dial
on
safety
and
supporting
health
and
care
providers
to
be
able
to
accelerate
improvement
and
what's
been
fab
about
the
strategy
is
a.
I
think
we
had
so
much
input
from
you
all
before
we
formally
consulted
in
january
that
broadly,
what
we
heard
back
was
a
lot
of
support
on
the
strategy.
A
A
So
today's
to
talk
about
what
what
a
design
of
a
new
assessment
framework
might
look
like
and,
as
I
say
it's
early
days
formation,
we've
got
a
few
ideas.
We're
going
to
talk
to
you
about,
but
as
ever
in
the
best
form
of
co-production.
In
my
opinion,
none
of
this
is
set
in
stone,
and
none
of
this
is
fully
formed.
Yet
so
please
come
with
your
challenge
and
your
alternative
suggestions
and
your
really
frank
feedback
on
what
you
hear,
because
now
is
the
time
to
really
shape
and
influence
our
thinking
on
it.
A
C
C
So
so
this
is
the
framework
within
which
we
work
and
the
model
that
we
have
set
out
here
shows
how
we
register,
monitor,
inspect
rate
and
report
on
services.
That
we
take
enforcement
action
where
necessary
and
also
importantly,
we
use
our
independent
voice
to
talk
about
the
quality
of
of
care.
And
I
say,
over
the
last
five
years,
we've
we've
kind
of
learned
a
lot
about
the
impact.
This
model
of
this
model,
the
bits
of
it
that
have
been
really
effective
and
the
bits
of
it
that
have
been
less
effective.
C
C
So
we
know
that
we
need
to
change
in
a
number
of
key
areas.
So
there
are
parts
of
our
current
model
that
aren't
as
connected
as
they
need
to
be,
and
it
separates
out
things
that
we
want
to
do
in
a
more
integrated
way.
So,
for
example,
thinking
about
the
flow
through
of
the
judgments
that
we
make
when
we
register
services
and
the
information
that
we
collect
when
we
register
services
that
that
doesn't
necessarily
have
a
have
a
really
a
stronger
connection
as
it
might
to
our
ongoing
assessment.
C
C
C
We
also
know
that
our
current
model
doesn't
work
in
the
way
we
need
it
to
at
system
level.
So
we're
not
set
up
to
easily
work
across
sectors
to
join
up
what
we
know
about
health
and
care
services
in
a
local
area
affect
an
individual
person
or
specific
groups
of
people,
and
finally,
we
need
to
adapt
to
keep
pace
with
changes
in
health
and
social
care.
C
C
So
our
strategy
sets
out
an
ambition
to
be
a
more
targeted
and
flexible
regulator,
and
the
foundation
for
doing
this
well
is
a
regulatory
model
that
puts
people
who
use
services
at
the
center,
supported
by
a
road
by
robust
data
used
in
the
right
way
and
and
over
the
next
few
years,
we'll
be
working
to
realize
this
ambition.
In
stages,
some
small
and
and
some
big-
but
I
think
the
key
message
is
that
we
want
to
use
what
we've
learned
to
make
our
work
more
effective
and
better
deliver
our
purpose.
C
So
if
we
could
move
on
to
the
next
slide-
and
I
think,
as
as
kate
has
said-
we
are
at
a
kind
of
early
stage
of
of
working
through
what
what
what
this
means
and
what
the
strategy
means
for
for
our
overall
regulatory
model.
But
our
thinking
here
is
is
that
we
need
to
be
thinking
differently
about
the
kind
of
key
components
that
make
up
our
regulatory
model.
C
C
We
will
be
providing
assurance
about
care
in
a
local
area,
local
authority
and
system
level
working
and
the
the
powers
that
we
have
around
around
that
might
well
extend
into
assessing
and
potentially
rating
those
at
that
level
as
as
well
and
then
I
think
the
fifth
element
of
what
we
do
is
sharing
and
publishing
our
findings
to
inform
and
influence
improvement,
so
identifying
those
five
key
elements.
These
will
be
the
foundation
for
for
what
we
do
going
forward.
C
And
we've
identified
that
there
are
probably
kind
of
three
core
processes
or
activities
that
join
all
of
these
together.
One
of
those
is
about
assessing
and
making
judgments
so
across.
All
of
across
all
of
these
activities
assessment
making
judgments,
whether
it's
for
registration,
whether
it's
for
provider
assurance,
whether
it's
at
local
authority
and
ics
level,
that's
a
kind
of
core
part
of
what
we
do.
The
second
core
part
of
what
we
do
is
about
sharing
information
about
our
work
and
the
third
core
part
of
what
we
do
is
about
improving
the
quality
of
care.
C
D
Thanks
very
much
amanda
hi,
everyone
hi,
I'm
dave
james,
I'm
head
of
adult
social
care
policy
here
at
cqc,
and
don't
don't
let
that
title
fool
you.
What
I'm
talking
about
today
is
is
about
our
assessment
framework
approach
across
all
the
sectors
that
we
regulate
and
happy
to
be
joined
by
lara
from
my
team,
who
will
be
sharing
their
some
of
the
talking
with
me
this
afternoon.
D
D
D
D
Given
that,
at
the
end
of
the
day,
this
is
really
about
making
sure
that
people
receive
safe
and
high
quality
care,
and
it
shouldn't
matter
in
terms
of
how
we
articulate
what
that
looks
like
for
people.
It
shouldn't
matter
what
lens
we
want
to
apply.
Of
course,
the
kinds
of
evidence
and
the
ways
into
making
those
assessments
will
differ
hugely
from
a
small
domiciliary
care
provider
up
to
the
largest
integrated
care
system.
D
D
So
we
want
to
explore
whether
we
can
actually
kind
of
bring
them
to
life
a
bit
more
and
reduce
some
of
some
of
the
duplication.
That's
in
there
we
know
there's
duplication
within
our
five
key
questions
as
well
as
across
them.
So
topics
will
crop
up
in
various
places
and
we
also
think
there's
there's
more.
We
can
do
to
to
have
the
right
level
of
detail
in
the
right
part
of
the
framework.
D
At
the
moment,
if
you
read
through
our
characteristics,
there's
a
there's,
a
real
mixture
there
of
of
kind
of
broad
principle
outcome
descriptions
and
then
there's
some
quite
quite
specific
descriptions
that
are
much
more
much
more
akin
to
kind
of
detailed
evidence
requirements.
So
we
want
to
see
if
we
can
actually
just
sort
those
out,
whether
that,
whether
that
points
our
way
forward
to
having
a
simpler
framework
which
we
can
apply
for
provider
regulation,
local
authority
assurance
and
also
for
integrated
care
system
assurance.
D
D
Essentially,
this
is
the
kind
of
the
set
of
ambitions
if
we're
going
to
deliver
that
strategy,
so
we
need
a
framework
which
sets
out
what
high
quality
care
looks
like
for
people
and
in
their
terms,
we
don't
want
to
be
dictating
that
we
don't
want
to
be
kind
of
drafting
that
in
some
air
air-conditioned
ivory
tower.
We
want
to
make
sure
it's
actually.
D
D
D
We
also
want
to
see
if,
as
part
of
this
simplification,
if
we
can
identify
what
they
really,
what
the
really
key
pieces
information
are
and
how
do
we
identify
when
we've
got
enough?
So
that's
that's
about
us
knowing
when
to
stop,
but
it's
also
to
help
providers
understand
what
our
expectations
are
and
we
think
we
think
there's
more.
We
can
do
in
relation
to
having
clearer
a
clearer
set
of
expectations
around
the
minimum
minimum
evidence
requirements.
D
Services
will
will
be
a
essential
part
of
our
approach,
but
when
it's
when
it's
the,
when
it's
the
right
tool
for
the
job-
and
we
want
to
explore
whether
or
not
as
information
changes,
whether
or
not
we
can
update
our
our
view,
viewer
quality.
And
so
we
want
the
framework
which
will
which
will
allow
us
to
do
that
and
is
structured
in
such
a
ways
to
allow
us
to
do
that
and
and
for
us
to
be
transparent
in
how
that
is
achieved.
D
In
terms
of
improvement,
that
the
framework
and
the
whole
strategy
is
geared
towards
accelerating
and
driving
improvement.
And
one
way
that
we
talk
about
in
the
strategy
of
doing
that
is
actually
again
being
more
transparent
and
more
structured
in
in
how
we
apply
our
framework
and
how
we
report
our
findings
coming
out
of
it.
So
that
providers
themselves
can
can
see
much
more
clearly
where
their
strengths
and
weaknesses
are
and
also
look
across
to
their
peers
locally
or
nationally.
To
understand
relative
strengths
and
weaknesses.
D
E
E
E
E
F
D
D
So
the
real
value
of
this,
apart
from,
of
course,
being
the
authentic
voice
of
people
that
are
actually
experts
in
in
what
good
looks
like
it's
actually
a
way
of
bringing
to
life
those
five
key
questions,
breathing
life
into
them
and
and
and
encouraging
the
the
whole
system.
So
the
regulator
providers
of
every
agency-
that's
working
in
this
space
to
kind
of
stay,
focused
on
that
on
that
aspect
of
what
we're
trying
to
do,
which
is
which
has
effectively
improved
people's
experience
and
quality
of
life.
D
D
D
But
it's
worth
noting,
as
I
do
there
on
the
slide,
that
we
know
that
these
statements
don't
currently
cover
every
aspect
of
what
we
mean
by
safe,
affecting
effective
caring,
responsive
and
well-led.
And
if,
if
we,
if
we
hear
support
for
this
approach,
then
we'd
be
really
keen
to
continue
to
work
with
t-lab
and
their
and
their
network
of
partners
to
to
understand.
If
we
can
plug
some
of
those
gaps.
D
I
think
the
other
thing
just
to
say
here
is
in
mapping
these
statements
to
our
5q
questions
there,
weren't
any
which,
which
really
spoke
to
well
led-
and
that's
probably
not
really
a
surprise
really
in
terms
of
when
people
are
thinking
about
what
good
person-centered
care
means
to
them.
They
won't
necessarily
be
thinking
about
the
things
that
they're
saying
the
well-led
part
of
our
of
our
framework
around
governance
and
culture.
E
E
So
this
just
shows
you
how
the
levels
could
all
fit
together
for
safe,
and
so
it's
just
a
bit
of
a
visual
for
you.
So
the
first,
the
first
column.
We
have
the
quality
statements
which
are
pitched
at
goods,
and
these
are
the
ones
for
safe.
These
are
just
the
topic
areas,
but
actually,
in
your
breakout
rooms,
you'll
be
able
to
see
the
quality
statements
that
fit
underneath
those.
E
But
this
just
gives
you
sort
of
a
an
idea
of
what
it
could
potentially
look
like
and
then
there'll
be
an
output,
and
that
will
be
a
score
for
each
of
the
the
quality
statements
or
topic
level,
and
that
will
be
a
a
visual
rating
output
score.
So
I
think
we're
moving
on
to
the
the
questions.
Next,
I
don't
think
we're
we
are
running
just
about
on
time
and
so
in
your
breakout
rooms.
We'd
like
you
to
discuss.
D
F
Hi,
my
question
is,
I
think,
from
what
david
david
said,
what
providers
local
authority
and
system
levels-
and
I
know
in
the
past
ctc-
used
to
regulate
local
authorities.
So
with
this
new
framework,
how
is
it
going
to
work?
How
do
you
know
that
the
local
authorities
are
working
well
with
the
care
provider
to
pro
to
improve
quality
and
our
system
in
place
to
support
the
provider
to
get
the
best
quality
of
care
within
the
community?
The
integration
that
we
have
been
talking
about
for
years.
D
What
the
short
answer
is
we
don't
we
don't
know
yet,
and
we
we're
really
at
a
very
early
stage
in
that
work,
and
it's
it's
a
it's
a
it's
a
new
power.
We
we're
really
keen,
though,
if
we
can
start
from
a
shared
vision
and
we're
working
with
with
local
authorities
and
with
their
representatives
on
this
on
this
framework,
if
we
can
at
least
agree,
the
starting
point
is
the
right.
One
in
terms
of
this
is
what
we're
all
striving
to
deliver
for
people,
then
from
there,
it's
okay.
D
So
how
do
we?
How
do
we?
How
do
we
understand
the
role
that
local
authority
is
playing
with
its
local
providers?
How
do
we
understand
how
that's
working
and,
as
with
our
provider,
regulation
that
will
that
will
be
using
those
routes
to
evidence
that
that
lara
describes?
So
it's
okay
to
so?
What
do
the
people
who
live
there
think
and
use
those
services?
D
What
do
the
staff
and
providers
think
what
the
staff
in
the
commissioning
authority
thing
would
so
it's
the
same
kind
of
basic
principles,
but
understanding
what
good
looks
like
in
the
context
of
a
local
authorities
role
will
will
inevitably
produce
different
pieces
of
evidence,
but
we
want
to
line
that
up
against
the
same
core
expectations.
Really
that
we'll
have
of
providers
and
of
and
of
wider
systems
does
that
does
that
make
sense.
F
B
B
One
of
the
frustrations
for
us
as
a
provider
has
been
not
often,
but
it
does
happen
being
on
the
receiving
end
of
criticism
from
cqc
that
are
are
in
no
small
part,
driven
by
local
authority
funding
for
the
placements.
We
have
in
care
homes
over
which
we
have
no
very
limited
control,
sometimes
resulting
in
in
adverse
ratings.
D
Yeah,
I
mean,
I
think
the
first
thing
to
say
is
we.
We
recognize
that
that
the
local
authority
role
has
been
has
been
a
huge
missing
part
of
the
puzzle
really
for
for
a
long
time
in
terms
of
how
we
regulate.
So
we
are
we're
very
happy
to
be
given
this
opportunity
by
by
the
department
of
health
and
social
care
to
take
this
role
forward.
D
We're
still
talking
to
them
is
the
honest
answer
in
terms
of
what
the
scope
and
what
the
priority
areas
are.
I
think
we
would
expect
if
we're
going,
to
make
an
accurate
and
a
holistic
judgment
and
reflection
of
of
the
local
conditions
and
that
we
would
need
to
get
into
those
kinds
of
areas,
though,
but
as
I
say,
we're
still
we're
still
kind
of
understanding,
scope
and
priorities,
but
I
think
peter
that
we
would.
We
would
need
to
be
looking
at
those
kind
of
issues.
G
Thank
you
dave
and
I'm
just
conscious
of
time.
I
know
there's
a
couple
of
people
that
have
got
their
hands
up.
I'm
just
wondering
if
you
wouldn't
mind
just
popping
your
question
into
the
chat
function
and
we
can
come
back
to
that
after
the
breakup
room
discussions,
if
that's
okay,
so
I'm
just
gonna
start
the
breakout
rooms
now
and
we'll
be
returning
for
the
feedback
session.