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Towards excellence in adult social care: a sector led approach
www.local.gov.uk
Wider picture
• Taking the led: self-regulation and improvement in local government
• Councils are responsible for their own performance and accountable to local communities
• Collective responsibility for sector’s performance• Tools to support this:
– Local accountability (with CfPS)– Peer challenge (one free every 3 years)– Peer member support (particularly at change of control)– Knowledge Hub– Data and transparency – Leadership support programmes– Learning and support networks (officers and members)
What’s changed
• Annual Performance Assessment for adult social services abolished
• Care Quality Commission is developing a risk based approach (although this is under review)
• Zero based review of data requirements
• Slimmed down national indicator set
Towards Excellence Board
• Chaired by Richard Jones (ADASS), supported by LGG
• Includes ADASS, SOLACE, LGG, CQC, SCIE, Think Local Act Personal Programme
• Modest funding from DH to support councils previously rated as adequate and to augment the wider sector led approach
Working with “adequate” councils
• Councils set improvement priorities
• Co-designed support
• Regional support
• Assigned challenge director
• Mutually agreed sign off timetable
• Peer review
• Board confirmation
Formal intervention – inspection triggered by (i) recommendation of Prog. Board, (ii) DH, or (iii) HealthWatch England.
CQC undertakes inspection of council. Dependent on state of council, may lead
to recommendation for further action:
Serious failure – no capacity to improve
Serious issues of concern – doubt
capacity to improve
Specific issues of concern – good
capacity to improve
Declining or coasting
performance
Good – steady with some
specific issues Excellent
Formal intervention by
Secretary of State
CQC issues statutory improvement notice.Notice may require
engagement insector-led activity,
formal improvement plan (monitored by CQC/Prog Board).
Engagement with sector-based support activity.
Progress monitored by Prog. Board
Dis
trib
utio
n of
all
coun
cils
Prog. Director makes offer of sector
support – council engages voluntarily
Council manages own improvement through self-assessment and peer review, engaging voluntarily in sector support offers. Prog. Board monitors overall performance to flag
risks and target support where necessary. Councils share data through ASCOF.
Council identifies own needs, engaging
as it sees fit.
Best practice in councils,
can lead sector support offers
‘tipping point’
Promoting excellence in councils’ adult social care – a model for accountability
0%
≈30%
National accountabilityLocal accountability
Key elements of the model
• Local accounts (first go by December 2011)
• Data analysis
• Coordination of national support offers (including LGG, Skills for Care, National Skills Academy, SCIE, Research in Practice for adults)
Key elements of the model
• Regional collaboration
• Sharing intelligence to support a national overview of support needs
• Brokering support
• Escalation of concern arrangements
Peer review and challenge
• Well established methodology
• Key lines of enquiry – customised by local circumstances
• Typical team: director-led, lead member, specialist AD, data/performance expert, partner peer
• Honest feedback from peer perspective to validate local story (against national picture)
For further information
www.local.gov.uk