Welsh
Government
Corporate
slide master
With guidelines for corporate presentations
Regulation
and
Inspection of Social Care
in Wales
David Pritchard
Key points
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•
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The Welsh Government set out its long term policy for Social
Care in the document ‘Sustainable Social Services: A Framework
for Action’ in 2011.
That policy included a commitment to reform the process of
regulation and inspection.
In February 2015, the Minister for Health and Social Services
introduced into the National Assembly for Wales a bill dealing
with these matters.
The bill and supporting documents can be accessed at:
•
http://senedd.assembly.wales/mgIssueHistoryHome.aspx?IId=12
110
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This presentation relates to the aims and provisions of that bill.
Regulating for Success
• Regulation of social care services –
residential homes, domiciliary care etc.
(CSSIW)
• Inspection of local authorities (CSSIW)
• Regulation of the workforce – social
workers etc. (Care Council)
• Market stability work
• How organisations share information
and work together
• Transition to Social Care Wales
What is the
bill
concerned
with?
Example changes:
Regulating Services
OUR AIMS:
The Bill moves from a settings approach to regulation, to a
service model. It will:
•
Ensure our regulatory system allows us to understand
the impact that services have on people’s lives.
•
Provide greater transparency and comparability across
services in Wales.
•
Rebalance the accountability within the system so that
the appropriate agencies or individuals are held
responsible in law.
•
Move beyond an approach based on compliance
towards one that also reflects the quality of provision.
•
Move towards a system of regulation that focuses on
services, allowing future flexibility to respond to
changes in the sector.
Corporate accountability
The Bill will create a statutory role of
Responsible Individual – a member of the Board
of the providers who will have certain duties in
law such as visiting services, appointing a
manager and reporting on performance.
Annual Reports for Providers
All providers of services in Wales will be
required to produce a public report annually, to
a prescribed format.
Ratings
The Bill gives the regulator the power to rate
service provision.
Service Standards
Through regulations the Welsh Government will
set out the standards expected of service
providers, to be inspected by the regulator.
Failing to fulfil these standards can result in
closure of the service or criminal prosecution.
Market stability
OUR AIMS:
Currently, there is no requirement in primary legislation that
allows the regulator to establish an effective system of
oversight on the social care market in Wales. The approach
to market oversight in the Bill seeks to:
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Recognise that social care is a sector that embraces the
private, voluntary and public sectors.
Recognise that the market should not determine
priorities in social care and that collectively, we should
shape the market, not allow market choices to drive us.
Provide information to current providers, prospective
providers and local authorities to allow all those in the
sector to respond to changes in the market.
Deliver a cost-effective and proportionate approach to
intervention in the case of difficult to replace services.
Market Stability
The Bill will require local authorities to
produce market stability reports on the
future shape of the social care sector,
feeding into a national report by the
regulator and the new Social Care Wales. The
regulator will have the ability to undertake
due diligence on important providers to
avoid unexpected exits from the market.
Social Care Wales
OUR AIMS:
The approach to Social Care Wales within the bill seeks to:
•
Build upon the success of the Care Council for Wales,
the current workforce regulator.
•
Develop opportunities to support a more strategic
approach to improvement across the sector.
•
Recognise the broad nature of the workforce within the
sector, including those with other professional
oversight.
•
Take into account the recommendations of the Law
Commission (2014) in its recent work on the regulation
of health and social care workers.
Social Care Wales
The Care Council for Wales will be reconstituted as Social Care Wales, and given
wider functions relating to improvement across
the sector. This will create a powerful new agent
for change at the heart of the sector in Wales
Regulating the
Workforce
OUR AIMS:
The approach to workforce regulation within this Bill builds
upon the success of regulation over the past 15 years. It
seeks to:
•
Ensure that it remains lay-led, with the citizen at its
heart.
•
Take on board, where appropriate, the work of the Law
Commission (2014) in its review of the regulation of
health and social care professionals.
•
Provide flexibility for the regulatory regime to respond
to changes in the care and support sector going
forward.
•
Recognise the broad nature of the social care
workforce, and to build a regulatory regime that can
respond to that breadth.
Example changes:
Involvement of citizens
Both regulators – CSSIW and Social Care Wales
– will be duty bound to involve citizens in their
work and report on how they have done this
annually. Workforce regulation will remain layled.
Registration of social care workers
The Bill retains the Minister’s power to require
registers of particular social care workers.
What has changed through
scrutiny?
• Length of domiciliary care visits
• Registration of workers in domiciliary care
and adult residential care
• Fitness of providers and responsible
individuals
Going forward
• The National Assembly for Wales will vote on the
Bill as amended on 24th November
• If passed it will receive Royal Assent in the New
Year.
• An intense period of technical groups and
regulation preparation will take place in 2016/17
• Implementation will take place from April 2017.
CSSIW National Review of
Domiciliary Care
2015-16
Adolygiad Cenedlaethol AGGCC o
Ofal Cartref
2015-2016
Margaret Rooney
Why are we doing the review?
Pam rydyn ni'n cynnal yr
adolygiad?
• Listening to what people
have to tell us about
domiciliary care
• Gwrando ar yr hyn sydd
gan bobl i'w ddweud am
ofal cartref
• Produce overview of
domiciliary care provision
in Wales
• Paratoi trosolwg o
ddarpariaeth gofal cartref
yng Nghymru
• Understand the key
interdependencies/relation
ships
• Deall y cydddibyniaethau/cydberthna
sau allweddol
• Highlight challenges commissioners /providers
• Nodi heriau –
comisiynwyr/darparwyr
• Share examples of good
practice /solutions
• Rhannu enghreifftiau o
arferion da/atebion
What are we interested in?
Beth sydd o ddiddordeb inni?
Commissioners
• Understanding of local
needs
• Involved in workforce
planning
• Strategy developed with
people/stakeholders
• Communicate strategy to
providers
• Manage capacity
• Assessments translating to
requirements for providers
• Monitor performance
Comisiynwyr
• Deall anghenion lleol
• Cymryd rhan mewn
cynllunio'r gweithlu
• Datblygu strategaethau ar y
cyd â phobl/rhanddeiliaid
• Cyfathrebu strategaethau i
ddarparwyr
• Rheoli capasiti
• Asesiadau'n nodi anghenion
ar gyfer darparwyr
• Monitro perfformiad
What are we interested in?
Beth sydd o ddiddordeb inni?
Providers
• Starting care packages
• Staff pay and conditions
• Quality assurance
• Call monitoring
• Levels and themes of
complaints
• Staff turnover, capacity,
sustainability
• Impact of charging cap
• What works well and why
Darparwyr
• Cychwyn pecynnau gofal
• Tâl ac amodau staff
• Sicrhau ansawdd
• Monitro ymweliadau
• Lefelau a themâu cwyno
• Trosiant staff, capasiti a
chynaliadwyedd
• Effaith y cap codi tâl
• Yr hyn sy'n gweithio'n dda
a pham
What are we interested in?
Beth sydd o ddiddordeb inni?
People using services
• Outcomes - their
experience
• Good quality, reliable
• Continuity of care and care
staff
• Calls on time, enough time
or shortened
• Communication
• Quality of relationships
• Welsh language needs
Pobl sy'n defnyddio
gwasanaethau
• Canlyniadau – eu profiad
• Ansawdd da a dibynadwy
• Dilyniant gofal a staff gofal
• Ymweliadau ar amser,
digon o amser, neu wedi’u
cwtogi
• Cyfathrebu
• Ansawdd cydberthnasau
• Anghenion yr iaith Gymraeg
What are we interested in?
Beth sydd o ddiddordeb inni?
Staff
• Staff find the work
rewarding
• Impact of
pay/conditions on
staff
• Challenges and
pressures
• Management
support
Staff
• Staff yn cael y
gwaith yn foddhaus
• Effaith tâl/amodau ar
staff
• Heriau a phwysau
• Cefnogaeth gan
reolwyr
Methodology/ Methodoleg
• Questionnaires to providers, commissioners,
domiciliary care agency staff and people receiving
services
• Reviews in 6 local authorities
• 100 domiciliary care agencies - refocused annual
inspections
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Holiaduron ar gyfer darparwyr, comisiynwyr, staff asiantaethau gofal
cartref a phobl sy'n derbyn gwasanaethau
•
Adolygiadau mewn chwe awdurdod lleol
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100 o asiantaethau gofal cartref – arolygiadau blynyddol sydd â ffocws
newydd
Methodology/ Methodoleg
• External reference group working with CSSIW to
reflect on progress and findings
• Three regional workshops for providers and
commissioners (Nov/Dec) to explore challenges and
consider solutions
•
Grŵp cyfeirio allanol sy'n gweithio gydag AGGCC i ystyried cynnydd a
chanlyniadau
•
Bydd tri gweithdy rhanbarthol ar gyfer darparwyr a chomisiynwyr
(Tachwedd/Rhagfyr) i archwilio heriau a thrafod atebion
Where do we go from here?
Beth yw'r cam nesaf?
• Publish a national report
• Learning event to share
findings
• Use the information to
advise ministers and policy
- inform new regulations
• New model of regulation
and inspection for
domiciliary care in 2017 –
we want to work with
stakeholders on this
• Cyhoeddi adroddiad
cenedlaethol
• Digwyddiad dysgu er mwyn
rhannu canfyddiadau
• Defnyddio'r wybodaeth i roi
cyngor i weinidogion ac i lywio
polisi a rheoliadau newydd
• Model newydd ar gyfer
rheoleiddio ac arolygu gofal
cartref yn 2017 – rydyn ni am
weithio gyda rhanddeiliaid
Work Of The National
Commissioning Board
Dave Street, Vice President ADSS Cymru
Purpose:
• To have oversight of commissioning activity across Wales and to
support effective communication between commissioning
organisations and providers at national, regional and local levels
• To have oversight of social care procurement activity across Wales to
ensure that the procurement of services consistent and streamlined as
possible.
• To build and promote clear best practice delivery models for
commissioners to promote
• To support the development and collaborative approaches to
commissioning across agencies.
• To support the continued development of new and sustainable
infrastructure for wide-ranging regional commissioning
• To facilitate meaningful dialogue with commissioners and providers to
build a clear picture of current markets and recommend where these
need to be reshaped to achieve the best outcomes for service users
and carers
• To manage the Memorandum of Understanding or its successor with
partners.
Membership
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ADSS Cymru
Health Boards
Providers
Welsh Government
CSSIW
Regional Commissioning Leads
WLGA
Care Council For Wales
Work Priorities
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Market Analysis
Model Terms and Conditions
Concordat
Commissioning Qualification
Skills and Capacity
National Minimum Wage
WLGA update – Re: Commissioning/
Procurement
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Domiciliary Care
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Leading Disability
Provider Forum Responsibilities
• Provides strategic leadership
• Develop and promote alternative, cost effective
delivery models
• Identify areas for efficiency and effectiveness
• Support a mature and realistic context for
engagement between members
• Influence and advice WG
• Support commissioning activity in re shaping
support and well being services
Impact /Effect
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The right people around the table
Provider Forum in place and meeting
Initial market analysis completed
National Minimum Wage discussions
Capacity support from WG
Challenges
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Financial climate
Complexity of need
Inflexibility of the market
Poor / outdated commissioning processes
Requirements of SS&WB Act
Workforce
R&I bill
Lack of communication / trust
Questions ?
• What do you think the National
Commissioning Boards priorities should be ?
• How will we know if its made a difference ?
Challenging local authorities on
procurement, rates and
contract clauses
19 November 2015
Introduction: the commissioning
landscape
• Sector at “crisis” point
(i) continued austerity measures
(ii) demographics and increase in demand
(iii) National Living Wage
• Greater regulatory oversight and interventions
(i)
business failure
The commissioning landscape: The
Legislative Framework
• The new light touch regime
• The Social Services and Well-being (Wales) Act
2014
• The Care Act 2014:

Temporary duties on LAs on account of business failure
• The Regulation and Inspection of Social Care
(Wales) Bill
Commissioning challenges
• The National Living Wage and rates
• The new Light Touch Regime that the sector needs to get
to grips with
• The steps that tenderers (and commissioners) can take
when the process goes awry
Tactics for dealing with the National
Living Wage
• Negotiation and positioning
• Private law
o contractual terms
o restitutionary remedies
• Public law
o Traditional public law principles
Negotiation and contractual remedies
• Pre-emptive dialogue
• Term and termination
• Contractual terms
o Price review mechanisms
o Change of law
o Force majeure or frustration
Public law
• The Social Services and Well-Being (Wales) Act 2014
provides an array of duties which commissioners may
breach
• Traditional grounds for judicial review; for example:
o failure to take into account relevant considerations;
o failure to consult;
o fettering discretion.
• Rights of the individual
Tactics for dealing with NLW:
Concerted Action
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Competition law considerations
Use of trade / sector fee setting tools
Gathering evidence; engaging independent experts
Collective challenges at tender stage; judicial review
Active engagement through umbrella bodies
Acting outside the traditional
framework
• Innovative solutions
o Understanding the Commissioner’s agenda
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Disengagement with public sector
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o
o
Importance of regulatory compliance and quality
Unsustainable contracts
Spot purchasing
Waiting for the market to “correct” itself
The new light touch regime
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Aim of the regime is to introduce a new set of rules which
have the potential to be:
o more flexible;
o less administratively burdensome.
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Applies to a variety of goods and services including:
o health, social and related services and supply services of
domestic help and nursing personnel;
o administrative social, educational, healthcare and cultural
services.
The new light touch regime: What has
changed?
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Removal of Part A/Part B distinction
New notification and reporting obligations
Broader range of award criteria
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What are the obligations on
commissioners?
To advertise contracts above threshold €750,000 (£625,050)
in OEJU - contract notice or PIN (prior information notice)
o conditions for participation;
o time limit(s) for contacting the Commissioner in order to bid;
o brief description of the main features of award procedure.
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To prepare a written report on every contract awarded in
accordance with Regulation 84
Award criteria
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Must be transparent and treat bidders equally
May take into account:
o the need to ensure quality, continuity, accessibility,
affordability, availability, comprehensiveness of services;
o the specific needs of different categories of users including
disadvantaged and vulnerable groups;
o the involvement and empowerment of users; and
o Innovation.
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Potential for far greater flexibility and more innovative
tenders
Grounds for challenge
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Failure to follow process as set out in the tender – with
greater flexibility comes increased risks
Breach of UK Regulations; note the new requirements re
OJEU and reports
Mixing up selection and award criteria:
Grounds for challenge
• Evaluation methodology – how the answers are scored
and weighted
• Breach of overarching General EU Treaty Principles limited
to:
o transparency;
o equal treatment and non-discrimination;
• Some recent examples
Time is “of the essence”
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A standstill period should apply – Regulation 87
Proceedings must be started at court within 30 days
“beginning with the date when the [bidder] first knew or
ought to have known that grounds for starting
proceedings had arisen” Regulation 92
If contract has been awarded then only remedy will be
for damages
Ineffectiveness proceedings can also be considered under
Regulation 93
Timing – other issues
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Clock may “restart” on provision of further information
leading to multiple claims
Standstill period between notification and award is10
calendar days – a very short window
Costs will escalate as soon as proceedings initiated – note
the Court fee!
Easier for Commissioners to reconsider before contract
award
Challenging commissioning practice
• Read and understand the tender terms and conditions and
understand what you can and can’t do
• Always raise clarification requests if anything is unclear
• If you are not getting the answers you need, consider
“gently” suggesting that the process may be unfair and
take advice on time limits
• Consider writing to the Monitoring Officer
• Issue of proceedings will halt the award of contract
Judicial Review: Grounds
• Acting outside the scope of powers (ultra vires);
• Delegating a decision to another body or fettering of discretion;
• Taking into account irrelevant matters or not taking into account
relevant considerations;
• Not complying with relevant statutory or other guidance;
• Making an unreasonable or irrational decision;
• Not following the correct procedure, for example not consulting
the relevant individuals;
• Breaching equality law duties or the human rights of the
individual
Judicial Review: Practicalities
• Timing: within 30 days if procurement related or within 3
months of decision
• Obtaining evidence and expert analysis
• Permission and other procedural points
• Remedies
• Costs
• Collective actions and cost sharing
Questions
Disclaimer: Whilst every effort has been made to ensure the accuracy of these materials, advice should be taken before action is
implemented or refrained from in specific cases. No responsibility can be accepted for action taken or refrained from solely by
reference to the contents of these materials. © Anthony Collins Solicitors LLP 2015
If you have any queries or comments in
regards to this document please contact
Andrew Lancaster of Anthony Collins
Solicitors LLP on 0121 212 721 or
andrew.lancaster@anthonycollins.com
Anthony Collins Solicitors LLP
134 Edmund Street
Birmingham B3 2ES
MDX 13055 Birmingham 1
Tel: 0121 200 3242
www.anthonycollins.com
Datblygu gweithlu gofal yn y
cartref proffesiynol
Developing a professional domiciliary
care workforce
Roberta Hayes
Medrus Diogel a digonol
Gweithlu sy'n denu ac yn cadw ymgeiswyr o safon uchel sy'n gallu gweithio gyda
phobl i ddarparu'r gofal a'r cymorth sydd eu hangen arnynt mewn ffordd sy'n
adeiladu ar gryfderau pobl ac yn helpu i gyflawni canlyniadau cadarnhaol
Safe Skilled and Sufficient
A workforce that attracts and retains high calibre applicants able to work
with people to provide the care and support they need in a way that
builds on people’s strengths and helps achieve positive outcomes
Ein Strategaeth
Ymgysylltu gyda’r
sector
Engagement with
the sector
Monitro
tueddiadau
Monitoring trends
Arweiniad ar
gyfer
Cyflogwyr a
Rheolwyr
Guidance for
Employers and
Managers
Our Strategy
Cynllunio’r
Gweithlu
Workforce
Planning
Safonau
Galwedigaethol
Cenedlaethol/CYP
National
Occupational
Standards/COPP
Gall pobl Cymru ddibynnu ar
wasanaethau cymdeithasol sy’n cael eu
darparu gan weithlu proffesiynol,
medrus a chymwys
People of Wales can count on social
services being provided by a professional,
skilled and competent workforce
Ansawdd Cyflwyno
Cymwysterau
Cymru/SAUDGO
Quality of Delivery
Qualifications
Wales/SHELL
Fframwaith
cymwysterau
Qualification
framework
Cyflenwad dysgu drwy
waith ac addysg bellach
Work based and FE Learning
supply
Data Rhaglen Datblygu Gweithlu
Gofal Cymdeithasol
• 336 Darparwyr Gofal
Cartref a gomisiynwyd gan
Awdurdodau Lleol
• 17,500 o staff
• Amser cythryblus gyd 32%
yn gadael mewn blwyddyn
• 51% o’r rhai hynny yn mynd
i weithio i Ddarparwr arall
• 4,921 staff Awdurdod lleol
Social Care Workforce Development Programme Data
• 336 Domiciliary Care
Providers commissioned
by Local Authorities
• 17,500 staff
• Turbulent time with 32%
leaving in year
• 51% of those went to
work for another Provider
• 4,921 Local Authority staff
Gweithlu Gofal Cymdeithasol
Social Care Workforce
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• Code of Professional
Practice
• Induction Award
• Qualifications
• CPD awards
• Sector Qualification and
Learning Strategy
• Guides for managers
• Learning Resources
Côd Ymarfer Proffesiynol
Dyfarniad Sefydlu
Cymwysterau
Dyfarniadau DPP
Cymwysterau Sector a
Strategaethau Dysgu
• Canllawiau ar gyfer
rheolwyr
• Adnoddau Dysgu
Fframwaith Sefydlu
Induction Framework
• Fframwaith Sefydlu Gofal
Cymdeithasol yng
Nghymru
• Gwobr Sefydlu - 6 credyd
ar Lefel 2
• GIG Cymru – Sefydlu
Gweithwyr Cymorth Gofal
Iechyd Clinigol Lefel 6
credyd Lefel 2
• Tystysgrif Gofal yn Lloegr
• SCIF in Wales
• Induction Award 6 credits
at Level 2
• NHS Wales Induction
Clinical Healthcare
Support Workers level 6
credits at Level 2
• Care Certificate in
England
Unedau Cyffredin / safonau
Common Units/standards
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Rôl
Cyfathrebu
Iechyd a Diogelwch
Datblygiad personol
Arfer Canolbwyntio ar y
Person
• Diogelu
• Egwyddorion a
gwerthoedd gofal
Role
Communication
Health and Safety
Personal development
Person Centred Practice
Safeguarding
Principles and values of
care
Rheolwyr Gwasanaethau Gofal
Managers of Care Services
• Adran 7 o’r Côd Ymarfer
• Canllawiau ar gyfer Rheolwyr
Gofal Cymdeithasol
• Llwybr Gyrfa ar gyfer Rheolwyr
• Fframwaith cymwysterau ar
gyfer rheolwyr:
• Section 7 Code of Practice
• Guidance for Social Care
Managers
• Career Pathway for Managers
• Qualification Framework for
managers:
-
Camu i Reolaeth
Cymhwyster Rheoli
Fframwaith DPP
• Cymunedau Ymarfer
– Step into Management
– Manager Qualification
– CPD Framework
• Communities of Practice
Her ac effaith
Challenge and impact
• Paratoi’r gweithlu:
• Workforce equipped:
– i ddarparu’r system gofal
cymdeithasol newydd
– i ddarparu cymorth yn unol
ag egwyddorion, diwylliant a
gwerthoedd y Ddeddf
• Cyfrannu at weddnewid y
gwasanaeth
– to deliver the new social care
system
– to deliver support in keeping
with the principles, culture
and values in the Act
• Contribute to service
transformation
Ebrill 2016 - disgwyliadau
April 2016 - what we expect
• Hyfforddiant Cyflwyno ac
Ymwybyddiaeth yn cael ei
gyflwyno
• Rheolwyr ac arweinwyr wedi’u
cefnogi i arwain newid mewn
diwylliant
• Cohort 1af o hyfforddiant ar
gyfer rolau yr effeithir arnynt
fwyaf
• Rhestr genedlaethol o
hyfforddwyr
• Cynlluniau cyflawni hyfforddiant
• Introduction and Awareness
training rolled out
• Managers and leaders
supported to lead culture
change
• 1st cohort of training for
roles most affected
• National list of trainers
• Training delivery plans
Ebrill 2016 - disgwyliadau
April 2016 – what we expect
• Adnodd hyfforddi ar gyfer
gweithlu gofal uniongyrchol
• Adnoddau dysgu: gofalwyr,
pobl fyddar a dall,
eiriolaeth, cydweithfeydd
dan arweiniad defnyddwyr
• Adnoddau dysgu – gweithio
gyda charcharorion
• Archwiliad o ddeunyddiau
dysgu eraill
• Training resource for direct
care workforce
• Learning resources: carers,
deafblind people, advocacy,
user led cooperatives
• Learning resources –
working with prisoners
• Audit of other learning
materials
Gweithlu Gofal Cymdeithasol
Social Care Workforce
Camau Nesaf –
• Gweithredu’r Ddeddf
• Ymgyrch recriwtio
• Adolygu cymwysterau
• Rheoleiddio’r Hyfforddiant
• Rheoleiddio’r gweithlu
Next Steps –
• Implementing the Act
• Recruitment campaign
• Qualifications review
• Regulation of Training
• Regulation of the
workforce