The Care Inspectorate - Child Health Support Group

The Care Inspectorate
Karen Anderson
Director of Operations (Planning, Assurance
and Public Reporting)
Public Services Reform (Scotland) Act
HMIE Child Protection
Multi-Agency Inspections
Care Commission
(regulation of care)
(Regulation of private
health services)
(performance inspections
of social work)
To provide high quality independent
scrutiny and assurance – which means:
* Efficient and effective regulation and inspection
* Supporting improvement
* Signposting good practice
* Being a catalyst for innovation
Three Year Strategic Change
Build effective new relationships – working with
partners to co-ordinate and integrate key
scrutiny processes
Develop and implement a business information
and intelligence strategy
Develop our people : relevant skills and
Build a new organisational culture :
customer focused – effective – high performing
Changes from April 2011
New organisational structure
New alignment to local authority and health boards
National complaints function
National registration function
National enquiries team
Unannounced inspections whenever possible
Tougher, quicker approach
Planning new methodologies
Three Step Changes
Future scrutiny and improvement of integrated
Children’s Services
Year 1 – Karen Anderson
Scrutiny improvement: doing the core business well :
Year 1 – Gill Ottley
Future integrated Adult Services Inspections
Year 2 – David Cumming
The future scrutiny and improvement of
integrated children’s services
Ministers want a coordinated approach to scrutiny which:– improves outcomes for all children and young people
– provides assurance about the quality of services for children,
(particularly vulnerable children and young people)
– helps to improve services and build capacity
Our overarching approach should:– be in line with the principles of Getting it right for every child
– be child-centred and around the experience of the child’s
– support improved self-assessment and performance
– where possible, join up scrutiny
– build upon the successful model of the joint inspections of
services to protect children
The Care Inspectorate is asked to lead on developing a model of
Inspection ready for a pilot to be carried out in April 2012.
Scottish Government guidance on the scope
All children in their early years
– (support pre-birth – 8 years)
– Children who are vulnerable due to certain circumstances
– are in need (including those who need additional support to be
healthy, achieving and with transitions into services for adults)
– have experienced child protection measures
– have experienced or are living in families affected by substance
misuse, domestic abuse, parental mental ill-health, neglect or
homelessness/housing issues
– are looked after at home or away from home (including those in
residential, kinship, foster or secure care or who have been adopted)
– are in a caring role
Recommendations for a model for scrutiny of
integrated children’s services
• We will make reductions in the scrutiny landscape and there are
no planned increases in inspection of regulated services
• Unit of inspection will be the local authority area
• Accountability for integrated children’s services will lie with
community planning partnerships
• Model needs to be flexible enough to adapt to various and
changing structures
• These inspections will be multi-agency and strategic in
approach and as such will not evaluate the quality or
effectiveness of individual services but the effectiveness of
integrated working to improve outcomes for the most
vulnerable children.
We will seek to answer How well are the lives of (the most
vulnerable) children improving?
We will have within the scope of the inspection all of the groups
identified by the Scottish Government (pre-birth to 18 years) –
using a sample of children – see diagram
Over time we will introduce new approaches to the regulation of
care services for children under the age of 8.
We will develop a model which integrates inspections of the
most relevant care services as part of every inspection
(core/essential activity) using this to gather evidence about the
quality of outcomes
We will give due prominence to the results of joint selfevaluation and seek to validate this through a range of
essential activities.
Extremely tight timescales
Programme Board established with wide representation
Internal Steering Group implementing a project plan to design a
methodology ready for “testing” in April 2012
Revision of quality framework and Quality Indicators for children’s
Reference Group will meet monthly from January 2012
Report of a survey of the views of strategic leaders responsible for
children’s services strongly supports the direction of travel
Consultation underway into the views of children and young people
about how they can be involved
These developments will help to inform our approach to the scrutiny of
adults services