Inspection of
Independence, Wellbeing
and Choice
Surrey
July 2008
CSCI
• Put the people who use social care
first;
• Improve services and stamp out
bad practice;
• Be an expert voice on social care;
and
• Practise what we preach in our
own organisation.
Inspection focus
For all vulnerable adults:
• Safeguarding from abuse
For older people:
• Delivery of personalised services,
• Access to preventative services, and
• Capacity for improvement across all
the above themes.
Inspection approach
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•
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Postal survey of 150 people
60 people in independently facilitated focus groups
We read 15 case files
performance information
Council self assessment
We met:
• People who use services and carers
• Councillors, managers and staff
• Partners
• We visited 8 good practice sites
• 3 inspectors (5 days), 1 expert by experience (2
days)
What we found
CSCI rates performance using 4 grades – poor,
adequate, good, excellent.)
We concluded that:
• Arrangements to safeguard adults were Adequate
• Arrangements to deliver personalised services for
older people were Adequate.
• Arrangements to ensure older people could access
preventative services were Adequate.
And
• Capacity for improvement was Uncertain.
10 recommendations
Adult safeguarding
• Vulnerable adults were being
safeguarded;
• Action to support and develop practice.
But
• Inconsistent practice, lack of focus on
outcomes and keeping people informed;
• Better promotion and targeting of
training;
• Safeguarding Board needed stronger
leadership.
Personalised services
(older people)
• Some very positive experience of staff
and services;
• Use of direct payments and telecare
increasing.
But
• Information not consistently available;
• Better use of independent advocacy;
• Need for more timely support for people
from diverse backgrounds.
Access to preventative
services (older people)
• Effective partnerships and targeted funding
helping more people remain in their own
homes;
• SW Surrey – user satisfaction informing
resource allocation decisions.
But
• Inconsistent practice in making appropriate
referrals;
• Early stages of consistently evidencing
outcomes;
• Carers need more timely and targeted
support and information.
Capacity for
improvement
Strengths
• Senior management leadership of
ambitious transformation programme;
• Top management commitment to
improving adult social care services and
performance;
• Successful re-tendering of home care
delivered though effective partnership
working.
Capacity for
improvement
Areas for development
• Performance management and high level
reporting of adult social care outcomes;
• Supported by more regular and robust
contract monitoring;
• Communications and briefing
arrangements – internal and external
• Joint work with the local NHS – service
provision and commissioning;
• Ensure sufficient staff and managerial
capacity to deliver the improvements.
Next steps
• CSCI has approved Council action plan
in response to the inspection
recommendations;
• Department of Health supporting
improvement work;
• CSCI monitoring implementation of
action plan;
• Review of improvement to outcomes in
6 months time;
• CSCI continues monitoring of overall
performance of adult social care.
Summary
• Purposeful and positive council
engagement in the inspection process;
• CSCI and council have worked together
throughout;
• Mixed inspection findings with some
evidence of initial progress but too early
to assess longer term impact;
• Sizeable agenda - support to deliver
sustained improvements for all
community groups.
Thank you
And our thanks to everyone
who was involved in the
inspection, we couldn’t have
managed without you.