Skip navigation

Andrea Sutcliffe Care Quality Commission Discusses the new inspection process for Adult Social Care

Andrea Sutcliffe, Chief Inspector of Adult Social Care at Care Quality Commission discussed the new inspection process for Adult Social Care at today"s conference. Andrea looked in depth at:

  • the new model and ratings: making the 'Mum Test" real
  • what have we learnt from the inspections to date
  • key lines of inquiry for Community, Residential, Hospice Services
  • learning from inspection reports to spread good practice
  • how can you prepare for inspection?
  • announced and unannounced visits
  • triggers and surveillance indicators for inspection
  • Moving forward: how do we prevent a repeat of Winterbourne?

Andrea Sutcliffe's full presentation is available for download at the end of this page.

In her presentation Andrea Sutcliffe Stated: 

"How can regulations improve services – the CQC sets clear expectations, monitors and inspects, publishes and rates, celebrates success, tackles failures, signposts help, influences debate and works in partnership. The CQC does this by asking five key questions, responds to concerns, key lines of enquires, uses specialist inspectors, experts by experience, ratings characteristics, Reports, enforcement and co-production.”

"As of the 22 June 2015 the CQC have rated 23 (less than 1%) Adult Social Care Services as outstanding, 2877 (58%) good, 1680 (34%) require improvement and 381 (8%) inadequate”

"Triggers and indicators for inspections include things like whistle-blowing (one or more substantiated enquiry), warning notice in past 12 months, negative comments or complaints directly received, negative comments or complaints in the last 12 months, notifications outliner (residential services only) eg. Deaths, injuries, abuse or no notification ever reported by provider, safeguarding incidents in last 12 months, staffing ratio (significantly lower compared to similar service), vacancy or turnover rate (significantly higher compared to similar services), any reports of people not felling safe from harm/abuse in our questionnaire responses (community only) and no registered manager in post or two+ changes in 12 months”

"By safe, we mean that people are protected from abuse and avoidable harm…In adult social care, this means that people are supported to make choices and take risks and are protected from physical, psychological or emotional harm, abuse, discrimination and neglect.”

"By effective, we mean that people"s care, treatment and support achieves good outcomes, promotes a good quality of life and is based on the best available evidence….In adult social care, this means that people are supported to live their lives in the way they choose and experience the best possible health and quality of life outcomes.”

"By caring, we mean that staff involve and treat people with compassion, kindness, dignity and respect…In adult social care, this means that people, their families and carers experience care that is empowering and provided by staff who treat people with dignity, respect and compassion.”

"By responsive, we mean that services are organised so that they meet people"s needs…In adult social care, this means that people get the care they need, are listened to and have their rights and diverse circumstances respected.”

"By well-led, we mean that the leadership, management and governance of the organisation assure the delivery of high-quality care, supports learning and innovation, and promotes an open and fair culture…In adult social care, this means that management and leadership encourage and deliver an open, fair, transparent, supporting and challenging culture at all levels...AND WE CONSIDER THIS TO BE A VERY IMPORTANT key line of enquiry and one that is key to success.  We all know of the failings when things go wrong for example Mid Staff and Winterbourne View and from these enquiries we have learnt the importance of strong leadership and how an organisation learns and develops its services ensuring a positive culture is promoted...We also know that there is a direct correlation between the quality of a service and a registered manager in post; and we have and continue to take strong and robust action against those services that fail to recruit to this role.”

"Our ratings will always be based on…what we find at inspection, which is informed by what people tell us, Intelligent Monitoring data, local information from the provider, What people tell us and Other local sources.”

"Our inspections are focused on people – we will spend most of our time listening to their views, observing care, talking to staff and family members.  This is an expectation and the biggest activity we do. We will look at all the evidence we gather and make a judgement about a rating for each of the five questions and we will then apply ratings principles to make sure our overall ratings are consistent”

"How can we avoid service failures? Recognise value of adult social care, celebrate the good and challenge the bad, be positive and honest, work together and…always remember why we do this…it is all about the people”

“My top tips for improvement are – it’s hard work, use what works, be inspired by others, listen to people and believe you can”

Andrea Sutcliffe Biography:

Andrea has nearly 30 years" experience in health and social care managing a range of services including those for children and older people.

Andrea joined CQC in October 2013.  She leads on the regulation and inspection of adult social care including care homes, domiciliary care and hospices.  Andrea is also responsible for the registration team supporting all health and care sectors.  She joined CQC from the Social Care Institute for Excellence (SCIE) where she was Chief Executive from April 2012.

Previously Andrea was Chief Executive of the Appointments Commission and was an Executive Director at the National Institute for Health and Clinical Excellence for 7 years.

Andrea is an advocate for the use of social media to share information and learn from others. She tweets at @Crouchendtiger7 and writes a weekly blog for the CQC website.  Andrea is passionate about people who use services, their families and carers being at the heart of everything CQC does.

Future events of interest:

Implementing the national objective to end Prone/Face Down Restraint: Examining Restraint Positions in Practice
Tuesday 22 September 2015
ICO Conference Centre, London

Self Neglect & Adult Safeguarding
Monday 5 October 2015
Hallam Conference Centre, London

Caldicott Guardian Training Course
Monday 12 October 2015
Hallam Conference Centre, London

Adult Safeguarding Enquiries & Safeguarding Adults Reviews
Monday 12 October 2015
Hallam Conference Centre, London

Improving Mental Health Crisis Care
Thursday 15 October 2015
Hallam Conference Centre, London

Deprivation of Liberty Safeguards: Ensuring Compliance in Practice
Tuesday 17 November 2015
Hallam Conference Centre, London


Download: Andrea Sutcliffe's full presentation

7 July 2015


    Partner Organisations

    The Tavistock and Portman NHS Foundation TrustInPracticeClinical Audit Support CentrePlayoutJust For Nurses
    GGI (Good Governance Institute) accredited conferences CPD Member ASGBI (Association of Surgeons of Great Britain and Ireland) professional partner BADS (British Association of Day Surgery) accredited conferences