3.1 The inspection system in England

Course: NVQ Level 5 Diploma In Leadership & Management for Adult Care

Unit 2: Governance and regulatory processes

LO3: Understand systems and requirements for regulation of adult care services

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3.1 The inspection system in England

The health and social care inspection system in England is considered to be one of the best in the world. There are several different organizations that are responsible for inspecting various aspects of the health and social care system, including hospitals, care homes, and child protection services. Some of these organizations are under the authority of the Department of Health, while others report to parliament.

The government agency that is responsible for health care inspection in England is called the Care Quality Commission (CQC). The CQC was established in 2009 and is responsible for inspecting hospitals, mental health facilities, care homes, private contractors working on behalf of the NHS, and all other forms of health care provided by the National Health Service.

The CQC is responsible for inspecting hospitals based on a comprehensive set of quality criteria that are published online. The criteria include information about patient safety, cleanliness, staff qualifications, nursing care, and much more.

The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014

The Act of Parliament establishing the Care Quality Commission (CQC) defines certain categories of work as “Regulated Activities” under the Health and Social Care Act. These regulations are enforced by CQC inspectors.

The key drivers of this legislation are to protect the public by ensuring that providers are registered and inspected, to ensure that people receive safe and effective care, and to promote continuous improvement.

The impact of this legislation has been a more rigorous registration and inspection process for providers, which has led to a number of providers being closed down due to poor performance. It has also resulted in the publication of provider ratings, which allows people to make informed choices about the care they receive.

The Care Quality Commission (CQC) is the regulator for health and social care in England. It is responsible for registering providers, inspecting them, and publishing ratings. The CQC has a number of powers to ensure that providers meet the required standards, including the power to issue warning notices, suspend or cancel registrations, and prosecute providers.

The Care Act 2014

The Care Act is the legislation that replaces much of the existing law on social care. The Act also includes new regulations around safeguarding vulnerable adults and children, requires local authorities to conduct a safeguarding adult review, and calls for an “expert group” to oversee the reform process.

In addition, it protects adults from abuse and neglect by giving them extra rights such as having access to their medical records or deciding who has visiting rights at certain times during day-to-day life which informed regulation 13 on Health & Social Services act 2008 (Regulated Activities) Regulations.

This piece of legislation sets out the requirements for inspections under the Care Act 2014. The key drivers of this legislation are to promote quality and choice in care provision, which includes promoting better outcomes for people who use services through inspection. The impact of this act has been an increase in the number of inspections conducted on adult social care providers, with the aim of ensuring that people receive safe, effective, and person-centered care.

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Recent local/national queries and findings from safeguarding adult reviews

  1. Northamptonshire County Council – serious case review: In February 2018, it was reported that Northamptonshire County Council had failed to carry out adequate safeguarding checks, resulting in a number of children being placed at risk of harm. This led to the council being issued with a warning notice by the CQC.
  2. Southern Health NHS Foundation Trust – serious case review: In July 2016, it was reported that the Southern Health NHS Foundation Trust had failed to investigate the deaths of hundreds of patients, many of whom were adults with learning disabilities. This led to the trust being issued with a warning notice by the CQC.
  3. Staffordshire NHS Foundation Trust – serious case review: In November 2017, it was reported that the Staffordshire NHS Foundation Trust had failed to provide safe and effective care to a number of patients, resulting in a number of deaths. This led to the trust being issued with a warning notice by the CQC.
  4. Morecambe Bay NHS Foundation Trust – serious case review: In January 2014, it was reported that the Morecambe Bay NHS Foundation Trust had failed to provide safe and effective care to a number of patients, resulting in a number of deaths. This led to the trust being placed into special measures.

Each of these cases highlights the importance of carrying out rigorous inspections on care providers, to ensure they are providing safe and effective care. This is particularly important for those who use adult social care services, as many of the reported cases relate to adults with learning disabilities or mental health issues.

Other appropriate topical reviews and reports

The inspection system in health and social care is influenced by other appropriate reviews. These include reports from clinical audits, deployment conferences, or events such as patient surveys which can give an insight into how well services function at the local level across provider groups with different levels of expertise.

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