Page 10 - 20180222 - Minutes - TSAB v4 - Public

 The ratings for the five key questions asked for all services show that: safe
and well-led have the least favourable results as around a quarter of
services were rated requires improvement or inadequate. 9 out of 10
services were rated good or outstanding for caring.
 The ratings for the type of service show that: community social care
services, like supported living and Shared Lives, were rated the best overall.
However the CQC’s biggest concern is nursing homes, and with the decline
in nursing beds JP acknowledged that it is not perceived that this will
improve.
 JP commented on some of the key characteristics observed when a service
is rated outstanding. JP acknowledged that it is not a case of everyone being
a dementia champion for example it is how those champions have made a
difference in the workplace. Within an outstanding service staff will be able
to articulate the services strategic direction, demonstrate the culture within
the home and see evidence of the care plan in practice.
 There are two types of inspection, a full inspection or a focussed inspection.
Should concerns be raised however during an inspection a focussed
inspection can turn into a full inspection.
 A key ambition is to foster stronger and more effective partnerships
 The 3 principles for Quality Matters are
o Promote the Quality through everything CQC do
o Support and Encourage improvement
o Co-ordinate Action
 Questions were raised regarding the monitoring of the new framework and
the “So what” question.
 Mental Health Services (For Information)
AB asked that Karen Agar (KA) summarise the Mental Health
Service document for a future meeting.

 CQC Outstanding Actions
o Pilot Dashboard
JP confirmed that in April 2017 a dashboard portal was piloted
between the CQC and Commissioning services to assist in the
sharing of information. JP advised that due to technological
constraints this dashboard did not progress any further.

o Privatisation of Care
Concerns were raised at the June 2017 TSAB meeting regarding a
new model of care that was emerging and how it would be regulated.
JP advised that she had conducted some research around this and
VIDA (the Uber of home care) are registered with CQC and have
fulfilled the regulation requirements however they are yet to receive
their first inspection so have yet to be tested. JP noted that
companies such as these are mainly Southern based however if the
model is found to be successful they may move further North.
 Regional Ratings
o JP shared the latest CQC ratings for the North East; the report
covers figures until the end of January 2018 and is for Adult Social
Care only. The North East is 3 in the national rankings with 80% of
rd
the services rated “Good”. Following this discussions were held
regarding the ratings across each LA area in the Tees area and the
work that is carried out.
o Enquires were made as to whether the report could be accessed
freely. JP advised that the data should be available from the CQC
website to download.

Minutes Approved 24.4.2018 10