Page 9 - 20180222 - Minutes - TSAB v4 - Public

Discussion A draft agenda was circulated to members for comment.
AB advised that the strategic leads from the LSCB’s, Community Safety
Partnerships and the Health and Well-Being Boards have been invited to join the
session from 11am. AB noted that however after reviewing the content and
discussions for the day it would be a good opportunity for them to join for the entire
meeting and proposed this to members. Members were all in agreement for this.

Members agreed that the section on ‘Is TSAB Effective?” should be given more
time than the Development Day will allow, therefore it was agreed for this section
to be carried forward to the April TSAB meeting where members will have time to
reflect following the Development Day.

AB indicated that there has been a good response to attendance at the session and
encouraged councillors to attend.
Action Points Action Owner Deadline
1. Strategic leads invitation to the Development Day to be Business Unit 01/03/18
extended for the entire session 9am-1pm.
2. “Is TSAB Effective?” section to be included on the April TSAB EG 24/04/18
meeting agenda.
3. LA representatives to encourage elected members to attend LA Reps ASAP
the Development Day.

Agenda Item 7 CQC State of Care Reports (c/f): Presenter: Jean Pegg
Discussion JP introduced herself to members as the Inspection manager for Hartlepool. JP
advised that unusually HBC is in a separate region/Hub to the other LAs in Tees.
AB explained that on-going attempts have been made with CQC colleagues from
the other areas to attend the Board, and conversations continue in this area.

 The State of Adult Social Care Services 2014 - 2017
JP explained that CQC are moving forward in line with a 5 year strategy. The
following key points were raised:
 A new, consolidated assessment framework for adult social care was
published in June 2017 that reduced duplication between the Key Lines of
Enquiry and made more explicit the characteristics of inadequate, requires
improvement, good and outstanding services.
 Originally there was a slightly different assessment framework for services
such as Hospitals. The next phase pulls all of the frameworks together so
that the frameworks are the same and strengthened.
 There are now five Key Lines of Enquiry (KLOE)
o Is it Safe?
o Is it Effective?
o Is it Caring?
o Is it Responsive?
o Is it Well-Led?
 KLOES have been strengthened in 2017 so that more onus is placed on the
providers and leadership and their responsibility and approach to caring.
 CQC will focus on risk with a more proportionate response and frequency
of inspections has changed: Any service that receives a Requires
Improvement will be re-inspected within 12 months (unless Intelligence
suggest otherwise). Any service that receives an inadequate rating will be
re-inspected within six months of the initial inspection.
 In the report issued in July 2017 almost 4 out of 5 services were good or
outstanding overall nationally. Leaving 1 out of 5 services requiring
improvement.

Minutes Approved 24.4.2018 9