Agenda item

To consider a report from the Director of Adults and Health presenting details of recently reported Care Quality Commission inspection outcomes for social care providers across Leeds, covering the reporting period August – October 2018.

The Director of Adults and Health submitted a report that presented details of recently published (CQC) inspection reports relating to adult social care providers in Leeds, covering the period August – October 2017.

The following were in attendance to present the report and address any queries raised by members of the Board:

·  Caroline Baria (Deputy Director Integrated Commissioning – Adults and Health)

·  Kathryn Reid (Inspection Manager (North East and Coast Hub 2), Care Quality Commission)

The Deputy Director Integrated Commissioning briefly introduced the report, highlighting the following matters:

·  32 CQC inspections reports published during the period.

·  Of these services:

o  22 are rated good;

o  10 as requires improvement.

·  Of these, since their last inspection,

o  14 organisations have improved their rating,

o  8 have stayed the same;

o  1 had declined;

o  9 had been rated for the first time under the new methodology.

It was also highlighted that, on the request of the Chair, it was proposed that future Scrutiny Board reporting arrangements would include an overview of quality for adult social care providers, including those subject to ‘special measures’ and increased or targeted monitoring arrangements. 

The CQC Inspection Manager highlighted some further details and provided some additional information, including:

·  A new Inspection Manager for the Leeds area would be in post from January 2018.

·  Contributions to future reports to the Scrutiny Board would be available.

·  Majority of people in Leeds receiving good quality care.

·  Current issues with ‘Care at Home Providers’ in Leeds:

o  3 from 4 Leeds City Council main providers rated as ‘Requires Improvement’.

o  112 ‘Care at Home’ providers operating across Leeds.

o  In 2017, 18 ‘Care at Home’ providers have ceased trading.

·  Current issues with ‘Care Home Providers’ in Leeds:

o  189 services rated ‘good’.

o  No services rated ‘outstanding’.

o  Of those rated as ‘requires improvement’, on re-inspection nearly 40% do not improve and around 5% deteriorate.

The Chair of the Scrutiny Board also reported suspension of new Local Authority Placements at the following care homes, which had recently been drawn to her attention:

·  Atkinson Court (due to Inadequate CQC rating).

·  Seacroft Grange (due to concerns identified by contract monitoring team).

The Scrutiny Board considered the information detailed in the report and presented at the meeting and discussed a number of matters, including:

·  Concerns about the continued ‘requires improvement’ status of some providers, following re-inspections.

·  Targeting support for deteriorating providers.

·  Workforce issues – particularly in relation to nursing home provision. 

·  The need for a specific report relating to ‘Care at Home’ providers in Leeds – specifically the operation of the new contract and the main service providers. 

·  Transport and connectivity matters associated with the provision of ‘Care at Home’. 

·  Overall sustainability of services and protection of the market through driving improvement across Leeds.

On conclusion of the discussion, the Chair thanked those present for their attendance and contribution to the discussion.

RESOLVED –

(a)  That the details presented in the report be noted.

(b)  That future reports to the Scrutiny Board should include an overview of quality for adult social care providers, including details of those providers subject to ‘special measures’ and increased or targeted monitoring arrangements.

(c)  That an additional and specific report be presented to a future Scrutiny Board meeting, relating to ‘Care at Home’ provision in Leeds – specifically including:

  i.  The operation and performance of the new contract arrangements.

  ii.  The CQC status of the main service providers and details of any ongoing monitoring or improvement activity.

  iii.  Transport and connectivity matters associated with the provision of services.