Agenda item

To consider a report from the Director of Adults and Health presenting details of the Care Quality Commission inspection outcomes for Adult Social Care providers for the period May 2018 to July 2018. 

Please note Appendix 2 is designated as exempt from publication under the provisions of Access to Information Procedure Rule 10.4(3).

The Director of Adults and Health submitted a report that presented details of the Care Quality Commission inspection outcomes for Adult Social Care providers for the period May 2018 to July 2018.

An additional document was appended to the report, but was exempt from publication under the provisions of Access to Information Procedure Rule 10.4(3).

The following were in attendance:

-  Councillor Rebecca Charlwood, Executive Member for Health, Wellbeing and Adults

-  Cath Roff, Director, Adults and Health

-  Mark Phillott, Head of Commissioning Contracts and Business Development, Adults & Health

-  Alison Chilton, Inspection Manager, Care Quality Commission

The Head of Commissioning Contracts and Business Development gave a brief introduction to the report.

Members discussed a number of matters, including:

·  Rating criteria. Members commented on the lack of ‘outstanding’ rated providers in the city, and questioned how difficult it was for a provider to achieve such a rating. Representatives assured Members some Leeds providers were rated as ‘outstanding’ in some domains such as ‘caring’, but to gain an overall ‘outstanding’ rating, providers must evidence a high level of care throughout all domains. Members were advised that ‘outstanding’ was an exceptional achievement and were also assured that the CQC was working closely with local providers to help demonstrate ‘outstanding’ across all domains during inspection.

·  Poor ratings under the domain ‘well led’. Members were concerned about the issues with leadership and management amongst providers. Representatives informed the Board that to be rated highly in the ‘well led’ domain, both registered managers and the providers have to work well together to create a culture of high quality.  The Board was informed of developments, such as the Leadership Academy, helped provide a focus on peer support to help address this specific area.

·  Recruitment. Members expressed concerns in regards to the recruitment of nurses, particularly to nursing homes. The Board was informed this reflected a national picture, and that new roles were being developed in the sector. Members also queried the contingency for the loss of care workers following Brexit, however were informed this was less of an issue for Leeds than the south of the country, but was nevertheless being considered.

·  New providers. The Chair queried whether it is possible for poorly rated providers to change their names and therefore become a new company. Representatives informed that Board that this was a legal change, however CQC track those providers who do change their names so are able to maintain surveillance.

·  Statistical neighbours. Members requested comparative figures to Leeds’ statistical neighbours, as well as the ‘Core Cities’. Representatives present confirmed that they would provide Members with the relevant figures.

·  Specialised dementia care. Members requested more information around the achievement of the 141 providers, out of 234, who have dementia as a service user band. Representatives agreed to share this with Members, and also commented on the inefficiency of some providers (nationally) to fulfil basic requirements for dementia (citing research undertaken by Stirling University). The Chair also reminded the Board that ‘dementia’ had been identified as a specific inquiry area during the current municipal year.

RESOLVED –

a)  That the contents of the report and appendices be noted.

b)  That the information requested during discussion be provided to the Board.