Monday 17 December 2018
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ADASS response to the CQC consultation Recognising excellence in adult social care

ADASS welcomes any development which provides clear, consistent, current and accessible intelligence and information that enhances the ability of the individual (and commissioner) to make informed choices.
However, ADASS is concerned that these proposals will not deliver these ambitions.
• Firstly, there is no evidence to demonstrate that providers will actually apply for
this excellence award.
• Secondly, with no “granularity” of quality being awarded to providers not
prepared to pay extra fees to participate, a two-tier system would emerge,
restricting individuals (and commissioners) in not being able to distinguish
these providers beyond the “essential standards”.
• Thirdly, the proposals are likely to add additional burden with demands upon
providers in the future coming from CQC as regulator (and Monitor as the
financial regulator) local authorities as commissioners and the Excellence
Scheme itself. Consequently it increases the importance of getting real time
information sharing working effectively – so that any duplication in assurance
can be minimised.
• Fourthly the proposals will be asking providers to pay for something which was
previously provided as part of their registration fee, by way of quality ratings.
This will impact on local authorities as both providers and commissioners –
increasing costs on both fronts.
• Finally, ADASS notes that the organisation(s) selected to administer the
proposed excellence scheme must have the right skill mix to be able to assess to
a set of excellence standards and this will have to be a combination of social
care and health based standards. They would also have to be competent and
knowledgeable about the essential standards and be able to identify potential
risk, alongside also having the right set of skills and capacity to engage with
“service users” carers and families in a meaningful way.
In response to these concerns and the sense that these proposal are not sustainable,
ADASS seeks reassurances and commitment from the providers themselves to respond
to the challenges and opportunities to provide meaningful, clear, consistent and
accessible information and intelligence about standards and performance and ADASS
welcomes the ongoing relationship with providers (channelled through Think Local Act
Personal) to address this challenge.