Our quality assurance role

Our quality assurance role

The strategic inspection team supports learning and improvement in social work services and partnerships by providing an additional level of scrutiny to reviews which they carry out. The review processes which we quality assure are:

You can find more information in the links below:

 

 


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Justice

Our approach

The Care Inspectorate was tasked by the Scottish Government to lead on scrutiny and assurance to support the implementation of the community justice model and provide up-to-date scrutiny and assurance of justice social work.

The Community Justice (Scotland) Act 2016 introduced the current model of community justice. The Scottish Government outline the priorities in the national strategy for community justice.

The Act also established a national body, Community Justice Scotland to oversee community justice and introduce requirements to achieve national and local outcomes. These are highlighted within an Outcomes, Performance and Improvement Framework (OPIF).

The Scottish Government also commissioned the Care Inspectorate to develop a guide to self-evaluation for community justice in Scotland. The self-evaluation guide aligns to the national strategy and the OPI Framework (OPIF).

The guide is primarily for community justice partnerships to support continuous improvement. It also informs our approach to scrutiny and assurance of justice social work.

Since the strategic justice strategic team was established in 2018, we have undertaken a range of scrutiny, assurance and improvement activities in collaboration with a number of partners. We published an overview report in December 2021 which details our work and summarises the key findings.

How we do it

For detail on the methods we have used below, follow this link.

  • Justice social work: inspections of community payback orders
  • Community justice partnerships: supported and validated self-evaluation
  • Community justice social work: throughcare review
  • Our other work with scrutiny partners

Getting involved

We are committed to meaningfully involving people with lived experience of the justice system in our scrutiny, assurance and improvement activities. We want to develop an ethical, person-centred approach that promotes best practice. A pilot approach was developed in partnership with a national third sector agency. However, intended activities were disrupted by Covid-19. We aim to progress this work in 2022/23.

If you have any questions about our work please email This email address is being protected from spambots. You need JavaScript enabled to view it. 

 


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Joint inspections of services for adults

Our approach

The Public Bodies (Joint Working) (Scotland) Act 2014 sets the legislative framework for integrating adult health and social care.

Integrating health and social care services is important to ensure that people have quick access to the range of services and support they need, that their care feels seamless to them and that they experience good outcomes and high standards of support. This is particularly vital for the increasing numbers of people with multiple, complex, long-term conditions in Scotland.

Since April 2017, the Care Inspectorate and Healthcare Improvement Scotland have had joint statutory responsibility to inspect and support improvement in the strategic planning and commissioning of integrated approaches.

In 2019, the Ministerial Strategic Group (MSG) for Health and Community Care asked us to further develop our joint inspections to focus on how integration impacts on people’s outcomes, to consider the performance of the whole health and social care partnership and to ensure a balanced focus across health and social care provision.

In response to the MSG recommendation, the Care Inspectorate and Healthcare Improvement Scotland have reviewed our joint inspection methodology to answer the following question:

“How effectively is the partnership working together, strategically and operationally, to deliver seamless services that achieve good health and wellbeing outcomes for adults?”

In order to address the question over the broad spectrum of adult health and social care services, we will conduct a rolling programme of themed inspections, looking at how integration of services positively supports people’s experiences and outcomes. It’s important to note that these thematic inspections are not considering the quality of specialist care for each care group but are simply a means of identifying groups of people with similar or shared experiences through which to understand if health and social care integration arrangements are resulting in good outcomes. In this way, we’re looking at integration through the lens of different care groups which, taken together, will in time build a picture of what is happening more broadly in health and social care integration and how this is experienced by people and the outcomes achieved.

How we do it

Our inspections last for a number of months. We work closely with the partnership to co-ordinate our inspection activities.

We have a range of ways to gather information that will help us to assess how integrated services in the area are helping to improve outcomes for people and their unpaid carers. These include:

  • asking for information from the partnership
  • speaking to people who use health and social care services and their unpaid carers
  • speaking with staff, managers and leaders across the partnership
  • reading people’s records.

We communicate regularly with the partnership and keep them up to date with our findings.

After the inspection, we publish a report about our findings on the Care Inspectorate’s and Healthcare Improvement Scotland’s websites. The report explains what we have found, identifies strengths and points out areas that could be improved. We agree an Improvement plan with the partnership to address those areas.

Getting involved

The voices of people who use health and social care services and of their unpaid carers are at the centre of our inspection. We will use as many opportunities as we can to get people involved and talk to them about their experiences of health and social care services.

We have developed an engagement framework to support all our engagement activity. The framework sets out 12 statements about positive outcomes and experiences that we will speak with people about.

More information

You can find full information about joint adult inspections:

  • The Partnership guide sets out the inspection process step by step and provides all the information that partnerships need to manage their part in the inspection. 
  • The Quality Indicator Framework (QIF) explains the criteria we use to evaluate quality in our inspections
  • The Engagement framework provides a set of “I” statements to help us consider the experience of people who use health and social care services and their unpaid carers. It underpins all the engagement with people and unpaid carers that takes place during the inspection. 
  • Our joint inspection reports can be found here.
  • The record review template and record review guidance supports our reading of health, social work and social care records. The current version is used to read the records of people living with mental illness. 

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More information

Background

Phase 1 of our programme of joint inspections of adult support and protection services has now concluded, having taken place during 2020-23. The purpose of Phase 1 of the programme was to provide baseline information across the 26 adult protection partnerships not previously inspected in 2017/18. The intention was to follow this programme of inspections with a second phase of scrutiny and/or improvement activity, informed fully by Phase 1 findings.

We are now undertaking further scrutiny across Scotland, at the request of Scottish Ministers and in line with the Scottish Government-led improvement plan.

Phase 2 commenced on 1 August 2023 and will last two years. This phase of the programme will blend scrutiny activity with improvement support and include close collaboration with adult protection partnerships.

Scrutiny approach

Phase 2, first year

The programme provides assurance on the ongoing protection and risk management for adults at risk of harm. The first year of Phase 2 will include revisiting the six adult protection partnerships that were subject to adult support and protection inspections in 2017/18. We will use the inspection methodology we employed in Phase 1. These inspections will focus on key processes and leadership (see our quality indicator framework).

The first year of Phase 2 will also involve further development of the adult support and protection quality improvement framework by inspection partners, with input from stakeholders across the sector.

Phase 2, second year

Activity in the second year of Phase 2 will provide assurance of improvement and will include those partnerships that received inspection reports during Phase 1 where areas of weakness outweighed strengths. Some additional partnerships may also be revisited to provide assurance of improvement.

Additionally in this second year, indicators related to early identification of risk, early intervention and a trauma-informed approach will be applied on a voluntary basis with a select group of partnerships, which will augment their planned self-evaluation processes.

Scrutiny partners

The inspection programme will be led by Care Inspectorate in collaboration with His Majesties’ Inspectorate of Constabulary Scotland (HMICS) and Healthcare improvement Scotland (HIS).  Each scrutiny agency has identified dedicated staff with appropriate levels of experience and expertise in adult support and protection. This scrutiny and assurance will be undertaken in the context of health and social care integration.

Phase 2 inspection focus

The focus of our joint inspection will be on: 

  • independent scrutiny and assurance of how partnerships ensure that adults at risk of harm are kept safe, protected, and supported  
  • providing assurance to Scottish Ministers about how effectively partnerships have implemented the Adult Support and Protection (Scotland) Act 2007
  • taking the opportunity to identify good practice and support improvement more broadly across Scotland
  • providing a quality assurance framework for the adult support and protection community to use for multi-agency audit, self-evaluation and improvement activity.

Purpose of activity

The purpose of this programme of joint inspections is to seek assurance that adults at risk of harm in Scotland are supported and protected by existing national and local adult support and protection arrangements. The programme is one element of the Scottish Government-led improvement plan.

The partnership briefing document relating to phase two, first year inspections was prepared by the inspection team to give you an overview of the joint inspection programme and is available on our website. The documents below are referenced within the partnership briefing document.

The joint inspection team has made a number of other documents available to support partnerships. Each partnership will receive the relevant documents at the appropriate time.

Our inspections take account of the adult support and protection code of practice. For us to understand the degree to which partnerships were progressing with implementation we issued a single question survey. The survey was shared with Chief Social Work Officers, adult protection committee conveners and lead officers. The question was 'Please briefly describe your partnership’s approach to key processes, including the role of the Council Officer, around inquiries/investigations in light of the revised Code of Practice'. Please find our summary findings from that survey.

A communication and engagement strategy is available in relation to our Phase 2, first year quality improvement framework (QIF). The QIF is being designed in collaboration with the National Implementation Group and other stakeholders. Key elements of this will be used to inform our supported self-evaluation activity in Phase 2, second year.

We are at the very early stages of developing Phase 2, second year methodologies and will aim to include any relevant updates and material here when it is appropriate to do so.

Please email any enquiries to the joint inspection team at This email address is being protected from spambots. You need JavaScript enabled to view it.


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Children and young people

Three teenagers sitting on a sofa.

Our role in children and young people’s services 

It is our job to make sure that every child and young person experiencing care in Scotland gets the best quality of care that meets their needs and choices and protects their rights. This is whether they live at home with their families, live in a children’s home, are fostered or adopted, stay in secure or school care accommodation or use respite services. We also inspect some services that provide care for families, such as women’s refuges, and housing support services that cater for young people.

Our strategic team assesses how well professionals from different disciplines and agencies work together. This is to make sure that children and young people who need care and protection are kept safe and their needs met. 

We assess how well services and partnerships self-evaluate and learn from adverse events to improve children’s experiences and outcomes.

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Following some feedback we had from young people, we have created posters that explain what inspections are. You can download our poster for residential child care or our poster for foster care and display this in your service to help young people understand what inspections are and how they can get involved.

The Promise in action animation 

Our new animation co-designed with our young inspection volunteers demonstrates The Promise in action – by making sure that our young people’s voices authentically influence our work. 

Text to complain

Complaints research from 2019 showed that less than one percent of the 1,400 children and young people in residential care settings raised concerns to us about their care.  

To handle complaints well, services need to have a healthy listening culture where people’s concerns are taken seriously and acted upon quickly.

Children and young people can text us directly on 07870 981 785 if they are not happy about their care. You can watch our short video about the text to complain service here, or download a poster to print here. You can also complain by filling in our complaints form online, calling us on 0345 600 9527 or emailing us at This email address is being protected from spambots. You need JavaScript enabled to view it.  

Our young inspection volunteers

Our young inspection volunteers Toni and Raysa. Toni has red hair and is wearing a yellow jumper and glasses. Raysa has blonde hair and is wearing a grey hat. They are both looking up to the camera smiling.

We work with 15 young inspection volunteers (aged between 18-26 years old) who visit children and young people’s services with us when we inspect.

Our young inspection volunteers talk with children and young people who use services and listen to their views. They meet managers to find out how well they involve children and young people to develop and improve services and they hear how well partnerships are fulfilling their responsibilities and duties as corporate parents.

If you would like to find out more about becoming a young inspection volunteer click here.

Click here to see some of the videos they have done for our joint inspections.

Our quality frameworks

Our quality frameworks support care services to self-evaluate. Our inspectors also use these when they inspect and look at the quality of care provided by services. 

Our children and young people’s inspection teams began using key question 7 in April 2022. As part of everyone's journey to meet the Promise, we reviewed key question 7 with inspectors, young people who experience or have experienced care and providers to evaluate the impact it was having and how well it was supporting the sector to self-evaluate its own performance. We made some changes as a result of this review and agreed that we will continue to use key question 7 for inspections from April 2024 onwards. We have also published new self-evaluation toolkits to support the sector. To support the launch we delivered webinars for care homes for children and young people and schoolcare accommodation and mainstream boarding schools and school hostels.

You can access the new KQ7 documents, full quality frameworks, and toolkits on The Hub here.

In April 2024 we held a live, online, briefing for providers, managers and external managers of registered services for children and young people. During the webinar we shared some overarching messages for the sector, on developments and practice themes identified throughout the previous inspection year; our methodology for the coming inspection year; and the increasing focus on young people’s voice and participation. You can watch the recording of the webinar here.

Care homes

Secure services

Two people making a love heart shape using their arms, looking away from the camera to the blue sky in the background.

School care accommodation services

The Registrar of Independent Schools, the Care Inspectorate and Education Scotland have worked together to produce Guidance on effective safeguarding for boards of governors in independent schools, to assist with self-evaluation and monitoring of child protection and safeguarding practices.

To set out our approach to regulating guardianship arrangements in boarding schools we have published Guidance for the regulation of guardianship arrangements in boarding schools.

Supporting unaccompanied asylum seeking children (UASC)

We understand that meeting the needs of asylum-seeking and refugee children and young people across Scotland is very challenging and we believe that we all need to work together, to make any improvements that are needed. To help inform this work we hosted a webinar, with input from COSLA, Scottish Guardianship Service, and the Scottish Refugee Council. The webinar covered:

  • the background to UASC policy and the National Transfer Scheme
  • information about what support and services are available
  • the context around why young people are arriving to Scotland, and what their lived experiences have been
  • an opportunity to explore any queries or concerns, and share examples of best practice.

The content is relevant for local authorities, social workers, residential childcare staff, fostering services, and foster carers. You can watch the recording of the webinar here.

To better support how we engage with children and young people who have English as a second or foreign language, we have developed this poster for services to display. It’s designed to let young people know that we are happy to book an interpreter to chat with them.

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  • We understand that the use of restrictive practices in the promotion of rights, independence and choice for children and young people conflicts with promoting and maintaining a duty of care by taking protective action to keep young people safe.
  • We are a member of Restraint Reduction Scotland, and have worked collaboratively with the Scottish Physical Restraint Action Group (SPRAG) to develop a Self-evaluation tool: The use of restrictive practices. It is designed to support services to evaluate how well they are doing in using restrictive practices and identify areas where they want to improve.
  • To support the launch of the self-evaluation tool, we held two webinars; a recording of the webinars combined can be found here.

Depriving and restricting liberty for children and young people

We recognise that services are treading a delicate balance between taking necessary action to keep children and young people safe, whilst not unnecessarily restricting liberty.  Our new position paper aims to set out our attitude, expectation, and actions around the restriction and deprivation of liberty in care home, school care and secure accommodation services.  This includes circumstances where children and young people may be deprived of their liberty, where their liberty is restricted, or where this is a risk through environmental design and/or care practices. You can see the paper here.

Children and young people placed cross border and at a distance from home

Distance placements refer to any child who has been placed in a care setting outside of their home community. You can read our report on ‘Distance placements: exploration of practice, outcomes, and children’s rights’ here.

In January 2022 we carried out a short thematic review of children and young people placed cross border on Deprivation of Liberty Orders. We spoke to nine of the children face to face, and had a telephone interview with one young person. You can read the report about this here.

Admissions

In aspiring to make residential care a positive choice for all children in Scotland who require it, and to promote best practice in admissions and matching, we published Matching Looked After Children and Young People: Admissions Guidance for Residential Services.

Care planning

To support staff in services to develop personal plans for children and young people we developed a Guide for providers on personal planning: children and young people. We spoke with young people to gather their views, and included quotes from young people throughout the document.

Records and notification reporting

By law all services must keep certain records, and tell us if particular events take place. You can read our Records that all registered children and young people’s care services must keep and guidance on notification reporting here.

Staffing

To support providers to ensure they are appropriately assessing and providing staffing levels to meet the needs of young people in their care, we published Guidance for providers on the assessment of staffing levels.

Corporate parenting

As a corporate parent, we carry out many of the roles any parent should.11.png

We work with other corporate parents to promote the wellbeing of all children and young people and keep them safe from harm. We work hard to enable children and young people to have as much of a say as possible.

Read our corporate parenting plan 2021-23.

We have developed Guidance for children and young people’s services on the inclusion of transgender including non-binary young people. This is in response to a number of services who approached us looking for advice on how best to support transgender including non-binary young people. The guidance is based on current good practice and includes real practice examples from the sector.

Stand Up For Siblings

We are a proud member of the Stand Up For Siblings partnership, a Scotland wide initiative to improve and change legislation, policy and practice.  It’s about making sure children and young people live with their brothers and sisters, where it is appropriate to do so, and sustain strong and positive lifelong relationships with them. Read the Staying together and connected: getting it right for sisters and brothers: national practice guidance.

Our young inspection volunteers made a big contribution to this award-winning work and made a film about promoting and supporting sibling relationships for children and young people who experience care. Watch the film here. 

The Promise

We continue to work to deliver our organisation's contribution to keeping The Promise for children and young people. The Promise is about providing more intensive, preventative support to families so they can stay together where it is safe to do so.

Scottish Child Abuse Inquiry

We work with the Scottish Child Abuse Inquiry to investigate the abuse of children in care in Scotland.

Continuing care

We have been supporting the Staying Put agenda since 2013 and our role as corporate parents under the Children and Young people (Scotland) Act 2014 includes supporting young people moving from care to adulthood and independence.

Read our Guidance for services on the provision of continuing care, the Continuing Care and the Welfare Assessment: Practice Note and watch the Continuing Care and the Welfare Assessment Webinar Recording.

We were involved in Continuing Care and Your Rights, a project co-created with care experienced young people, CELCIS, and Clan Childlaw. Continuing Care and Your Rights provides accessible information for young people on their right to continuing care.

Continuing improvement

We have created a video to help you learn how to run your own improvement projects using the Model for Improvement and ‘Plan Do Study Act’ (PDSA) cycles. This will also be helpful to both services and providers when progressing areas for improvement made as a result of inspection.

The video includes specific examples relating to children and young people. 

The Health and Social Care Standards

Under the Health and Social Care Standards, everyone is entitled to high-quality care and support tailored towards their needs and choices. That is why the Standards focus on the experience of people using services and supporting their outcomes.14.jpg

The Standards apply to the NHS, as well as services registered with the Care Inspectorate and Healthcare Improvement Scotland. We use the Health and Social Care Standards to make sure services respect and meet people’s rights, needs and choices.

Download your copy of the Standards.

Equality and diversity

We believe that people in Scotland should experience a better quality of life as a result of accessible, excellent services that are designed and delivered to reflect their individual needs and promote their rights.

decorativeOur work focuses on people’s rights, choices and individual outcomes, the things that matter most to people. We continue to put equality and diversity at the heart of all we do. That’s why we made equality and diversity a key principle of our equality, diversity and inclusion strategy.


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