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Care England champions choice in specialist care provision

February 18, 2020

Provider representative body Care England has criticised, the Care Quality Commission’s consultation on Registering the Right Support Guidance for specialist care facilities.

At the end of January, CQC released two documents concerning the revision of the Registering the right support (RRS) policy via CitizenLab, an online citizen participation platform. RRS has been renamed ‘Right support, right care, right culture’ and the redrafted guidance concerns CQC’s policy position on how providers of health and adult social care should meet the fundamental standards in line with best practice when developing services for people with autism and/or a learning disability.

Care England chief executive Professor Martin Green said it was not clear why CQC had chosen a short consultation period of nine days, on such a vital issue, or why the regulator opted to use CitizenLab instead of the usual channels of communication and consultation, thus excluding providers not registered on the site.

“We need a range of services and settings to ensure that people get the choice and person-centred care that they deserve,” said Prof. Green.

“There should be no fixed model and indeed NICE has said there is no evidence to support one particular size or type of service. As such, we remain concerned that the new guidance does not address our belief that care homes, and their residents, along with local commissioners will be dictated to by a CQC culture embedded in the belief that only small can deliver good quality care.

“Our members have demonstrated time and again this is not true and that great care comes from a person centred approach backed by a caring culture and respectful staff resident relationships.”

Care England maintains that the draft guidance does not address its continuing concern that CQC will neither register nor allow the continuation of registration for services over six beds, despite there being no compelling evidence in the NICE review. Prof. Green said providers remained concerned that the viability of the adult social care sector was under threat and that the model of care which is already meeting people’s needs and ensuring community- based support will be eliminated without any evidential basis to justify such an outcome.

“We are at a loss to know why after being promised an answer as to whether there would be a consultation on a redrafted RRS by the end of August last year, we were given only nine working days to respond to a consultation via CQC Citizenlab,” he said.

“We want to work with CQC to promote the principles of care that recognise a human rights approach to choice and control and not a one size fits all approach that has characterised registration and inspection of Learning Disability care home services in recent years.”

Professor Martin Green

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