27:
581:"... there will be two new improvement and scrutiny organisations from April 2011 - a single body for healthcare services and another body for social work and social care services, including child protection and the integration of children's services. The new bodies will take on work in these areas currently done by:
131:
609:
With the exception of independent healthcare regulation, all of SWIA's and the Care
Commission's previous work was carried out by the new social work and social care services body, Social Care and Social Work Improvement Scotland (SCSWIS). HMIE's work on the inspection of services to protect children
547:
when inspecting schools. There were integrated inspections involving the Care
Commission and HMIE. The Care Commission gives specific weighting on grades to ensure that less than adequate performance clearly brings down the overall grade. This provides a greater motive for improvement in those areas.
519:
These changes are part of a wider project known as
Regulation for Improvement. The focus on improvement is centred on how well people who use the service have a say in its quality, and in how it is operated. There is also more emphasis on inspection officers taking part in aspects of the service. For
656:
In April 2024, BetterCareScotland called on the
Scottish Parliament to address the need for independent oversight of social care regulation in Scotland by a professional body with risk management, regulatory, compliance, analytical & lay expertise to eradicate poor practices that expose women to
636:
Prior to the meeting, the
Scottish Parliament solicited the views and experiences of social care providers in Scotland to support the Committee in questioning the Care Inspectorate. Respondents describe a Care Inspectorate which fails to engage meaningfully with the services it regulates and that
515:
In 2008 the Care
Commission changed its approach to inspection. While still based on the National Care Standards, the criteria for assessing quality were grouped and organised into "Quality Themes". These are inspected, and then graded in the report of the inspection. Services are expected to self
551:
The aim of the grading system was to provide a clearer indicator of quality and of where improvements were needed. The changed approach was welcomed: it allows a greater focus on the point of view of the service user, and allowing funding authorities to make clearer, quality based decisions about
342:
came into force in April 2011. It aimed to reduce and to streamline the number of
Government agencies, including the different regulators. As a result, the previous work of the Care Commission, of SWIA and of HMIE (children's services remit) were absorbed into the new Social Care and Social Work
625:
Issues with the Care
Inspectorate's performance and the effectiveness of the Scottish Parliament's oversight of it have long been raised at the highest level in Scotland. In 2011, the Health Secretary, Nicola Sturgeon announced that the Care Inspectorate was failing to fulfil its obligations.
506:
Enforcement occurs where a service has not complied with legal requirements despite these having been made clear to the service. It usually consists of additional conditions on further operation: where these are not met, the enforcement can ultimately lead to the closure of the service.
652:
is investigating claims that the Care
Inspectorate's inspection processes routinely fail to identify and, therefore, address risk-taking by care providers or recognise the indicators of "closed cultures" in the sector and stonewalls serious complaints about its operations.
263:) is a scrutiny body which supports improvement. They look at the quality of care in Scotland to ensure it meets high standards. Where improvement is needed, they support services to make positive changes. The Care Inspectorate was set up in April 2011 by the
610:
and a model of inspection for children's services became a joint responsibility with the SCSWIS. The work of NHS QIS, plus the regulation of independent healthcare previously carried out by the Care
Commission, transferred to the new healthcare body,
487:
monitored the quality of the service. They were often unannounced, and usually resulted in recommendations or requirements on the service. The inspections were summarised in a report available on the internet through the website of the
335:(HMIE) in Scotland had the remit of scrutinising education services, and had a specific role to monitor child protection services. It was the latter function which was transferred to the Care Inspectorate (SCSWIS) in 2011.
498:
investigations were initiated by communication from service users, their relatives, or members of the public. A complaint investigation often, as in inspection, resulted in recommendations, requirements, and less often in
1286:
629:
During the Covid-19 pandemic, on 25 August 2020, the Care Inspectorate's then Chief Executive gave evidence to the Scottish Parliament’s Health and Sport Committee at a meeting to consider the question:
319:
870:
726:
996:
492:. They remain available through the website of its successor organisation, the Care Inspectorate, to provide a continuous record with the inspection reports of the latter organisation.
478:
800:
477:
Registration ensured that the service, before opening, could demonstrate that it would be provided in line with legal and good practice requirements, and in conformity with the
681:
343:
Improvement Scotland (SCSWIS). Care services in the country became regulated by SCSWIS, who from 15 September 2011, adopted the simpler working name of the Care Inspectorate.
852:
489:
774:
329:(SWIA) had the remit to inspect all social work services in Scotland, and to report publicly and to parliament on the quality of these services, locally and nationally.
1271:
471:
The form of regulation carried out by the Care Commission was largely laid down in the Regulation of Care (Scotland) Act, 2001, and associated Statutory Instruments.
1100:
1006:
1296:
989:
322:. The key principles of the Commission in regulating care services were threefold; keeping people safe; promoting dignity and choice, and supporting independence.
638:
982:
555:
In September 2011, under plans to toughen up the system, it was revealed that Scottish care homes will get at least one unannounced inspection a year.
48:
41:
271:, including child protection and the integration of children's services. The new organisation took on work in these areas previously carried out by:
1281:
268:
874:
730:
567:
1160:
474:
The regulation was carried out by means of RICE, which is an acronym for Registration, Inspection, Complaints investigation, and Enforcement.
1125:
804:
1301:
91:
585:
544:
339:
332:
275:
220:
63:
617:
The affected organisations including the Care Commission worked closely together to ensure a smooth changeover to the new structures.
1165:
643:
Holding Scotland's Care Inspectorate to Account? A critical evaluation of Parliament’s scrutiny of Scotland’s social care regulator.
637:
this comes at a cost for services and service users. A discussion paper for the Scottish Parliament by social care campaign group,
1276:
856:
70:
778:
459:
The Care Inspectorate annually regulate over 14,000 care services used by 320,000 people. In 2019 the Care Inspectorate had 606
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1245:
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705:
77:
1200:
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649:
59:
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1205:
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110:
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assess and to grade their performance, and to involve their users in assessing the quality of the service provided.
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1095:
1085:
1026:
1021:
591:
351:
The Care Commission had the responsibility for the regulation of a range of services in Scotland providing care to
969:
1306:
1050:
666:
611:
1145:
1080:
1090:
597:
326:
282:
558:
The grading system was retained by the Care Inspectorate when it took over the work of the Care Commission.
1230:
1110:
826:
540:
Quality grades vary on a six-point scale - Unsatisfactory, Weak, Adequate, Good, Very Good and Excellent.
1225:
1105:
84:
1055:
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the risk of abuse in care homes for older people in Scotland & loopholes that enable its cover-up.
1140:
1115:
1195:
1190:
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256:
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671:
37:
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example, the inspection might include being at meetings, seeing activities in the service, etc.
1215:
1185:
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895:
382:
8:
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264:
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418:
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1155:
1075:
1070:
289:
371:
1260:
1240:
1235:
388:
410:
360:
500:
432:
130:
363:. The following is a full list of services regulated by the commission.
1120:
484:
460:
375:
495:
641:, concludes that these views were not represented by the Committee (
26:
1287:
Executive non-departmental public bodies of the Scottish Government
912:
632:“How well is the Care Inspectorate fulfilling its statutory roles?”
571:
352:
309:
308:, carried out the legal duty to regulate specific care services in
234:
682:
Regulation and Quality Improvement Authority (Northern Ireland)
406:
Services for people in criminal justice supported accommodation
356:
318:
began work in April 2002 as an independent regulator under the
447:
896:
Bill Duncan's article in Journal of Care Services Management
970:
List of the National Care Standards used by the Commission
1101:
The Loch Lomond and the Trossachs National Park Authority
962:
1031:
648:
In August 2023, BetterCareScotland reported that the
570:, on the simplification of regulatory processes in
523:Services are given grades on four Quality Themes:
1272:Medical and health organisations based in Scotland
729:. Fife Council. 19 September 2011. Archived from
429:Early education and childcare up to the age of 16
1258:
253:Social Care and Social Work Improvement Scotland
1297:Social work organisations in the United Kingdom
908:"Tougher care home inspection regime announced"
561:
302:Scottish Commission for the Regulation of Care
1126:Police Investigations and Review Commissioner
990:
1161:Scottish Children's Reporter Administration
871:"Background to the National Care Standards"
801:"What we do: The care services we regulate"
620:
997:
983:
873:. Royal College of Nursing. Archived from
340:Public Services Reform (Scotland) Act 2010
221:Public Services Reform (Scotland) Act 2010
1166:Scottish Criminal Cases Review Commission
438:School care and family placement services
111:Learn how and when to remove this message
702:"Regulation of Care (Scotland) Act 2001"
466:
423:Care homes for children and young people
397:Care homes for people with physical and
1282:Government agencies established in 2002
586:Her Majesty's Inspectorate of Education
454:
333:Her Majesty's Inspectorate of Education
276:Her Majesty's Inspectorate of Education
1259:
1246:Water Industry Commission for Scotland
1176:Scottish Environment Protection Agency
938:. Scottish Government. 9 December 2013
755:. Scottish Government. 5 December 2013
706:The National Archives (United Kingdom)
320:Regulation of Care (Scotland) Act 2001
47:Please improve this article by adding
978:
510:
346:
1201:Scottish Legal Complaints Commission
269:social work and social care services
20:
803:. Care Inspectorate. Archived from
777:. Care Inspectorate. Archived from
13:
1302:Scottish commissions and inquiries
1081:Highlands and Islands Airports Ltd
1076:Ferguson Marine (Port Glasgow) Ltd
1041:Cairngorms National Park Authority
650:Scottish Public Services Ombudsman
578:in November 2008 announced :
441:School care accommodation services
14:
1318:
1211:Scottish Qualifications Authority
1206:Scottish National Investment Bank
1151:Scottish Agricultural Wages Board
954:
936:"Healthcare Improvement Scotland"
855:. Care Commission. Archived from
158:Superseding Non Departmental Body
60:"Care Inspectorate" Scotland
1221:Scottish Social Services Council
1096:Independent Living Fund Scotland
1086:Highlands and Islands Enterprise
1027:Architecture and Design Scotland
1022:Accounts Commission for Scotland
592:NHS Quality Improvement Scotland
543:A grading scale is also used by
479:Health and Social Care Standards
267:as a single regulatory body for
129:
25:
1277:2002 establishments in Scotland
928:
900:
667:Healthcare Improvement Scotland
612:Healthcare Improvement Scotland
200:Non Departmental Body executive
1146:Royal Botanic Garden Edinburgh
1007:non-departmental public bodies
889:
863:
845:
819:
793:
767:
745:
719:
694:
206:Jackie Irvine, Chief Executive
164:Care Commission, SWIA and HMIE
138:Non Departmental Body overview
1:
1267:Organisations based in Dundee
1091:Historic Environment Scotland
687:
598:Social Work Inspection Agency
435:and family placement services
327:Social Work Inspection Agency
295:
283:Social Work Inspection Agency
49:secondary or tertiary sources
1231:South of Scotland Enterprise
1111:National Library of Scotland
1051:Children's Hearings Scotland
562:Transfer of responsibilities
7:
1226:Skills Development Scotland
1106:National Galleries Scotland
660:
394:Care homes for older people
387:Care homes for people with
381:Care homes for people with
370:Care homes for people with
10:
1323:
1056:Community Justice Scotland
536:Leadership and Management.
1141:Risk Management Authority
1116:National Museums Scotland
1017:
566:After the release of the
229:
213:
199:
191:
179:
171:
157:
142:
137:
128:
1196:Scottish Legal Aid Board
1191:Scottish Land Commission
1181:Scottish Funding Council
621:Governance and Oversight
403:Housing support services
367:Adult placement services
1292:Social care in Scotland
677:Care Quality Commission
672:Care Inspectorate Wales
312:between 2002 and 2011.
1307:Regulators of Scotland
1216:Scottish Rail Holdings
1186:Scottish Futures Trust
1032:
260:
36:relies excessively on
16:Scottish scrutiny body
1131:Quality Meat Scotland
467:Methods of regulation
383:learning disabilities
455:Scope and statistics
261:Coimisean a’ Chùraim
1171:Scottish Enterprise
1071:David MacBrayne Ltd
1066:Crofting Commission
1011:Scottish Government
916:. 15 September 2011
877:on 3 September 2014
831:Scottish Government
827:"Care Inspectorate"
727:"Care Inspectorate"
604:The Care Commission
576:Scottish Government
316:The Care Commission
265:Scottish Government
251:(formally known as
125:
833:. 22 November 2013
807:on 29 January 2015
639:BetterCareScotland
511:A changed approach
426:Childcare agencies
399:sensory impairment
347:Services regulated
185:11 Riverside Drive
123:
1254:
1253:
1061:Creative Scotland
1046:Care Inspectorate
753:"Regulating Care"
645:February 2021).
552:ongoing funding.
527:Care and Support,
419:Adoption agencies
409:Short breaks and
249:Care Inspectorate
245:
244:
237:.careinspectorate
124:Care Inspectorate
121:
120:
113:
95:
1314:
1136:Redress Scotland
1037:
1034:Bòrd na Gà idhlig
999:
992:
985:
976:
975:
966:
965:
963:Official website
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415:Support services
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1156:Scottish Canals
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859:on 21 May 2009.
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733:on 14 July 2014
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490:Care Commission
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378:misuse problems
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306:Care Commission
304:, known as the
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290:Care Commission
257:Scottish Gaelic
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187:Dundee, DD1 4NY
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42:primary sources
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955:External links
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568:Crerar Review
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389:mental health
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183:Compass House
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62: –
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56:Find sources:
50:
44:
43:
39:
34:This article
32:
28:
23:
22:
19:
1045:
940:. Retrieved
930:
918:. Retrieved
911:
902:
891:
879:. Retrieved
875:the original
865:
857:the original
847:
835:. Retrieved
821:
809:. Retrieved
805:the original
795:
783:. Retrieved
779:the original
769:
757:. Retrieved
747:
735:. Retrieved
731:the original
721:
709:. Retrieved
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444:Care at home
411:respite care
361:older people
350:
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299:
252:
248:
246:
214:Key document
180:Headquarters
172:Jurisdiction
107:
98:
88:
81:
74:
67:
55:
35:
18:
530:Environment
501:enforcement
433:Foster care
1261:Categories
1121:NatureScot
1005:Executive
853:"About us"
811:17 January
775:"About Us"
688:References
485:Inspection
296:Background
285:(SWIA) and
101:March 2013
71:newspapers
38:references
594:(NHS QIS)
496:Complaint
192:Employees
913:BBC News
661:See also
572:Scotland
533:Staffing
503:action.
450:agencies
391:problems
353:children
310:Scotland
175:Scotland
1009:of the
881:31 July
837:18 July
759:18 July
614:(HIS).
376:alcohol
230:Website
148: (
85:scholar
942:5 July
920:5 July
785:5 July
737:5 July
711:5 July
600:(SWIA)
588:(HMIE)
574:, the
357:adults
278:(HMIE)
143:Formed
87:
80:
73:
66:
58:
461:staff
448:Nurse
92:JSTOR
78:books
944:2014
922:2014
883:2014
839:2015
813:2015
787:2014
761:2015
739:2014
713:2014
545:HMIE
374:and
372:drug
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