Update - June 2024
What we have been doing since our last briefing in January 2024
We have continued to work alongside the four areas that came forward to be part of more detailed work:
- Aberdeen city
- Dundee city
- Dumfries and Galloway
- Na h-Eileanan Siar (Western Isles)
In January we reviewed a sample of children’s social work’s records. Across the four areas we read a total of 117 records. This helped us to better understand the effectiveness of children’s assessments, plans and reviews in ensuring children received the help they needed at the right time.
Between February and March, we visited each of the four areas and met with children, young people, their families, carers and the staff who help them. We had the privilege of hearing directly from people who receive services about the difference these made to their lives and what could be improved. We also reviewed feedback provided by children and young people through our electronic survey. We visited social work teams, social care services and schools to hear from social work staff and other professionals who support disabled children and young people. During these visits we learned more about what was working well for children and young people and what was more challenging.
We held five focus groups involving representatives from the four areas. This helped practitioners to reflect together about the areas of strengths and for improvement across the country.
We are very grateful to everyone who took the time to speak with us or complete our surveys. We would also like to extend our thanks to everyone who facilitated our interactions with children and young people. We saw how important it was to the children and young people to receive support from people they knew well and who cared for them.
In May, we met with representatives from the four areas individually to provide verbal feedback and share our reflections on our time spent in their area. We also shared their individual results for their record reading review and staff survey with them.
Next steps
We are now working on our national overview report, which we plan to publish in August 2024. We are working alongside colleagues within our organisation to provide accessible formats, including a short video animation to highlight our key messages.
The published report will be available on the Care Inspectorate’s website.
If you have any questions for the review team, they can be contacted via email on:
This email address is being protected from spambots. You need JavaScript enabled to view it.
We’d like to thank everyone who has been involved in this review.
Inspections overview
- Inspection types
- Inspection teams
- Inspection methodology
- Inspection activities
- Inspection reports
- Quality assurance
- Inspection governance
- Covid-19
Inspection types
Our specific inspection focus and programme at any one time is agreed with the Scottish Government and published in the Care Inspectorate’s Scrutiny, Assurance and Improvement Plan. We take a number of different approaches to inspection, designed to meet different scrutiny objectives. These include, but are not limited to:
Inspections and joint Inspections: inspections of individual local authorities or partnerships in relation to key priority areas. Local authorities are identified for inspection based on a combination of risk assessment and rotation of scrutiny activity.
Progress reviews: return visits to a local authority or partnership to check progress following a previous inspection and set of recommendations. Progress reviews are usually (but not always) carried out where the original inspection identified significant areas for improvement.
Thematic reviews/inspections: inspections carried out in a limited number of local authority or partnership areas to explore a particular area of policy or practice that is of national interest. These reviews may or may not evaluate the performance of individual authorities or partnerships but are primarily designed to explore the national picture relating to a given theme and make national recommendations.
Supported self-evaluations: we are always keen to support and encourage self-evaluation. We may at times work proactively with identified local authorities and partnerships to support and validate their self-evaluation of particular areas of activity.
Inquiries: this approach uses an abbreviated approach to explore a particular theme or issue across the country. It is usually designed as a discrete piece of work, carried out over a relatively short time to produce a quick report that provides insight into the key issues relating to the theme.
Inspection teams
Our inspection teams have an inspection lead with responsibility for effectively delivering and concluding the individual inspection. The lead is supported by a deputy lead and a team of inspectors drawn from the Care Inspectorate and relevant partner scrutiny bodies. Our inspections may be supported by associate assessors and people with lived experience (inspection volunteers). The administration and organisation of inspection activities is managed by a team of strategic support officers.
The size of an inspection team will be determined by the scope, methodology and planned length of the inspection. Sometimes, additional resources may be allocated for specific parts of the inspection. However, most inspections will have a core team of between six and 10 members.
How resources are deployed across the different activities of the inspection, and the timing of activities, is captured on a plan that we call the inspection footprint.
Inspection methodology
For each set of inspections, we develop a quality framework (QIF). The quality framework outlines what we expect the quality of the service provided to be. The frameworks we use in our strategic inspection work are based on the EFQM (European Foundation for Quality Management) excellence model, widely used by organisations for managing change and improving performance. The Health and Social Care Standards are woven throughout the quality indicators.
Overall, the QIF provides a model to support inspection. We examine:
- performance and the outcomes that services achieve for the children and adults who use them
- the processes that support service delivery
- the vision, leadership, management and planning of services.
The quality frameworks are also available to local authorities & partnerships for them to use for self-evaluation purposes.
Inspection activities
The activities carried out by inspection teams to gather information can differ across inspections. However, there are some activities which have been proven to consistently provide good information and are therefore used regularly as part of inspections. These include:
Information and communication
The local authority or partnership can expect to receive full information about the inspection.
Most inspections provide a written guidance document of some sort, explaining the various stages and activities of the inspection, along with timescales.
In most inspections, we ask the local authority or partnership to nominate a local co-ordinator to manage and co-ordinate the various activities for them.
Throughout the course of the inspection, there are pre-planned meetings between key members of the inspection team and the local authority or partnership. These may be called professional or partnership discussions. Their key functions are: for the inspection team to feedback on findings so far; for the local authority or partnership to reflect on those findings; for the parties to discuss arrangements and plans for the next phase of the inspection.
Self-evaluation
It is a priority for the Care Inspectorate to support local authorities and partnerships to evaluate their own progress. Most of our inspections ask the local authority or partnership to provide a position statement and supporting evidence at the beginning of the inspection to help inform the inspection team’s understanding and formulate lines of enquiry.
Talking to children and adults who use services
Understanding the experience of people who use social work and social care services is fundamental to inspection, and we use a range of methods to gather the views of both people and unpaid carers. These are likely to include surveys, interviews, events, focus groups, and a range of activities developed to support specific inspections.
Reviewing records
Reading the records of children and adults who use services (also known as file reading) is a rich source of evidence for the inspection teams and is a part of many inspections. It provides understanding of how processes work and gives a picture of how staff interact with people using services.
Support networks
As well as reading records, many inspections include further examination of the care and support journeys experienced by children and adults by meeting with the staff and other significant people who have been part of that journey. This means that inspectors are able to further explore questions that have arisen from reading case records.
Staff surveys
Many inspections include surveys issued to staff. The inspection team often requests the help of the local authority or partnership in distributing the survey and encouraging staff to respond. The arrangements for issuing the survey, and which staff should receive it, will be discussed with the inspection co-ordinator by the inspection lead and strategic support officer.
Interviews and focus groups with key stakeholders
Most inspections involve focus groups or interviews with key stakeholders, including staff, managers, senior leaders, representatives of other statutory and third sector organisations. Often this takes place towards the end of an inspection as it gives the inspection team a good opportunity to discuss themes and issues that have emerged during other inspection activities.
Inspection reports
Inspection teams use regular team meetings to identify and explore themes that emerge from inspection activities. We make sure that potential findings are triangulated and corroborated through a range of activities before accepting them.
Inspection reports for each strand of inspection activity are tailored to the requirements of that inspection, so there are differences between the reports produced by each strategic inspection team. There will also be differences in the reports produced by each team when they are working on different inspection themes.
However, in general, strategic inspection reports can be expected to contain:
- a summary of key findings and/or strengths and areas for improvement
- an analysis of the inspection findings based on the relevant quality framework
- some form of evaluation of the local authority or partnership’s performance – which may or may not have grades attached
- recommendations for action and/or improvement.
Quality Assurance
We aim to achieve a high quality for all our work and want it to have maximum value for all our stakeholders and help to improve the experience of people who use services. To help us achieve this, each inspection programme has a range of quality assurance arrangements:
Each programme has arrangements for review of the inspection approach and methodology which take account of the learning from each inspection while balancing the need for consistency. A key source of learning is from post inspection questionnaires and feedback from inspection leads and team members. All strategic scrutiny teams are represented on a forum to discuss potential improvements to inspection methodology from experiences across the different workstreams and promote consistency wherever possible. When reading the records of people who use services during inspection, a proportion of the sample is double read to ensure consistency of evaluations and we provide training for all record readers.
At the reporting stage of our inspections, inspection leads present their inspection team’s findings and draft report to a ‘quality and consistency’ panel with representation from each partner scrutiny body for discussion and comment. Reports are then issued to the area inspected for an accuracy check before final editing and publication.
Information governance
Our approach to processing personal data is set out in full in our organisational privacy notice.
Covid-19
The Covid-19 pandemic has had a huge impact on social work and social care services across the country. Because of this, most of our strategic inspection work was paused between March 2020 and spring 2021. Since then, strategic inspections have recommenced with some adjustments to reflect the ongoing risks posed by covid-19 and the pressure on local authority and partnership services.
We continue to be responsive to the trends of the pandemic as we plan for and deliver inspection activities. We have also incorporated learning from the pandemic period in relation to our use of technology, and expect to be using a blend of onsite and distance approaches to carry out inspections moving forward.
Update - January 2024
What we have done since our last briefing in September 2023
We have been working alongside the four areas that came forward to be part of more detailed work.
- Aberdeen city
- Dundee city
- Dumfries and Galloway
- Na h-Eileanan Siar (Western Isles)
We now have staff survey responses from these four areas. We have reviewed these alongside all the evidence we gathered earlier this year from the national survey and our review of existing literature.
This has helped us develop our understanding of social work’s contribution to upholding the rights of disabled children and young people in Scotland.
We have used our findings so far to help us plan our next steps and inform the key questions we will ask children, families and staff.
Our stakeholder community has continued to be involved, helping to shape our approach to engagement activities.
Planning for our next steps is well underway in the four areas and we are grateful for all the time and effort they have already given to this review.
Next steps
We are now entering the busiest stage of our review and will be working with our four areas on the following.
In January we will be reviewing 30 children’s social work’s records in each of the areas. This will help us build our understanding of the effectiveness of assessments, plans and reviews in ensuring children benefit from the right help and the right time. These records have been sampled randomly.
In January we will ask each of the four areas to share a video and information leaflet with children and their parents or carers to inform them of our review and invite them to become involved.
Between 22 January and 29 February we will open an electronic questionnaire for children and young people to complete online. This will be one of a range of ways we will gather views directly from children and young people. The arrangements for completing the questionnaire will be shared by each of the four local authorities.
In February we will be on-site in each of the four areas. We want to gather the views of children and their parents or carers and the staff who work with them. We will meet with children wherever they are most comfortable. For some children this might be with friends or family. For others it might be alongside workers who are important to them. We hope the important people in children’s lives will help us to do this. We will work alongside staff in each of the four areas to ensure we are inclusive and respect children’s rights in our approach.
If you have any questions for the review team, they can be contacted via email on This email address is being protected from spambots. You need JavaScript enabled to view it..
We’d like to thank everyone who has been involved in this review.
Temporary changes to variations during Covid-19
Variation changes for care homes and care at home extended to April 2023
Social care continues to face challenges as a result of the Covid-19 pandemic, and we continue to support the care sector by adapting what we do, when needed.
To support services to provide support to a wider group of people, there will continue to be no requirement for providers to submit a variation for any care service type where:
- a care home for older people is caring for youngeradults or vice versa
- care at home services care for clients with different careneeds
- there is a change of operationalhours.
This will continue until April 2023.
In these circumstances, there is no requirement to submit a variation form. Instead, you should simply confirm in writing through eForms, using the notification ‘Changes to service delivery’.
Within the notification, you should note what the change is and confirm the service can meet people’s care and welfare needs.
The notification will not trigger an inspection but may trigger contact from the inspector to discuss the changes you have put in place.
For care homes that are supporting people on an interim basis until care at home is available in their area, there is no requirement to notify the Care Inspectorate. We will get this information from the oversight teams of homes being used in local areas.
Visiting
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Information for young people and families
Who is this information for?
This information is for young people and their family members who have agreed to speak to us or complete a survey as part of our review of services for care experienced young people. Where we talk about young people we are talking about those who are care experienced. This term includes all categories of care as young people approach adulthood and are being supported to either move on or continue to be cared for in a place of their choice.
What is this review about?
The purpose of the review is to find out how services are supporting young people when they are leaving care and ensuring that their rights are being upheld. These services are helping young people when they are making plans for leaving care and after they have moved on. They may be supporting you with housing, with your health or in relation to education or employment. A team from the Care Inspectorate are carrying out this review and we want to hear from people with recent lived experience of leaving care.
Why have I been asked for my views?
People who work with you feel that you could make a valuable contribution to the review. We want to listen to your views about whether you have received the help you need and any difference this has made to your life. Hearing the views and opinions of young people and family members is the most important part of our review.
Do I have to take part?
No, taking part in the review is not compulsory. We strongly recommend that you chat with a keyworker, your social worker, or any other trusted adult before consenting.
How will I share my views with the review team?
If you agree to take part in the review there are two ways in which you may have been invited to share your views: directly with a member of the review team or by completing a survey. In both we will be asking questions to help us fully understand your experience, whether you received the support you needed and the impact of any support received.
Sharing your views directly with a member of the team
If this is the way you have been asked to take part arrangements will be made for a member of the review team to meet you at a time and in a place which suits you. This can be done in person, or we can arrange an online meeting or a phone call. You can be supported by people you know if this is your preference. The questions we will be asking you, have been developed in consultation with care experienced young people.
Completing a survey (young people only)
This will be shared with you by a worker who knows you and they will ensure that you have the help you need to complete the survey and we would encourage you to speak with them if completing the survey raises any issues for you. Your response is anonymous. Care experienced young people were involved in designing the survey. You can change your mind and end the meeting or stop the survey at any time.
What will I be asked about?
We will ask you about your views about any support and help that you have had. We want to know about whether you have been involved in decisions that affect you and your family. We also want to ask you about how your rights have been respected. We will not ask you to share your personal information with us.
What will you do with the things I tell you?
- We will use what you say to help us work out what services are doing well and what needs to change.
- What you say to us is private and we won’t use your name or identify you or share any of your personal details.
- The only time we will tell others about something you say is if we are worried for your safety or the safety of someone else.
- We will take some notes during the interview. These notes will not contain personal information and we will not share these notes with others. We will store our notes securely and destroy them at the end of the review.
- We have rules about how we keep your information private. You can find our core privacy notice here. We will write a report in November 2024 and we will have other ways of sharing what services are doing well and what needs improve.
Where can I find out more information?
You can find out more information from our webpage. If you have any questions about taking part please speak to the person who gave you this form.
Thank you for taking part in our review.
You can download the information on this page in PDF format here.
Joint inspections of adult support and protection
Background
Phase 1 of our programme of joint inspections of adult support and protection took place during 2020-2023. Twenty-five joint inspections were carried out, and individual partnership reports were published. An overview, summarising the findings in these reports was also published, and is available here. This shaped our subsequent phase 2 approach.
Phase 2
In June 2023, the Scottish Government asked the Care Inspectorate to lead further joint inspection work with our inspection partners including, Healthcare Improvement Scotland and His Majesty’s Inspectorate of Constabulary in Scotland. This commenced on 1 August 2023 and is scheduled to conclude in July 2025, and blends scrutiny activity with improvement support. There has been close collaboration with adult protection partnerships throughout.
The programme provides assurance on the quality of adult support and protection services in Scotland and promotes improvement activity through the development of a quality indicator framework and supported self-evaluation. Phase 2 of the programme comprises four workstreams.
Workstream 1
The joint inspection of the six adult support and protection partnerships first inspected in 2017.
The first year of our phase 2 programme included reviewing the progress of the six adult protection partnerships that were subject to adult support and protection inspections in 2017/18. The joint inspection team used the inspection methodology employed in Phase 1. These inspections focused on key processes and strategic leadership.
This programme of inspections was completed in May 2024 and included the North Ayrshire, Highland, Dundee, Aberdeenshire, East Dunbartonshire and Midlothian partnerships. Individual reports of the inspections have been published and can be accessed using the links above.
A joint inspection of adult support and protection overview report took account of the key findings from these six reports. This was published and can be accessed here.
Workstream 2
Development of a multi-agency quality improvement framework (QIF) for adult support and protection partnerships in Scotland.
Design of the QIF was undertaken in collaboration with The Scottish Government National Implementation Group self-evaluation subgroup. Four consultation workshop events took place, to which representatives from all health and social care partnerships across Scotland were invited. This included events in Glasgow, Edinburgh, and Dundee, as well as one online session. These were held to provide an opportunity for the sector to comment on, refine, and enhance the draft framework. The sessions were attended by approximately eighty-four delegates representing almost all Health and Social Care Partnerships and the feedback gathered was then used to inform the final document.
- A working group was established that included joint inspection partners and representation from the national implementation group.
- The working group took careful consideration of the views from people with lived experience to ensure it was trauma informed.
- A communication plan was designed and implemented and four well attended engagement sessions were arranged
- The joint inspection team undertook a ‘you said, we did’ exercise with the national implementation self-evaluation subgroup to review the key themes from the four engagement sessions. We refined the QIF following their feedback.
- The QIF was published on 15 October and can be accessed here.
- This document will be promoted widely across the sector after its launch at a series of national events.
- This includes a formal launch at the Aspire event that took place on 28 November 2024
- This framework will support partnerships multi-agency self-evaluation of their adult support and protection arrangements and is designed to lead to improvement in services.
Workstream 3
This review of progress activity provides assurance of improvement in those partnerships where areas of weakness outweighed strengths in phase 1. This programme involves the South Ayrshire, Moray, West Lothian, Edinburgh, Orkney, and Western Isles partnerships.
Our file reading tool had previously been updated to reflect the changes in methodology and take account of the Scottish Government revised code of practice for adult support and protection (July 2022).
Completed workstream 3 progress reviews include South Ayrshire, West Lothian, Edinburgh and Moray. Individual reports will be published in due course for all six partnerships.
In these progress reviews we are using the following evaluations to measure progress.
Minimal progress: Improvement is minimal. The partnership’s overall approach to improvement is not comprehensive or put into practice. Its deployment and implementation are limited. It has not embedded improvements or they are still at the planning stage. It does not communicate improvements effectively and they are not well understood by staff. It does not assess and review the effectiveness of its improvement progress.
Some progress: Evidence of some improvement. The partnership’s approach to improvement is moderate. Its implementation and deployment of improvements are structured. It is beginning to embed improvements in practice. It communicates improvements partially and staff understand them reasonably well. It has limited measures to evaluate and review impact and outcomes for adults at risk of harm. It periodically assesses and reviews its improvement methodology.
Significant progress: Significant improvement. The partnership’s approach to improvement is comprehensive and embedded. Its deployment of improvements is well structured, implemented and effective. It communicates improvements purposefully, and staff understand them fully. It has effective measures to evaluate and review impact and outcomes for adults at risk of harm. It continually assesses and refines its improvement methodology.
The joint inspection team will also be re-visiting the Renfrewshire partnership to complete their phase 1 inspection that was interrupted by Covid-19 restrictions coming into force in March 2020.
Workstream 4
The joint inspection of adult support and protection team aims to work with volunteer partnerships, using the quality improvement framework developed in workstream 2, to undertake a programme of supported self-evaluation. Our focus will be on quality illustration 5.7 and those cases where it is difficult to determine the three-point criteria. During phase 1 activity some partnerships had promising initiatives aimed at developing their early intervention, prevention, and trauma informed approaches to this complex group of adults at risk of harm. We will work jointly with partnerships to assess the strengths of these initiatives.
This is an opportunity for partnerships to work alongside the joint inspection team to develop and implement the methodology. We will share learning and promote a deeper understanding about self-evaluation approaches and its impact on improvement work.
We have invited all adult support and protection partnerships to formally express a confirmed interest in this opportunity week commencing Monday 11 November 2024. We will look to confirm the partnerships selected prior to the end of December 2024 and commence work with them in January 2025.
A communication and engagement plan will be put in place once we have identified the partnerships we will be working with.
Related links: