What is helping?
The Independent Review of Inspection, Scrutiny, and Regulation of Social Care in Scotland (IRISR) was published in September 2023 and made 38 recommendations. This included a review of health and social care standards, to focus on rights that are person-centred and outcomes-focused; to listen to lived experience; and to ensure that people are involved in decision making around their lives. Further recommendations were suggested about the need for inspection, scrutiny and regulation to be more streamlined, to increase consistency and avoid duplication. The Scottish Government responded in March 2024, accepting all 38 recommendations.
The Care Inspectorate (CI) has taken steps to ensure that relationships have greater prominence in the quality improvement frameworks that underpin inspections. It has taken steps to better integrate children's voices into inspection through applying a LUNDY model lens, contemporary research, examples of good practice and stakeholder collaboration focusing on accessibility and inclusion.
A pilot project is underway to create a feedback loop for children after an inspection, showing them how their views influenced inspection outcomes and subsequent actions.
A refresh of CI’s quality framework and guidance for regulated children and young people's services was published in November 2022, to ensure they are rights-based and aligned with the promise. His Majesty’s Inspectorate of Constabulary, Healthcare Improvement Scotland and Education Scotland are all signed up to this framework.
Changes have been made to the questions asked as part of the inspection of regulated children and young people’s services. This has resulted in creating a more balanced regulatory footprint to support services recovery and development post-pandemic. These questions (Key Question 7) prioritise the quality of children's relationships over care processes and increase engagement with children through more service visits.
There is ongoing consultation with stakeholders regarding CI ‘s inspection methodologies and development of new self-evaluation tools, such as the use of restrictive practices within children’s residential care settings.
Work has been undertaken with CI early learning and childcare (ELC) teams, to align local inspection practices with the promise.
The Secure Pathway Review, published in September 2023, examined the experiences of 30 children living in or at risk of needing to live in secure care. CI met and listened to the children, their parents, carers and the staff who supported them before, during and after experiencing secure care to find out what helped them most. Effective practice and areas for improvement were highlighted.
Education Scotland have been working to improve the awareness, knowledge and skills of education leaders and practitioners to best meet the needs of children and young people who have care-experience through collaboration and professional learning.
The recent announcement to create a new organisation to support the independent His Majesty’s Chief Inspector of Education is an opportunity to ensure approaches to the inspection of education is in line with the principles of the promise.
SSSC’s Future Proofing Programme (a key initiative to uphold the promise’s call to ‘declutter and streamline professional codes, procedures, and processes)’ resulted in changes to registration in June 2024. The aim is to make registration with SSSC more straightforward, highlighting the benefits and value of being registered. Additionally, the programme aims to inform people about the standards, skills and qualifications required to deliver high-quality care.