Developing Guidance for Autumn 2024 Policy and Strategy Team

Help us develop our guidance on rating and scoring Autumn 2024 Policy and Strategy team

Introduction Providers and our own inspectors have told us they need more detailed descriptions of quality for ratings and scores The reviews by Dr Penny Dash and Professor Sir Mike Richards also say this We d like your views on: the principles we use to decide ratings and scores what we should publish to help people who use services to understand what good looks like

Describing levels of provider performance underlying principles (a) 4 - Evidence shows an exceptional standard of care/Outstanding rating Care, treatment and support exceed what the quality statement(s) and best practice describe. Terms such as exemplary creative innovative are appropriate but with demonstrable impacton outcomes and people s experiences. Processes are fully embedded, and quality is consistent. Going the extra mile to deliver high-quality person-centred care. May see evidence of driving improvements for people beyond the organisation s direct realm selflessness . There are no breaches of regulations.

Describing levels of provider performance underlying principles (b) 3 - Evidence shows a good standard of care/Good rating Care, treatment and support is in line with the quality statement(s) and the accompanying best practice. Regulations in the quality statement are met. There may be breaches within the key question, but these are not serious enough to warrant enforcement action.

Describing levels of provider performance underlying principles (c) 2 - Evidence shows some shortfalls in the standard of care/ Requires Improvement rating Sometimes not always not for all groups of people inconsistent There may be risks to people s health, safety or wellbeing. There may be one or more breaches of regulations.

Describing levels of provider performance underlying principles (d) 1 - Evidence shows significant shortfalls in the standard of care/ Inadequate rating Terms such as does not , fails to are appropriate with serious impact, or risk of impact, on people s health, safety or wellbeing. There will be one or more breaches of regulations.

Wed love your views 1. Can you suggest any improvements to the principles that describe the different levels of performance, particularly Outstanding? 2. Should we publish a version of the ratings principles that tell the public what they should expect to see in good and outstanding services? 3. Is there anything else we could publish that would help people understand our judgements about quality of care?

Thank you