3. CQC Historic Issues
Ratings
Inflexibility of ratings
Services stuck with ratings
Discrepancies in rating decisions
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Inflexibility one size fits all approach
Lack of objectivity and thinking outside the
box
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Inflexibility
Generic support
Lack of specialist teams
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Support
Control
Minimum opportunity to showcase
improvement
- Inspection pressures
Re-inspection timeframes
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Inspection
Delays in response times
No key point of contact
Unavailability of inspectors
Relationships with CQC
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Communication
Processes are long and laborious
Duplication of information
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Outdated IT
4. Aims of Change
ONE
More agile and responsive ways of working
with four specific themes
People and Communities
Smarter Regulation
Safety Through Learning
Accelerating Improvement
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TWO
Giving people using services a voice
Assessing local systems
Tackling inequalities in health and care
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THREE
FOUR
FIVE
SIX
Current and up to date view of quality across
services
Consistency in inspecting/assessing
Continual assessment to facilitate, compliance,
improvement, learning
Services stuck with ratings for long periods of
time
5. What’s Changing?
Geographic Regions
North
South
Midlands
London and the East
Specialist Teams
Adult social care
Hospitals
Primary medical services
Specialist sector teams
Localised Teams
Inspectors – risk, enforcement, FA checks
Assessors – reviewing data – off site
Regulatory coordinators – General
Operations Manager
6. What’s Changing?
Provider Portal Future Inspections
Understanding Services
No Change
Provider information return
Regulations
Fundamental Standards
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CQC
Highlighting areas of improvement,
evolving process of assessment
Transparency
Improved understanding of
compliance
Building working relationships
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Registration – supporting documents
– start with a rating of ‘Good’
Registration amendments
Statutory notifications
Submitting evidence of analysis
Monthly download report
Factual accuracy check
Communication
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Current inspections – view to change
rating. Rating of Inadequate and
Requires Improvement focus on QS
in those categories
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When there’s a clear need to do so
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Responding to risk, safeguarding
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- When limited information is available
- When there is a need to
speak/assess/inspect face to face
7. KLOEs – Key Questions
Underpinned by the Quality Statements
Each key question has a specific evidencing criteria
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Quality Statements
34 Quality Statements
Guidance of CQC expectations
Standards of care that people should expect
QS selected by service type and national priority +
information held by CQC
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‘We’ and ‘I’ Statements
‘We’ - Provider commitments
‘I’ - People using service, their
expectations
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Evidence Categories
People’s experiences
Feedback from staff and leaders
Feedback from partners
Processes
Outcomes of care
Observations - evidence
Evidence Categories
Type of service
Level of assessment (service provider,
LA, ICS)
Existing service of registration
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8. Evidence Category AAA Agency Outstanding Agency Good Agency
People’s experience 4 4 3
Feedback from staff leaders 4 3 2
Feedback from partners 4 3 3
Observation - Evidence 4 4 3
Processes 4 4 3
Outcomes of Care 4 3 2
Total Score
24
(100%)
21
(87.5%)
16
(67%)
How CQC reaches a rating
Ratings Bands
Outstanding = Over 87%
Good = 87% - 63%
Requires Improvement = 62% - 39%
Inadequate = 38% - 25%
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Score Calculations
Each category can have a total of 4 points
The total maximum score available is 24 points
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9. CQC Quality Statement Example: SAFE
QS Learning culture
QS Safe systems, pathways and transitions
QS Safeguarding
QS Involving people to manage risks
QS Safe environments
QS Safe and effective staffing
QS Infection prevention and control
QS Medicines optimisation www.carelinelive.com/single-assessment-framework-safe
“We have a proactive and positive culture of safety based on openness and honesty, in which concerns about
safety are listened to, safety events are investigated and reported thoroughly, and lessons are learned to
continually identify and embed good practices.”
Regulations
12: Safe care and treatment
16: Receiving and acting on complaints
17: Good governance
20: Duty of candour
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Quality Statements
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11. Timeframe For Change – 2024
Spring Summer Autumn
CQC ensuring that their technology is fit
for purpose and will be piloting with a
small selection of providers
Provider portal launch
Registration
Alterations to current registration
Statutory notifications
Announcement of timelines for
assessments and when providers can
expect to have their assessments
CQC will roll out the new Single
Assessment Framework to all providers
12. Download our eBook
“We have written this eBook to give you knowledge to
either further develop your current business or for those
new to, or considering starting, a domiciliary care business,
we hope to give you inspiration and confidence to follow
your dreams.”
Merina Martin, Homecare Champion
https://carelinelive.com/ebook
13. Let’s Connect
LinkedIn:
• linkedin.com/in/merinamartin
• linkedin.com/company/carelinelive
Social Media:
• facebook.com/carelinelive
• instagram.com/carelinelive
• twitter.com/carelinelive
Our Website – the resources section is where to go for info about the CQC and compliance
• carelinelive.com/blog (look at Compliance and CQC)
Editor's Notes
MARIE
Welcome and introsCareLineLive is award-winning, all-in-one cloud-based home care management software for home care providers. It improves efficiency, capacity and compliance by digitising workflows and automating processes such as rostering and payroll.45 mins Merina then Q&A. Ask questions in the Q&A section rather than the Chat – try to group your questions
We will respond to some today and the rest in a blog post and on social media in the coming days
Ratings :
Subsections to evidence against 300
Improvements not recognised for months/years
Huge effect on business growth - stability – recruitment - morale
Control:
No set timescales for re-inspection
One –
Two - Understanding of local systems
Reasons for change –
Transparency in the way services are inspected/assessed rated
Emphasis on visibility of learning and improvement
Inspection bottlenecks
Information and communication bottlenecks.
Reasons for change –
Transparency in the way services are inspected/assessed rated
Emphasis on visibility of learning and improvement
Inspection bottlenecks
Information and communication bottlenecks.
Evidence categoriesHuge emphasis on feedback
Emphasis on learning, improvement, development
Emphasis on best practice and striving for continual improvement across services
Evidence of cohesive working and integrated care to achieve good outcomes
Evidence of understanding local community and for people accessing services
To get outstanding on this model you could get a 4 in three categories and a 3 in the other three categories – this would give you 87.5%