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CQC Single Assessment Framework Overview
What we know so far!
Wednesday 17th April 2024
mm@carelinelive.com
www.carelinelive.com
Merina
Martin
Home Care Champion
Introducing Our Speaker
www.linkedin.com/in/merinamartin
CQC Historic Issues
Ratings
Inflexibility of ratings
Services stuck with ratings
Discrepancies in rating decisions
-
-
-
Inflexibility one size fits all approach
Lack of objectivity and thinking outside the
box
-
-
Inflexibility
Generic support
Lack of specialist teams
-
-
Support
Control
Minimum opportunity to showcase
improvement
- Inspection pressures
Re-inspection timeframes
-
-
Inspection
Delays in response times
No key point of contact
Unavailability of inspectors
Relationships with CQC
-
-
-
-
Communication
Processes are long and laborious
Duplication of information
-
-
Outdated IT
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
-
-
-
-
TWO
Giving people using services a voice
Assessing local systems
Tackling inequalities in health and care
-
-
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
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
What’s Changing?
Provider Portal Future Inspections
Understanding Services
No Change
Provider information return
Regulations
Fundamental Standards
-
-
-
CQC
Highlighting areas of improvement,
evolving process of assessment
Transparency
Improved understanding of
compliance
Building working relationships
-
-
-
-
Registration – supporting documents
– start with a rating of ‘Good’
Registration amendments
Statutory notifications
Submitting evidence of analysis
Monthly download report
Factual accuracy check
Communication
-
-
-
-
-
-
-
Current inspections – view to change
rating. Rating of Inadequate and
Requires Improvement focus on QS
in those categories
-
When there’s a clear need to do so
-
Responding to risk, safeguarding
-
- When limited information is available
- When there is a need to
speak/assess/inspect face to face
KLOEs – Key Questions
Underpinned by the Quality Statements
Each key question has a specific evidencing criteria
-
-
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
-
-
-
-
‘We’ and ‘I’ Statements
‘We’ - Provider commitments
‘I’ - People using service, their
expectations
-
-
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
-
-
-
-
-
-
-
-
-
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%
-
-
-
-
Score Calculations
Each category can have a total of 4 points
The total maximum score available is 24 points
-
-
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
-
-
-
-
Quality Statements
-
-
-
-
-
-
-
MOA Benchmarking
CQC similarities
Monthly report from CQC
www.moabenchmarking.co.uk
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
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
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)

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Single Assessment Framework - What We Know So Far

  • 1. CQC Single Assessment Framework Overview What we know so far! Wednesday 17th April 2024
  • 3. CQC Historic Issues Ratings Inflexibility of ratings Services stuck with ratings Discrepancies in rating decisions - - - Inflexibility one size fits all approach Lack of objectivity and thinking outside the box - - Inflexibility Generic support Lack of specialist teams - - Support Control Minimum opportunity to showcase improvement - Inspection pressures Re-inspection timeframes - - Inspection Delays in response times No key point of contact Unavailability of inspectors Relationships with CQC - - - - Communication Processes are long and laborious Duplication of information - - 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 - - - - TWO Giving people using services a voice Assessing local systems Tackling inequalities in health and care - - 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 - - - CQC Highlighting areas of improvement, evolving process of assessment Transparency Improved understanding of compliance Building working relationships - - - - Registration – supporting documents – start with a rating of ‘Good’ Registration amendments Statutory notifications Submitting evidence of analysis Monthly download report Factual accuracy check Communication - - - - - - - Current inspections – view to change rating. Rating of Inadequate and Requires Improvement focus on QS in those categories - When there’s a clear need to do so - Responding to risk, safeguarding - - 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 - - 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 - - - - ‘We’ and ‘I’ Statements ‘We’ - Provider commitments ‘I’ - People using service, their expectations - - 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 - - - - - - - - -
  • 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% - - - - Score Calculations Each category can have a total of 4 points The total maximum score available is 24 points - -
  • 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 - - - - Quality Statements - - - - - - -
  • 10. MOA Benchmarking CQC similarities Monthly report from CQC www.moabenchmarking.co.uk
  • 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

  1. MARIE Welcome and intros CareLineLive 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
  2. 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
  3. One – Two - Understanding of local systems
  4. 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.
  5. 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.
  6. Evidence categories Huge 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
  7. 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%
  8. Specific criteria within the key question of SAFE