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Single Assessment Framework - What We Know So Far
The CQC is introducing a new Single Assessment Framework to make the inspection process more responsive. It will have four main aims: more agile working, giving people a voice, tackling inequalities, and continual assessment. The framework will assess quality across different evidence categories like experiences, outcomes, and processes. Inspectors will use key questions linked to quality statements to evaluate providers. The CQC will roll out the new framework to all providers in 2024.
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Single Assessment Framework - What We Know So Far
- 1. CQC Single AssessmentFramework Overview What we know so far! Wednesday 17th April 2024
- 2. mm@carelinelive.com www.carelinelive.com Merina Martin Home Care Champion IntroducingOur Speaker www.linkedin.com/in/merinamartin
- 3. CQC Historic Issues Ratings Inflexibilityof 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inspectors Relationships with CQC - - - - Communication Processes are long and laborious Duplication of information - - Outdated IT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 Moreagile 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 Londonand 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 PortalFuture 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 – KeyQuestions 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 AAAAgency 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 StatementExample: 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 Monthlyreport 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 “Wehave 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
- #2 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
- #4 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
- #5 One – Two - Understanding of local systems
- #6 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.
- #7 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.
- #8 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
- #9 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%
- #10 Specific criteria within the key question of SAFE