2. âRaising
 the
 bar
 on
 regulatory
 standardsâ
Â
Â
â˘âŻ Regulator under increasing pressure from cases of cruelty and neglect in adult
social care and scandals such as Mid Staffordshire NHS Foundation Trust
â˘âŻ High profile cases fuel public outrage at regulatory failure and increase the
political stakes
â˘âŻ The regulator has come under increasing pressure to improve its performance
including a tougher approach to inspections
3. How to pass your first
inspection and all the others
that come afterwards.
âSurviving
 your
 ďŹrst
Â
CQC
 Inspec/onâ
Â
Â
Â
www.123rf.com/photo_7260616
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4. Registra/ons
Â
Versus
Â
Inspec/on
Â
â˘âŻ Registrations means you self-certify by making a declaration that
you are compliant
â˘âŻ Inspection means you have to stand up under scrutiny of the CQC
â˘âŻ Identify areas of non compliance using Provider Compliance
Assessment (PCA) Self Assessment Tool
www.123rf.com/photo_12687606
Â
5. www.123rf.com/photo_14099047
Â
The
 Burden
 of
 Proof
Â
 â˘âŻ It is for a service provider to
demonstrate that it is in compliance
â˘âŻ CQC does not have to âproveâ
compliance - practice may be complaint
but any absence of required
documentation is compliance failure
â˘âŻ Itâs not quite âguilty until proven
innocentâ but it is for service providers
to show that they are âinnocentâ of
compliance failure
6. Data
 Triangula/on
Â
 â˘âŻ Inspection appears to be about demonstrating
compliance by providing an audit trail of the
documentation that is required by the CQC
â˘âŻ WRONG!! It is a false assumption to believe that
presenting a flawless set of records, reports and a
PCA, will ensure an inspection pass.
â˘âŻ The inspection process requires CQC inspectors and
assessors to cross-reference or âtriangulateâ the datewww.123rf.com/photo_12910146
Â
7. www.123rf.com/photo_9594641
Â
Methods for gathering information include:
Source
 of
Â
Triangulated
Â
Informa/on
Â
â˘âŻ Talking to people who use the service
â˘âŻ Surveys
â˘âŻ Making direct observations of care
8. The
 QCS
Â
Framework
 for
Â
Achieving
Â
Compliance
Â
Â
â˘âŻ The QCS Compliance Management System
is a comprehensive library of compliance
policies and procedures
â˘âŻ System documentation enables all health
and social care providers to adhere to
processes that have compliance interwoven
â˘âŻ A âCompliance Blueprintâ enabling every
activity to be managed so that service
providers achieve the required CQC
regulatory standard
www.123rf.com/photo_19912300
Â
9. Blueprint
 for
Â
Compliance
Â
â˘âŻ Emphasis on service users is
embedded throughout the entire
QCS policy set.
â˘âŻ Direct employees towards the
goal of achieving compliance
â˘âŻ The HR Policy set is consistent
with the care culture embedded
within the QCS care policy set
10. Leading
 by
 Example
Â
â˘âŻ Care workers take their cue for interacting with
service users from the management culture
which is forested by this approach to HR
â˘âŻ When assessed and triangulated data methods a
consistent view of compliance is obtained
â˘âŻ This is also true in areas like maintenance,
catering and housekeeping policies
11. Providing
 Proof
 -Ââ
Â
Â
Integrated
 Records
 and
 Repor/ng
Â
 â˘âŻ QCS integrates the process of collecting all the
required information with a âpack approachâ which
provides templates to record data
â˘âŻ Enables all necessary recording, minimising the
risk of a critical process going undocumented
â˘âŻ Users are easily guided through such processes
as recruitment, care planning and employee
performance management
12. Providing
 Proof
 -Ââ
 Ac/on
 Planning
Â
 â˘âŻ Action planning and management control enables
compliance shortfalls
â˘âŻ Action plan attached whenever a PDCA
â˘âŻ (Plan, Do, Check, Act) cycle approach is required
â˘âŻ The effective use of policies can be audited and
the QCS approach is further supported by the
Quality Assurance Policy www.123rf.com/photo_11066582
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13. www.123rf.com/photo_19411833
Â
Providing
 Proof
 -Ââ
Â
Â
Management
 Control
Â
 â˘âŻ The Management Meeting Policy promotes PDCA and embeds the process
of ensuring that Action Plans are monitored
â˘âŻ Recommends a weekly Management Meeting to review all Action Plans,
audits, complaints, external quality reports and statutory inspection reports
â˘âŻ A simple Management Meeting Policy template produces an integrated Action
Plan which drives the whole organisation along the PDCA pathway
Â
14. www.123rf.com/photo_18919820
Â
Summary
 -Ââ
Â
Surviving
 First
Â
Inspec/on
Â
Â
â˘âŻ QCS compliance management enables
health and social care service providers
survive first and subsequent inspections
by providing:
â˘âŻ Policies and procedures to ensure
processes are compliant
â˘âŻ Recording and reporting systems to
document practice
â˘âŻ Consistency when scrutinised using
data triangulation methods
15. â˘âŻ QCS compliance management also provides
compelling benefits such as:
â˘âŻ Raising compliance standards and
improving care quality standards
â˘âŻ Confidence for care workers in critical areas
like infection control, care planning and
medication
â˘âŻ Structured approach reduces risks to
service users and service providers
Summary
 -Ââ
 Driving
 BeNer
 Care
Â
Â
16. Find out more on our website
and register for a free trial at:
www.ukqcs.co.uk
Â
Â
Â
T:
 020
 7138
 3078
Â
For
 more
 informa?on
 download
 our
 free
 white
 paper:
Â
hCp://www.ukqcs.co.uk/useful-Ââguides/cqc-ÂâďŹrst-Ââinspec?on-Ââa-Ââsurvival-Ââguide/
Â