Care Quality Commission
Care Quality Commission (CQC), who are the regulators of health and care services in England, are making are making radical changes to the way they inspect and monitor services between now and 2016.
Sitra will endeavour to keep you updated with these changes focusing specifically on the regulation of care and support services. Sitra are working with CQC as part of their Trade Association which will allow us to share the views of our members whilst enabling us to provide you with the latest updates and information on the regulation changes.
|Are you displaying your CQC rating? From 1st April 2015 all services are required to display their latest CQC inspection rating both prominently in their premises and on their website. Find out more and get guidance on what, how and where to display your rating here|
Andrea's column: Inspections...
Care Home Open Day – Friday 19 June
Market Oversight video
Peter Holton appointed as new Head of Market OversightFollowing Stuart Dean’s appointment as Director of Corporate Providers and Market Oversight last month, Peter Holton has been appointed as one of two new Heads of Market Oversight. Peter brings a wealth of experience with him, previously having worked for Lloyds Bank. As Head of Market Oversight, Peter will hold a key relationship with providers who are part of the new scheme, working with them to understand their financial risk, and use the steps within the Market Oversight operating model to respond to risk and issues.
Quicker and more efficient: CQC Provider portal to open to more services this year
Integrated care for older people: Thematic reviewAs part of our programme of thematic work, we are carrying out a review to explore how well care is organised and coordinated for older people (over 75 years old) and how this affects their experience of care. The review ultimately aims to improve older people’s experience of integrated care and support. Read more...
National dementia awareness week
Dying without dignity reportA new report that gives details of people’s poor experiences of end of life care has been published by the Parliamentary and Health Service Ombudsman. Dying without dignity reveals numerous examples where patients and their families had negative experiences in end of life care due to factors such as poor communication, no out-of-hours support and a lack of recognition that the person was dying. Our Chief Inspector of Hospitals, Professor Sir Mike Richards, said: “The PHSO’s report Dying without dignity is timely to understand what can go wrong when people do not receive safe, effective and compassionate care at the end of their life, and in identifying learning from these examples of poor care. Read more...
Procurement contract for our Experts by Experience programme
Sitra are part of the CQC Adult Social Care Trade Association representing our members with the CQC at these monthly meetings. As part of this work we want to hear how the changes to CQC regulation and reporting is affecting you? Please email us with any concerns or questions you may have and we will refer them directly to the top contacts within CQC.
Adult Social Care – Inspections and Ratings
From October 2014 CQC are changed the way they inspect Adult Social Care services. This new methodology will be known as Fresh Start and will include a new system of rating services by assessing how well they perform against the 'Mum Test'.
CQC will rate services by following the ‘Key Lines of Enquiry’ (KLOEs) during inspections and assessing their findings against the ‘Characteristics of Ratings’. There are different KLOEs and Characteristics for different kinds of services; you can read the draft versions on the CQC website and final versions of the documents will be published together with a provider handbook in early October.
The KLOE documents and ratings are all based around the 5 key questions which form the 'Mum Test' focus of the new regulation of all services by CQC
- Are they safe?
- Are they effective?
- Are they caring?
- Are they responsive to people's needs?
- Are they well-led?
Prior to an inspection services will be asked to complete a Provider Information Return (PIR). This form should be an effective way for provides to compile and submit the key information that inspectors need before a visit.
All adult social care services will be awarded ratings of:
- Requires Improvement,
- Or Inadequate
Based on the experience of the first wave of inspections it is anticipated that services will be rated across all four levels with the vast majority of services falling within the middle two of 'Good' and 'Requires Improvement'.
Any service which has a concern over the rating they have been awarded will be able to raise this using the existing factual accuracy process. As ratings are based on evidence this process allows providers to raise their concerns over the evidence in our inspection reports. In addition, providers will be able to ask for a review of their ratings where they feel the published process for awarding a rating has not been followed properly. This can only be requested once the inspection report has been published, any subsequent changes in ratings will be included in re-published, amended reports.
Information about how to use the factual accuracy process is included in the documents supporting the draft inspection reports, while the details of how to request a review of ratings process will be included the letters and emails that accompany final inspection reports.
Provider handbooks set out how CQC community and residential services in adult social care. The handbooks are designed to give providers the full details of the new regulatory model and which have been designed together with people who use services, care providers, commissioners and national partners. The handbooks match the information and guidane used by CQC inspectors and can be downloaded here -
Read the CQC's - STATE OF CARE 2013/14 - The Annual Report into care and support in England
Are you concerned about the new inspections and ratings or the wider regulation of services?
Sitra can help by:-
- Providing bespoke support to help your organisation understand the current changes and the implications for you.
- Run workshops for organisations thinking of moving into care provision or extending their support offer
- Provide training for staff around CQQ standards
- Offer training courses on a wide variety of care and support topics including:- end of life care, diabetes. dementia, mental health - see our training guide for all the courses we offer.