- Prioritising inspections to focus on those Providers whom were previously rated non-compliant.
- Providing increased support and coaching by WSCC and other commissioners of services to the care markets to promote the sustaining of enhanced quality of care for residents of the County.
Quarter 3 - December 2017
The consultations proposed a number of changes to the way that care services are registered and inspected by the CQC:
- Key Lines of Enquiry (KLOEs), including the combination of the separate KLOEs currently used for community and residential based services into one new framework. There are 3 additional adult social care Key Lines Of Enquiry (that support the five key questions) with new prompts included in the sub-criteria under each KLOE.
- Changes to frequency of inspections, including increasing the maximum interval between ratings for services rating Good or Outstanding from 24-months to 30-months.
- Changes to response where services are repeatedly rated as Requires Improvement
- Publication of refreshed guidance for ‘fit and proper’ persons requirements in relation to registration to for Providers and improved information sharing.
- Introduction of an online Provider Information Collection which will allow care providers to submit up-to-date information about the quality of the service they provide directly to the CQC.
Adult Social Care Services were not planned to be inspected under the new revised framework until November 2017 and the maximum interval between inspections for services rated Good and Outstanding is due to be increased from 24 months to 30 months from April 2018, therefore; it may be some time before the impact of this is realised but as CQC implement the new inspection framework this will be a change for providers, consequently we anticipate there being a slight decrease in the quality ratings in the last 2 quarters of the year (services rated Good and Outstanding) compared to those during the last 12-months stabilise.
The Care Quality Commission (CQC) is the independent inspector and regulator of health and social care services in England. They make sure health and social care services, such as Care Homes and Care and Support in peoples’ own homes are safe, effective and high-quality. The CQC monitor, inspect and regulate services to make sure that they meet fundamental standards of quality and safety and they publish what they find to help people make informed decisions about their choice of care.
The CQC focus on 5 key questions:
- Are they safe?
- Are they effective?
- Are they caring?
- Are they responsive to people’s needs?
- Are they well-led?
In order to answer these questions CQC Inspectors will gather information and intelligence from a range of sources including: Local Authorities, NHS and the Care Provider, and then carry out an on-site inspection.
Once the inspector has considered all of the evidence related to each question a judgement is made on the compliance rating for each question and an overall rating for the care provider. There are four ratings which the CQC give to health and social care services:
Outstanding - The service is performing exceptionally well.
Good - The service is performing well and meeting our expectations.
Requires improvement - The service isn't performing as well as it should and we have told the service how it must improve.
Inadequate - The service is performing badly and we've taken action against the person or organisation that runs it.