Preparing your team for
the CQC inspection
“Our time to shine”
Inspection preparation
 CEO announcement w/c 1 December 2014 – 9 March 2015
 Preparing staff
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Toolkit for Team leaders ‘Step up’ approach
De mystify ‘inspectors’
Staff guide – practical questions /logistics Jan 2015
Regular comms. briefings – 10 week countdown
How we will be inspected - CQC Core Services
CQC’s 5 Key Questions –
Key Lines of Enquiry
Are your services safe?
Are your services effective?
Are your services responsive?
• Are people protected from abuse and
avoidable harm?
• Does people’s care, treatment and
support achieve good outcomes,
promote a good quality of life and
based on the best evidence
• Services are organised so they meet
people’s needs
Are your services caring?
Are your services well-led?
• Are staff treating patients with
compassion, kindness dignity and
respect
• The leadership, management and
governance of the organisation
makes sure the delivery of high
quality person-centred care, supports
learning and innovation and promote
an open and fair culture.
The ‘Step up’ approach to preparation
STEP #4
Quality visit
STEP #3
Peer review of
selected Compliance
Frameworks
STEP #1
Our time to shine
ALL teams complete
STEP #2
Agreed by
Checklists
Line Manager
ALL teams complete
Agreed by
Governance Lead
• STEP #1 OUR TIME TO SHINE
All teams have a discussion - focus on how you
have improved your patient’s experience and the
quality of care
 What are we most proud of ?
 What do your patients say
about your service?
• STEP #2 CHECKLISTS
All teams focus on the five key lines of enquiry:
 SAFE
 EFFECTIVE
 RESPONSIVE
 CARING
 WELL-LED
 If risks are not being adequately managed = STEP #3 OR
STEP #4
Identify strengths and weaknesses.
Become familiar with what the CQC inspectors will look to validate when/if they
visit your service.
• STEP #3 PEER REVIEW – Selected teams
 Agreed by senior managers
 Choose which of the 16 Compliance Frameworks to complete
 Action plan all areas for improvement
• STEP #4 QUALITY VISIT – Selected teams
 Agreed by Governance Lead/Senior managers
 Quality visit requested with rationale
 Support/queries
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Richard Apps, Head of Assurance
Helen Wallace, Standards and Compliance Manager
Tracey O’Donovan, Quality Support Officer 0116 295 7667
[email protected]
Your Divisional Governance Leads