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Devon team CQC inspectors. Who are we?. We make sure people get better care . Who are we improving care for ?. People who use services, carers and families. People in more vulnerable circumstances. Public and taxpayers. Our priorities . Focus on quality, and acting swiftly

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Devon team CQC inspectors

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Presentation Transcript

Devon team

CQC inspectors

who are we
Who are we?

We make sure people get better care

Who are we improving care for ?

People who use services,

carers and families

People in more vulnerable


Public and taxpayers

Our priorities

Focus on quality, and acting swiftly

to help eliminate poor quality care

Making sure care is centred on people’s need and reflects

their rights

What we will do to achieve our priorities

Registration and ongoing monitoring

Special reviews and studies

Regular reviews of performance

Mental Health Act visits

Publishing information




Why regulate?

  • People can expect services to meet essential standards of quality, protect their safety and respect their dignity and rights, wherever care is provided, wherever they live
  • People have a right to choice and to know that providers are held accountable
scale of cqc regulated care
Scale of CQC regulated care

Independent healthcare

2,500 locations

Independent ambulances

350 locations

Primary medical services

9,000 locations

Primary dental care

10,000 locations

NHS Trusts

2800 locations

Adult social care

24,000 locations

Dental appointments

36.4 million

Combined outpatients and inpatients

77.4 million

People using adult social care services

1.75 million

the standards
The standards

Care Quality Commission (Registration) Regulations 2009

Health and Social Care Act 2008 (Regulated Activities) Regulations 2009



Dept of Health

Single system of registration

Single set of standards

Strengthened and extended enforcement powers

registration timeline
Registration timeline

NHS trusts



Adult social care and independent healthcare providers (CSA)





Primary dental care (dental practices)

and independent ambulance services

Primary medical services

(providing out of hours services)



Primary medical services

(GP practices, walk-in centres and others)



how we gather evidence to monitor compliance
How we gather evidence to monitor compliance
  • Looking at outcomes, a person’s experience of the care they receive
  • Involving people who use services in our reviews of compliance
  • Using a wide range of sources of evidence
  • Focusing on how care is delivered
  • Being targeted and responsive – taking swift action to follow up concerns
cqc in a changing environment continued
CQC in a changing environment– continued
  • We have had a critical external environment – but we are acknowledging mistakes and adapting to changing circumstances
  • CQC was set up as a risk-based regulator – but the public and providers want regular inspection across the board
  • We have committed to review and evaluate our model and are seeking additional funds from government
refining our regulatory model
Refining our regulatory model
  • Since April 2010 CQC have registered NHS services and providers of independent health and adult social care, against our new essential standards
  • During this time, we have listened to challenges to our regulatory model
  • In response, we are seeking to strengthen and simplify our regulatory model to improve how we inspect and take action
  • Our approach will continue to be outcome-focused, responsive and risk-based but in addition to this we want to:
    • inspect most providers more often
    • target our inspections to focus on the relevant standards
    • take swift regulatory action to tackle non-compliance
  • Consultation on our proposals will begin on September 19th 2011
refining our regulatory model10
Refining our regulatory model

Simplifying the bar – compliant or non-complaint

  • CQC will no longer issue minor, moderate or major concerns – providers will be either compliant or non-compliant

Scheduled inspections

  • CQC intend to inspect all adult social care services, independent health care services, NHS acute hospitals and ambulance trusts at least once a year – this is our scheduled inspection programme
  • Scheduled inspections will focus on key standards; the choice of standards will depend on:
      • The type of care provided
      • The amount of information we hold on the provider
information for those who choose services
Information for those who choose services

From autumn, the CQC website will provide improved, accessible, useful, up-to-date information for the public, including:

  • a summary of CQC’s judgement of compliance with essential standards and a provider’s compliance history
  • an update on improvements against compliance conditions or CQC’s recommendations
  • an alert when CQC intend to carry-out a planned or responsive review of the service
  • information from people who have used the service
how it will look
How it will look
  • Homepage
  • Consumer focused
  • Clear about what we do/can offer the public
  • Focused on ability to look up location level reports/see major action we’re taking
  • Information for providers and corporate information clearly signposted


how it will look13
How it will look

Work in progress sketch

  • Search results
  • Designed to help people start to evaluate and compare different options


how it will look14
How it will look
  • Syndication
  • Linking to places where we know people research health and social care decisions and to providers themselves

Work in progress sketch

no discussions have taken place with Google yet

Work in progress sketch


hot off the press
Hot off the press
  • Health Select Committee findings- published 14 September 2011
  • Bias to registration activity
  • Inspector vacancies
  • Budgetary constraints
  • Caseloads
  • Numbers of inspections
Quality Risk Profile
  • Reporting to other professional regulators
  • Whistleblowing
  • Registration
  • Information
  • Excellence Award
  • Acting together- experts by experience