In 2022, CQC announced major framework changes to the foundation used to regulate health and social care providers. It is implied that this new structure utilises a wider public sector to gain data, additionally targeting staff wellbeing, sustainability, and equality within the workplace.
The scheme had been announced in March 2022 with various elements being rolled out throughout the year. These pilot schemes have been trialed within some GP practices, independent providers, care homes, and a small group of newly registered services. The CQC aims to report on these findings within the new year before beginning a full rollout in 2023.
Changes we can expect
A significant change to note is the introduction of a single assessment framework with the aim to focus on care integration, people’s experiences, cultures of safety, and learning.
CQC has produced a pyramid image to illustrate this change.
The pyramid explained:
5 Key Questions: Asking whether a care service is safe, effective, caring, responsible, and well-led. This not being a new measure from the CQC.
Quality Statements: These are examples of performance and actions that demonstrate the 5 Key Questions.
Evidence, Specific Evidence & Quality Indicators: The gathering of evidence, with the last stage being more specific events.
The organisation is keen to move away from its Key Lines of Enquiry (KLOE) and steer to quality statements that providers can now be measured against. CQC wants to produce one overall expectation that applies across the board.
A change to inspections
Onsite inspections will remain, however, CQC will now move to a continuous method by collecting evidence on an ongoing basis.
These include:
- Outcomes of care
- Feedback from staff and leaders
- Processes
- Feedback from partners
- Observations of care
- People’s experiences
To respond better to risk, the commission will now update a service’s rating at any time without onsite inspections taking place. This new approach will provide a more accurate indicator of the quality of care, with shorter reports to allow outcomes easier to acknowledge.
If you’d like to read more on CQC’s new regulatory model, you can find their direct guide here https://cqc.citizenlab.co/en-GB/projects/cqc-s-future-regulatory-model-where-we-are-and-next-steps/1
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