The Care Quality Commission (CQC) sets rigorous standards for health and social care services in England, ensuring that they deliver safe, effective, and compassionate care. From care homes and dental clinics to hospitals, meeting Care Quality Commission standards is a legal requirement. These standards cover critical areas like patient safety, staff qualifications, and medication management.
While inspections are comprehensive, you can make CQC compliance part of everyday operations with the right tools and strategies. This guide breaks down what CQC standards mean, how they’re evaluated, and offers practical tips for staying prepared for inspections.
What are CQC standards?
The Care Quality Commission is the organization that regulates health and social care services in England. (Different organizations cover other areas of the United Kingdom.) They’re in charge of care homes, hospitals, dental clinics, in-home services, clinics, and general practitioner services, as well as mental health and other community-based services. Basically, all healthcare providers who provide services are covered by the Health and Social Care Act 2008.
These healthcare providers must register with the CQC, which ensures that they maintain quality and safety standards. To do this, the CQC regularly inspects its facilities. These inspections are painstaking and in-depth – they examine various aspects of care to confirm that services meet the required standards.
The rating system of the CQC
The Care Quality Commission usually does comprehensive inspections at least once per year (every two years for dentists), responsive inspections as needed to address specific concerns, and themed inspections to address certain issues across large groups. For instance, they might do checks to learn about the care of people with learning disabilities in England.
Then they publish their findings. CQC care home reports grade facilities on a rating system to help users find good care. These grades range from Inadequate to Outstanding.
Inadequate – Significant harm has occurred or is likely to occur. Providers have fallen far short of quality standards, and nothing has been done about it. There are no plans in place to improve matters.
Requires Improvement – There are elements of good practice, but standards are inconsistent, putting service users at risk.
Good – Providers consistently provide services that meet or exceed regulatory standards. There are robust procedures in place to handle matters when things go wrong.
Outstanding – This rating is awarded for innovative and creative service above and beyond the standards.
If the CQC finds that a facility isn’t up to standard, it can suspend or cancel its registration. They can also assign monetary penalties. In terrible cases, criminal prosecution might be appropriate.
CQC inspections are seldom announced beforehand. A CQC inspection checklist care home will help you maintain robust standards regularly. You won’t have time to make things look good for the inspector. And CQC care home reports can change dramatically from year to year, so it’s essential to have a method for ensuring that your services measure up.
What do CQC standards measure?
A CQC inspection measures how well your facility maintains the fundamental standards. These are:
Person-centered care – Care and treatment must be tailored to each specific user and meet their needs and preferences.
Dignity and respect – Everyone must be treated with dignity and respect. They must have privacy when they need and want it. Providers must support them in their desire to be independent and involved in the local community.
Consent – No care or treatment can be given without permission.
Safety – Users must be kept safe from harm, and the staff must have the qualifications, competence, skills, and experience to ensure this.
Safeguarding from abuse – Abuse includes neglect, degrading treatment, unnecessary or disproportionate restraint, and inappropriate limits on the user’s freedom.
Food and drink – Enough food and drink must be provided to keep users healthy while receiving care and treatment.
Premises and equipment – Equipment used for treatment must be clean, suitable, secure, and in good condition.
Complaints – Users must be able to complain about their care or treatment. Providers must have a system to investigate complaints and take action if there is a problem.
Good governance – Providers must have systems in place to ensure that they meet these standards. A CQC inspection checklist can be your first line of defense here.
Staff – There must be enough trained and qualified staff available to meet these requirements.
Fit and proper staff – Providers must follow appropriate recruitment procedures, ensuring intensive background, work history, and criminal record checks.
Duty of candor – Providers must be open and transparent with users about their care and treatment. If something goes wrong, providers must explain what happened, provide support and apologize.
Display of ratings – The CQC care home reports must be displayed at the facility and on the provider’s website. The complete information must be made available to healthcare users and prospective users.
As you can see, CQC inspections are rigorous and detailed. To prepare for the inspection, they’ll gather all the data they can beforehand. It would be best if you were prepared too. A CQC inspection checklist will help you ensure that all your facilities and staff are ready for inspection.
The key to successful CQC inspections: Your employees
Your facility must be able to provide proper care and treatment for people with learning disabilities, illnesses such as dementia, mental health issues, or brain injuries. For instance, your staff should be familiar with the Mental Capacity Act (MCA) and what it means when working with adults who might not be able to make their own decisions. Staff should know the Deprivation of Liberty Safeguards (DoLS) to maintain healthcare users’ dignity and safety under challenging circumstances. With a CQC inspection checklist, you can ensure that your staff’s knowledge of the regulations is up-to-date.
As part of the inspection, CQC personnel will talk to people who use your services, their families, carers, staff, and other professionals. As part of these conversations, they’ll ask these five key questions about your facility:
- Are they safe? Healthcare users must be protected from all avoidable harm.
- Are they effective? The care and treatment must be evidence-based, create good outcomes and help users maintain their quality of life.
- Are they caring? Healthcare users should be treated with kindness, dignity, and respect.
- Are they responsive to people’s needs? The facility should have systems in place to meet user’s needs.
- Are they well-led? The people in charge of the facility should make sure their staff provides high-quality care based on each user’s needs, encourage learning and innovation, and promote an open and fair culture. A CQC inspection checklist is an excellent tool of good leadership, helping you support your staff in providing the best care possible.
Best practices for complying with CQC standards
Here are some best practices that you can add to your everyday operations to achieve and maintain CQC compliance:
1. Use a CQC compliance checklist
An organized CQC compliance checklist is one of the most effective tools for staying on top of regulatory requirements. You can download and customize any of our six pre-made CQC checklists here, covering mock inspections to risk assessments. To make the most of the checklists, tailor it to your organization’s specific needs. Checklists act as guides that ensure you don’t overlook critical details, and in digital form, you can keep them updated in real-time too for your team.
2. Conduct regular staff training
Your staff plays a crucial role in maintaining compliance, so investing in regular training is non-negotiable. With proper training, every team member can understand the CQC standards and their responsibilities in upholding them. Focus on delivering hands-on training sessions that address the practical challenges your teams might face, with topics like responding to patient concerns and managing medical emergencies.
3. Schedule internal audits
Internal audits are your best line of defense against non-compliance. By conducting regular reviews of your processes and facilities, you can spot and address potential issues long before an official CQC inspection happens. Use a structured approach for your audits, focusing on specific areas of risk like medication management, cleanliness, or emergency preparedness. Internal audits shouldn’t be a one-time activity–consider scheduling them quarterly or even monthly.
Improve your CQC inspection with an app
New technologies are improving outcomes for both the care facility and its clients. Audits also no longer have to be conducted with pen and paper. A digital audit app, like Lumiform’s, helps auditors stay mobile and better organized. Using digital checklists helps care facilities better prepare for a CQC inspection. They can use them to recreate on-site inspection situations easily, identify gaps in care, and improve the quality of care.
Take advantage of the following mobile app benefits in your daily care facility work:
- Use ready-made templates from the Lumiform library. Update them in real-time using the form builder.
- Conduct a comprehensive CQC inspection on your mobile device in the field and immediately share incidents with your team.
- Capture photo evidence of non-compliance and comment on it.
- Receive real-time notifications for scheduled inspections and/or send assigned actions.
- Automatically generate CQC reports and share them immediately with members of your organization.