CQC Consultation – Changes are on their way by QCS

30th June 2017

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By Philippa Shirtcliffe, Clinical Policy Lead, Quality Compliance Systems

Over the years, I have found that the trick to managing changes is to be prepared. CQC have released the results of their first consultation on the ‘next phase of regulation’ with the implementation of the proposed changes happening in November 2017.  The consultation took place at the beginning of the year focused on the CQC principles for regulating new models of care; changes to assessment frameworks; strengthening the guidance on registering services for people with a learning disability and/or autism, and changes to the way CQC regulate NHS Trusts.

The main message from the consultation is that there have been changes, but they are to be seen more as an evolution and refining of the model than across- the- board amendments. The CQC are still going to ask whether services are safe, effective, caring responsive and well led and will use the evidence to come to a judgement and rate services as inadequate, requires improvement, good or outstanding. So, what is changing?

  • The number of assessment frameworks have reduced from 11 to 2. With there now being one for health services and one for adult social care services
  • For adult social care services, this means that there will be one assessment framework for both community services and residential services
  • For adult social care services, the revised framework will apply from November 2017
  • For adult social care, there are 5 new KLOES that cover the following themes:
      • Safeguarding
      • Lessons learned from mistakes
      • Needs assessment and the use of best practice
      • Governance within the service
      • Engagement and involvement
  • There are numerous changes to the wording and scope of many of the prompts that underpin the KLOEs and there is an increased focus on systems, leadership, processes, security of records, sharing of information, learning from mistakes and improvements, use of best practice, communication and the Equality Act, use of technology, end of life care, governance, engagement and how services evidence improvement
  • Very few themes have moved within the existing framework, and CQC have kept a consistent approach to which key question the information is placed
  • In the consultation, it was proposed that the KLOE relating to Consent and the Mental Capacity Act be located under the responsive question, however, CQC have decided that it will be remaining under the effective question.
  • The revised KLOES, prompts and characteristics can be viewed here

At the same time as announcing the outcome from the first consultation, CQC launched a second consultation which can be viewed here . So, if the trick to managing change is to be prepared, what should you as a provider do? In a nutshell, you need to start reviewing the changes CQC are making, look at your policies and procedures, your training materials and audit tools and see where amendments are needed and start getting those amendments ready for November. Also, why not come along to the Care Roadshow in Birmingham where you can learn more about the forthcoming changes and how you can prepare your business.

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