Maintaining CQC Compliance

CQC compliance doesn’t stop after you are registered, you need to consistently meet CQC Fundamental Standards, guidelines for best practice and UK Legislation to deliver safe and effective care for those you are to support.

We can support your compliance needs with Mock Inspection Toolkits, Action Planning and Provider Information Returns. We can support you to prepare for your first ever inspection or help you with any Enforcement Actions you may have been given at your last inspection. We are always at the end of the phone if you have any questions or need advice on compliance.

The Care Quality Commission (CQC) have a duty to monitor and inspect care services and have set out five areas on which they assess care providers and these are:

Is the Service Safe? – asking whether Staff and Service Users are protected from harm and live and work in safe environments.
Is the Service Effective? – asking whether the care, support and treatment achieves good outcomes, based on the Service User’s needs. Are the Service Users encouraged and supported to reach their full potential? Are Staff well trained?
Is the Service Well-Led? ­– asking whether Management are competent, promoting a culture of openness and honesty, striving for the highest quality of care and support, encouraging learning and development amongst Staff, etc.

Is the Service Responsive? – asking whether the service is responsive to Service User’s needs. Is the service organised and adaptive? Do Management encourage and listen to feedback, compliments & complaints and make changes in response?

Is the Service Caring? ­– Do the Staff treat Service Users with kindness and compassion? Are they showing respect and protecting the dignity of those they support?

Providers need to be compliant with all the above at all times. Compliance really starts from the ground up. If a service is not well managed or organised then it will be difficult to stay compliant because compliance needs consistent monitoring. A provider can work towards compliance by having the following:

  • Robust recruitment checks to ensure the Staff you select are appropriate for the role. Ongoing, your Staff need to be well trained and have regular supervisions and competency checks.
  • Risk Assessments and well developed Policies and Procedures to ensure safety in all areas.
  • Quality Assurance practices such as Auditing, Service User & Staff feedback/compliments/complaints to inform and improve your practice.
  • Safe systems for storing/using/disposing of waste, hazardous substances and medications; with evidence to prove it.
  • Good record keeping systems that are secure and consistent. 

Provider Information Return (PIR) forms are also required each year to maintain compliance with CQC. This allows CQC to plan for their inspections of your service as it details how your service runs, including any changes made and how you ensure you meet the 5 Key Lines of Enquiry.