The Care Quality Commission (CQC) is an independent regulator of health and social care services in England.
As part of its role, the CQC inspects and regulates independent adult social care providers to ensure that they are meeting certain standards of care.
The CQC uses a set of fundamental standards to guide its inspections of independent adult social care providers.
These standards set out the minimum standards that all care providers must meet in order to be registered with the CQC.
The fundamental standards cover the following areas: safety, effectiveness, caring, responsiveness, and leadership.
During an inspection, CQC inspectors follow a set of key lines of enquiry (KLOE’s) to assess whether a care provider is meeting the fundamental standards.
These key lines of enquiry are designed to help the CQC understand how well a care provider is meeting the fundamental standards and identify any areas for improvement.
Here are the key lines of enquiry that CQC inspectors follow with respect to the fundamental standards:
1. Safety:
How does the care provider ensure that care is safe and does not put people at risk?
How does the care provider prevent accidents and injuries, and safeguard people from abuse and neglect?
How does the care provider ensure that the environment is safe and clean?
How does the care provider ensure that equipment is safe and well-maintained?
How does the care provider identify and report incidents and near misses?
How does the care provider keep accurate and up-to-date records of care and support provided?
2. Effectiveness:
How does the care provider ensure that care is based on best practices and evidence?
How does the care provider ensure that care and support is tailored to meet the individual needs and preferences of the people it supports?
How does the care provider regularly review and assess the care and support provided, and make changes as needed?
How does the care provider ensure that people have access to appropriate treatment and support when needed?
How does the care provider provide training and support to staff to help them deliver high-quality care?
3. Caring:
How does the care provider treat people with dignity and respect?
How does the care provider promote the well-being and autonomy of the people it supports?
How does the care provider respond to the needs and preferences of the people it supports?
How does the care provider encourage people to be involved in the planning and review of their care and support?
How does the care provider provide care that is sensitive to cultural and diversity needs?
4. Responsiveness:
How does the care provider respond to the needs and preferences of the people it supports?
How willing is the care provider to make changes to care and support plans when needed?
How does the care provider encourage people to be involved in the planning and review of their care and support?
How does the care provider respond promptly to requests and complaints from the people it supports?
How does the care provider provide information and advice to people about their care and support options?
5. Leadership:
How clear is the care provider's vision and strategy for care?
How well-led and well-managed is the care provider?
How strong is the leadership and management at all levels of the organization?
How competent, well-trained, and supported are staff to deliver high-quality care?
What is the culture of the care provider, and how does it promote continuous improvement and learning?
How financially viable and sustainable is the care provider?
These key lines of enquiry are designed to help CQC inspectors assess how well a care provider is meeting the fundamental standards of care and identify any areas for improvement.
These key lines of enquiry are designed to help CQC inspectors assess how well a care provider is meeting the fundamental standards of care and identify any areas for improvement.