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Single Assessment Framework version

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GO Online: Inspection toolkit

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Independence, choice and control

People have a right to their independence and choice and control over the care that they receive. The CQC wants to see evidence regarding how you support them on these matters and that you don’t restrict peoples’ personal preferences.

The following film provides a summary of this area of inspection. It can help you and your teams learn about what will be inspected and what is important to demonstrate to deliver good or outstanding care.

Introducing Independence, choice and control

Duration 02 min 08 sec

Supporting people to have choice and control over their own lives is central to this area of CQC inspection. Your service will need to be able to demonstrate how you enable this to happen, as well as how you support people’s independence.

There should be documented evidence of how you have supported people to make decisions about their living arrangements, their home environment, and the care and treatment they receive. However, much of the focus is likely to be around their independence and social connections.

For many people, the ability to maintain close links with their community will be important to them, so the CQC will want to look at how your service enables that to happen. This will be less about providing one-off activities, and more about the regular ways in which you enable people to retain their independence and meets their social needs.

The CQC may look at how you are using technology and adaptive equipment to support their independence and help people stay connected with those important to them.

During the inspection, the CQC may want to interview people about their experiences and how the service supports them to manage their choice, control, and independence. Managers and staff should be ready to share examples of what has been achieved.

Staff training records, policies and procedures and evidence of various activities and social engagements in the community may be looked at as evidence.

For residential services, the inspection will also look at how you support visiting rights and enable people to keep in close, regular contact with those important to them.

To help you to meet these areas of CQC inspection, GO Online includes related resources, practical examples and recommendations.

Watch the film here: https://vimeo.com/787631275

CQC focus

Inspection

What will the CQC expect you to be able to evidence?

We promote people’s independence, so they know their rights and have choice and control over their own care, treatment. and wellbeing.

What sub-topics might the CQC look at when inspecting this?

  • Access to friends and family (visiting rights)
  • Supporting relationships and networks
  • Access to community/activities
  • Specialist/adaptive equipment
  • Choice and decisions
  • Sexual safety and empowerment
  • Supporting independence
  • Activities and wellbeing

How does this part of the inspection relate to CQC Regulations and guidance?

How will the CQC gather evidence?

The CQC will primarily gather evidence by:

  • People's Experience
  • Feedback from staff and leaders
  • Processes
  • Observation (Care homes and supported living)

Read more about this Quality Statement

  • The CQC have published further insight into what this Quality Statement means, including the I Statements and which legislation it relates to on their website here.