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Single Assessment Framework version

All services - change

GO Online: Inspection toolkit

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Learning, improvement and innovation

Your service will need to be able to demonstrate how you drive forward improvements to strengthen the quality of care.

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 Learning, improvement, and innovation

Duration 02 min 00 sec

The quality of care you provide should continue to evolve to reflect learning, new and more effective ways of working … and where possible, the latest innovations.

To achieve this area of Well-led inspection focus, you will need to have an effective approach when it comes to quality assurance and quality improvement informed by the latest evidence and best practice.

This requires investment, so owners of care services need to be prepared to fund the systems and processes needed. The use of technology to achieve this is increasingly encouraged and celebrated in CQC inspection reports.

Quality assurance processes should be effectively embedded in the service. From spot-checks to internal audits or mock inspections, there are multiple ways to check quality and identify areas for improvement.

Regardless of whether your service has previously met inspection requirements or not, the CQC will be looking for every service to be committed to continual improvement. This might mean implementing minor improvements for some services or major changes for others.

Always be prepared to be able to evidence to the CQC what areas for improvement you identified, how you implemented the improvement and what difference has this made to the care that is provided?

Learning from accidents, incidents and events is looked at in the Safe area of inspection … but the CQC may choose to revisit it here to.

CQC inspection interviews may involve managers, staff, the people you support … as well as external contacts such as commissioners, the local Healthwatch, and others.

Documented evidence the CQC may be interested in seeing includes:

  • quality assurance systems and audits and any associated action plans
  • quality based accreditation schemes
  • and any national or other awards gained.

GO Online combines advice, examples and resources to help you.

Watch the film here: https://vimeo.com/790356919

Recommendations

These recommendations act as a checklist to what the CQC will be looking for. Skills for Care has reviewed hundreds of inspection reports and identified these recommendations as recurring good practice in providers that meet CQC expectations.

The CQC is non-prescriptive, which means they don’t tell you what must be done in order to meet their Quality Statement. These recommendations are not intended to be a definitive list and some recommendations might not be relevant to your service. We hope they help you reflect on what evidence you might wish to share with the CQC.

Learning, improvement and innovation

  • We can evidence how we identify and implement improvements to the quality of care we deliver.
  • We involve the people we support and/or family/friends in our quality assurance processes.
  • We follow a regular cycle of planning, action, and review to enable us to meet the needs/positive outcomes for the people we support.
  • Our quality assurance processes and findings are open and transparent.
  • We use an effective quality assurance system that enables us to monitor the standards of the service and inform organisational learning and improvement.
  • Our monitoring and quality improvement systems are easy to manage and quick to demonstrate to others.
  • We safely and securely record and use accurate demographic data which we use to identify areas for improvement.
  • Where appropriate, we’ll use a short observational framework for inspection (SOFI) to observe care to help us understand the experiences of people who are unable to talk with us.
  • We involve specialists and advisors in the monitoring and continual improvement of the service (e.g., quality assurance teams, Healthwatch, experts-by-experience).
  • We regularly undertake unannounced inspections, internal audits, and spot checks to build the confidence of staff and their ability to evidence quality care.
  • We ensure the results of our audits, inspections, assessments, and other reviews are clearly documented and actioned. This information feeds directly into our continuous improvement plan.
  • When implementing changes to our care and support, we will identify and effectively manage risks.
  • We embrace technology and use this in our quality assurance processes. We are able to look at a real-time view of care delivery as it’s happening, including dashboard overviews, incisive reporting functionality and performance triggers.
  • We embrace digital transformation of the social care sector and lead by example by investing in the systems and staff support needed.
  • We ensure our business plan clearly documents work associated with continual improvement of the service.
  • We ensure our staff are fully engaged and supportive of the approach to continual improvement.
  • We are committed to identifying and testing new approaches to care, support, and treatment.
  • We work closely with other services and leading experts to learn more about innovative new approaches that might be relevant to the people we support.
  • We can evidence how our innovative ways of working have benefitted people’s quality of life.

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