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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

Resources

The practical resources below can help you to strengthen this area of CQC inspection. Use the filter to choose different types of resources or select based on related prompt.

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4 resource(s) found

Visiting and accompanying in care homes, hospitals and hospices guidance

Resource creator: Care Quality Commission (CQC)

The CQC has published guidance help providers understand and meet the new fundamental standard on visiting and accompanying in care homes, hospitals, and hospices. The guidance also sets out what people using health and social care services and their families, friends or advocates can expect.

  • Guide

Date published: April 2024


Co-Creating a Culture of Engagement and Wellbeing

Resource creator: NAPA and My Home Life England

This toolkit is focused on enabling activity providers and care home leaders to work well together in order to enhance wellbeing and community connectedness for their care setting.

The toolkit is free to access and focuses on positive practice, building on what already works well and finding new ways to work towards shared goals. It has been co-created and developed with those working in care settings and features a range of resources including case studies, practical tools and reflection points.

  • Guide

Date published: August 2022


Promoting independence through intermediate care: a quick guide

Resource creator: National Institute of Health and Care Excellence (NICE)

This is a short and visually appealing guide for staff delivering intermediate care services, containing key information from the relevant NICE guidance.

  • Guide

Date published: October 2018


Promoting independence in care homes

Resource creator: Social Care Institute of Excellence (scie)

This film promotes how independence, choice and control can be offered within a residential environment.  During the decision-making process, consideration is given to the risk of harm to person needing care and support, balanced against her right to freedom of action.

  • Film

Date published: January 2015



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