CQC- Inspections and the Transitional Monitoring Approach
During the Covid-19 pandemic CQC suspended routine inspections and put into place an Emergency Support Framework. Following on from this CQC are now developing a Transitional Monitoring Approach rather than return to the previous routine inspection model.
However, CQC has announced inspections are set to resume for newly registered practices, practices rated 'inadequate and require improvement' and practices which have breached regulations. CQC has stated that the first inspections will take place from April 2021.
CQC ran a webinar outlining the new process and this was recorded and can be viewed at https://youtu.be/k9iyGEONa-o. They have also published a pdf document of the slide information from the webinar, which you may wish to take a look at and can be downloaded here.
CQC are adapting and developing their methods by using a transitional approach to monitoring services. This focuses on safety, how effectively a service is led and how easily people can access the service.
- a strengthened approach to monitoring, based on specific existing key lines of enquiry (KLOEs), so we can continually monitor risk in a service
- using technology and our local relationships to have better direct contact with people who are using services, their families and staff in services
- targeting inspection activity where we have concerns
After reviewing information that they have about your service, they will have a conversation with the practice either online or by telephone CQC say this is not an inspection and they do not rate services following a call.
This call will help CQC to decide whether they need to take further regulatory action at this time, for example an inspection.
CQC are expecting to publish and implement this approach in May 2021.
CQC will consider the following information:
- previous inspection reports and ratings
- monitoring information they collect through their usual data sources
- CQC inspector’s knowledge of your service.
- People’s experience of care
They will also consider the views of people who have used the service. These come from responses to their online give feedback on care service, enquiries, and information from other agencies such as Healthwatch or local authorities.
If they do not have up-to-date evidence, they may ask for further information. For example, they may ask if you have a patient or user group they could contact, or use their Experts by Experience programme to contact people or local groups.
How the information will be gathered
The phone calls may take an hour or two, although some will be shorter. CQC will call you using Microsoft Teams whenever possible. . Inspectors will email you an invitation for the agreed date and time, which includes a link for joining the call. If you can’t use Teams, they can telephone you instead.
What the call will cover
The inspector will focus the call around the specific key lines of enquiry for your type of service. These will be published so you can look at them beforehand.
During the call, our inspector will note details of:
- the discussion around the questions raised within the key lines of enquiry
- specific risks identified
- examples of good practice and improvements to the service.
There will not be an audio recording of the calls apart from in exceptional cases. If they think a recording is necessary, they will obtain your consent at the start. CQC do not expect you to record the call.
After the call, the inspector will prepare an overall monitoring summary of their findings.
Requests for evidence
During the call, the inspector may need to ask for evidence about specific issues. They can ask you to ‘share your screen’ during a call or to send an email attachment. They will only do this where it is necessary.
If you need to send evidence as an email attachment, it should be encrypted or protected with a password. CQC will explain how to do this. If you cannot send it during the call, you will be required to forward to the inspector within 24 hours of the call.