AUTUMN WEBINARS WELCOME TO THE FUTURE OF CQC INSPECTIONS THE - - PowerPoint PPT Presentation

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AUTUMN WEBINARS WELCOME TO THE FUTURE OF CQC INSPECTIONS THE - - PowerPoint PPT Presentation

AUTUMN WEBINARS WELCOME TO THE FUTURE OF CQC INSPECTIONS THE WEBINAR WILL BEGIN AT 10AM #RidoutsWebinars2020 AUTUMN WEBINARS THE FUTURE OF CQC INSPECTIONS CAROLINE BARKER, LAURA PATON & GEMMA NICHOLAS 29 SEPTEMBER 2020


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WELCOME TO “THE FUTURE OF CQC INSPECTIONS” THE WEBINAR WILL BEGIN AT 10AM

AUTUMN WEBINARS

#RidoutsWebinars2020

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THE FUTURE OF CQC INSPECTIONS

CAROLINE BARKER, LAURA PATON & GEMMA NICHOLAS 29 SEPTEMBER 2020

AUTUMN WEBINARS

#RidoutsWebinars2020

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CQC INSPECTIONS: NOW NEXT AND FUTURE

GEMMA NICHOLAS - SOLICITOR

AUTUMN WEBINARS

#RidoutsWebinars2020

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#RidoutsWebinars2020

  • What are CQC’s immediate priorities?
  • What does the CQC have in store for the next few months?
  • What will inspections look like in the future?

NOW, NEXT & FUTURE

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#RidoutsWebinars2020

NOW

Emergency Support Framework (ESF) Infection Prevention and Control Inspections Provider Collaboration Reviews

NEXT

Transitional Regulatory Approach Intelligence led inspections Inspection triggers

FUTURE

CQC’s Strategy 2021 Strategy themes Use of intelligence

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  • CQC paused routine inspections
  • The ESF is a flexible and supportive process
  • Gathering information in the following areas
  • Safe care and treatment
  • Staffing arrangements
  • Protection and abuse
  • Assurance processes, monitoring and risk management
  • Using enforcement powers where they find non-compliance
  • Intelligence includes user feedback, whistleblowing, serious incidents

and safeguarding concerns

NOW – EMERGENCY SUPPORT FRAMEWORK

#RidoutsWebinars2020

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#RidoutsWebinars2020

  • IPC inspections of 300 care homes
  • Findings:
  • 90% assurance
  • Greatest assurance in relation to safe admission and IPC for

visitors

  • Least assurance in relation to IPC policy and effective use
  • f PPE
  • CQC have taken regulatory action
  • Further 500 IPC inspections in Oct and Nov

NOW – INFECTION PREVENTION AND CONTROL INSPECTIONS

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#RidoutsWebinars2020

  • Series of rapid reviews
  • Phase 1 - Care to over 65 and their journey across the health and social

care system

  • Phase 2 - Urgent and Emergency Care
  • Increased focus on innovation and collaboration

NOW – PROVIDER COLLABORATION REVIEWS

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#RidoutsWebinars2020

  • Begins 6 October 2020
  • CQC are building on the Emergency Support Framework
  • Focusing on areas where quality needs to improve:
  • Safety
  • People’s access to services
  • Leadership

NEXT – TRANSITIONAL REGULATORY APPROACH

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#RidoutsWebinars2020

Information sources:

  • Experts by Experience
  • People who use services – Give Feedback on Care campaign
  • Provider Collaboration Reviews
  • Routine ongoing monitoring

NEXT – INTELLIGENCE LED INSPECTIONS

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#RidoutsWebinars2020

NEXT – INSPECTION TRIGGERS

RISK

Low risk = No further action High risk = Inspection Inspection:

  • existing inspection methodologies
  • any or all of the KLOEs
  • some or all of the five key questions
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#RidoutsWebinars2020

  • Consultation in January 2021
  • Launch in May 2021
  • Strategy themes:
  • Smarter Regulation
  • Meeting people’s needs
  • Systems
  • Safe care
  • Driving improvement

FUTURE – CQC’S STRATEGY 2021

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#RidoutsWebinars2020

  • Digital engagement with NCSC (the CQC’s contact centre)
  • Artificial Intelligence in CQC’s risk and intelligence services
  • Mobile apps for regulatory activities supporting inspection

and enforcement

  • New digital platform for all Provider engagement

FUTURE – INCREASED USE OF TECHNOLOGY

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#RidoutsWebinars2020

SUMMARY

NOW

  • End of the Emergency Support Framework (ESF)

NEXT

  • Launch of the Transitional Regulatory Approach
  • Continuation of Infection Prevention and Control Inspections and

Provider Collaboration Reviews FUTURE

  • Remote monitoring
  • Shorter inspection reports
  • Increased use of intelligence
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GETTING THE MOST OUT OF AN INSPECTION AND YOUR REPORT

LAURA PATON – SENIOR ASSOCIATE SOLICITOR

AUTUMN WEBINARS

#RidoutsWebinars2020

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#RidoutsWebinars2020

PREPARATION IS KEY!

  • Use CQC’s own guidance especially the ratings

characteristics, KLOE prompts & new IPC guidance

  • Publicly available guidance and internal CQC docs via FOI
  • Recent new public CQC Guidance “How to get the most
  • ut of inspection – What a good inspection looks and feels

like”

HOW TO GET THE MOST OUT OF AN INSPECTION

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#RidoutsWebinars2020

PROVIDER:

  • Reassure and empower care workers and other

staff so they know what to expect and are encouraged to speak openly with the inspection team.

  • Get ready to use every opportunity to showcase

best practice!

NEW CQC GUIDANCE:

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CQC:

  • Feedback should be given throughout the day

and any immediate risks explained straight away.

  • Questions should be asked in a clear way and

explained or rephrased if not understood.

NEW CQC GUIDANCE:

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DURING INSPECTION:

  • Take good notes- draft report can take time
  • Address immediate concerns
  • Note and provide any follow up info required, this

can still be taken into account if supplied quickly enough

PRACTICAL TIPS:

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POST INSPECTION: Call from CQC re: draft report

  • You are not obliged to take this up
  • Follow up with FAC comments in writing- do

not assume CQC will address the issues you have raised in final report

PRACTICAL TIPS:

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Remember CQC is a creature of statute and a public body - Inspections are a matter of law Why challenge?

  • Factual inaccuracies and ratings
  • Reputation
  • Commissioner considerations
  • Narrative of your service with CQC
  • Re-inspection timeframes
  • CQC approach to repeated ratings of RI

CHALLENGING DRAFT REPORTS

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  • Factual Accuracy Comments
  • Independent Review
  • Ratings Review
  • JR /Injunctions
  • Complaint

ROUTES TO CHALLENGE:

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  • 10 Working Days to respond – check email
  • CQC Guidance- online & internal top tips
  • Can challenge breaches and ratings judgments-

remember the published characteristics

  • Must supply evidence. Can include

improvements post-inspection but they might not influence rating

FACTUAL ACCURACY COMMENTS:

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“All factual accuracy responses will be reviewed by another member of the Commission’s staff from the relevant Inspection Directorate who is authorised to sign off the related inspection report. This staff member will be independent of the original site visit.” SSP Compliant?, Grounds for Rating Review?

CQC’S RESPONSE TO YOUR FAC:

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  • Request an independent review;
  • Request CQC withhold/ withdraw public report

until independent review is concluded;

  • Rating Review;
  • Judicial Review perhaps with Injunction;
  • Complaint

FURTHER CHALLENGES:

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QUESTIONS:

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  • Safeguarding - 29 October 2020
  • Inquests – 25 November 2020
  • Providers’ choice (let us know what you want our

lawyers to discuss) – 10 December 2020 Book and provide suggestions at: www.ridout-law.com

AUTUMN WEBINARS

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#RidoutsWebinars2020

Contact us:

www.ridout-law.com

@Ridoutslaw /company/Ridouts Ridouts Professional Services Plc