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6. What the health and social care regulator will look for

Lesson 6/9 | Study Time: 30 Min
6. What the health and social care regulator will look for

The regulator for care in England is the Care Quality Commission (known as CQC). Part of their role is to inspect against the 13 Fundamental Standards, 2 of which are Safety and Premises and Equipment.

One of their 5 Key Questions is “Safe” which has 6 Key Lines of Enquiry (KLOEs). Click on the + symbols below to see what these review:

CQC provide information on what evidence their inspector will look for when they visit your workplace. This includes evidence of various certificates, checks and audits which you will be expected to provide as appropriate to your work environment. 

Depending on your work setting, this can include things like:

Gas safety certificate

Electrical wiring certificate

PAT testing certificate and stickers

Legionella certificate with risk assessment and checks

Passenger lift service certificate

Mobile and fixed hoist/sling service certificates

Fire system certificate

Fire equipment check and test records

Liability insurance certificate.

Let’s take a look at a few more…

Flip the cards below…

Asbestos risk assessment (where relevant)
Building control certificates (where building work has been done)
Hot water temperature check records (TMVs) (not above 43 degrees)
COSHH assessment
Fire checks, evacuation practice drills, training, risk assessment and PEEPs 
Environmental risk assessments
Infection control audits
Health and safety audits to include waste control
Provider/manager arrangements for checking, identifying and rectifying premises issues

All of this will need to be supported with observations of staff competence and their safety to practice. This information can be requested by the CQC inspector as part of their inspections.

Whether you work in a regulated service or not, the same good practice principles should apply.

This is a link to the adult social care assessment framework.

This is a link to CQC’s fundamental standards.

This short video (2:31) from Skills for Care provides some more information on what to consider when managing risk on a daily basis.

Let’s have a recap of what this includes:

How you involve the people you support without restricting their lives

How you support people to take positive risks

Achieving the goals of the people you support

Seeking out least restrictive ways to support people

Documenting and detailing the mitigations for identified risks

Discussing risk assessments at staff meetings and during 1 to 1 supervision discussions, updating them as appropriate.

This also includes…

Risk assessment as ‘live records’ and cross-referenced to other documents, for example, support plans (which must not contradict each other) and are updated to reflect individual’s changing needs

Risk assessments should reflect your policies and procedures and current legislation on human rights, equality and capacity

Staff should be proactive and competent to undertake risk assessments and they may require additional coaching to build their confidence in this area

Evidencing the difference you are making to people’s lives

How you communicate risks to people in a way that is easily understood

Equipment being safely maintained and everyone involved is effectively trained to use it.