Examples of Sources of Evidence Which will be collected and collated from provider organisations:

Surveys of people who use services, their carers and families.

Involvement activity, such as focus groups.

Evidence will also be collected on how the provider organisation demonstrates the following:

Evidence of policies, procedures and systems, which will also demonstrate how:

Examples of evidence from policies, procedures and systems that relate to:

• Staffing levels, and learning and development plans. Evidence relating to staff should demonstrate how the organisation had taken account of the needs and diversity of people who use the service. The evidence must show how the policies ensure that appropriate staff with the necessary skills and competence to meet people’s needs are available at different times. CQC will want to see evidence that these plans are up to date and that they are monitored and reviewed when needed.
• Systems for reporting and learning from incidents. The organisation will need to have evidence not only that they have appropriate systems, but also that all relevant staff fully understand them and use them correctly. The organisation will need to show that these systems are more than just a record. They should enable the organisation to identify and analyse individual incidents and trends for risks to people who use the service and staff. The organisation will also need to demonstrate that, if there is an incident, they make clear action plans and implement them and that this leads to change, reduced risk and improved outcomes.
• Safeguarding procedures. It is crucial that the organisation can demonstrate that they have the right system in place and that this is understood by all relevant staff. The organisation must be sure that it is followed in practice and that staff take the right steps to protect people from abuse and the risks of abuse. The organisation should also demonstrate that they frequently review these procedures to ensure they are effective in protecting people from abuse.