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Review & Assignment Of Compliance Rating:
Once all the scoping, assessment and reviews of all regulated and registered activities is complete, a review of all the data, information and evidence will be conducted. This review will be based on the set guidance as laid out by the CQC.
All evidence from all areas will be reviewed against all the standard outcomes and the compliance rating will be assigned using the framework as laid out by CQC:
Key
Evidence available at the time of assessment shows that the outcome is met.
Evidence available at the time of assessment shows that the outcome is mostly met, or there is not sufficient evidence to demonstrate that the outcome is met. The impact on people who use services, visitors or staff is low. The action required is minimal.
Evidence available at the time of assessment shows that the outcome is mostly met, or there is not sufficient evidence to demonstrate the outcome is met. The impact on people who use services, visitors or staff is medium. The action required is moderate.
Evidence available at the time shows that the outcome is at risk of not being met or there is no available evidence that the outcome is met. The impact on people who use services, visitors or staff is high. Action is required quickly.
Example of how CQC will assess a provider organisation – please see example below:
Action plan development
& ongoing monitoring: ALL OUTCOMES WITH RED COMPLIANCE RATINGS NEED IMMEDIATE ACTION PLANSAll Yellow and Amber outcomes ratings will require action plans for improvements. All action plans will need to based on the SMART approach;
- Specific - identify the details of the area that needs to be improved, and what action needs to be taken. Say explicitly what is to be achieved, and who is going to make the changes.
- Measurable – say how you going to ensure that improvements have been made. What measures are going to put in place and who will do it?
- Achievable – check that the measures to be put in place are achievable, attainable and sustainable.
- Realistic – describe the resources needed to implement the changes and whether or not they are in place.
- Time-bound – give an appropriate date by which the improvements will be made and how this date will impact on people who use the service.
Testimonial
“
Working with Synbiotix has enabled us to develop innovative IT concepts and exploits IT solutions to maximise efficiency, greatly improve clinical effectiveness and guarantee a robust framework for measuring, managing and demonstrating through evidence, our compliance against National Standards set out by the Care Quality Commission [CQC]
”
Flo Panel-Coates
Director of Nursing
Maidstone & Tunbridge Wells
