Inside CQC: Inspections, feedback and other upcoming priorities

Kate Terroni, Chief Inspector of Adult Social Care at the Care Quality Commission, shares details of the regulator’s upcoming priorities.

The recovery and strengthening of social care after the past two years of the pandemic will take time.

My inspectors are very familiar with and sensitive to the challenges you are facing. These challenges are wide ranging, including managing risk and longstanding workforce pressures. We know that you can’t work any harder. It is critical that in the face of all these challenges people still receive high-quality, person-centred care.

Through feedback from recent inspections, I’m aware that we need to remember the importance of care planning with people and their families, ensuring risk assessments are carried out and safeguarding is upheld. We have resources and guidance on our website that can help you and support your teams, on topics like culturally appropriate care, medicines management, and Deprivation of Liberty Safeguards. We also recommend reviewing the latest Government guidance published in March. As we go out and inspect services, we are really keen to see how you’re encouraging people to thrive and live with dignity. This includes supporting people to access healthcare professionals, such as dentists, and facilitating care home residents to see their loved ones as much as possible.

From our workforce data collection, we know that around 30% of providers are experiencing issues accessing health services. In these instances, please raise these issues with your local system, commissioners, regional assurance teams and health protection teams. Within our assessment and oversight of local authorities and Integrated Care Systems, we will be looking at how commissioners respond to these issues and how this impacts on providers and people who access care.

CQC’s current priorities

We are continuing to prioritise our inspection activity on responding to risk and re-rating services and we remain committed to inspecting services to reflect improvements made. Between 1st December 2021 and 30th April 2022, we’ve completed 3,889 inspections. From our inspections triggered by new and emerging risk, over 50% have been triggered by information of concern, including people’s experiences
of care.

An area for focus in inspections in the coming months is oral health. You may recall that back in June 2019 we published our Smiling Matters report, which investigated the state of oral healthcare in care homes. This report highlighted a number of concerning findings, one of which was that 52% of the care homes visited had no policy to promote and protect people’s oral health. Oral health impacts not only on people’s ability to eat and drink but also on how they socialise as well as their mental health, so we are keen to see what changes have been made since our report and we’ll publish our findings later this year.

Hearing from people who use social care

It’s important for us to hear about how your teams are supporting people to have choice and control over their lives. In April we focused on getting feedback from carers through our ‘Because We All Care’ campaign. This campaign received nearly 600 posts shared across social media and 8,132 ‘Give Feedback on Care’ forms were submitted to us last month. The number of people feeding back to us has increased by 51% overall compared to last year. This feedback is essential to support our understanding of people’s experiences of care. We want people to continue telling us about their care, but it is also vital that when they do have a complaint that can’t be resolved, they are directed to the Local Government Social Care Ombudsman.

Kate Terroni is Chief Inspector of Adult Social Care at the Care Quality Commission. Twitter: @CQCProf

About Kate Terroni

Kate Terroni, Chief Inspector of Adult Social Care, Care Quality Commission

Kate, a registered social worker, was previously Director of Adult Social Care at Oxfordshire County Council where she embedded co-production in adult social care throughout the county and provided clear leadership across the health and care system.

Kate is co-chair of the ADASS workforce network and was previously Deputy Director of Commissioning at Oxfordshire County Council.

Related Content

Inside CQC: Supported Living and Integrated Care Systems

Inside CQC: An update on the ‘Out of Sight’ report and use of restrictive measures

Inside CQC: Update on regulatory activity

Inside CQC: Workforce pressure and key objectives

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The sector is dying and all we get is you must do this, you must do that.
Registered Managers leaving in droves.
Companies closing down.
No staff coming into the sector.
For gods sake wake up and see the real picture


Thank you for your comment. CQC is committed to and informing a range of people about our regulatory purpose, which is to ensure people are receiving safe, effective, and compassionate care. In this column, we remind providers of the guidance and resources available to them and we also acknowledge challenges including workforce and staffing that many providers are dealing with. If you would like to provide any more information about a registered provider or the care you or a loved one is receiving, please share your feedback with us online or by calling our team – CQC spokesperson.

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