Developing our new regulatory model

  • registration becoming the first assessment activity in an integrated process based on our single assessment framework, with an ambition to register providers at the rating level of ‘good’
  • the four ratings and five key questions remaining central to our approach
  • a new set of focused quality statements that replace our existing key lines of enquiry (KLOEs) and ratings characteristics
  • more frequently updated ratings and an approach to updating them that doesn’t solely rely on inspection, but with inspections remaining a vital tool in assessing quality
  • a clear set of evidence that we’ll use to assess different types of providers and a scoring approach that supports greater consistency
  • reports that are simpler, shorter and clearer about the quality of care we’ve found.
  • safety is now stronger on safety cultures and learning
  • effective is looking more at how teams work together to improve standards
  • caring is focused on listening to the voices of people and also the wellbeing of the workforce
  • responsive will include equity of access, experience and outcomes
  • well-led will look at sustainability of services and the environment — these are just a few of the changes we are making within the five key questions.



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Care Quality Commission

Care Quality Commission

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.