There has been plenty of discussion about the CQC's difficulties over the last couple of years. From problems with the new assessment framework to concerns about consistency and accuracy, it's fair to say the regulator has had a challenging period.
But while the CQC continues to grapple with the well-publicised problems in its assessment system, one thing hasn't changed: providers are still being inspected, and a significant number are still coming away with ratings they are unhappy with.
Last month, the CQC carried out 586 assessments. Of those, 130 resulted in ratings of Requires Improvement or Inadequate. That's around 22% of inspections, or roughly 1 in every 4.5 services receiving a rating below Good.
For many providers, a rating feels personal – particularly where those involved have worked incredibly hard to deliver good care and do not feel the report reflects the reality of their service.
Beyond the obvious reputational impact, providers can also face increased regulatory scrutiny, difficult conversations with commissioners, and concerns from staff, residents and families.
There was positive news too, with 26 providers achieving Outstanding. It is always encouraging to see services receiving that recognition. However, when compared with the 430 providers rated Good, it is hard not to wonder whether the distinction between Good and Outstanding is always as clear as it could be, particularly under a framework that continues to evolve.
The Single Assessment Framework uses a series of quality statement scores to arrive at an overall rating. While this is intended to provide a more nuanced assessment, the additional layers of scoring can make it harder for providers to understand how conclusions have been reached and create greater scope for inconsistency, error and unfairness in the final outcome.
If an inspection has not gone as expected, it's important not to assume that the outcome is set in stone. Whether it's a factual accuracy challenge, concerns about the evidence relied upon, or advice on enforcement action, seeking advice early can really help.
If you need support with a recent inspection or would like any further information, please get in touch.
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