My name is Leslie Chapman and I am the founder and director of Therapeia, which is a consultancy offering support to providers and managers of residential and home care services in the adult social care field. I have a particular interest in helping services develop a culture of good governance, which provides the foundation of the CQC’s ‘Well-led’ domain of the services that it regulates.
My experience as a consultant, a senior manager, and as a CQC inspector has proved to me that a service that is Well-led, and especially one rooted in a culture of good governance, is far more likely to be rated as ‘Good’ or ‘Outstanding’ overall by the CQC. Furthermore, the Well-led aspect of a service is underpinned by statutory Regulation 17 of the Health and Social Act. The regulation stipulates that providers must have systems and processes in place to assess, monitor and improve the quality and safety of their services. These systems and processes should be baselined against Regulations 4 to 20A of the Act. It is perhaps worth pointing out that the CQC can prosecute providers who do not comply with this Regulation.
With all this mind I can offer you a review of your existing quality assurance and governance systems. I focus particularly on the way you monitor quality across the five CQC domains (Safe, Effective, Caring, Responsive and Well-led), and how you use this information to improve your service. I also look at the extent to which you engage with all key stakeholders, including staff and service users, in order to develop a culture of continuous learning and improvement.
I can also provide training in quality assurance and how this relates to the wider CQC inspection and governance framework. This can help you develop a culture of good governance as well as helping you prepare for your next CQC inspection.
In addition, I can provide access to Therapeia’s customised online KLOE Audit Tool. This tool allows providers and managers to conduct their own, continuous service monitoring, and is based on collecting evidence for all of the service’s KLOEs using the CQC’s own methodology.