KLOE Audit Toolkit

In the light of the current Covid-19 crisis, it is more important than ever that providers and managers are able to keep a close eye on quality right across their services. Otherwise there is a real danger of a significant deterioration in quality, and, in some cases, a real threat to the sustainability of services.


This powerful and comprehensive online resource ensures that you can easily monitor service quality by gathering evidence for each of the CQC’s key lines of enquiry (KLOEs) on a continuous basis. The Toolkit guides you through the whole KLOE audit process, and includes a fully functional Audit Tool for collecting the evidence, as well as plenty of guidance on what evidence to look for and how best to analyse and report it.  This means that you can maintain complete oversight of your service even during these most difficult of times.

Please note: the Toolkit is an online resource which requires a one-off registration fee of £99.99 to access it using a valid debit/credit card.  The registration fee includes all updates to the Toolkit,[1] and there are no monthly or annual subscription charges.  To register please click on the ‘Register Now’ button.  For more information on the Toolkit please click on the ‘Further Information’ tab or scroll down the page.

What’s in the Toolkit

The Toolkit comprises four main components (‘tools’):

Therapeia’s online KLOE Audit Tool: This is not only a fully functioning audit tool to help you gather KLOE evidence for your service, but also provides you with a model example of how best to organise such evidence in a systematic and simple-to-read manner. The Audit Tool is designed to be easy to use and learn, and utilises a simple data entry form to facilitate the inputting of information.

Using the Audit Tool you can systematically work your way through each of the KLOEs, gathering as much evidence as you wish and updating it as and when required.  The Audit Tool  allows you to sort and select evidence by KLOE and domain, and to record important information such as the type of evidence, a full description of the evidence, its physical location, when it was last updated, and any actions or issues attached to it.

The Audit Tool can also be used as a data source for the Provider Information Return (PIR) and other CQC information requests. This is particularly important as the CQC moves towards more online monitoring of services.

 

Please click on images to enlarge

Familiar spreadsheet format

Simple form to facilitate data entry

Essential KLOE evidence guidance: There are certain types of evidence (called ‘essential evidence’ in the Toolkit) that any CQC inspector would expect to find during their inspection of a service if they were to consider rating it as ‘Good’. To make the task of choosing such essential types of evidence much easier, this guidance lists three different examples for each KLOE using an easy-to-read table.[2]

The idea is that you use this table as a guide to selecting and gathering your own ‘Good’ evidence, using either Therapeia’s online KLOE Audit Tool (provided as part of the Toolkit) or an audit tool of your choice.

Essential evidence presented in easy-to-read format


 

Writing QA Service Reports guidance: This element of the Toolkit focuses on how to interpret and report the evidence once it has been selected and collected. Just as there are no ‘right’ or ‘wrong’ types of evidence, so there are no ‘right’ or ‘wrong’ interpretations. However, as the guidance explains there are a few basic considerations to bear in mind, particularly with regard to how the evidence provided addresses or ‘validates’ each KLOE and, ultimately, each domain. The guidance takes you through the validation process step-by-step before explaining how to present a summary of the evidence in the form of a QA Service Report, which follows much the same format as a CQC inspection report.

Step-by-step guidance on analysing and reporting the evidence


Building a Culture of Quality: This online e-book is aimed at helping you develop a broader and deeper understanding of quality assurance within your sector. It explains the whole concept of QA in the adult social care field, why it matters, and what it means to ‘measure’ quality. It also looks at the work of the CQC in relation to quality and QA, and the importance of developing a Culture of Quality. It is highly recommended that you take the time to read this before you begin using the other resources in the Toolkit. Fully navigable QA ebook

The KLOE Audit Toolkit has been a really useful resource within our Care Home.  The concept of the toolkit makes it a living document, rather than just being a snapshot at a point in time.  Being web-based has made it easy for senior staff within the service to access and contribute to it, and we have found that this has helped to record some of the good and outstanding evidence that may otherwise get missed during regular routine ‘moment in time’ audits.

Jamie Anderson, CEO & Nominated Individual, Age UK Wirral

Notes

[1] The exception would be if there were to be any substantial changes made to the CQC inspection methodology which would require the need for significant amendments being made to the Toolkit.

[2] For corroboration purposes the CQC recommends having at least three pieces of evidence for each KLOE.