Analysing the evidence

  • How many pieces of evidence have you collected per KLOE? A minimum of three, preferably from different sources, would be the minimum from a CQC perspective.
  • How up to date is this evidence?  If most of it is several years old then this isn’t helpful.  This applies especially to policies and procedures which tend to get overlooked.  It’s also important to keep an eye on training records and ensure that all staff members’ training is up to date.
  • What does the evidence actually tell you about quality (the ‘so what?’ test)? In other words, why did you pick this particular piece of evidence; what is so significant about it?
  • Are there any gaps in the evidence (such as a complete KLOE lacking in any evidence)?  You can easily check this out by doing a search on each KLOE number and see if any are missing.
  • Is the information contained in the notes/follow-up column being acted upon?  This is something often picked up by CQC inspectors; it’s no use noting that something needs to be followed-up and then doing nothing about it!
  • Is the record being updated when something changes, i.e. when an outstanding action has been completed?
  • As part of your evidence gathering process, have you spoken with service users, relatives, staff members and visiting health professionals?  These ‘oral testimonies’ are very important and taken very seriously by the CQC.