2017 KLOEs: Overview of changes

11 Frameworks down to 2: What this means for you

For the first time, a standardised approach to whole of healthcare
What the CQC want to achieve is:-

  1. A consistent approach to defining and measuring quality and to collecting information.
  2. Be clear and consistent about how we assess the quality of care across different types of service.

Rating Characteristics:

A standardised framework with a standardised rating system could have been an immense leap forward in healthcare standards and trust in CQC inspections.

Unfortunately it has an Achilles Heel that undermines the concept of comparability of the rating system.

The inspection is not designed to achieve an objective, measurable and replicable audit. It is impossible for an individual provider or even an expert independent auditor to carry out a self-assessment using these documents, and guarantee that the inspector will also come to the same conclusions. The “measurements” are frequently subjective measures such as whether you have been innovative enough, or have set yourself apart from similar providers. So in theory, a provider could be ‘outstanding’ but as soon as all others achieve the same standard, you are automatically demoted to the ordinary ‘Good’ status.

As before, when it comes to the dividing lines between Good Vs Outstanding, to a large extent you are at the mercy of the inspector of the day.

Targeted Approach

CQC says “Safety continued to be our biggest concern across all sectors – often influenced by the quality of leadership” so they will be focusing on:-

  1. Safety: We have used the learning from our inspections to strengthen a number of elements of safety, including recruitment practices, safeguarding, discrimination, medicines management, information sharing and management, and responding to external alerts and reviews.
  2. Leadership (Well-led): In strengthening our assessment of well-led, we are clear that there is a demonstrable link between leadership, culture and the delivery of safe, high-quality care, and our focus on well-led is intended to support and reinforce this link.

Lighter touch PIR – but not for most of you

The document speaks of light touch Provider Information Requests, by not asking for policies and intelligence before the inspection visit, however, this entire chapter only applies to Acute Trusts, and not to the vast majority of providers out there.

The SIX Themes

The new KLOEs include 6 themes that the CQC have deemed necessary to improve on, based on their experiences. Effectively this is just a summary of which sections contain new KLOEs.

  1. System leadership, integration and information-sharing
  2. Information governance and data security
  3. Technology: For efficiency, accessibility and more person-centred
  4. Medicines: Basically medicine management
  5. End of life care: Delivering good quality care at the end of life
  6. Personalisation, social action and the use of volunteers

What else?

In their statements of principles about why the framework is being changed, the CQC emphasises their role in seeking improvements and will be looking for providers to “demonstrate how they are developing and adapting to new evidence of good practice as well as the changing care landscape to improve the quality of that care”

The emphasis here is that you will be asked to show continuous improvement.

 

KLOEs

2017: KLOEs and Ratings Characteristics - Final Documents

Click on the pdf icon to download the document
 pdf30  
Next phase of regulation: consultation response
 
pdf30

KLOEs and ratings characteristics for NHS Healthcare Services

pdf30

KLOEs and ratings characteristics for NHS healthcare services (with changes from 2015 versions)

pdf30

KLOEs and ratings characteristics for Adult Social Care Services

pdf30

KLOEs and ratings characteristics for adult social care services (with changes from 2015 versions)

pdf30

How we monitor, inspect and rate NHS trusts

 

For other related documents CLICK HERE

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2017 Changes: Next Phase of CQC Regulation

 Regulatory Framework changes in 2017 (All you need to know now in less than 3 minutes. CQC hope that this will simplify the regulations and inspection process)
2017 Changes to KLOEs
Final Changes 2 KLOES HealthCares 20170622 Final Changes 2 KLOES SocialCares 20170622

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Overview of the CQC Inspection Model

 A quick overview of how "Key Domains" and "KLOEs" work

The New CQC Inspection Model 2014

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When does the new CQC Framework come into force?

Timeline New Framework s1

The 5 Key Questions or Domains

From 1st October 2014, practices are required to follow new guidelines and inspection regime. This new inspections model focuses on 5 key questions that a service provider is going to be judged on.

"SCREW - KLOE"
A rude acronym that makes it easier to remember the latest Guidelines.
Rejigging the acronym provided by the CQC makes it easy to remember and offend. These are as outlined below:

 SCREW Explained

KLOE explained

 

 Editor’s comments:

The Guidelines use the letters in a non-acronym sequence of S.E.C.R.W, but in an industry that thrives on acronyms it is surprising that not a single person involved in this spotted the potential political dynamite contained in this acronym.

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Get to know KLOE

The acronym KLOE, stands for Key Lines of Enquiry.

The starting point for the inspection are the five key questions – are services safe, effective, caring, responsive and well-led?

A 'KLOE' is basically a set of 'key' questions the CQC will look at under each of five headings to reach a conclusion as to how your service should be rated.

 

 

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KLOE Quick Reference Table GP

To download a copy of CQC's quick reference table of the KLOEs CLICK HERE

2017 Changes to KLOEs - Health Care

Safe

2017 KLOE SAFE HealthCare

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Caring

2017 KLOE CARING HealthCare

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Responsive

2017 KLOE RESPONSIVE HealthCare

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Effective

2017 KLOE EFFECTIVE HealthCare

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Well Led

2017 KLOE WELL LED HealthCare

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2017 Changes to KLOEs - Adult Social Care

Safe

2017 Final KLOEs SAFE AdultSocialCare

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Caring

2017 Final KLOEs CARING AdultSocialCare

 

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Responsive

2017 Final KLOEs RESPONSIVE AdultSocialCare

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Effective

2017 Final KLOEs EFFECTIVE AdultSocialCare

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Well Led

2017 Final KLOEs WELL LED AdultSocialCare

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