Don't just focus on policies
Inspectors typically spend less than 5 minutes on your policies, the rest of the day is spent on looking for evidence of what actually happens every day.
"Usually I don't bother with policies, might look at Safeguarding"
Comment by a CQC inspector - April 2018
Customisation is expensive
Customisation means you get things setup exactly as you like it. However, this takes up time, and it means you are the permanently tied to managing this yourself
A typical example is a policies system that costs only £200 for over 600 policies and documents.
- Most managers end up spending over £12,500 in time and effort to review and customise
- Customisation is to that one Manager's preference, and quality can be variable
- When a new Manager starts it makes more sense to scrap the old and start all over again
- It becomes a mammoth task if you fall behind in upgrades
Setup Time and Effort
The time and effort you will put into the system is more significant than the cost of the system itself.
Consider the following when purchasing the system:
- The time it will take to initially learn and set up the system
- The time you will spend reading and understanding all the documentation
- The time and effort it will take to implement and get the system running
- The ongoing monitoring and management to ensure compliance with the system
- The maintenance and upkeep required for the system
Keep in mind that, on average, implementing a system can cost five to ten times more than the cost of the software or system itself.
Futureproof systems
Don't just get a system specifically for CQC.
CQC has gone through several major changes and more keep coming every year, your system will be out of date virtually every year.
You should look for systems based on National Standards and accepted best practice rather than the latest list of prompts.
Core standards of the industry do not actually change that much, they evolve slowly. A system that follows core standards will remain future proof for many years.
Any decent compliance system should be able to cope with regular changes, without any upheaval or changes in the way you work.
A good acid test is to ask what happens if new and completely revamped KLOEs come in time after time, and whether that means you have to reorganise or do anything differently.
The only change worth making is to keep simplifying everything
Approach to Compliance
Our approach to compliance should be:-
- Prevention at the frontline
- Make staff self-sufficient, to release management time
- Learn and improve as you do
- Risk based compliance
- Measure it, then improve it
Keep everything simple so everyone understands the principles
What to look for in Compliance software
Compliance software should be designed to help you carry out the task, instead of being one more thing to do.
It should automatically generate evidence that you are following a quality assured process every single day.
What a good system should produce:-
- Evidence of tasks carried out
- Logs and reports
- Evidence of monitoring
- Proof of good practice and leadership
- Evidence of awareness and adherence to the rules
- Management of risk and potential harm