From 1st October 2014, the old 28 Outcomes system is out, the new KLOE based system is in.

What you should know:-

  1. The good, the bad and the ugly side of the changes
  2. How much preparation time you need
  3. What documents they will request before the visit.

Pre-inspection documentation request

To reduce the time looking at paperwork on the day of the inspection the CQC inspector will request a list of key documents to be sent to them prior to the visit. Though times scales vary our client experience is that they will ask for documents to be submitted at least one week in advance to allow the team enough time to look through them.

About 50% of the documentation requested was standard practice policies and protocols. If you have everything in place, putting together this documentation should take no more than an hour. Examples of the types of things asked for: The practice’s Mental Capacity Act procedure and infection control policy.

Other evidence based documentation requested were things like e.g. incident reports; minutes of meetings; details of your most recent QOF data, etc. Again providing this information is pretty straightforward, but may still take an hour or two to put together.
Example of what might be requested: “Incidents over last 12 months / significant event log, investigations and periodic reviews of SEs”

The “Good” side of things is that this is all pretty straightforward, if you are already reasonably well organised.

The “Bad” side is usually when you have not been monitoring and maintaining records as you go along, and may well suffer a panic attack as you discover that just collating complaints data alone is going to take you a couple of hours.

KLOEs – Population Group Document

What is most time consuming, and may well take up to a couple of days or more, is mapping the KLOEs against the services you provide to the various population groups, and finding the evidence for it.

The New inspection model is based around the KLOEs (Key Lines of Enquiry) for the 5 domains (Click here to get to know KLOEs).

The Six key Population Groups

  • Older people
  • People with long term conditions
  • Mothers, children, young people
  • Working age people and recently retired
  • People in vulnerable circumstances
  • People with mental health conditions

Click here to view a copy of the CQC descriptions of the six key population groups, including characteristics of good and links to key lines of enquiry.


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