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Representing your views


Jan - Dec 2016

14 December 2016: The CQC Trade Association meeting took place on 14 December. NCF was represented by Sharon Blackburn. The slides are available here

Please note details on the consultation launching later this week on slide 18. Minutes will be sent prior to the January meeting, which is scheduled for Tuesday 17 January, 10-12.30pm. If you could send your RSVPs to coproductionevents@cqc.org.uk that would be much appreciated.

Please also see below as promised queries raised by colleagues and CQC’s written responses.

1.       CQC guidance on notifications: Provider received conflicting guidance’s regarding the regulation 18, specifically Serious injuries. The guidance stipulates that the “Registered persons must notify us whenever any of the injuries occur that are shown on our form” however we have been told to report minor head injuries. Are we only required to report the items listed in the form as serious injury?

Reg 18 (2a and 2b) requires the registered person to notify CQC without delay of incidents which occur whilst services are being provided in the carrying on of a regulated activity, or as a consequence of the carrying on of a regulated activity.  There then follows a list (which is not exhaustive), plus guidance which gives a steer to the interpretation of “serious” i.e. leads to permanent damage or damage lasting more than 4 weeks, including to the body, sensory organs or e.g. speech, thinking, remembering; or psychological harm.  In the case of “minor head injuries” I think this would need a medical opinion about the extent of any damage (it may not initially be notifiable, but it may cause something later on and therefore be related to the carrying on of the regulated activity which caused it). Also, if the minor head injury were to be repeated within a few days the accumulation of any damage could be very serious.

2.       With regards to reporting “Abuse and allegations of abuse”- should we wait until the local authority safeguarding team confirms the case as safeguarding before reporting to CQC.

Where actual or alleged abuse is clear, notifications should be made as soon as possible to CQC and the provider should alert the LA.  The provider should send in the Reg. 18 notification as soon as they become aware. This allows CQC inspectors to take action that might result in a responsive inspection because of the nature of the notification.

3.       Provider would like to see a risk based reporting system, i.e. CQC does not want to be informed insignificant to minor incident that are unlikely or rare chance of reoccurrence ( I know this seems self-explanatory but we get contradictory advise when we phone CQC)   

We want information which is significant, whether or not there is a probability of recurrence.  We want to know how the provider has responded and acted to prevent recurrence and this is something we would want to follow up.

4.       When do you expect the provider portal to be open to providers with 10+ locations?  

We are waiting on DH and GDS permissions to enable us to move forward with the next phase of developing provider facing services. Any new services will be able to be accessed by providers of all sizes including those with 10+ locations.

5.       One of our members had heard that there is now a greater possibility of submitting additional evidence during the factual accuracy stage and that this has come about as the result of a ruling. Is this correct? If yes, I think it would be helpful to share this with the trade assoc group. Also, if yes, please could you send me a link to the relevant judgement?

We are strongly advising providers to use only the new factual accuracy (FAC) form to submit comments as part of the FAC process.  Providers may wish to submit additional evidence which was available at the time of the inspection (i.e. not created afterwards), but which is not discussed in the draft, and the provider believes it should be included in the report.  Guidance is clear that providers need to be specific about the part of the report that they wish to challenge, so that it can be dealt with effectively and efficiently.  Comments should be submitted up to 10 days after the provider receives the draft report. Link to the judgement

6.       Can providers request (and expect to receive) a copy of the inspection plan for a service?

Not as a matter of course as it may contain confidential information.

7.       Feedback on the proposal to remove the 6-month limit on a focussed inspection being able to impact on a rating: providers were concerned that this would work to their disadvantage. For instance, if a provider was rated good overall but had RI for responsive, then received a focused inspection due to a concern which resulted in them getting RI for safe.  Providers were concerned that this would mean that the overall rating would drop to RI even if the previously identified deficit concerning responsive had been remedied.

If the ‘responsive’ issue being remedied means the RI rating is no longer valid, we would re-inspect and re-rate. Beyond that, the provider should be able to demonstrate sustainability of improvement in the service and inspector should determine if it is another ‘isolated’ issue that they have confidence could be remedied by the provider or whether there were deeper issues (under well led) that would affect the overall rating.

8.       Providers are also looking for clarity about what happens when a CQC inspector starts out doing a focused inspection, but then a concern arises during the visit; how would the CQC inspector approach the inspection if the scope started to expand?

The inspector would amend the focus of their inspection accordingly – this is set out in the provider handbook – pages 30 and 32.


9 December 2016:  The CQC ASC trade association meeting took place on 9 December, with Sharon Blackburn representing NCF.

The minutes and meeting slides from 9 November Trade Association meeting are available


12 October 2016: CQC ASC Trade Association meeting took place on 12 October. NCF was represented by Sharon Blackburn. The slides when available will be made available to members via the newsletter. 

Key items discussed included:

- CQC Plan to have completed all ASC inspections by the end of January 2017 with all reports being published by the end of March 2017.

- on 27 October 2016 CQC will publish a document regarding visiting in care homes. When received NCF will share.

- in response to an NCF query re CQC Inspectors being employed by providers to carry out independent quality reviews. CQC introduced ' declaration of interest forms' in 2015 for staff engaged by CQC to complete and submit. If CQC inspectors are employed in a bank capacity then this form is completed ahead of each contact with a provider where an inspector operates in an independent capacity. If a CQC Inspector is employed either full or part time then this form is completed annually. Inspectors are not allowed to formally inspect services where they have been engaged in a private capacity. Where this has been breached or declarations not made CQC have taken action.


26 September 2016: Sharon Blackburn represented NCF at the Care Provider Alliance (CPA) meeting on Monday 26 September. Maria Bench from the Local Government Ombudsman (LGO) attended the meeting. Please see attached fact sheet for information .

People who fund their own care have had access to the LGO since 2010. LGO are keen to ensure that all people using services know about them. In an ideal world LGO believe that complaints should be resolved locally.


14 September 2016: CQC ASC trade association met on Wednesday 14 September. NCF was represented by Sharon Blackburn. The slides presented at the meeting are now availablePlease also see, this weeks’ list of inspection reports published including links to the reports.

Mental Capacity Act briefing - Case law on covert medication

Code of Practice on confidential personal information

Last week CQC published our code of practice on confidential personal information - this explains how we sometimes need to use our statutory powers to look at people’s information during inspections. People need assurance that the information they provide us with will be handled safely. We consulted on proposed updates to the Code earlier this year, and have published the revised Code and details of what has changed here.


10 August 2016: CQC ASC Trade Association Meeting met on 10 August. NCF was represented by Sharon Blackburn. The slides presented at the meeting are now availablePlease also see, this weeks’ list of inspection reports published including links to the reports.

Key points to note are: 

- Should a CQC Inspector tell a provider in the day of Inspection that they never award ' outstanding' the advice from Deputy Chief Inspectors at the meeting today was to action immediately by contacting the Inspectors Line Manager to talk this through as it is not CQC policy. If not resolved a complaint should be considered.

-Draft Guidance on Visitors' Rights in Residential ASC services was shared and discussed. The document needs more work before being finalised. NCF contributed that this should be written from the perspective of the person residing in care, not from the perspective of visitors. This has been tweeted by CQC as is available for providers to comment on . Provider log in details are required hence not providing a link here. More will be carried out via the ASC Co- production group. Publication due late September/ early October

- an Outstanding Tool is being developed. It will be guidance to help inspectors and providers better understand what it takes to be 'Outstanding' for each of the five key questions.

- CQC  digital development Research and Discovery: access to the Provider Portal is being expanded. Research is under way with providers. If you would like to get involved please contact : Providerportalengagement@cqc.org.uk

They are reviewing the provider portal; new registration system and the Provider Information Return. In addition this work is aligned to the CQC Strategy 2016-20 and is very cognisant of avoiding and reducing duplication of entry for providers. CQC aim to be the conduit of information for other organisations and are working with ADASS and others to achieve this outcome.


26 July 2016: Please see resources from the latest ASC Trade Association meeting.:

Please see attached, this weeks’ list of inspection reports published including links to the reports.

Managing care home closures good practice guide

We have now published the document and press release. Please find press release attached and the Managing care home closures good practice guide is also available to view online here


11 July 2016: Pharmacists Improving Care in Care Homes & Pharmacy Integration Fund and Care Homes roundtable. On behalf of NCF Sharon Blackburn is contributing to this work alongside other member organisations. view two presentations - Pharmacists Improving Care in Care Homes by the Royal Pharmaceutical Society - Pharmacy Integration Fund and Care Homes by NHS England


18 July 2016: Vic Rayner speaks at the All Party Parliamentary Group on Housing and Care for older people on the impact of Brexit on housing and care. view the presentation


13 July 2016: Sharon Blackburn represented NCF at the ASC trade association meeting. The slides from the meeting are now available


30 June 2016: The DH Independent Sector Advisory Forum (DH ISAF) Sharon Blackburn represented NCF.   

 This meeting comprises senior nurses across health and social care. It provides a focus for independent sector nursing and care and facilitates informed discussions re government policy. It allows for an exchange of information that is grounded in practice and has helped shape and inform policy decisions. Topics covered today included the following: New Models of Care Programme: Leading Change, Adding Value: a framework for nursing, midwifery and care staff; the demise of the DH Nursing and policy unit in the latest reorganisation - this is a significant loss to Nursing and Care across all sectors. A discussion took place regarding how the DHISAF offer its expertise and participate in the exchange of information going forward; Pharmacy Integration Fund.


8 June 2016: CQC Trade Association Meeting. NCF was represented by Sharon Blackburn. The slides from this meeting are now available. Areas to note. A briefing re DBS has been produced and can be found. In addition CQC have produced a Q&A sheet which is for use by their inspectors which is available for members following a query which was raised on behalf of members.

8 June 2016: The National Palliative and End of Life Meeting. NCF was represented by Sharon Blackburn. This meeting was to progress the Ambitions Framework of which NCF are a partner. The intent of the new ambitions is to raise the bar for end of life care. It is a national framework which urges local leadership to be a the forefront of improvement in end of life care. There are 6 ambitions which members can use locally to improve end of life care

11 May 2016: The CQC Trade Association meeting - NCF was represented by Vic Rayner and Sharon Blackburn. Key issues discussed: CQC business plan has been published. It sets out that CQC will complete first rating comprehensive inspections of adult social care registered on or before 1 October 2014 by March 2017. The actual date the adult social care directorate is aiming for is January 2017. It also includes re-inspections plus contingency for risk. A presentation was made by Claire Light from Greater Manchester Police (GMP). Claire is GMP's Head of Profession for Neighbourhoods, Confidence and Equality. Work is being undertaken on Disability Hate Crime. More information is to follow regarding working with health, social care and housing. More information will also follow on what CQC's approach will be on assessing its impact and value for money.



5 May 2016: CQC’s Adult Social Care external co-production group met on 5 May. NCF was represented by Sharon Blackburn. Topics discussed included views on the KLOE's (Well-led, Effective and Responsive) which are currently being reviewed. An update was given in CQC's relationship with Healthwatch. In addition an update was given regarding the experts by experience used by CQC. Information when provided in a format for sharing will be made available to members.


13 April 2016: ASC trade association meeting – NCF was represented by Des Kelly and Sharon Blackburn. 

The slides from this meeting have been made available: 

Weekly stats on ASC

ASC Trade Association meeting slides

Extra large residential homes - referred to in previous meeting

Previously we shared an update on the ‘What Good Care Services Look Like’ leaflets. These can be found on our website under each sector here


31 March 2016: NMC revalidation quarterly feedback meeting - slides now available 

The next meeting is scheduled for Tuesday 12 July from 11.00am – 13.00pm. The meeting will take place at the NMC offices, 23 Portland Place, London, W1B 1PZ


9 March 2016 : Sharon Blackburn represented NCF at the CQC ASC Trade Association meeting - there are two sets of slides available from this meeting: Ratings information by month and the general Trade association meeting slides

Other information from this meeting included an update on Experts by Experience – please see the latest update available on the CQC website here  (Please note: this is dated 28 January but was updated with additional information on 1 March)

Queries raised by members can be found here


1 March 2016: The Volunteering in Care Homes Project led by NCVO held a roundtable event. Sharon Blackburn CBE on behalf of NCF has been part of the strategic advisory group. The report and toolkit will be published shortly. The project was funded by DH and spanned three years working with local volunteer centres. Good outcomes have been achieved for residents and the care homes who participated as well as opening up new opportunities for the volunteers recruited for the project. A volunteer investment and value audit was utilised to evidence financial value of the volunteers. 


10 Feb 2016: Sharon Blackburn CBE recently represented NCF by attending the CQC ASC Trade Association meeting - there are 2 sets of slides available from this meeting: ASC weekly stats slides and the general Trade association meeting slides 

Other information from this meeting included the launch of Care homes rating map, an interactive map from CQC rating homes in England. More details on this can be found here


Feb 2016: Sharon Blackburn CBE recently represented NCF by attending the CQC Trade Association meeting participated in both the CommonAge and EAHSA Board meetings. Plans are well underway for the EAHSA Conference to be held in Lyon in France on 22-23 September 2016. Many NCF members are utilising our European and international contacts to learn from each other on quality; care practice; design; and approaches to workforce management with good dialogue taking place from the connections made.


9 Feb 2016: Des Kelly OBE attended the parliamentary launch of new practice guidance by the Malnutrition Taskforce.


9 Feb 2016: Des also attended the Practice Forum meeting held in Birmingham.



13 January 2016: Sharon Blackburn represented NCF at the CQC Trade Association meeting. ASC trade association meeting slides. Please also see attached the Outstanding actions log. Please see attached, this weeks’ list of inspection reports published including links to the reports.

There are still places available at the London (Friday 29 January) ASC strategy consultation event. You can register your place via this link.

9 March 2016: Sharon Blackburn represented NCF at the CQC ASC Trade Association meeting - there are two sets of slides available from this meeting: Ratings information by month and the general Trade association meeting slides

Other information from this meeting included an update on Experts by Experience – please see the latest update available on the CQC website here  (Please note: this is dated 28 January but was updated with additional information on 1 March)


1 March 2016: The Volunteering in Care Homes Project led by NCVO held a roundtable event. Sharon Blackburn CBE on behalf of NCF has been part of the strategic advisory group. The report and toolkit will be published shortly. The project was funded by DH and spanned three years working with local volunteer centres. Good outcomes have been achieved for residents and the care homes who participated as well as opening up new opportunities for the volunteers recruited for the project. A volunteer investment and value audit was utilised to evidence financial value of the volunteers. 


10 Feb 2016: Sharon Blackburn CBE recently represented NCF by attending the CQC ASC Trade Association meeting - there are 2 sets of slides available from this meeting: ASC weekly stats slides and the general Trade association meeting slides 

Other information from this meeting included the launch of Care homes rating map, an interactive map from CQC rating homes in England. More details on this can be found here


Feb 2016: Sharon Blackburn CBE recently represented NCF by attending the CQC Trade Association meeting participated in both the CommonAge and EAHSA Board meetings. Plans are well underway for the EAHSA Conference to be held in Lyon in France on 22-23 September 2016. Many NCF members are utilising our European and international contacts to learn from each other on quality; care practice; design; and approaches to workforce management with good dialogue taking place from the connections made.


9 Feb 2016: Des Kelly OBE attended the parliamentary launch of new practice guidance by the Malnutrition Taskforce

9 Feb 2016: Des also attended the Practice Forum meeting held in Birmingham.



13 January 2016: Sharon Blackburn represented NCF at the CQC Trade Association meeting. ASC trade association meeting slides. Please also see attached the Outstanding actions log. Please see attached, this weeks’ list of inspection reports published including links to the reports.

There are still places available at the London (Friday 29 January) ASC strategy consultation event. You can register your place via this link.

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