►
Description
To ensure that the delivery of our strategy is effective we want to develop how we’ll implement it in partnership with people who work in health and social care.
To support this in our latest engagement session, led by Amanda Hutchinson, Head of Regulatory Change and Natasha Persad, Policy Manager, we discussed why we need a better connection between registration and ongoing assessment.
This session brought together providers and professionals who work in health and social care, the organisations who represent them and other strategic stakeholders.
A
If
I
could
just
first
of
all
do
a
bit
of
housekeeping.
So
I
think
just
the
the
kind
of
brand
rules
for
the
session
are.
If
you
want
to
ask
a
question
or
make
a
comment,
please
use
the
raise
hand
function
or
you
can
use
the
chat
box
on
the
side
of
the
screen
when
the
presentation
is
happening,
please
make
sure
you're
on
mute.
A
We're
going
to
do
our
very
best
to
stick
to
time
and
the
main
room
sessions
will
be
recorded
today
and
whilst
we
work
together
today,
just
to
remind
her
to
be
non-judgmental
respectful
and
supportive,
make
sure
that
everyone
in
the
room
has
has
a
voice
and
also
to
listen
to
what
others
are
saying.
So
to
move
on
to
to
how
we're
going
to
run
the
day.
A
We'll
then
have
10
15
minutes
back
in
the
main
room
at
10,
past
11
for
some
feedback.
So
we'll
pull
out
some
of
the
main
points
that
have
come
through
in
in
those
discussions
and
reflect
that
back
to
the
group
and
then
aim
to
wrap
things
up
and
have
absolutely
finished
by
by
10
30,
and
because
we
know
that
everybody's
time
is
precious
and
and
we're
really
grateful
to
everyone
for
for
for
giving
us
the
time
that
you
you
have
today.
A
A
To
look
at
what
we
can
do
to
improve
the
alignment
between
registration
and
assessment
and
also
to
look
at
some
of
the
potential
barriers
and
issues
for
us
in
in
meeting
that
ambition,
and
I
think
natasha
will
will,
I
say,
work
through
some
of
the
detail
of
this,
but
just
a
kind
of
bit
of
a
reminder
of
of
the
context
for
this.
We
are
working
through
our
new
regulatory
approach
in
in
the
context
of
our
strategy.
A
A
Our
current
key
lines
of
inquiry
prompts
and
are
proposing
to
move
to
a
set
of
of
what
we're
calling
quality
statements
which
we'll
we'll
set
out
in
very
clear
terms
our
expectations
around
around
the
quality
of
of
of
care
and
those
will
be
framed
as
as
as
we
statements
but
we'll
also
be
linking
to
a
set
of.
I
statements
which
express
what
good
care
looks
like
from
the
from
the
perspective
of
people
using
services
underneath
those
quality
statements
we'll
have
a
set
of
evidence
categories
which
will
be
make
it
very
clear.
A
A
So
this
is
very
much
what
this
work
is
is
focused
on
it's
about
streamlining
things.
It's
it's
part
of
that
piece
of
work
that
we've
been
doing
around
improving
registration
and
improving
the
experience
of
registration
as
well.
So
on
the
back
of
that
there's
a
bit
of
context,
I'm
going
to
hand
over
to
natasha
now
to
to
kind
of
run
through
what
I've
said
in
a
little
bit
more
detail.
We'll
then
move
into
a
breakout
room
discussion.
C
B
Pretty
much
said
it
all,
but
yeah,
so
I'll
try
to
kind
of
give
a
bit
more
kind
of
meat
on
the
veins.
For
what
amanda's
been
saying.
So
thank
you.
Everyone,
I'm
natasha
person,
I'm
a
policy
manager
in
the
policy
and
strategy
unit
at
cqc,
and
I
have
been
working
with
lots
of
colleagues
within
the
organization
looking
at
registration
and
connecting
our
registration
processes
with
our
ongoing
assessment
process
as
part
of
the
new
regulatory
model.
B
I'm
going
to
have
the
next
slide,
please
so
so
what
was
it
that
we're
trying
to
address
as
amanda
spoke
to?
Essentially
what
we
want
to
do
is
we
want
to
better
align
our
registration
and
ongoing
assessment
processes
so
that
our
ratings
and
for
those
services
that
we
rate
and
our
regulatory
decisions
for
those
that
we
don't
are
more
aligned.
So
currently
we
we
do
only
register
services
who
we
judge
to
be
able
to
be
and
providing
sustainable,
good
quality
care.
B
But
we
know
that
we
could
do
a
lot
more
to
connect
our
processes
at
registration
and
ongoing
assessment
and
ratings.
So,
and
this
covers
the
elements
that
amanda
has
mentioned.
So
this
looks
at
how
we
can
be
more
consistent
in
our
assessment
framework,
how
we
make
our
judgments
on
the
information
that
we
collect,
how
we
feed
this
information
and
use
our
judgments
and
cross
registration
and
ongoing
assessment
and
how
we
build
on
them
and
how
we
are
better
at
using
a
common
sort
of
language
and
currency
across
the
two
processes.
B
B
So
essentially,
it
sets
out
what
good
looks
like
an
outstanding
person-centered
care
looks
like
and
what
people
should
expect
from
providers.
Commissioners
and
system
leaders
so
we'll
be
using.
I
statements
as
a
starting
point
as
our
for
our
assessments
framework
and
taking
the
important
first
step
towards
truly
regulating
through
the
eyes
of
the
public.
B
And
we've
already
confirmed
that
our
ratings
and
five
key
questions
will
stay
central
to
our
approach,
we're
introducing
a
set
of
quality
statements,
which
is
pitched
at
the
level
of
good
and
linked
to
the
regulations
that
will
help
us
to
make
our
judgments
about
the
quality
of
care,
and
that
would
place
our
key
lines
of
inquiries.
Amanda
said
and
they're
really
seeking
to
remove
the
duplication,
so
the
existing
duplication
again
across
chloe's,
is
really
being
stripped
out
by
our
application
of
the
the
quality
statements.
B
So
we'll
use
these
set
of
quality
statements
in
our
assessments
of
all
sectors
and
service
types
and
at
all
levels
and
crucially,
we'll
be
using
them
to
register
services
with
a
provisional
rating
of
good
through
to
our
work
looking
at
local
authorities
and
integrated
systems.
So
it
will
be
the
basis
of
all
of
our
assessment
activity.
B
B
So
this
is
an
example
policy
statement,
and
this
is
an
example
of
how
it
would
look
at
registration,
and
this
is
for
a
domiciliary
care
agency.
So
the
evidence
requirements
will
vary
slightly
according
to
the
type
of
service
that
we
are,
that
we
are
assessing
so
so.
This
is
the
quality
statement
on
infection
prevention
and
control,
and
it
sets
out
the
evidence,
categories
of
registration.
B
What
evidence
we
would
be
requiring
for
this
quality
statement,
and
so
it
would
be
processes
and
feedback
from
staff
and
leaders
would
be
the
two
evidence:
categories
that
we'd
require
and
we'd
draw
evidence
from
the
provider.
Application
form
would
be
looking
at
the
infection,
control
policy
and
then
we'd
also
gather
information
from
the
interview
with
the
provider,
and
we
would
then
score
this
evidence
and
for
each
quality
statement.
We
would
have
a
score
which
we
would
then,
if
the.
B
So
we'd
want
to
confirm
that,
through
ongoing
assessment
rating
activity
within
a
defined
period
of
time,
which
we
would
be
seeking
to
specify
and
then
on
the
first
permanent
rating
assessment,
if
the
service
was
not
assessed
as
good
or
above
we
draw
on
the
evidence
from
registration
in
order,
in
addition
to
what
we
had
gathered
as
part,
one
gain
assessment
to
take
swift
action
and
so
we'd
be
using
enforcement
action.
Where
careful
blows
falls
below
the
level
of
good.
B
In
a
key
question
and
just
to
be
clear
at
the
point
of
registration,
we
would
be
it's
a
provisional
rating
of
good,
so
we
wouldn't
be
awarding
an
actual
rating,
because
the
evidence
requirements
at
the
point
of
registration
would
not
be
the
same
as
the
evidence
requirements
that
we
would
have
for
ongoing
assessment
because
of
the
nature
of
the
assessment.
So,
for
example,
we
wouldn't
have
evidence
from
people
who
are
using
services.
So
so
we
wouldn't
be
able
to
be
it's
not
a
actual
rating.
It's
a
provisional
rating.
B
B
We'll
be
collecting
evidence
on
each
key
and
each
quality
statement
and
making
a
judgment
on
those
at
registration,
and
this
will
be
the
base
layer
of
the
information
that
will
go
forward
for
that
provider
for
those
services
and
our
required
evidence
will
prioritize
feedback
from
leaders
over
processes
and
policies
and
will
seek
to
prioritise
exist.
Feedback
from
people
on
existing
services
for
existing
providers
who
are
seeking
to
vary
their
registration
service.
B
B
We're
really
looking
to
harmonize
the
units
of
assessments
and
our
aggregation
rules
and
our
definitions
of
services
across
registration
and
assessment,
so
we're
using
the
same
currency
in
the
same
language
so
that
we
can
transfer
the
information
across
and
it's
really
clear
for
you,
as
as
providers
in
terms
of
the
what's
the
information
that
we're
asking
you
for
and
what
it
relates
to
and
next
slide.
Please.
B
B
So
those
are
the
three
questions
that
our
facilitators
will
be.
I'm
asking
you
to
or
gathering
your
feedback
on
next
slide.
Please,
I
think
we're
gonna,
I
think
now
we're
just
gonna,
take
a
pause
for
some
questions
for
clarification,
a
new
point
to
clarify
clarification
in
terms
of
our
ambitions.
What
we're
trying
to
achieve
and
anything
we
might
need
to
take
into
account.
D
A
A
A
D
A
A
C
Thank
you.
I
think
my
question
linked
to
what
the
other
provider
just
asked,
though,
which
can
be
clarified.
I
hope
in
the
breakout
group,
because
I'm
also
thinking
of
there
are
times
when
you
take
over
a
contract
by
the
local
authority
and
that
service
may
not
have
been
doing
very
well
but
you're.
Taking
on
that
contract,
I'm
just
wondering
what
would
that
assessment?
Look
like.
A
B
There
is
and
what
we
don't
want
to
be
doing,
we
don't
want
to
be.
We
don't
want
to
be.
There
are
certain
circumstances
when
a
provider
will
come
in
and
they'll
be
potentially
struggling
in
service
and
they'll
be
taking
it
on,
and
we
don't
want
to
be
to
this
to
be
a
barrier
for
for
services
being
and
taken
on
and
improved,
so
there'll
be
so
a
lot
of
what
we've
spoken
about
essentially
is
about
a
new
provider.
B
So
a
new
provider
who's
taking
on
new
or
setting
up
a
new
service
for
existing
providers
that
are
looking
to
to
vary
their
to
their
registration.
There
there
potentially
will
be
a
slightly
different
process
where
there'll
be.
It
might
be.
That
kind
of
you
know
there'll
be
a
period
of
time
where
we'll
be
expecting
to
see
improvement
in
that
service,
but
there
are
some
details
that
we
would
need
to
work
through
in
terms
of
overall.
This
is
the
principle
around.
B
Actually,
when
we're
registering
services,
we
would
want
to
register
providers.
That
would
be
good.
There
are
certain
set
of
circumstances
around
existing
struggling
services
that
will
be
taken
on
that.
We
need
to
work
through
and
what
would
be
the
things
that
we
need
to
take
into
account
in
order
to
make
sure
that
we're
not
acting
as
a
barrier
for
services
to
be
taken
on
to
be
improved.
E
E
And
what
does
problem
sounds
like
a
stupid
question,
but
what
does
prioritize
mean
in
that
context?
Because
we
will
have
numerous
examples
of
inspections.
I'm
sure
others
around
in
the
room
world
as
well
of
of
one
or
two
comments
being
taken
is
absolutely
red
because
it
happened
on
the
day
of
the
inspection
and
that's
what
you
found.
That's
it
and
you
don't
you're
not
prepared
to
listen
to
anything
else
whatever
so
prior
to
what
does
prioritize
mean
exactly
in
that
context,
because
it's.
B
So
I
think
what
we're
trying
to
say
is
so
in
a
more
general
in
a
more
general
way
in
terms
of
how
we're
using
categories
of
evidence,
what
we
will
try
to
do
as
opposed
to
processes
and
and
so
looking
at
policies
and
processes.
We'll
be
generally
more
generally.
Thinking
about
and
listening
to
what
people
who
experience
services
have
been
have
told
us
in
order
to
make
sure
that
we're
focusing
on
the
things
that
that
are
important.
B
B
B
Another
thing-
and
we
pulled
it
out
for
this
because
for
none
for
new
providers,
we
don't
have
that
we
wouldn't
be
able
to
have
that
people
and
the
voice
of
people
who
are
using
services
because
we
don't
currently
have
that,
but
for
existing
providers
we
would
have
that
for
other
services.
So
we
want
to
make
sure
that
we're
using
it
when
we
can
at
the
point
of
registration,
sorry,
amanda,
okay,.
A
Great,
so
I
think
it's
time
to
move
into
the
breakout
rooms
now,
and
so
the
the
kind
of
purpose
of
these
is
is
very
much
to
to
kind
of
get
get
your
views.
The
facilitators
in
the
rooms
won't
won't
have
the
answers
to
to
all
of
your
questions,
and
I
think
it's
really
important,
though,
that
we,
we
kind
of
log
the
sorts
of
issues
that
people
have
have
raised
so
far.
A
So
there
is
a
kind
of
specific
question
about
kind
of
what
do
you
think
some
of
the
barriers
and
and
considerations
around
this?
So
I
think,
if,
if
we
could
kind
of
get
that
good
sense
of
of
of
you
know
what
are
the
things
that
we
we
haven't
thought
of?
What
are
the
things
that
we'd
need
to
take
into
account
here?