Lisa Lenton, ARC England Director, attended the CQC Trade Association meeting on 8th June. The key points are summarised below for your reference:

  • Update on Ratings – there has been a marginal change overall in Adult Social Care ratings. The current overall ratings by service type were presented as below:

Community social care (940 inspected) has the best ratings (2% Inadequate, 19% requires improvement, 78% Good, 1% Outstanding).

According to the ratings, the least well performing provision type continues to be Nursing homes (3595 inspected) although the number of inspections hasn’t increased since the last stats we reported, (5% Inadequate, 42% Requires Improvement, 52% Good, <0.5% Outstanding).

For the first time some data was available specifically in respect of Learning Disability ratings. The analysis is up to February 2016, and although is a little out of date, gives is a snapshot of how our sector is performing compared to Adult Social Care overall.

There are similarities in terms of the least well performing ratings by key question – Safe and Well-led being highlighted areas of concern. The Responsive KLOE however showed a better reported ‘good’ and ‘outstanding’ rating against the average.

The actual data is extremely interesting and encouraging. See below for a breakdown of the ratings. This is surely something we should take note of and acknowledge the high quality of provisions organisations and their staff offer.

Learning Disability specific inspections (1,167):

  • Inadequate – 1%
  • Requires Improvement – 18%
  • Good – 81%
  • Outstanding – 1%

Overall ratings Adult Social Care,( 10,952) up to 31st May 2016

– Inadequate – 3% (no change)

– Requires improvement – 28% (slightly down from 29%)

– Good 68% (up from 67%)

– Outstanding – 1% (no change)


  • DBS Delays update: 

A guidance document for Inspectors has been released and we have already communicated this to members. Until the situation with the DBS is resolved, ARC will continue to raise the delays as an issue through the appropriate channels.

  • Responsive and Effective key lines of enquiry: prompts and characteristics:

 The CQC have been gathering key feedback, learning and suggested improvements from inspections, from stakeholders, national reports and learning between sectors. From this CQC have been reviewing their own approach and the best way to evidence performance in these two areas. More information will be made available on this in due course. All attendees of the meeting commented on the benefit of keeping the KLOE’s concise and sharp and that some jargon needs to be re-thought as Adult Social Care is very different to other sectors.


  • Update on the strategy launch:

The CQC strategy was launched on 24th May 2016. The key message is that “This is about evolution not revolution”, building on the methodology they have developed over the last three years. The key points are:

  • Registration will be strengthened and inspection will remain a fundamental part of what they do.
  • There will be greater focus on activity where risk is highest and to encourage improvement.
  • There will be a work towards a greater shared view of quality, which includes local authority commissioners, providers and NHS to help reduce unnecessary duplication.


  • Update on Housing with Care:

 A piece of work is being undertaken regarding inspecting those regulated activities for providers of supported living and extra care housing. CQC has realised they need to be more responsive to react to the diversity of the sector, there can be issues in relation to mental capacity and consent to inspection in people’s homes as well as planning issues and the requirement to have a better approach to promote clarity etc.

The ultimate aim is to publish a revised inspection framework and handbook by March 2017. There will be a questionnaire open in the ‘online community’ – and providers are encouraged to access this. A report is due out soon identifying shorter term improvements and the future strategy.

Lisa Lenton
ARC England Director

Please remember, ARC England is there to represent you at the trade association meetings! We regularly attend, so do let us know of any inspection issues or concerns and we will feed these directly to the meetings and get back to you!