Preparing and Registering with the Care Quality Commission – A Practical Guide and Workshop

1. Preparing and Registering with the Care Quality Commission – A Practical Guide and Workshop Our Experience Our Hints Our Drawbacks Your Support

2. Workshop Overview • Welcome and Introductions • Benefiting from the CQC Culture • Preparation within a busy day job • Sharing our registration experience • Examples and group discussion • Your copy of the CQC “Bible”

3. Welcome & Introductions • Michaela Buck, Managing Director buckm@stockport-pct.doctorscoop.nhs.uk DDI 0161 476 7000 • Andrea Ferguson, Locality Manager andreaferguson@nhs.net Mobile: 07588 442434

4. Benefiting from the CQC Culture • Made us put our house in order and become more organised which leads to greater efficiency. • Outcome and assurance focused - not just dusting off an unread policy. • Shared ownership and responsibility. • Integrated teams and roles. • Learning and excelling through audit and action. • Positive progressive culture – not inspection driven.

5. Don’t re-invent the wheel! • Scalability and approach to your needs – develop a framework • Don't invest in quick fix or commercial solutions • Use the CQC website www.cqc.org.uk • CQC Help line number: 0300 616161 or email at enquiries@cqc.org.uk • Build on existing best practice: • Standards for Better Health • QOF/QMAS/Actuate • Patient Experience surveys • Patient Engagement forums • Infection Control Audit • IG Toolkit • Good housekeeping/records management • External audits i.e. LINKS/Health & Safety/Disability Compliance

6. Achieving Compliance • Use the Essential Standards of Quality & Safety book (your bible) • Share the responsibility: • Registered Manager (Senior GP) • Nominated Individual (Practice Manager) • Understand the difference between: • Evidence and Assurance (there is a difference) • Be realistic; don’t submit compliant if not • Don’t put yourself under undue pressure • Don’t rely on written policies; CQC not interested • Ensure staff have access to policies/procedures/notes of meeting • Focus on patient safety; complaints procedure/incident reporting/risk management/infection control. • Ensure your staff understand the processes for each of the above

7. Achieving compliance • Involve all staff within the practice. • Assign roles and responsibilities with leads for each outcome including both clinical and non-clinical team members. • Agree regular meeting if an outcome falls across a number of individuals/teams. • Undertake an assessment of compliance prior to submission. DON’T PANIC IF NOT COMPLIANT! • Develop a compliance action plan with named responsibilities and REALISTIC timescales. • Regular Good housekeeping/records management. • Regular Staff briefings e.g. changes to procedure. • Minute all minutes and save centrally. • Update staff and GP training files. • Share best practice with each other.

8. How Mastercall can help you • Mastercall’s Independent Assessment of compliance • Mastercall’s Compliance Assessment forms • Experienced Information Governance Dept • Melanie Buck at melaniebuck@nhs.net • Experienced Human Resources Dept • Hayley Leatherbarrow at hayley.leatherbarrow@nhs.net • Experienced Clinical Governance Dept (complaints/incidents/risk management) • Sandra Jones at s.jones18@nhs.net • Experienced Patient Engagement Dept • Elizabeth Morrell at liz.morrell@nhs.net

9. Thank youHappy to take questions