Is it Effective – Assessing needs and delivering evidence-based treatment

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Over the next few months, we will be exploring the CQC key lines of enquiry by each question and sharing resources we think you might find useful.

Sources of evidence: what CQC inspectors look at against each KLOE

Are people’s needs and choices assessed and care, treatment and support delivered in line with current legislation, standards and evidence-based guidance to achieve effective outcomes?

By effective, the CQC mean that people’s care, treatment and support achieves good outcomes, promotes a good quality of life and is based on the best available evidence.

Questions

E1.1 Are people’s physical, mental health and social needs holistically assessed, and is their care, treatment and support delivered in line with legislation, standards and evidence-based guidance, including NICE and other expert professional bodies, to achieve effective outcomes?

E1.2 What processes are in place to ensure there is no discrimination, including in relation to protected characteristics under the Equality Act, when making care and support decisions?

E1.3 How is technology and equipment used to enhance the delivery of effective care and support, and to promote people’s independence? 

Potential sources of evidence

People & their carers, friends and relatives:

  • Experiences of assessments, care planning and outcomes. 
  • Experiences of how technology is used.

CRM (Customer Relationship Management)

  • Share your experience forms. 
  • Information of concern enquiries.

Organisations 

Feedback about whether/how:

  • assessments, care planning and practice aligns with good practice guidance.
  • the service prevents and responds to discrimination and promotes equality. 
  • the service uses technology, and does so in a way that benefits people.

Staff

  • Awareness of relevant guidance and standards.
  • Experiences of training & guidance in practice. 
  • Experiences of organisational expectations, culture and approach to equality. 
  • How staff contribute to preventing & responding to discrimination.

Leadership & management

  • Awareness of relevant guidance and standards.
  • How leaders and managers contribute to preventing & responding to discrimination. 
  • Plans for future use of technology.

Observation

  • Good practice guidance and standards in day to day use. 
  • Interactions between staff and people. 
  • How technology is used.

Records and policies

  • Initial and ongoing assessment, care plan, review and outcome records. 
  • Complaints and compliments.
  • Assessments, care planning, equality/diversity and use of technology policies.

Useful Resources

The five key questions the CQC ask

Key lines of enquiry for adult social care services

Safeguarding and protection from abuse

KLOEs and ratings characteristics for adult social care services

Sources of evidence: what our inspectors look at against each KLOE

Ratings characteristics

  • Outstanding

The service works in partnership with other organisations and keeps up to date with new research and development to make sure staff are trained to follow best practice. Where possible, the service also contributes to the development of best practice and good leadership with other agencies.

There is a truly holistic approach to assessing, planning and delivering care and support. The service looks for and encourages the safe use of innovative and pioneering approaches to care and support, and how it is delivered. New evidence-based techniques and technologies are used to support the delivery of high-quality care and support.

  • Good

Care and support is planned and delivered in line with current evidence-based guidance, standards, best practice, legislation and best use of technology. This is monitored to ensure consistency of practice.

Assessments of needs are comprehensive. Expected outcomes are identified and care and support is regularly reviewed and updated. Appropriate referrals to external services are made to make sure that needs are met.

Staff apply their learning effectively and in line with best practice, and this leads to good outcomes for people’s care and support and promotes a good quality of life.

  • Requires improvement

Care and support does not always reflect current evidence-based guidance, standards and best practice. The use of technology is focused on benefiting the service and can have a negative effect on people using the service.

Implementation of evidence-based guidance is variable. Care assessments do not consider the full range of people’s diverse needs.

  • Inadequate

Care and support does not reflect current evidence-based guidance, standards and practice. The use of technology has a negative impact on people using the service.

Care and support is based on ill-informed, uninformed or discriminatory decisions rather than full assessments of people’s needs.

Does your service need some support with making sure you have the policies, processes, and evidence to respond to the CQC to achieve your desired rating?

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