Inspection Trends: Who's next

Next Phase

1. Routine re-inspections start all over again, and Providers will be expected to be better prepared.
2. Focused or targeted visits where there are specific concerns

You will be on the radar if:-

• Complaints are made against you
• Whistleblowing by employees who are concerned about your standards
• Whistleblowing by disgruntled ex-employees
• Serious incidents that warrant attention
• Entire Groups, Federations, Franchise operations: If your members expose systemic faults
• Note: Changes in Registration details may reclassify you as a "new" uninspected location

 When was your last inspection?

Your next inspection will depend on the date of your last one.
2013 to 2015: A re-inspections is an almost certainty.
2016: Re-inspection cycle has started.
2017 and 2018: Poor clinical performance and smaller Providers puts you at risk

Whistleblowing, incidents and complaints pose the highest risk in triggering an inspection.
Groups need common standards and quality management to avoid inspections escalating into a wider investigation.
Franchise operations face a particular level of risk.

This is a high risk category due to the volume and nature of services, subject to higher scrutiny and almost 50% have already undergone multiple inspections.

Providers with only one inspection so far and poor clinical performers are at the highest risk of an inspection

Less than 10% have had a second visit.

Providers inspected in 2015 and 2016 are prime targets for a re-inspection.

Whistleblowing, incidents and complaints pose the highest risk in triggering an inspection.

A warning shot for Providers

• More Providers got negative ratings than in all of the previous years combined

• Over 3,700 areas got marked as Requires Improvement or Inadequate

• New KLOE regime has now kicked in

Overview of all ratings : Note the spike in bad ratings

 Primary Care: Hundreds more poor reviews

Almost 9,000 GPs and Dentists were inspected under the old KLOE rules. This is what they can get caught out on:-

• Inspections regime changed in 2017, you need to be prepared for new KLOEs
• Virtually everything you based on old KLOEs at the last inspection is invalid
• Providers who have not kept up to date face a significant amount of work

Adult Social Care: Thousands of poor reviews

Inspections are transitioning from checking processes to auditing actual care.

What gets caught out:-

• Providers who waste time on policies instead of care
• Poor care plans
• Poor risk assessment
• Poor evidence of compliance