Care Providers Back Clearer CQC Frameworks and Sector-Specific Standards in their response to CQC Consultation.

In their response to the recent CQC Consultation, YHCAA leaders strongly support the CQC plans to publish clear rating characteristics in its new assessment frameworks. They believe this will reduce subjectivity, improve consistency, and help providers understand expectations. YHCAA recommended characteristics need to be tailored to each sector and service type and be presented in a factual way to minimise inspector discretion.

YHCAA agrees with sector-specific frameworks but calls for greater detail, including coverage of sub-sectors like learning disability services and older people’s care. Language should reflect social care rather than NHS terminology, and providers should be involved in development to ensure practicality. Minor issues resolved quickly should not lead to major negative ratings.

Simplifying frameworks and removing duplication is welcomed by YHCAA, as the current system is overly complex. Clear expectations with more emphasis on caring rather than process is recommended. YHCAA said evidence requirements should be straightforward, and remote inspections should avoid unrealistic demands.

On ratings, the group supports awarding them at key question level and retaining numerical scores for transparency. To improve inspection quality, YHCAA recommend inspectors with sector experience, strong training, and continuity through lead inspectors. Inspectors should come with an open mindset and look for good. Building relationships with providers and sharing best practice were highlighted as key, alongside using technology to support accuracy and report access.

YHCAA raised concerns about infrequent inspections, with calls for faster registration and deregistration processes to maintain accurate data. Providers and service users need safe routes to raise concerns without fear.

Other suggestions by YHCAA include improving IT systems, addressing inspection capacity gaps, and recognising funding impacts on care quality. Reports should reflect funding sources, and there should be a cultural shift towards respect and collaboration with registered managers and small providers.