Audit & Inspection Ready

46 documents

19 audit tools · 17 annotated worked examples · 5 investigation templates · 5 inspection-readiness training packs

Inspectors do not grade your policies. They grade the evidence that your policies are happening — the care plan that reads like a person, the capacity assessment that applies the right test, the audit that found a problem and the re-audit that shows it fixed. Audit & Inspection Ready is the module that produces that evidence on a schedule, rather than in the week before an inspection.

It contains three kinds of document. Audit tools are structured checklists with sample sizes, scoring, and an action plan built into the form, so a completed audit is a governance record rather than a tick sheet. Worked examples are fully completed documents — a real-shaped care plan, a capacity assessment, a risk assessment, an investigation — annotated to show why each part is written the way it is. Inspection-readiness packs prepare the leadership team for the assessment itself. Together they answer Regulation 17: systems to assess, monitor and improve quality, and to identify and mitigate risk.

What this module is written against

Written for England. Every citation below is a CQC regulation, an English statutory instrument, or national guidance an English care home is measured against — no generic UK-wide hedging.

CQC Regulation 17
Good governance — the regulation this whole module exists to evidence. Audit, act, re-audit, record.
CQC Regulation 20
Duty of candour — the investigation templates carry the notification and apology steps as part of the process.
CQC single assessment framework
Quality statements and evidence categories, so an audit result maps to the thing CQC is actually judging.
Mental Capacity Act 2005
The worked capacity assessments demonstrate the two-stage test applied correctly to a real decision.
Patient safety investigation principles
Root cause analysis, chronology and human-factors thinking, applied at a scale that makes sense for a care home.

What’s in it

Grouped the way a manager would look for them, with what each document does and the regulation it answers to. Every one is personalised on download with your registered manager, your address, your CQC registration ID and 50+ other fields. Subscribers see the live, searchable index in the portal with version numbers and last-reviewed dates.

Audit tools

Each one carries its own sample size, scoring method, and action plan — so completing it produces governance evidence, not just a score.

21 documents

  • Mock Inspection Deep Dive

    Audit tool

    A full mock assessment run against the CQC quality statements, with evidence prompts and a rating judgement for each.

    • CQC Reg 17
    • CQC single assessment framework
  • 15 Steps Challenge

    Audit tool

    The first-impressions walkthrough — what a visitor sees, hears and smells in the first fifteen steps through the door.

    • CQC Reg 15
    • CQC Reg 10
  • Care Plan Audit

    Audit tool

    Sampled audit of care plans against person-centredness, currency, risk coverage, and evidence of review.

    • CQC Reg 9
    • CQC Reg 17
  • Medication Audit

    Audit tool

    Full medicines audit — storage, temperature, stock, ordering, disposal, and competency records.

    • CQC Reg 12
    • NICE SC1
  • MAR Chart Audit

    Audit tool

    Sampled MAR chart audit checking for gaps, unexplained codes, handwritten entries, and allergy documentation.

    • CQC Reg 12
    • NICE SC1
  • Controlled Drugs Audit

    Audit tool

    Register integrity, running balance verification, witnessed entries, storage and destruction records.

    • Misuse of Drugs Regs 2001
    • CQC Reg 12
  • IPC Audit

    Audit tool

    Infection prevention practice audit against the Hygiene Code — precautions, PPE, decontamination and staff knowledge.

    • Hygiene Code (HSCA 2008)
    • CQC Reg 12
  • IPC Environment Audit

    Audit tool

    The environmental half of IPC — cleanliness, fabric, storage, sluice, and equipment condition.

    • Hygiene Code (HSCA 2008)
    • CQC Reg 15
  • Hand Hygiene Audit

    Audit tool

    Direct observation of hand hygiene compliance against the five moments, by staff group.

    • Hygiene Code (HSCA 2008)
    • WHO five moments
  • Falls Audit

    Audit tool

    Post-fall documentation audit plus thematic analysis — time, place, resident, contributing factors.

    • NICE NG161
    • CQC Reg 12
    • CQC Reg 17
  • Pressure Care Audit

    Audit tool

    Risk assessment currency, repositioning evidence, equipment in use, and pressure damage incidence.

    • NICE CG179
    • CQC Reg 12
  • Deterioration Audit

    Audit tool

    NEWS2 completion, escalation timeliness, and whether the escalation actually produced a clinical response.

    • RCP NEWS2
    • NICE NG51
    • CQC Reg 12
  • Oral Health Audit

    Audit tool

    Mouth care assessment on admission, daily oral care evidence, and dental access — a standing CQC theme.

    • NICE NG48
    • CQC Reg 9
  • Mealtime Audit

    Audit tool

    The mealtime as an audited event — timing, choice, texture accuracy, assistance, and the dining experience.

    • CQC Reg 14
    • CQC Reg 9
    • IDDSI framework
  • Mealtime Observation

    Audit tool

    Structured observation tool for a single mealtime, recording interaction quality rather than compliance alone.

    • CQC Reg 14
    • CQC Reg 10
  • Dignity Walkaround

    Audit tool

    Observation-based dignity audit — privacy, language, choice, and how staff speak about residents in earshot.

    • CQC Reg 10
    • CQC Reg 9
  • Restraint Audit

    Audit tool

    Every restrictive practice in use, its legal basis, less-restrictive alternatives considered, and its review date.

    • CQC Reg 13
    • MCA 2005 and DoLS
    • NICE NG10
  • Documentation Audit

    Audit tool

    Record quality audit — legibility, signatures, timeliness, contemporaneity, and unexplained gaps.

    • CQC Reg 17
    • Records Management Code of Practice 2021
  • Environment Audit

    Audit tool

    Premises audit — fabric, safety, dementia-friendly design, signage, and outdoor space.

    • CQC Reg 15
    • Equality Act 2010
  • Information Governance Audit

    Audit tool

    Records security, access control, retention practice, and staff information-governance knowledge.

    • UK GDPR
    • DSPT
    • CQC Reg 17
  • Recruitment Files Audit

    Audit tool

    Personnel file audit against Schedule 3 — every check present, dated, and completed before the start date.

    • CQC Reg 19 and Sch 3
    • CQC Reg 17

Worked examples

Completed documents, annotated. The fastest way to show a team what "good" actually looks like on the page.

16 documents

  • Worked Care Plan — a full resident file

    Worked example

    A complete care plan for a fictional resident across personal profile, life story, each care area, goals, reviews and signatures.

    • CQC Reg 9
    • CQC Reg 17
  • Completed Care Plan Example

    Worked example

    A shorter care plan example with annotations explaining why each entry is specific rather than generic.

    • CQC Reg 9
  • Completed Capacity Assessment Example

    Worked example

    A capacity assessment completed correctly, showing the functional test recorded in the assessor’s own words.

    • MCA 2005 ss.2–3
    • CQC Reg 11
  • Worked MCA — decision to remain at the home

    Worked example

    Capacity assessment for the residence decision, showing correct application of the diagnostic and functional tests.

    • MCA 2005
    • MCA Code of Practice
  • Worked MCA — decision to self-administer medication

    Worked example

    A common but consequential decision assessed properly, with the practicable steps to support capacity documented.

    • MCA 2005
    • CQC Reg 11
    • CQC Reg 12
  • Completed Risk Assessments Example

    Worked example

    A set of completed risk assessments showing proportionate controls rather than blanket restriction.

    • CQC Reg 12
    • Management of H&S at Work Regs 1999
  • Worked Falls Risk Assessment

    Worked example

    A comprehensive falls risk assessment with the specific factors, scoring, resulting plan and review date.

    • NICE NG161
    • CQC Reg 12
  • Worked Pressure Injury Risk Assessment

    Worked example

    Pressure risk assessment completed with a narrative that explains the score rather than just recording it.

    • NICE CG179
    • CQC Reg 12
  • Worked Choking Risk Assessment

    Worked example

    A choking risk assessment for a resident with dysphagia, including IDDSI level and SALT referral.

    • IDDSI framework
    • CQC Reg 12
    • CQC Reg 14
  • Worked Care Plan Audit

    Worked example

    A completed care plan audit showing sample selection, criteria scoring, findings and the action plan that followed.

    • CQC Reg 17
  • Completed Audit Example

    Worked example

    A completed audit with a genuine set of findings — including the uncomfortable ones — and evidence of the re-audit.

    • CQC Reg 17
  • Investigation — medication error

    Worked example

    A full investigation of a wrong-resident medication error, from incident through 5 Whys and fishbone to learning and action.

    • CQC Reg 12
    • CQC Reg 17
    • CQC Reg 20
  • Investigation — fall with serious injury

    Worked example

    Investigation of a fractured neck of femur following a fall, including the postural hypotension root cause.

    • CQC Reg 12
    • CQC Reg 17
    • CQC Reg 20
    • RIDDOR 2013
  • Investigation — safeguarding allegation (financial abuse)

    Worked example

    A financial abuse allegation involving an attorney, showing the correct response: refer to the local authority, do not investigate independently, support the resident.

    • CQC Reg 13
    • Care Act 2014 s.42
    • MCA 2005
  • Investigation — complaint about end-of-life care

    Worked example

    A complaint investigation with communication failure as the root cause, and duty of candour applied properly.

    • CQC Reg 16
    • CQC Reg 20
    • CQC Reg 17
  • Investigation — near miss at handover

    Worked example

    A near-miss identification error, used to show why near misses matter and how pattern recognition drives system change.

    • CQC Reg 17
    • CQC Reg 12

Investigation templates

The paperwork of a defensible investigation. Used together they produce a report a coroner or an inspector can follow.

5 documents

  • Investigation Terms of Reference

    Template

    Defines the scope, the investigating officer, the timeline and the methodology before the investigation starts.

    • CQC Reg 17
  • Investigation Chronology

    Template

    Sequences events against their documentary sources, so the timeline is evidenced rather than remembered.

    • CQC Reg 17
  • Witness Statement

    Template

    Captures what a witness observed in their own words, dated and signed at the time.

    • CQC Reg 17
  • Root Cause Analysis (5 Whys and Fishbone)

    Template

    Structured root cause analysis that pushes past "staff member made an error" to the system that allowed it.

    • CQC Reg 17
    • CQC Reg 12
  • Investigation Report

    Template

    The final report — findings, root causes, recommendations and an action plan with owners and dates.

    • CQC Reg 17
    • CQC Reg 20

Inspection readiness

4 documents

  • Inspection Prep Pack

    Training pack

    Preparation for the leadership team — what CQC will ask, what evidence answers it, and who owns each area.

    • CQC Reg 17
    • CQC single assessment framework
  • Inspection Day Readiness

    Training pack

    The day itself: who greets the inspector, what is produced on request, and how staff interviews are supported.

    • CQC Reg 17
    • Health and Social Care Act 2008
  • Mock Inspection QA

    Training pack

    The question bank an inspector is likely to use with staff at every level, with the evidence behind a good answer.

    • CQC single assessment framework
    • CQC Reg 17
  • Provider Information Return

    Training pack

    How to compile and evidence the PIR, with worked answers showing the level of specificity CQC expects.

    • CQC Reg 17
    • Health and Social Care Act 2008

Read them in context

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