Statement that CQC inspects all care homes at least once a year

Doug Paulley made this Freedom of Information request to Care Quality Commission

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

The request was successful.

Dear Care Quality Commission,

In this media statement you say this:

http://www.cqc.org.uk/media/cqc-statemen...

“CQC carries out an unannounced inspection of every care and nursing home in England every year – more often if we believe people may be at risk. This system of regulation can and does identify poor care which CQC then takes action to tackle."

Here is the last inspection date of the various homes I've stayed in recently.

Wharfedale House (LS22) was last inspected in summer 2010, specifically around safeguarding, complaints and contract issues, following a major safeguarding incident. It was last inspected "generally" in November 2007.

Avalon Park, OL4, was last inspected in January 2009.

Calvert Trust Kielder, NE48, was last inspected November 2009.

Greenhill House, BA2, was inspected due to concerns around financial abuse in February 2011.

Riverside Care Home, SK14, was last inspected in December 2009.

As you will see none of these homes have been inspected by CQC in the last 12 months. Only one was last calendar year, and then in response to a specific concern.

Please could you tell me:

:- how many registered care homes there are in England
:- how many have received unannounced inspections within the last 12 months
:- how many of these inspections were due to specific information received or specific concerns rather than for general monitoring.

Please could you also provide any information as to what resources were used to provide the statement in the media release stating that all homes are inspected by CQC at least once a year.

Yours faithfully,

Doug Paulley

Information Access, Care Quality Commission

This matter is being dealt with by: Pamela Coxon, Telephone No: 0191
2333552

 

Dear Mr Paulley

 

I am writing to acknowledge receipt of your request for information dated
30 April 2012, which the Commission received on 30 April 2012. Your
request for information is as follows: -

 

Please could you tell me:

    

     :- how many registered care homes there are in England

     :- how many have received unannounced inspections within the last 12
months

     :- how many of these inspections were due to specific information
received or specific concerns rather than for general monitoring.

 

Please could you also provide any information as to what resources

     were used to provide the statement in the media release stating

     that all homes are inspected by CQC at least once a year.

 

Your request is now being processed in accordance with the Freedom of
Information Act 2000. Your response should be sent to you within the
statutory timescale of 20 working days as outlined by the Act, subject to
the information not meeting exemption criteria or containing reference to
a third party. Should this occur, you will be notified accordingly when we
write to you next.

 

You can therefore expect a response by close of business 29 May 2012
respectively. In certain circumstances the Care Quality Commission may be
unable to provide the information within statutory timescale.  We will
then inform you of the revised timescale prior to the deadline.

 

We may require further information from you in order to process your
request.  If this is the case you will be informed and the statutory
timescale will be suspended until we receive further information from you.
If you decide not to respond then your request will be closed.

 

If you have any queries please do not hesitate to contact the team, on the
telephone number above, quoting our reference number.
 
Regards
 
On behalf of:
Pamela Coxon
Information Access Officer
 
Care Quality Commission
Citygate
Gallowgate
Newcastle upon Tyne
NE1 4PA
 
Statutory requests for information made under access to information
legislation, such as the Data Protection Act 1998 and the Freedom of
Information Act 2000, should be sent to:  [CQC request email]
 

The contents of this email and any attachments are confidential to the
intended recipient. They may not be disclosed to or used by or copied in
any way by anyone other than the intended recipient. If this email is
received in error, please notify us immediately by clicking "Reply" and
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the sender
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Care Quality Commission.

Information Access, Care Quality Commission

Dear Mr Paulley

 

I am writing to request clarification before we can proceed with your
request for information dated 30 April 2012, which the Commission received
on that day.

 

The Commission requires the following points of your request to be
clarified.

 

Please could you also provide any information as to what resources were
used to provide the statement in the media release stating that all homes
are inspected by CQC at least once a year.

 

Can you please indicate which press release you are referring to here and
what you mean by 'what resources were used'. 

 

In accordance with section 1(3) of the FOIA, the Commission will not
proceed with responding to the part of your request that requires
clarification until we have received that feedback.  Once this is
received, I will notify you of the new due date for response.

 

If I do not receive a reply by 12th June, I will assume that you do not
wish to continue with your request and I will close if off.

You also requested:

 

Please could you tell me:

    

     :- how many registered care homes there are in England

     :- how many have received unannounced inspections within the last 12
months

     :- how many of these inspections were due to specific information
received or specific concerns rather than for general monitoring.

 

We are continuing to process this part of your request and will respond by
the original due date of 29th May in relation to this.

 

Please do not hesitate to contact me if you require any advice or
assistance in clarifying your request.

 

Yours sincerely

 
Pamela Coxon
Information Access Officer
Legal Services & Information Rights
Care Quality Commission
Citygate, Floor 7
Gallowgate
Newcastle upon Tyne
NE1 4PA
 
Tel: 0191 233 3552
Fax: 01484 772 992
E-mail: [1][email address]
 
**************************************************************
Statutory requests for information made pursuant to access to information
legislation, such as the Data Protection Act 1998 and the Freedom of
Information Act 2000, should be sent to [2][CQC request email].
 

show quoted sections

Dear Information Access,

Thank you for your request for clarification.

The media statement in question is the one I linked to in my request, http://www.cqc.org.uk/media/cqc-statemen...

"CQC carries out an unannounced inspection of every care and nursing home in England every year – more often if we believe people may be at risk."

By resources, I mean what evidence base was used to make that statement, given that my experiences and a cursory analysis of the CQC database indicates entirely to the contrary.

This should have been very clear given the background information I supplied with my request, which you appear to not have read. As such I don't consider this to be a valid request for clarification. I'm disappointed it's taken you two weeks to request clarification and information I've already provided. I won't reset the timescale.

Thank you

Yours sincerely,

Doug Paulley

Information Access, Care Quality Commission

Dear Mr Paulley

Please accept my apologies for not noting that your original request included more information in relation to the explanation. Another colleague had logged your request but did not include all of the explanation in the database record. However, I should have double checked this before asking for clarification from you. Therefore, we are still working to the original deadline of 29th May.

Yours sincerely

Pamela Coxon
Information Access Officer
Legal Services & Information Rights
Care Quality Commission
Citygate, Floor 7
Gallowgate
Newcastle upon Tyne
NE1 4PA

Tel: 0191 233 3552
Fax: 01484 772 992
E-mail: [email address]

**************************************************************
Statutory requests for information made pursuant to access to information legislation, such as the Data Protection Act 1998 and the Freedom of Information Act 2000, should be sent to [CQC request email].

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Dear Information Access,

No problem, thank you

Yours sincerely,

Doug Paulley

Information Access, Care Quality Commission

1 Attachment

Dear Mr Paulley

 

I am writing in response to your request for information dated 30 April
2012 in which you made a request for information in accordance with the
Freedom of Information Act 2000 (FOIA), which the Commission received on
30 April 2012.

 

The Information Access Team has now processed your request and I am
pleased to attach our response in relation to your request.

 

If you have any queries please do not hesitate to contact me.

 

Kind regards

 
Pamela Coxon
Information Access Officer
Legal Services & Information Rights
Care Quality Commission
Citygate, Floor 7
Gallowgate
Newcastle upon Tyne
NE1 4PA
 
Tel: 0191 233 3552
Fax: 01484 772 992
E-mail: [1][email address]
 

show quoted sections

Dear Care Quality Commission,

Please pass this on to the person who conducts Freedom of Information reviews.

I am writing to request an internal review of Care Quality Commission's handling of my FOI request 'Statement that CQC inspects all care homes at least once a year'.

The information you have provided is useful. However it isn't quite what I asked. I asked how many have care homes have received unannounced inspections within the last 12 months. You responded with how many inspections you've undertaken.

That's not the same thing, particularly as when you're concerned about a home you would normally inspect it more than once in a twelve month period. The number of homes inspected will therefore be less than the number of inspections done.

I'm wanting to know how many homes have been inspected in 12 months; not how many inspections have taken place, and the two aren't the same thing. In other words you didn't supply the information requested; you supplied something similar but not the same.

You raise the cost concern of supplying the information given that determining whether an inspection was unannounced would require manual searching of records. To ease the process, I am happy to widen my request to encompass all inspections, announced or otherwise.

On a second issue:

In your statement to the media, you said: "CQC carries out an unannounced inspection of every care and
nursing home in England every year". In your response to my request you say this was based on the policy to that effect as set by the Board. However whilst that might be the intention, the reality is different.

Your own figures are clear. There are 17,756 care homes registered with you; in the last 12 months you did 13,082 inspections. That's at least 4,674 care homes you didn't inspect - at least 26% of homes. The actualy figure will be higher, as some homes will have had more than one inspection.

So the reality is CQC doesn't carry out an inspection of every care and nursing home every year, despite any policy stating intentions to do so.

I think your statement to the media is misleading at best.

I'm not sure FoI is the way to deal with this misleading statement. I do think it needs to be addressed. Please tell me the best way to challenge CQC on this, to ensure that a correction is made and that the truth is given in the future.

Thank you

A full history of my FOI request and all correspondence is available on the Internet at this address:
http://www.whatdotheyknow.com/request/st...

Yours faithfully,

Doug Paulley

Doug Paulley left an annotation ()

I've blogged about this. http://www.kingqueen.org.uk/archives/70

Information Access, Care Quality Commission

Dear Mr Paulley

I acknowledge receipt of your request for Internal Review. We will undertake a review, considering the points that you have raised regarding our response under the Freedom of Information Act 2000, and will report the outcome to you by 28 June.

You also raised a second issue regarding the wording of our press release.

The press release was issued on 23 April 2012. As stated in our FOIA response, the statement on CQC inspecting every care home is made in reference to CQC policy - this policy is our Compliance and Enforcement Model, that was agreed by the CQC Board in February and came into effect in April of this year.

The relevant Board papers can be found at: http://www.cqc.org.uk/public/about-us/ou...

The Compliance Principles (Annex A of the first document, under item 10 in the 15 Feb papers) state that:

7. At least once a year we propose to inspect all care homes, domiciliary care providers and hospitals and those inspections will cover at least 5 outcomes, one from each of the outcome areas. Other service types such as dentists will have bi-annual inspections and are likely to cover less outcomes. [...]

8. We will ensure that we inspect all relevant outcomes over a period of time, whilst continuously monitoring compliance with all 16 essential standards, so for services that have an annual inspection we will usually inspect all the essential standards over a 3 year period. Inspection is only one part of our regulatory toolkit, continuous monitoring of all the essential standards by looking at the information we hold is also a key element.

Annex C of the same paper gives a 'quick guide' to the changes to our model. This states that:

4. Most services will be inspected at least once a year and we will focus on a smaller number of outcomes. This is different to our existing approach where reviews of compliance took place between every 3 months and 2 years and reviewed all 16 essential standards.

The time period for which we provided you with statistics covers the year from 1 May 2011 to 30 April 2012, and therefore largely relates to our previous model, under which we were not aiming to inspect all care homes at least once a year. The press release of 23 April refers to the model in place at that time, whereby we do intend to inspect all care homes within the year. We will judge, and report upon, our success in meeting this commitment after 1 April 2013.

I appreciate that you wish to complain about the wording of the press release, and you have asked how to go about doing this. In accordance with our complaints procedure (http://www.cqc.org.uk/contact-us) I would suggest that you raise the issues directly with the CQC media team:

CQC Media Office
Finsbury Tower
103-105 Bunhill Row
London EC1Y 8TG
Email: [email address]

Yours sincerely

Simon

Simon Richardson
Information Rights Manager
Legal Services & Information Rights
Care Quality Commission

The Care Quality Commission is the independent regulator of all health and adult social care in England. www.cqc.org.uk. For general enquiries, telephone the National Contact Centre: 03000 616161.

Statutory requests for information made pursuant to access to information legislation, such as the Data Protection Act 1998 and the Freedom of Information Act 2000, should be sent to: [CQC request email]

The contents of this email and any attachments are confidential to the intended recipient. They may not be disclosed to or used by or copied in any way by anyone other than the intended recipient. If this email is received in error, please notify us immediately by clicking "Reply" and delete the email. Please note that neither the Care Quality Commission nor the sender
accepts any responsibility for viruses and it is your responsibility to scan or otherwise check this email and any attachments.

Any views expressed in this message are those of the individual sender, except where the sender specifically states them to be the views of the Care Quality Commission.

Anna Smith left an annotation ()

CQC's Panorama statement is misleading at best. Shouldn't it say: "From 1 April 2012, CQC aims to carry out...".

Doug Paulley left an annotation ()

CQC conducted an internal review and released information but attached it to the wrong FoI request. It's here, http://www.whatdotheyknow.com/request/wi... . The information is:

CQC conducted inspections of 10,808 care homes over the last 12 months. (It did 13,082 inspections, but some homes were inspected more than once.)

Given that there are 17,756 care homes in England, this means they inspected 60%, i.e. 40% didn't get inspected. Somewhat at odds with their media statement here http://www.cqc.org.uk/media/cqc-statemen...

"CQC carries out an unannounced inspection of every care and nursing home in England every year"

Yeah right.

Information Access, Care Quality Commission

Dear Mr Paulley

Please accept my apologies for the confusion. This has been caused by an error in our recording system. Our systems are only capable of recording one e-mail address for each applicant and due to the nature of the way www.whatdotheyknow.com works each request gets assigned a separate e-mail address.

I will resend e-mail the response to your Internal review of Information Request CQC IAT 2012 0439 to the correct e-mail address shortly so it appears correctly on what do they know.

With regard to your request for the FOIA disclosure made to private eye the deadline for this response in tomorrow and we will contact you separately regarding this.

Kind Regards

Russell Wynn

Senior Information Access Officer
Legal Services & Information Rights
Care Quality Commission
Citygate
Gallowgate
Newcastle Upon Tyne
NE1 4PA

Telephone: 0191 233 3587
Internal: 333587
Fax: 01484 772 992

Statutory requests for information made pursuant to access to information legislation, such as the Data Protection Act 1998 and the Freedom of Information Act 2000, should be sent to [CQC request email].

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Information Access, Care Quality Commission

28 June 2012

 

Our Ref: Information Request CQC IAT 2012 0439

 

Dear Mr Paulley

 

I am writing in response to your e-mail dated 29 May 2012 in which you
asked CQC to review our decision on the information that was provided to
you.

 

Your original request was received by CQC on the 30 April 2012 and was
responded to on the 29 May 2012. I note that Simon Richardson has already
provided some clarification and advice following your e-mail so I have
concentrated on those points we were unable to answer straight away.

 

You review requested:

 

The information you have provided is useful. However it isn't quite what I
asked. I asked how many have care homes have received unannounced
inspections within the last 12 months.

 

You responded with how many inspections you've undertaken.

    

That's not the same thing, particularly as when you're concerned about a
home you would normally inspect it more than once in a twelve month
period. The number of homes inspected will therefore be less than the
number of inspections done.

    

I want to know how many homes have been inspected in 12 months; not how
many inspections have taken place, and the two aren't the same thing. In
other words you didn't supply the information requested; you supplied
something similar but not the same.

    

You raise the cost concern of supplying the information given that
determining whether an inspection was unannounced would require manual
searching of records. To ease the process, I am happy to widen my request
to encompass all inspections, announced or otherwise.

 

Your request has been processed in accordance with CQC’s internal review
procedure for requests made under information legislation.

 

Our response to the review is given below.

 

I have considered the points you have raised and I can confirm that
between 1st May 2011 and 30th April 2012, out of the 13,082 Reviews of
Compliance that took place at care home locations CQC inspected 10,808
care homes on at least one occasion. This accounts for all inspections
whether unannounced or otherwise.

 

Although not recorded by our systems in all cases, CQC does state on our
website that all inspections of adult care services are all unannounced
unless there is a very good reason for us to give notice to a provider.

 

[1]http://www.cqc.org.uk/organisations-we-r...

 

Following the completion of your review further rights of appeal exist to
the Information Commissioner’s Office under section 50 of the Freedom of
Information Act 2000.

 

The contact details are:

 

Information Commissioner's Office

Wycliffe House

Water Lane

Wilmslow

SK9 5AF

 

Telephone: 01625 545 745

Website: [2]http://www.ico.gov.uk/

 

Please do not hesitate to contact me if you have any queries.

 

Kind regards

 
Russell Wynn
 
Senior Information Access Officer
Legal Services & Information Rights
Care Quality Commission
Citygate
Gallowgate
Newcastle Upon Tyne
NE1 4PA
 
Telephone: 0191 233 3587
Internal: 333587
Fax: 01484 772 992
 
Statutory requests for information made pursuant to access to information
legislation, such as the Data Protection Act 1998 and the Freedom of
Information Act 2000, should be sent to [3][CQC request email].
 
 
 

The contents of this email and any attachments are confidential to the
intended recipient. They may not be disclosed to or used by or copied in
any way by anyone other than the intended recipient. If this email is
received in error, please notify us immediately by clicking "Reply" and
delete the email. Please note that neither the Care Quality Commission nor
the sender
accepts any responsibility for viruses and it is your responsibility to
scan or otherwise check this email and any attachments.

Any views expressed in this message are those of the individual sender,
except where the sender specifically states them to be the views of the
Care Quality Commission.

References

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