quality management systems (policies and procedures) to the care sector, and our systems include more than 300 documents. One of our customers recently became alarmed when an inspector suggested that she should think about writing her own policies and procedures. As a former principal inspector, sometimes I wonder which planet some of the inspectors come from. I am all for managers customising our documents to address their culture and values, but if Bettal is doing its job correctly we will be providing managers with documentation based upon best practice and compliance to the Fundamental Standards. There are two issues here. Firstly, does the manager have the time to write their own policies and procedures. Secondly, is it necessary if the documentation is shown to deliver quality services for service users and compliance to the Fundamental Standards. Returning to the introduction of the new KLOES and inspections. CQC’s inspection teams will use the new updated framework to assess adult social care services, using the new key lines of enquiry (KLOEs) and prompts where they are appropriate. This replaces the previous separate versions for different types of service, published in 2015. The consultation process found that many of the KLOEs and prompts were duplicated. CQC have designed the new KLOES to simplify the process for organisations that provide more than one type of service. They have merged the two previous versions for residential and community care, added new content to strengthen specific areas and reflect current practice, and made some changes to the wording to improve and simplify the language to aid understanding. They have also aligned, as much as possible, the wording of the KLOEs and prompts between the two assessment frameworks for healthcare services and adult social care services. To help providers to update their own internal assessment and training materials, they have mapped the changes against the current frameworks and highlighted them in a separate document.
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