The fundamental standards are the standards by which CQC will inspect social care. The standards are based on the regulations from the Care Act 2014 and CQC have changed the focus for the purposes of inspection.
The fundamental standards are those standards that no care setting must fall below.
The standards are based on five areas as follows:
Safe. People are protected from abuse and avoidable harm.
Effective. People’s care, treatment and support show quality of life and promote good outcomes, and providers should show evidence to prove it.
Caring. Care should be person centred involving dignity and respect, and compassion.
Responsive. Following correct working procedures as agreed by your workplace and as set out in the client’s care plan.
Well led. Management leadership and governance should ensure all of the above happens. Staff training should be recognised and openness and fairness be apparent.
These areas are known as key lines of enquiry or KLOES. Each KLOE has a set of criteria which CQC use to check whether the fundamental standards are being met.
The fundamental standards are as follows:
Person centred care. Ensuring that those receiving the care are at the centre of all decisions.
Dignity and respect. Providing the client with dignity and respect in all aspects of their care.
Need for consent. Asking the client’s permission before carrying out tasks that affect them.
Safe care and treatment. Following correct working procedures as agreed by your workplace and the client’s care plan.
Safeguarding service users from abuse. Following agreed working and safeguarding procedures and being aware of signs and symptoms.
Meeting nutritional needs. Being aware of dietary needs, working with the care plan, ensuring clients have the right equipment and conditions to eat.
Cleanliness, safety and suitability of premises and equipment. Carrying out required checks of premises and equipment, implementing cleaning rotas and carrying out safety checks.
Receiving and acting on complaints. Having a complaints policy and procedure in place that is accessible to all and act in accordance with the policy when dealing with complaints.
Good governance. Ensuring that all aspects of the workplace is overseen and policies and procedures are implemented and monitored regularly.
Staffing. Fit and proper persons employed. Fit and proper person requirement for Directors is followed.
Duty of candour. Relevant information must be volunteered to all persons who have or may have been harmed by the provision of services, whether or not the information has been requested and whether or not a complaint or a report about that provision has been made.