Governance and Quality Monitoring Audit - Care Homes

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  • Is there a documented governance framework outlining roles, responsibilities, and oversight processes?
  • Are key performance indicators (KPIs) used to monitor service quality, safety, and resident outcomes?
  • Are regular audits conducted across all core service areas (e.g., medication, safeguarding, infection control)?
  • Are audit outcomes used to develop clear action plans with timelines and accountability assigned?
  • Is a Quality Improvement Plan (QIP) in place and regularly updated with progress tracking?
  • Are lessons learned from complaints, incidents, and inspections shared with staff and embedded in practice?
  • Are senior leaders visible, accessible, and actively involved in quality assurance and service oversight?
  • Are service risks recorded in a live risk register and reviewed regularly at governance meetings?
  • Are internal and external feedback sources (e.g., residents, staff, professionals) used to inform service development?
  • Is resident experience and satisfaction data analysed and acted on at a governance level?
  • Are care records, assessments, and plans regularly reviewed for accuracy and compliance?
  • Is staff training compliance monitored and reported as part of governance oversight?
  • Are policies and procedures reviewed regularly and updated in line with current legislation and guidance?
  • Are whistleblowing, safeguarding, and incident reporting systems robust, monitored, and reviewed for trends?
  • Is performance against CQC key questions and quality statements regularly self-assessed and reviewed?
  • Are staffing levels, skill mix, and recruitment challenges discussed and reviewed by management?
  • Is the home prepared for inspections, with documentation, leadership, and front-line staff confident and informed?
  • Are external audit outcomes or inspection reports used proactively to drive improvement?
  • Is evidence of compliance and good practice maintained and readily accessible for inspection?
  • Are care home meetings (e.g., staff, clinical, governance) minuted with clear actions and follow-up?
  • Are innovation, service changes, or pilot projects evaluated and governed for impact and sustainability?
  • Is there a designated person responsible for quality assurance and compliance at management level?
  • Are governance arrangements reviewed following incidents, complaints, or regulatory feedback?
  • Are outcomes of governance meetings communicated back to staff teams in a transparent and inclusive way?
  • Is the effectiveness of governance processes themselves evaluated to identify areas for improvement?