Governance and Quality Monitoring Audit - Domiciliary Care

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  • Is there a clearly defined governance structure with roles and responsibilities documented?
  • Is the registered manager actively involved in oversight of day-to-day service quality?
  • Are regular management meetings held to review quality, incidents, audits, and compliance?
  • Are key performance indicators (KPIs) identified, tracked, and reviewed for trends and issues?
  • Are internal audits conducted on a schedule covering all regulatory and operational areas?
  • Are audit findings documented with actions, responsibilities, and deadlines?
  • Is there evidence that audit actions are completed and reviewed for effectiveness?
  • Is there a quality improvement plan (QIP) in place and updated based on findings from audits, feedback, and incidents?
  • Is feedback from service users, relatives, and staff reviewed and used to inform governance decisions?
  • Are incidents, complaints, and safeguarding alerts analysed to identify patterns or systemic issues?
  • Is there a process for learning from incidents, complaints, and compliments across the service?
  • Are reports from safeguarding investigations or serious incidents reviewed by senior management?
  • Is the effectiveness of care delivery monitored through outcomes, satisfaction, and compliance metrics?
  • Are risks to service delivery identified, documented, and managed through a live risk register?
  • Are whistleblowing procedures in place and accessible to all staff and service users?
  • Are CQC notifications submitted in a timely and accurate manner when required?
  • Are findings from CQC inspections used to inform governance and service improvement?
  • Is there a process to review and update policies and procedures on a regular basis?
  • Are policies aligned with current legislation, guidance, and CQC quality statements?
  • Are complaints logged, categorised, investigated, and used to improve the service?
  • Is a complaints log maintained with details of actions taken and outcomes?
  • Are data protection practices (GDPR) regularly monitored and audited?
  • Are all key records (e.g., care plans, rotas, supervision, training) monitored for quality and consistency?
  • Is governance oversight provided at board or senior leadership level where applicable?
  • Are learning and development outcomes from audits or incidents embedded in staff training?
  • Are staffing levels, skills mix, and continuity of care monitored and reported on?
  • Is there evidence of innovation, forward planning, and continuous quality improvement?
  • Is quality data benchmarked internally or externally where possible?
  • Are annual quality reports or summaries shared with stakeholders and available on request?
  • Are contingency plans regularly tested and updated as part of governance reviews?
  • Are equality and human rights integrated into governance monitoring and reporting?