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The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England. Through inspecting, monitoring and regulating services, the CQC aims to make sure health and social care services provide people with safe, effective, compassionate and high-quality care.

In 2023, a new approach to regulation was introduced, based around a single assessment framework. This framework applies to providers, local authorities and integrated care systems.

Assurance of Local Authority Adult Services

Local authority assessments will be distinct, in that they will focus on the statutory duties contained in the Care Act. The initial focus of the local authority assessments will use quality statements to look at the following four themes:

  • working with people – look at assessing needs and supporting people to live healthier lives;
  • providing support – care provision, integration and continuity and partnerships and communities;
  • ensuring safety – safe systems, pathways and transitions and safeguarding;
  • leadership and workforce – governance, management and sustainability and learning, improvement and innovation.

Full List of I and We Statements by Themes

Local authority resources

Assessment Framework for Local Authority Assurance (CQC) February 2023

Interim Guidance on our Approach to Local Authority Assessments (CQC)  March 2023

Local Authority Assessment – Test and Learn (CQC Connect Podcast) December 2022

Local Authority Assessments Webinar (CQC – YouTube) April 2023

Top Tips for CQC Assurance Preparation (Local Government Association) March 2023

Assessment of Local Authority Adult Services (Summary, Policy Partners) April 2023

Assessment Framework for Local Authority Assurance (Summary, Policy Partners) April 2023.

Local authority framework: guidance and suggested best practice resources

CQC LA Framework: Guidance and Suggested Best Practice Resources

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