What the CQC choose to focus on in this area of inspection might vary depending on the type of care you provide.
For some services, the CQC inspection focus may primarily focus on End of life care but for other services it might be around how you manage complex care needs, support younger people’s transition into adult care services or assist them into work.
Whatever way you support people to plan for their future, the CQC will expect those individuals are at the centre of this process. They should also be given the time to consider the options and make informed decisions.
If you support people at the end of their life, the CQC inspectors will expect that your teams are effectively trained and experienced in providing such person-centred support.
It’s vital you and your team are aware of appropriate end-of-life pathways, DNACPR and how best to meet people’s personal choice, spiritual and cultural needs. People's wishes should be regularly reviewed and acted upon as their preferences may change over time.
It is important that people are protected from pain, and so your service will be expected to effectively manage this and monitor symptoms towards the end of their life, accessing medication and specialist palliative care professionals where needed.
Documented evidence may include Advanced care plans, assessments, reviews and daily monitoring, Staff training records and plans and notifications.
For other services, the CQC may at how you support people transition from children to adult services, which in some situations may include supporting them into work or meeting other long-term care needs. Again, inspectors will be keen to explore in their interviews, observations, or review of documented evidence how your service meets such needs.
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