CQC quality statement — Effective
Monitoring and improving outcomes
"We routinely monitor people's care and treatment to continuously improve it. We ensure outcomes are positive and consistent, and that they meet both clinical expectations and the expectations of people themselves." In MyCareCompliance, 4 mapped checks across 4 audit templates map to this quality statement.
Last reviewed: September 2026. This guidance reflects CQC information available at the date above — always refer to cqc.org.uk for current regulatory requirements.
How we check it
Each check below is a real question from a MyCareCompliance audit template. It names the regulation it evidences, describes what an auditor looks for in good and poor practice, and lists the evidence an inspector would expect you to produce.
- 4 mapped checks under the "Monitoring and improving outcomes" quality statement
- Evidences 2 regulations: Regulation 9 — Person-centred care, Regulation 17 — Good governance
- Failed checks become tracked improvement actions with an owner, due date and evidence
The 4 checks
- Regulation 9 — Person-centred careCommissioned vs Delivered Care
Where actual delivery consistently falls short of or exceeds commissioned hours, is a reassessment triggered with the funding body?
What we look for: Identify cases where service users consistently require less or more time than commissioned. Check if the manager has proactively contacted the commissioner to adjust the package. Failure to request reassessment when needs change is a fail.
Evidence: Care review notes, Emails to social workers/commissioners, Reassessment requests
- Regulation 17 — Good governanceNutrition & Hydration
Are food and fluid charts accurately completed, with clear daily targets and cumulative totals calculated?
What we look for: Sample 5 people requiring monitoring. Look for specific measures (e.g., '150ml juice' not 'a cup') and daily target tracking. Fail if charts have gaps, lack totals, or record 'drank well'.
Evidence: Fluid charts, nutrition charts, daily logs, electronic care records
- Regulation 17 — Good governanceOnboarding New Service Users
Is a mechanism in place to formally review the care package within the first 4-6 weeks to ensure it meets the person's needs and expectations?
What we look for: Check the CRM or scheduling system to see if an initial review has been booked or completed for recently onboarded clients. Good practice is a documented check-in (phone or face-to-face) shortly after care starts to adjust the plan if timings or tasks aren't working. Missing this initial review is a fail.
Evidence: Scheduled review dates on digital system, 4-week review records, initial quality assurance telephone call logs.
- Regulation 9 — Person-centred careService User Reviews Audit
Does the review evaluate progress against the person's agreed outcomes and note any changes in their health status?
What we look for: Look for a discussion on whether the support is helping the person achieve their goals (e.g., regaining independence). Fails if the review is just a tick-box exercise with no focus on outcomes.
Evidence: Care review records, Outcome tracking sheets, Daily log audits
Other Effective quality statements
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