We are experienced at helping providers navigate their way out of special measures. If you are in this situation, you will need to take action or risk losing your registration. We can help you formulate a plan to overcome these difficulties and come out with a healthier service. CQC does not regard special measures as “enforcement action” per se, but it seems to us to meet that definition. The point of special measures is to force a service to improve, and we can help you achieve this.
What sort of support can Royds Withy King provide?
When a service is in special measures, there is a lot to think about. We will help you consider these issues comprehensively and regain control of the situation. You will need to create a plan and muster your resources in relation not only to improvement, but also in regard to the possibility of embargoes, safeguarding issues, your relationships with commissioners, service users and their families.
A service will usually remain in special measures for six months. However, in some cases, services can remain in special measures for up to 12 months. This may be the case where CQC sees some improvement over the first six months and is willing to give the service further time to shore up its improvements.
What are the time frames you need to work to?
Once a service is in special measures, after 6 months, CQC will return to re-inspect. If a rating of “inadequate” remains in any of the five domains (safe, effective, caring, responsive or well-led), then CQC is highly likely to issue a Notice of Proposal to Cancel Registration. However, they sometimes wait a bit longer to decide what the outcome for the service will be.
CQC often uses special measures alongside other enforcement action. CQC may, for example, place a service in special measures and (at the same time) issue a Notice of Proposal to Cancel Registration or a Notice of Proposal to Impose a Condition on Registration (often an embargo on placements). This is harsh and difficult for a service to overcome but even in such difficult circumstances, services can survive and retain their registration.