CQC Single Assessment Framework checklist.

We have a proactive and positive culture of safety based on openness and honesty, in which concerns about safety are listened to, safety events are investigated and reported thoroughly, and lessons are learned to continually identify and embed good practice.

Have ready: incident and accident records, investigations, lessons learned, and evidence those lessons actually changed practice.

We work with people and our partners to establish and maintain safe systems of care, in which safety is managed, monitored and assured. We ensure continuity of care, including when people move between different services.

Have ready: transfer and discharge records, hospital passports, handover notes, and how you work with other services.

We work with people to understand what being safe means to them as well as with our partners on the best way to achieve this. We concentrate on improving people's lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect.

Have ready: your safeguarding log, referrals and their outcomes, the policy, training records, and who the safeguarding lead is.

We work with people to understand and manage risks by thinking holistically so that care meets their needs in a way that is safe and supportive and enables them to do the things that matter to them.

Have ready: risk assessments written with the person, showing positive risk-taking rather than blanket restriction.

We detect and control potential risks in the care environment. We make sure equipment, facilities and technology support the delivery of safe care.

Have ready: health and safety checks, fire risk assessment and drill records, equipment servicing and maintenance logs.

We make sure there are enough qualified, skilled and experienced people, who receive effective support, supervision and development, to meet people's needs and keep them safe.

Have ready: rotas set against assessed need, recruitment files, induction, supervision and training records.

We assess and manage the risk of infection. We detect and control the risk of it spreading, and we share concerns with appropriate agencies promptly.

Have ready: IPC audits, hand hygiene checks, PPE availability and training records.

We make sure that medicines and treatments are safe and meet people's needs, capacities and preferences by enabling them to be involved in planning, including changes.

Have ready: MAR charts, medicines audits, staff competency checks, and how PRN and covert medicines are handled.

We maximise the effectiveness of people's care and treatment by assessing and reviewing their health, care, wellbeing and communication needs with them.

Have ready: initial assessments and scheduled reviews, showing the person's involvement.

We plan and deliver people's care and treatment with them, including what is important and matters to them, in line with legislation and current evidence-based good practice and standards.

Have ready: care plans that reference current good practice, and how staff know what good looks like.

We work together to provide effective care, support and treatment. Within and across organisations, we share information and learning with each other and with partners to make sure care and treatment is coordinated.

Have ready: handover records, multidisciplinary notes, and information shared with partners.

We support people to manage their health and wellbeing so they can maximise their independence, choice and control. We support them to live healthier lives and where possible, reduce their future needs for care and support.

Have ready: health monitoring, referrals made, and support towards greater independence.

We routinely monitor people's care and treatment to continuously improve it. We ensure that outcomes are positive and consistent, and that they meet both clinical expectations and the expectations of people themselves.

Have ready: your audit schedule and results, outcome tracking, and the actions that followed.

We tell people about their rights around consent and respect these when we deliver person-centred care and treatment.

Have ready: consent records, mental capacity assessments and best-interest decisions where relevant.

We treat people with kindness, empathy and compassion, and we respect their privacy and dignity. We treat colleagues from other organisations with kindness and respect.

Have ready: compliments received, feedback from people and families, and observations of practice.

We treat people as individuals and make sure their care, support and treatment meets their needs and preferences, taking account of their strengths, abilities, aspirations, culture and unique backgrounds and protected characteristics.

Have ready: person-centred plans that genuinely reflect culture, background and protected characteristics.

We promote people's independence, so they know their rights and have choice and control over their own care, treatment and wellbeing.

Have ready: evidence that people choose how their care is delivered, and that those choices are recorded and followed.

We listen to and understand people's needs, views and wishes. We respond to these in the moment and to their immediate needs.

Have ready: how concerns raised in the moment are handled, recorded and closed out.

We care about and promote the wellbeing of our staff, and support and enable them to always deliver person-centred care.

Have ready: staff surveys, supervision records, and the wellbeing support you offer.

We make sure people are at the centre of their care and treatment choices, and we work in partnership with them, sharing decision-making and respecting their wishes about how their care and treatment is delivered.

Have ready: care plans written with people rather than about them, and evidence of shared decisions.

We understand the diverse health and care needs of people and our local communities, so care is joined-up, flexible and supports choice and continuity.

Have ready: continuity of staffing, and joined-up arrangements with other services.

We provide appropriate, accurate and up-to-date information in formats that are tailored to individual needs.

Have ready: information in accessible formats, and how you meet individual communication needs.

We make it easy for people to give feedback and raise concerns about their care and treatment. We involve people in decisions about their care and tell them what has changed as a result.

Have ready: complaints and feedback records, and crucially what changed as a result, told back to the person.

We make sure that everyone can access the care, support and treatment they need when they need it.

Have ready: how you make sure nobody is excluded from the support they need.

We actively seek out and listen to information about people who are most likely to experience inequality in experience or outcomes and tailor our care, support and treatment in response to this.

Have ready: how you identify people more likely to experience inequality, and what you changed in response.

We support people to plan for important life changes, so they can have enough time to make informed decisions about their future, including at the end of their life.

Have ready: advance care planning and recorded end-of-life wishes where relevant.

We have a shared vision, strategy and culture, which are developed with people, staff, partners and stakeholders. This is compassionate and inclusive, and it promotes trust and understanding between them.

Have ready: your vision and values, and evidence that staff and people using the service helped shape them.

We have inclusive leaders at all levels who understand the context in which they deliver care, treatment and support, and embody the culture and values of their workforce and organisation.

Have ready: leadership development, management oversight arrangements, and how leaders are visible.

We foster a positive culture where people feel safe and are encouraged to speak up, and their voice is heard and acted on.

Have ready: the whistleblowing policy, your speak-up routes, and evidence concerns raised were acted on.

We value diversity in our workforce. We work towards an inclusive and fair culture by improving policies and processes and this is reflected in the actions we take.

Have ready: equality and diversity data, policies, and the actions actually taken as a result.

We have clear responsibilities, roles, systems of accountability and good governance. We use these to manage and deliver good quality, sustainable care, treatment and support, to act on the best information about risk, performance and outcomes.

Have ready: governance meeting minutes, your audit schedule, action tracking to completion, and the risk register. This is the statement most services are weakest on.

We understand our duty to collaborate and work in partnership so services work seamlessly for people. We share information and learning with partners and collaborate for improvement.

Have ready: joint working with commissioners and health partners, and your community links.

We focus on continuous learning, innovation and improvement across our organisation and the local system to encourage curiosity and creativity.

Have ready: quality improvement activity and, more importantly, what came of it.

We understand and meet our responsibilities to protect the environment and mitigate our impact on climate change, aiming for a net zero and climate-resilient future.

Have ready: your approach to reducing environmental impact, however modest.