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🔍 What Inspectors Are Focusing On in 2025–2026

Based on published CQC and Ofsted inspection frameworks and field intelligence from compliance professionals

CQC

Safe — Medicines Management

Inspectors are scrutinising MAR charts, medication audits, PRN protocols and staff competency assessments far more rigorously under the Single Assessment Framework.

Evidence needed: Signed MAR sheets, monthly medication audits, staff training records, PRN protocols
CQC

Well-Led — Governance Systems

Quality assurance frameworks, audit cycles, incident learning, and provider-level oversight are under increased focus. Inspectors want to see evidence of a learning culture.

Evidence needed: Governance meeting minutes, audit schedules, action plans, learning logs
Ofsted

Children's Homes — Positive Relationships

Ofsted inspectors are evaluating the quality of relationships between staff and children, keyworking effectiveness, and whether children feel genuinely heard.

Evidence needed: Keyworking records, children's feedback, relationship-based practice policies
Ofsted

Supported Accommodation — New Registration

All supported accommodation for 16-17 year olds must now be registered. Ofsted is actively inspecting newly registered providers and scrutinising young person-centred practice.

Evidence needed: Statement of Purpose, placement plans, risk assessments, pathway plans
CQC

Effective — Person-Centred Care

Personalised care plans, meaningful activities, individual risk assessments, and evidence that people's preferences genuinely shape their care are being scrutinised at every inspection.

Evidence needed: Care plans, life histories, review records, activity logs
All Providers

Safer Recruitment & DBS Compliance

Both CQC and Ofsted are placing significant weight on safer recruitment — complete pre-employment checks, DBS tracker currency, and recruitment policy adherence for every member of staff.

Evidence needed: DBS tracker, pre-employment checklist, references on file, recruitment policy

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