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CQC Frontline Staff Survey

– Report and Analysis –

(conducted November 2013)

CQC is the independent regulator of all health and social care services in

England. Our job is to make sure that these services - provided by ambulances,

care homes, dentists, GPs, hospitals, and services in people’s own homes and

elsewhere - meet national standards of quality and safety. (Read more about us

here - http://www.cqc.org.uk/public/about-us)

This report summarises the results of our second survey of health and social

care professionals across England – which ran in October and November 2013 -

– and compares it with the previous survey from October 2012, where the same

questions were asked.

The survey aims to measure front line staff’s knowledge, awareness, and

opinion of CQC.

This survey is run annually, and the results made available to you via our news

updates, our online community of providers and health and social care

professionals, on the professional portal of our website, and via a range of

different stakeholder groups and professional bodies.

If you’ve any questions about these surveys, please contact Matthew Silk

CQC Frontline Staff Survey Introduction

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Total Responses by Role

Nursing, Midwifery, & support staff

Total response - 4813

655

CQC Frontline Staff Survey

3

2363

46 Healthcare scientists

47 Dental

89 Domiciliary care

290 Care home

(751 Other)

572

Allied health professionals

Doctors

In comparison to the 2012 survey more professionals told us: a

the judgement of non-compliance was fair and accurate - up 23%

their understanding of regulation and inspection was very or fairly good - up 7%

the actions following CQC’s inspection were very or fairly beneficial to patient care - up 4%

changes by the organisation following an inspection have helped improve monitoring of

quality - up 12% p

However: a

there was an 8% drop in the rating of inspection teams as good or very good

5% less professionals than providers thought the way CQC inspects and regulates is beneficial

to the quality of care received?

Read on for the full results from the 2013 survey and how these compare to the

previous one and the 2013 annual provider survey.

CQC Frontline Staff Survey Summary

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Very Good / Good Poor / Very Poor

5

66% (291)

(2012) 13% (56)

18% (79)

3% (14)

Satisfactory Don’t Know

n = 440

58% (1127)

23% (461)

7% (138)

12% (229)

(2013)

n = 1955

- 8% + 5% + 4%

Q. How did you rate the inspection team’s understanding of the

type of care you provide?

CQC Frontline Staff Survey

Key Movements

Very Good / Good Poor / Very Poor

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73% (2576)

Providers

(2013) 10% (341)

16% (555)

1% (42)

Satisfactory Don’t Know

n = 3514

58% (1127)

23% (461)

7% (138)

12% (229)

Professionals

(2013)

n = 1955

Q. How did you rate the inspection team’s understanding of the

type of care you provide?

CQC Frontline Staff Survey Professionals v Providers

Q. Did you think that the judgement of non-compliance was fair and

accurate?*

(*non-compliant providers only)

Yes No Don’t know

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n = 397

37% (11)

43% (13)

20% (6)

60% (238)

16% (62)

(2013) 24% (97)

n = 30

+ 23% + 4% - 27% Key Movements

CQC Frontline Staff Survey

(2012)

Q. Did you think that the judgement of non-compliance was fair and

accurate?*

(*non-compliant providers only)

Yes No Don’t know

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n = 397

53% (201)

43% (163)

5% (19)

60% (238)

16% (62)

Professionals

(2013)

24% (97)

n = 383

CQC Frontline Staff Survey

Providers

(2013)

Professionals v Providers

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Q. How would you rate your understanding of regulation and inspection?

50%

(1078)

19% (395)

(2012) 31% (652)

n = 2125

n = 3551

Very / Fairly good Fairly / Very poor Neither good nor bad Don’t know *

* n/b – the “don’t know” option was introduced in 2013

+ 7% - 8% Key Movement from 2012 - 8%

CQC Frontline Staff Survey

n = 3551

57%

(2028) 11% (379)

23% (835)

9% (309)

(2013)

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Q. How would you rate your understanding of regulation and inspection?

87%

(3594)

Providers

(2013)

13% (537)

n = 2125

n = 3551

Very / Fairly good Fairly / Very poor Neither good nor bad* Don’t know *

* n/b – there were no “don’t know” or “neither good nor bad” options in the provider survey

57%

(2028) 11% (379)

Professionals

(2013) 23% (835)

9% (309)

CQC Frontline Staff Survey Professionals v Providers

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Q. Were the actions following CQC’s inspection beneficial to patient care?

50%

(15)

10% (3)

(2012) 40% (12)

n = 30

n = 397

Very / Fairly No change Don’t know

* n/b – the “don’t know” option was introduced in 2013

54%

(214) 11% (379) (2013)

30% (121)

15% (309)

+ 4% - 10% Key Movement from 2012 + 5%

CQC Frontline Staff Survey

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Q. Were the actions following CQC’s inspection beneficial to patient care?

69%*

(265)

2% (6)

Providers

(2013) 29% (112)

n = 383

n = 397

Very / Fairly No change Don’t know

* n/b – for providers, this also includes the option “slightly beneficial”

54%

(214) 11% (379)

Professionals

(2013) 30% (121)

15% (309)

CQC Frontline Staff Survey Professionals v Providers

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Q. Are you aware of any changes by your organisation following the inspection which have helped improve monitoring of quality?

53%

(16) (2012) 47%

(14)

n = 30

n = 397

Yes No

* n/b – the “don’t know” option was introduced in 2013

65%

(260) (2013)

35% (137)

+ 12% Key Movement from 2012 - 12%

CQC Frontline Staff Survey

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Q. To what extent do you believe the way CQC inspects and regulates is beneficial to the quality of care received?

n = 4131

n = 3551

Very / Fairly Not beneficial Slightly

65%

(2326)

12% (420)

Professionals

(2013) 23% (805)

70%

(2890)

12% (510)

Providers

(2013) 18% (731)

CQC Frontline Staff Survey Professionals v Providers

n/b – this question wasn’t asked in the 2012 professional survey

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Strategic priorities

- How well are we doing?

1. Encouraging health and social care services to improve

2. Keeping the public informed on the state of health and social care

to help them make informed choices

We asked you how well you thought we were doing in 2 key areas:

CQC Frontline Staff Survey

Very well

Fairly well Satisfactory Fairly poor

Very poor

Don’t know

Total

Ensuring that all providers meet the essential standards of quality and safety

11%

(22)

32%

(686)

27%

(58)

9%

(182)

4%

(82)

17%

(363)

2,121

Keeping the public informed on the state of health and social care to help them make informed decisions about their care

7%

(159)

25%

(519)

30%

(640)

12%

(245)

7%

(142)

19%

(406)

2,111 2012

Strategy - how well are we doing?

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2013

Very well

Fairly well Satisfactory Fairly poor

Very poor

Don’t know

Total

Encouraging health and social care services to improve

14%

(450)

30%

(1,000)

25%

(840)

14%

(482)

6%

(187)

11%

(369)

3,328

Keeping the public informed on the state of health and social care to help them make informed choices

12%

(409)

23%

(778)

27%

(882)

19%

(620)

8%

(261)

11%

(378)

3,328

CQC Frontline Staff Survey

n/b – the wording of these questions changed slightly from last year

How well do you think CQC works with partners in the

health and social care system to coordinate our work?

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CQC Frontline Staff Survey

How well do you think CQC

is currently doing to inspect

whether a service is?

Very well

Fairly well

Satisfactory

Fairly poor Very poor

Don’t know

The provider and professional surveys will continue to run annually, and the

results made available to you via our news updates, our online community of

providers and health and social care professionals, on the professional portal of

our website, and via a range of different stakeholder groups and professional

bodies. A

On Friday 14 March (12 – 1pm) we are hosting a live chat on the community,

about provider insight, including our latest report on behavioural drivers.

If you are not a member of the online community, you can sign up here -

https://communities.cqc.org.uk/provider/user/register.

You can read more about all of our insight work on our website here -

http://www.cqc.org.uk/service-providers/registered-services/information-

professionals/feedback-and-surveys.

If you’ve any questions about this work or any of these surveys, please contact

Matthew Silk.

CQC Frontline Staff Survey Conclusion

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