How to Show CQC You’re a Well-Led Organisation
How to Show CQC You’re a Well-Led Organisation
The “Well-Led” question in CQC inspections is often misunderstood — yet it has a major influence on ratings and commissioning decisions. It’s not just about having a good manager. It’s about how the entire organisation is governed, how decisions are made, and how quality is sustained over time.
This article breaks down how to demonstrate that your organisation is genuinely well-led — with evidence that meets CQC expectations.
✅ What CQC Looks For
CQC’s Key Lines of Enquiry (KLOEs) for Well-Led focus on leadership, culture, governance, accountability, and continuous improvement. Specifically, they want to see:
- Clear leadership structure and delegation of responsibilities
- Effective systems of governance and quality assurance
- Inclusion of people using services in planning and feedback
- Responsive change following incidents, complaints, or audits
- Support for staff wellbeing and professional development
Being Well-Led isn’t about charisma — it’s about systems and accountability.
📋 Key Evidence to Include
- Organisational charts and clear role descriptions
- Minutes from quality meetings, audits, and risk reviews
- Feedback surveys from staff, people supported, and families
- Governance policies, including whistleblowing and safeguarding oversight
- Examples of changes made from staff or service user suggestions
Ideally, your evidence should cover how decisions are made, reviewed, and communicated.
🚫 Common Pitfalls
- Assuming CQC already knows how you lead — without showing the process
- Focusing too much on care delivery and not enough on organisational oversight
- Lack of evidence for quality improvement cycles
- Little or no input from the people who use your service
If it’s not written down or evidenced, it’s unlikely to score well.
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Chat on WhatsApp or email Mike.Harrison@impact-guru.co.uk
Updated for Procurement Act 2023 • CQC-aligned • BASE-aligned (where relevant)