Using Audits as Assurance Evidence, Not a Tick-Box Exercise
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Audits are one of the most frequently cited forms of evidence during CQC assessments, yet they are also one of the most misunderstood. Providers often complete large numbers of audits without realising that volume alone offers little assurance.
This expectation links closely to quality assurance systems and CQC’s wider approach to Quality Statements. Inspectors want to see how audits are used to manage risk and improve outcomes, not simply whether they exist.
Why Audit Completion Is Not Assurance
An audit that identifies issues but does not lead to change provides limited assurance. Inspectors will look beyond completion dates and scores to understand what happened next.
They will typically ask:
- What risks did the audit identify?
- What actions were taken?
- How was improvement checked?
What Inspectors Expect to See
Effective audit evidence shows a clear audit cycle. This includes baseline findings, corrective action, follow-up review and confirmation that changes have embedded into practice.
For example, a medication audit should demonstrate:
- Patterns or recurring errors
- Targeted staff support or training
- Improved outcomes at re-audit
Linking Audits to Quality Statements
Audits should map clearly to relevant Quality Statements. Providers that can articulate which audits support which areas of the framework demonstrate strong governance understanding.
Using Audits to Evidence Leadership Oversight
Inspectors will review how audit findings are escalated and reviewed at senior level. Board or management oversight adds significant assurance when it shows challenge, prioritisation and accountability.
Avoiding Audit Overload
More audits do not equal better assurance. Focused, risk-based auditing aligned to service priorities is far more effective than large generic audit programmes.
Commissioner Expectations Around Audit Evidence
Commissioners increasingly expect audit outputs to be meaningful and action-focused. Providers that demonstrate effective audit governance are often seen as lower risk.
Embedding Audits Into Continuous Improvement
The strongest assurance comes when audits are part of everyday quality conversations, not standalone exercises completed for inspection readiness.
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