CQC KLOE Question Register


Key Lines of Enquiry - Individual Questions

Learning when things go wrong

NoSectionPractice Policy
34Do staff understand their responsibilities to raise concerns, to record safety incidents, concerns and near misses, and to report them internally and externally, where appropriate?View
35What are the arrangements for reviewing and investigating safety and safeguarding incidents and events when things go wrong? Are all relevant staff, services, partner organisations and people who use services involved in reviews and investigations?View
36How are lessons learned and themes identified, and is action taken as a result of investigations when things go wrong?View
37How well is the learning from lessons shared to make sure that action is taken to improve safety? Do staff participate in and learn from reviews and investigations by other services and organisations?View
38How effective are the arrangements to respond to relevant external safety alerts, recalls, inquiries, investigations or reviews?View
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