Care Quality Commission (CQC)

Overview

The CQC registers providers, conducts inspections, publishes ratings (Outstanding, Good, Requires Improvement, Inadequate), and takes enforcement action. It does not handle individual treatment complaints — those go through the provider's process, then to PHSO (NHS) or LGSCO (social care). CQC focuses on systemic concerns and provider compliance with fundamental standards.

What it handles

• Provider registration and de-registration
• Inspections and ratings
• Enforcement notices and prosecutions
• Whistleblowing and safeguarding referrals

Process

1. Step 1: Prepare before applying

   Before applying, a prospective provider must get a DBS check for their main point of contact (which usually takes around 14 days but can take longer), decide on registered managers where required, prepare supporting documents, and make sure premises are ready for a possible site visit.

2. Step 2: Submit the registration application

   The provider completes and submits the application themselves, by form and email, along with any required manager registration forms; CQC will not process an application that is incomplete or missing the manager forms.

3. Step 3: CQC carries out initial checks

   Once the registration team receives the application, CQC reviews it to make sure the forms are complete, the information is correct, and the required supporting documents have been submitted.

4. Step 4: CQC assesses the application

   If the application passes the initial checks, CQC starts the assessment process, which may include requesting further information or arranging a Fit Person Interview, a Site Visit Assessment, or a Nominated Individual Discussion; the process can take a few months and the applicant cannot manage regulated activities until registration is confirmed.

5. Step 5: Decision issued by email

   CQC lets the applicant know the outcome of its decision by email.

Official sources