Independent guidance for England · Content version: 1 November 2026Pre-launch review
Current approach & proposed changes

Understand how CQC assesses care.

Keep current assessment requirements separate from the sector frameworks being developed. A proposed change is not a live requirement until its commencement is confirmed.

EnglandContent version: 1 November 2026Independent guidance
Current published approach

Five key questions. A range of evidence.

CQC’s current framework uses the five key questions and quality statements. Its published approach describes six categories of evidence, but scoring at evidence-category level stopped on 2 December 2024. Do not confuse evidence collection with that discontinued scoring layer.

The current published rating levels are outstanding, good, requires improvement and inadequate. Independent audit tools on this site do not reproduce or predict those ratings.

Safe

Are people protected from abuse and avoidable harm?

Effective

Does care, treatment and support achieve good outcomes?

Caring

Are people treated with compassion, kindness, dignity and respect?

Responsive

Are services organised so that they meet people’s needs?

Well-led

Do leadership and governance support high-quality, person-centred care?

Prepare evidence for the Well-led key question →

Sources

  1. CQC: Assessment framework (opens in a new tab)
  2. CQC: How we reach a rating (opens in a new tab)
  3. CQC: March framework update (opens in a new tab)
  4. CQC: June pilot and evaluation update (opens in a new tab)

Related guidance and next steps

Content version: . Named expert review remains pending for public launch.

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