CQC readiness and assurance

Know how ready your practice really is.

Most practices don’t struggle at inspection because they lack policies. They struggle because they can’t prove those policies operate. Attesta finds the gaps, builds the evidence and keeps you ready.

  • Free to use
  • About 3 minutes
  • No patient data
  • GP, dental and care homes
Illustration of a clinic with a completed evidence checklist and a verified shield
  • 15 questions that test whether controls operate
  • 5 CQC key questions covered
  • ~3 min to your readiness result
  • £0 to see your score and weakest area

The problem

A full policy folder can still lead to a poor rating.

Against each of the five key questions, inspectors look for evidence from people’s experience, staff and partner feedback, observation, processes and outcomes. A document proves a process exists — not that it runs.

  • Safe

    Are people protected from abuse and avoidable harm?

  • Effective

    Does care achieve good outcomes and follow current evidence?

  • Caring

    Are people treated with kindness, dignity and respect?

  • Responsive

    Are services organised to meet people’s needs?

  • Well-led

    Do leadership and governance assure high-quality care?

A rating of Requires Improvement or Inadequate is published. It shapes how patients and commissioners see a provider, and it brings closer scrutiny.

The Attesta approach

We prove operation, not just existence.

Practices are usually good at paperwork. Where they fall short is evidencing that the paperwork is followed.

  • Patient safety alerts

    On paper: An alerts policy

    Proof: A log of each alert: searches run, action taken, date closed

  • Significant events

    On paper: An incident reporting form

    Proof: Completed reviews, with the learning minuted and shared

  • Complaints

    On paper: A complaints procedure

    Proof: Response times met, and themes reviewed and acted on

  • Clinical audit

    On paper: An audit plan

    Proof: A full cycle: audit, change, re-audit, improvement

  • Governance

    On paper: A meeting schedule

    Proof: Minutes where owned actions are followed through and closed

Illustration of an evidence pack with verified, dated records and charts
Attesta builds the evidence, packages it for the inspector, rehearses your team and keeps it current between inspections.

Try it now

The 30-second self-check

Pick one control and answer honestly. It’s the same test the full scorecard applies to fifteen controls across all five key questions.

Skip to the full scorecard

How it works

From your CQC record to a clear next step

  1. Step 1

    Check your practice

    See your current CQC rating, last inspection date and reports, taken from the official CQC register.

  2. Step 2

    Score your readiness

    Answer 15 questions. Each asks whether a control operates and could be proven, not just whether it’s written down.

  3. Step 3

    See your gaps

    Get your Attesta Readiness Score, a Red, Amber or Green band, a score for each key question and your weakest area.

  4. Step 4

    Start recording it

    Download the free logs, checklists and posters your service needs, and start building the evidence today.

  5. Step 5

    Take the next step

    Talk your result through with Attesta, or start with a Readiness Diagnostic to find your ten priority gaps.

Step 1 · CQC data

Check your practice

Search the CQC register for your practice’s current rating and last inspection. This step is optional.

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Step 2 · Attesta assessment

Readiness scorecard

Fifteen questions across Safe, Effective, Caring, Responsive and Well-led. For each one, choose the answer that best describes what you could show an inspector today.

How the answers are scored
2 Operating and provable
It happens, and you have the evidence.
1 Documented only
It’s written down, but evidence is thin.
0 Not in place
It isn’t established yet.

Loading scorecard…

Free · no charge, no card

Free document templates

At inspection the problem is rarely that nothing was done — it’s that nothing was written down. These logs, audits, policies and posters fix that.

  • Word, Excel and PDF
  • For UK CQC providers
  • Yours to edit and rebrand
  • No patient data

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These are starting points, not policies written for your service. Review each one against your own procedures and registered activities, and have a suitably qualified person sign it off before you use it. They are not issued or endorsed by the Care Quality Commission.

The role you were about to hire

You budgeted £55,000 for this job. Done properly, it costs £15,000.

Compliance Lead, Clinical Governance Lead, Quality and Compliance Manager, CQC Inspection Lead. Different titles, one job: keep the practice inspection-ready. You can hire a person and hope, or retain the output for a fraction of the salary.

An in-house compliance hire compared with an Attesta fractional lead
In-house hire Attesta fractional lead
Cost per year £50k to £78k loaded (advertised £29k to £65k)1 £15,000. £1,250 a month, no on-costs, cancel on 30 days
First output 8 to 12 weeks to recruit, then 3 months to learn your practice Readiness readout in 5 to 7 days
When they leave The system walks out the door with them The system is yours: templates, registers, method, all installed
What the partners see Verbal updates A written assurance report, every month
Across a PCN One hire per practice One retainer, blended across 5 to 8 practices

An inspector now gives you five working days’ notice. A new hire needs ninety to find their feet. That gap is the risk you are actually paying to close.

1. Live adverts, August 2026 (Indeed UK, Find a Job): Head of Care Quality and Compliance £48,000 to £65,000; QI and Compliance Lead, London GP, £40,000 to £55,000; Compliance Administrator, Leeds GP, £29,350. On-cost range (+25% to 30%) is a planning assumption, not a quote. We sell readiness and assurance, never a guaranteed rating.

Hiring for this role right now?

Start with the Diagnostic for £2,450, credited in full against the fractional retainer within 30 days. Cancel the retainer on 30 days. Everything we install stays yours.

Services and pricing

Start small. Go as far as you need.

Every engagement starts from evidence. The Diagnostic fee is credited to a Sprint if you go ahead within 30 days.

Readiness Diagnostic

£2,450

A full audit of your evidence, RAG-rated, with your ten priority gaps and a readout.

What’s included 5 items
  • Evidence audit across all five key questions
  • RAG-rated findings
  • Your ten priority gaps
  • Readout session with your team
  • Delivered in 5 to 7 days

Credited against a Readiness Sprint if you go ahead within 30 days.

Replaces the hire

Fractional Compliance Lead

£1,250/month

Two days a month. The compliance hire you budgeted for, as a retained service.

What’s included 5 items
  • Monthly audit and register cycle
  • Policy review calendar run for you
  • Alerts, complaints and event themes closed
  • Monthly assurance report to partners
  • Annual mock inspection

About a quarter of the loaded cost of a hire.

Assurance Retainer

£425/month

Keeps you inspection-ready between inspections.

What’s included 4 items
  • Quarterly evidence refresh
  • Safety alert tracking
  • Policy reviews
  • Annual mock inspection

About £14 a day.

Readiness Scorecard: Free. Start now

Document templates: Free. Browse the library

PCN and white-glove programmes: From £30k (PCN) · £9.5k–£12k (white-glove)

Illustration of a practice team reviewing an evidence checklist together

About

About Attesta

Attesta is a Flatlines001 Ltd company. It helps GP practices, dental practices, care homes and other CQC-registered providers get ready for inspection, and stay ready.

Built and tested on a real turnaround

  1. Requires ImprovementStarting rating
  2. Submission-readyEvidence in place

An anonymised NHS GP practice.

  • We sell readiness and assurance, never a guaranteed rating.
  • No patient-identifiable data. Roles, never named staff, in anything an inspector sees.
  • Any clinical timeframe we suggest is a proposed default until your own clinician signs it off.
  • CQC data is used under the Open Government Licence, with attribution.

Learn more

Guides and answers

Resources

The five key questions, explained

CQC asks the same five questions of every provider. In practice, each one comes down to what you can show:

  • Safe: safety alerts, incidents, medicines and infection control that visibly run on schedule.
  • Effective: completed audit cycles, current training by role, and recalls that are followed up.
  • Caring: feedback that leads to change, dignity and chaperone arrangements in use, carers identified.
  • Responsive: complaints handled on time, access monitored and acted on, reasonable adjustments made.
  • Well-led: governance with owned, closed actions, a live risk register and controlled documents.
The six evidence categories inspectors use

Under each quality statement, inspectors gather evidence from six sources:

  1. People’s experience of care
  2. Feedback from staff and leaders
  3. Feedback from partners
  4. Observation
  5. Processes
  6. Outcomes

Policies only speak to processes. The other five depend on what actually happens.

What your CQC rating means

CQC rates providers as Outstanding, Good, Requires improvement or Inadequate, overall and for each key question. Ratings and reports are published on the CQC website.

Ratings are set only by CQC. The Attesta Readiness Score is a separate self-assessment, which helps you decide where to focus.

Three questions to ask of any policy
  1. When did this last happen?
  2. Where is the record?
  3. Who could show it to an inspector today?

If you can’t answer all three, the control is documented, not operating. Try the self-check.

Frequently asked questions

Is the Attesta Readiness Score a CQC rating?

No. It is Attesta’s own self-assessment, based only on your answers. It isn’t issued or approved by the Care Quality Commission and doesn’t predict your inspection outcome.

How long does the scorecard take?

About three minutes. There are 15 questions, three for each key question, and you see your result straight away.

What information do I need to share?

Your organisation name and a work email address. We ask for these before showing your CQC results, before showing your readiness score, and before a template download, so we know which providers we’re helping.

Business contact details only. Never enter patient information.

Are the templates really free?

Yes. Every document in the library is free to download and free to use. There is no charge and no card.

We ask for your organisation name and work email so we can see which documents providers actually need, and build the next ones around that.

Can I edit the templates?

Yes, and you should. The Word and Excel documents are fully editable: add your logo, change the columns and match the wording to your own policies and registered activities.

They are starting points. Have a suitably qualified person in your organisation review and sign off anything you adopt.

Where does the practice information come from?

From the Care Quality Commission’s public data, used under the Open Government Licence. We show only what CQC publishes.

Can Attesta guarantee our rating?

No one can. Attesta sells readiness and assurance: finding your evidence gaps, closing them and keeping you ready.

Find out where you stand.

It’s free, and it takes about three minutes.