
In this month’s report, we look at data on death notifications involving COVID-19 received from individual care homes, we review our inspections of acute NHS services monitoring inspection prevention and control, and we highlight what we have learnt about how risks can build into a closed culture.
You can share your feedback on this month's report through our digital engagement platform.

To help us ensure we are delivering the most effective regulatory approach we would like your feedback on how we have regulated over the last three months.
You can share your thoughts by completing the short survey below. Your feedback will help us understand how our regulatory approach should develop going forward.
Our application forms ask you to select from a range of specialist ‘needs’ that your service aims to meet. We call these ‘service user bands’ and they represent needs that are the main reason someone requires care or support. We use this information to help assess your service at registration and inspection. We also publish this information on our website to help people search for services that can meet their needs.
As it is important that service user bands reflect the service you offer at any point in time, we've added guidance on our website to describe what service user bands are and why we use these. If the focus of your service changes, you can amend your service user bands by updating your statement of purpose and sending us a statutory notification (SN12) to tell us about any change in the needs your service will meet.
For the past three years over winter CQC has used the Pressure Resilience 5 (PR5) approach when inspection emergency departments. It has now been agreed that the PR5 approach is also the preferred approach for focused inspections of ED over the 2021 summer and autumn period.
This will enable continuing assessment of any issues identified as key to the safety of emergency departments in a consistent way, but does not preclude a full urgent and emergency care core service inspection should that be considered more appropriate.
Patient FIRST, a support tool designed by clinicians, compliments and supports the PR5 approach.

We have published two new provider collaboration reviews this month, looking at how health and social care providers are working together in local areas.
We looked at cancer care in 8 areas of England during the second wave of COVID-19 and we found that local systems have collaborated in different ways to try and make sure people could continue to access cancer services. The reviews also identified challenges including fears of workforce burnout and concerns about the backlog of people needing care.
In the second report we shared our findings from looking at care in 7 areas of England for people with a learning disability living in the community. Providers worked in new ways to respond to the disruption caused by the pandemic, taking steps such as redeploying staff and increasing their use of digital technology.
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