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How to run a CQC mock inspection

Written by Josh Weight | Nov 2, 2026, 4:26:51 PM

A CQC mock inspection is an internal or independently conducted assessment that simulates elements of a real CQC inspection. Using the five key questions (Safe, Effective, Caring, Responsive and Well-led), it’s an opportunity to work through your service as an inspector would.

A mock inspection gives you a fresh perspective on how well you identify risks, whether your policies align with practice, and whether your staff have the confidence to articulate the care they deliver.

Mock inspections aren’t mandatory and don’t guarantee a good rating, but they can help you spot issues you may be overlooking and demonstrate continuous improvement.

 

Download our guide to mastering CQC inspections.

What is a CQC mock inspection?

 

A CQC mock inspection differs from an actual inspection because you conduct it internally or have an external consultant do it at your request. People well placed to conduct a mock inspection include registered managers, quality assurance leads, independent care consultants, or a colleague from another service.

 

Your inspection should reflect the current CQC assessment framework and cover the five key questions: safe, effective, caring, responsive and well-led. Instead of focusing on achieving a particular mock rating, concentrate on identifying areas that need improvement. Make sure you have a balanced view of care delivery, how well your team understands and can articulate the care they deliver, how the people you support feel about the care they receive, and your written documentation.

 

How to conduct a CQC mock inspection

Decide what your mock inspection will cover

 

You may want to assess your whole service, or focus on particular areas to improve. For example, if CQC has previously raised concerns about missed medication doses, you may want to conduct a focused mock inspection of medication management.

Use the five key questions to organise your assessment.

  • Safe: Does your service protect people from abuse and avoidable harm?
  • Effective: Is your care based on the best available evidence to achieve good outcomes and promote a good quality of life?
  • Caring: Does your service treat people with compassion, kindness, dignity and respect?
  • Responsive: Does your service meet people’s needs?
  • Well-led: Does your leadership, management and governance assure the delivery of high-quality and person-centred care, encourage learning and innovation, and promote an open and fair culture?

 

Review your previous CQC findings, alongside complaints, incidents and internal audits, to identify any higher-risk areas.

Decide who will conduct the inspection and when. While an external consultant may require additional resources, they can offer a more independent perspective and identify issues your team might overlook.

Plan how you'll conduct the inspection

Set aside enough time to review records, observe care delivery and speak to staff and people receiving care. Depending on the size of your service and the scope of your inspection, you may need to spread these activities over several days.

Consider starting with a short discussion with the registered manager to understand any current concerns or recent changes to the service. You can then review documentation, observe care and speak to staff throughout the day.

Gather the evidence you’ll need

Review your latest CQC report and improvement plan and identify the necessary documentation for your mock inspection. This could include:

  • Care plans and risk assessments.
  • Medication administration records.
  • Staff training, recruitment and supervision records.
  • Incident reports, safeguarding records and complaints.
  • Policies, procedures and internal audits.

Once you’ve found your documentation, make sure it’s accurate, up-to-date and reflects how care is actually delivered.

Under the current Single Assessment Framework, CQC inspections use evidence from six categories: people's experiences, feedback from staff and leaders, feedback from partners, observations of care, processes and outcomes of care. Use these to guide your mock inspection.

Remember, it’s not just about paperwork. You should also be able to demonstrate that policies and care plans are being followed in practice.

Read our complete guide to CQC inspections for care providers.

Observe how care is being delivered

Spend time with your staff during care delivery to understand how they interact with the people they support. Consider whether the care you offer respects people's dignity, privacy and independence. Check whether your team follows care plans and risk assessments in practice and assess the care environment for cleanliness, safety and accessibility.

Avoid disrupting people’s care during observations, respect their privacy and always seek appropriate consent.

Make sure your staff understand that you want to observe their normal routines rather than creating an artificial inspection-day experience. If the care being delivered doesn’t align with an individual’s care plan, find out why.

Speak to your team and the people receiving care

Speak to your team about their roles, responsibilities and experience of daily care. Discuss safeguarding, incident reporting and emergency procedures, and ask staff to share examples of good care and improvements they've made.

Chat with the people you support and ask them if they feel safe, listened to and involved in decisions about their care. If it’s appropriate, gather feedback from friends and family.

Where possible, speak to people privately and make sure they feel comfortable sharing honest feedback, including any concerns.

Try to steer staff away from rehearsed answers and instead encourage them to share real experiences of care that demonstrate they understand what they do and why it’s part of an individual’s care plan.

Read more about what the CQC asks care staff.

Compare your findings with CQC expectations

Organise your findings under the five key questions: safe, effective, caring, responsive and well-led. Compare what staff say, what your records show and what you’ve observed, and look for inconsistencies. For example, a care plan might say an individual’s goal is to brush their teeth independently, but daily records may show that staff are doing it for them.

Identify your strengths alongside areas for improvement, as this will help you communicate what staff are doing well and where changes are needed. Distinguish between isolated administrative errors and recurring problems that could compromise people’s safety or wellbeing. If several staff members raise the same concern, or records repeatedly contradict what you've observed, this may point to a wider issue that needs investigating.

Create and follow an improvement action plan

Prioritise findings according to risk and potential impact.

Record:

  • The issue you identified.
  • The action required.
  • Who is responsible.
  • The deadline.
  • How improvement will be measured.

For example, if you’ve found repeated gaps in medication records, investigate the causes, provide training or revise procedures. Then repeat the audit to check whether documentation has improved and any underlying medication safety risks have been addressed.

Schedule follow-up reviews and keep evidence of the actions you took and their impact.

Make sure you share relevant findings with your team so everyone understands what needs to change and why.

CQC mock inspection checklist

Use the checklist below as a starting point for your own CQC mock inspection template, adapting it to the needs of your service.

  1. Review previous CQC inspection findings.
  2. Define the scope of the mock inspection.
  3. Assign an inspector or independent reviewer.
  4. Review care plans, risk assessments and medication records.
  5. Check staff training, recruitment and supervision records.
  6. Observe care delivery and the environment.
  7. Speak to staff and people receiving care.
  8. Compare findings with the five key questions.
  9. Record strengths, concerns and gaps.
  10. Create an improvement action plan.
  11. Schedule follow-up checks.

For more help preparing for your next mock inspection, download our free CQC inspection resource pack, including practical tools and templates.

How often should you conduct a mock CQC inspection?

There is no universal CQC requirement to conduct mock inspections at a particular frequency. We recommend carrying out a full mock inspection periodically, supported by more frequent focused audits. More frequent mock inspections might be beneficial if there are significant concerns, leadership changes, repeated incidents or outstanding improvement actions.

Between mock inspections, regular audits, conversations with staff and people receiving care, and routine care records checks can help you spot problems early. These findings can also help you decide what to focus on during your next mock inspection.

Read our care home audit checklist for guidance on what to review and how often.

Frequently asked questions

Are CQC mock inspections mandatory?

No, but they can support internal quality assurance and inspection readiness.

Who can conduct a CQC mock inspection?

Managers, quality leads, colleagues from other services or independent consultants.

Can a mock inspection predict my CQC rating?

No. It can identify potential concerns, but only the CQC determines official ratings.

What's the difference between a mock inspection and an audit?

A mock inspection considers the service more broadly, while an audit usually examines a particular process, record type or area of care.