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CQC KLOEs and quality statements

In 2023 the CQC retired its old Key Lines of Enquiry (KLOEs) and replaced them with 34 quality statements grouped under the same five key questions. The framework was further refined in May 2025 to reduce duplication and clarify expectations. This page is a plain-English guide to how the framework actually works, what every quality statement means, and how Orobo’s OroMiQ Engine analyses each one.

From KLOEs to quality statements

Under the old framework, CQC inspectors used Key Lines of Enquiry (KLOEs) to guide their assessments. Each key question had a long list of KLOE prompts and sub-prompts, and inspectors translated their findings into ratings.

The single assessment framework introduced in 2023 replaced KLOEs with quality statements. Each quality statement is written as a commitment — a “we statement” that a well-run service can stand behind, for example “we work with people to understand and manage risks”. Inspectors collect evidence against each statement, score it, and the scores roll up into ratings for each key question and an overall rating for the service.

What changed in practice

  • KLOEs were replaced by 34 quality statements
  • Quality statements are framed as commitments, not questions
  • Each is scored, with scores rolling up to key-question ratings and an overall rating
  • CQC use the same 34 across hospitals, GPs, care homes, and adult social care, with service-specific evidence indicators
  • The framework was reviewed and refined in May 2025

Source: CQC assessment framework.

The five key questions

Every CQC inspection still revolves around the same five key questions. Each one is now broken into a set of quality statements, totalling 34 across the framework.

Safe

8 statements

People are protected from abuse and avoidable harm.

Effective

6 statements

Care, treatment and support achieve good outcomes and promote a good quality of life.

Caring

5 statements

Staff treat people with kindness, dignity, compassion and respect.

Responsive

7 statements

Services meet the needs of the people who use them.

Well-led

8 statements

Leadership, governance and culture drive the delivery of high-quality, person-centred care.

All 34 quality statements

Expand each key question to see the full list of quality statements CQC will assess your service against.

People are protected from abuse and avoidable harm.

  1. Learning culture
  2. Safe systems, pathways and transitions
  3. Safeguarding
  4. Involving people to manage risks
  5. Safe environments
  6. Safe and effective staffing
  7. Infection prevention and control
  8. Medicines optimisation

Care, treatment and support achieve good outcomes and promote a good quality of life.

  1. Assessing needs
  2. Delivering evidence-based care and treatment
  3. How staff, teams and services work together
  4. Supporting people to live healthier lives
  5. Monitoring and improving outcomes
  6. Consent to care and treatment

Staff treat people with kindness, dignity, compassion and respect.

  1. Kindness, compassion and dignity
  2. Treating people as individuals
  3. Independence, choice and control
  4. Responding to people’s immediate needs
  5. Workforce wellbeing and enablement

Services meet the needs of the people who use them.

  1. Person-centred care
  2. Care provision, integration and continuity
  3. Providing information
  4. Listening to and involving people
  5. Equity in access
  6. Equity in experiences and outcomes
  7. Planning for the future

Leadership, governance and culture drive the delivery of high-quality, person-centred care.

  1. Shared direction and culture
  2. Capable, compassionate and inclusive leaders
  3. Freedom to speak up
  4. Workforce equality, diversity and inclusion
  5. Governance, management and sustainability
  6. Partnerships and communities
  7. Learning, improvement and innovation
  8. Environmental sustainability, sustainable development

Source: CQC: Appendix 1 – the 34 quality statements. CQC apply service-specific evidence indicators when assessing each quality statement.

How OroMiQ analyses all 34 statements

Mapping your evidence to 34 quality statements by hand is slow, error-prone, and easy to bias toward the things you already know are strong. The OroMiQ Engine was built specifically to do this work systematically. It powers every Orobo Healthcare compliance audit, mock inspection, and ongoing support engagement.

Analyses all 34 CQC quality statements

Applies weighted scoring based on historical CQC patterns

Generates confidence-rated predicted ratings (typically 65-85%)

Identifies your highest-impact improvement opportunities

Tracks compliance trends over time

Maps your evidence to the right quality statement, every time

Predictions are estimates based on assessment responses and publicly available CQC data. Actual inspection outcomes may vary. See our Terms of Service for details.

Want the full guide as a PDF?

Use the form on this page to get the complete plain-English breakdown of every quality statement, what good evidence looks like, and how to score yourself before CQC do.

Already use the framework day-to-day? Talk to a consultant about a full OroMiQ-powered compliance audit instead.

Frequently asked questions

KLOEs (Key Lines of Enquiry) were the prompts CQC inspectors used under the previous assessment framework. In 2023 CQC introduced a single assessment framework that replaced KLOEs with 34 quality statements. Quality statements are written as commitments (or "we statements") that providers, commissioners, and system leaders should live up to. The five key questions (Safe, Effective, Caring, Responsive, Well-led) remained.

There are 34 quality statements grouped under the five CQC key questions: 8 in Safe, 6 in Effective, 5 in Caring, 7 in Responsive, and 8 in Well-led. CQC reviewed and refined the original quality statements in May 2025 to reduce duplication and clarify expectations.

The OroMiQ Engine assesses your service against every one of the 34 quality statements using weighted scoring based on historical CQC patterns. It produces a confidence-rated predicted rating for each key question, identifies the highest-impact improvement opportunities, and tracks your compliance score over time. Every Orobo audit, mock inspection, and ongoing support engagement is grounded in the same 34-quality-statement methodology.

Yes. CQC inspectors gather evidence against each relevant quality statement and score it. Scores roll up into ratings for each key question, which combine into your overall service rating (Outstanding, Good, Requires Improvement, or Inadequate). Strong evidence on a small number of quality statements is rarely enough — CQC look for consistent quality across the framework.

Most do, but the way each is assessed varies by service type and regulated activity. For example, "Medicines optimisation" applies differently to a domiciliary care agency than a residential care home. CQC publish service-specific evidence indicators to clarify what good looks like for your type of service.

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Our assessment service provides predictive estimates to help care providers prepare for CQC inspections. Predictions are not guarantees and actual inspection outcomes may vary. We are an independent service and are not affiliated with, endorsed by, or representing the Care Quality Commission.

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