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Evidence Readiness Review: sample report

This is what a £395 Evidence Readiness Review (excluding VAT) delivers, shown for an invented care home. Nothing on this page comes from a real service.

Scope

Location
Elmfield House (fictional), one registered location
Report date
12 October 2026
Evidence period
Documents dated 1 January to 30 September 2026
Documents agreed
3
Topics agreed
Safeguarding and Medicines
Reviewed by
Named reviewerA real report names the reviewer and gives their role. This sample shows the role only.
Discussion
One 45-minute discussion of the findings, held after the report was issued.

Documents reviewed

Each row shows one of four outcomes. Where we could not review something, or found nothing to review, we say so instead of leaving it out.

OutcomeTopic and documentWhat the reviewer sawNext step
SupportedSafeguarding
Safeguarding adults policy, version 4 (6 pages)
Pages 2 to 3 set out how a concern is raised and who is told. Page 4 names the safeguarding lead and a deputy. Page 6 shows a review date within the last 12 months. These match the topic we agreed.No action needed for this document.
FindingMedicines
Medicines stock audit, March 2026 (5 pages)
Section 2.4 on page 3 says "no discrepancies found". The stock count table on page 4 shows two items where the counted amount differs from the recorded amount. No explanation or follow-up is recorded.See action 1.
Could not be reviewedMedicines
Medicines training record (scanned, 4 pages)
The scan was too faint to read reliably, so it was not reviewed and no finding was made from it. The file was returned to the provider.See action 2.
No evidence providedSafeguarding
Safeguarding training matrix
No document was provided for this part of the agreed topic, so there is nothing to assess. This is not a finding about whether training took place.See action 3.

Prioritised actions

  1. Action 1: Record the cause and outcome of the two stock differences shown on page 4 of the March audit, and correct the "no discrepancies" statement in section 2.4.

    The audit says one thing and its own table shows another, and no follow-up is recorded.

    Owner
    Registered Manager
    Due
    26 October 2026
    How completion will be checked
    The reviewer sees an updated or addendum audit page that explains each difference, is dated and is signed by the person who checked it.
  2. Action 2: Upload a clear copy of the medicines training record as a readable file.

    The scan could not be read, so nothing in it could be reviewed.

    Owner
    Deputy Manager
    Due
    9 November 2026
    How completion will be checked
    A readable file is uploaded and the reviewer can open every page. It is then reviewed and reported on as a separate item.
  3. Action 3: Provide the current safeguarding training matrix, or confirm in writing that none is kept.

    No evidence was provided for this part of the agreed topic.

    Owner
    Registered Manager
    Due
    30 November 2026
    How completion will be checked
    The matrix is uploaded and linked to this action, or a dated written note is linked explaining where training is recorded.

CQC key questions

Key questionIn this review
SafeSafeguarding and medicines only. Three agreed documents were looked at and one part had no evidence. See the table above.
EffectiveNot assessed in this review
CaringNot assessed in this review
ResponsiveNot assessed in this review
Well-ledNot assessed in this review

Limits of this review

  • This is not a CQC rating and does not predict one.
  • Only the three agreed documents were reviewed. They are a sample, so the report cannot speak for records that were not provided.
  • There was no observation of care and no interviews with people who use the service, relatives or staff.
  • The report does not establish the quality of the whole service. Key questions that were not examined are marked "Not assessed in this review".
  • A finding means what the document shows on the page referred to. It is for your team to check and decide what to do.
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