Different types of inspection

Find out about the different types of inspections for care services and care homes.

We have three types of inspection that involve a visit to the service plus an annual review, which does not include a visit.

Key inspections

Key inspections are a thorough look at how well the service is doing and are usually unannounced.

They take into account detailed information sent to us by the service's owner or manager, the views and experiences of people who are using the service and any other relevant information we have received since the last inspection.

Our inspectors will look at how well the service is meeting the standards set by the government. This information is then used to calculate a quality rating. The rating may be assessed as 'poor' (zero star service), 'adequate' (1 star service), 'good' (2 star service) or 'excellent' (3 star service).

Random inspections

Random inspections are short, targeted inspections which may focus on specific issues that have come up or check on improvements that should have been made. 

Random inspections are usually unannounced and can take place at any time of the day or night.

Thematic inspections

Thematic inspections look at how well a service is performing in a particular area, for example medication, or dignity. They help us to gain a picture of trends at a national level.

We will produce reports for the Government and the public about what is happening in England's care services, based on what we find.

Annual service review

If a service is rated 'good' or 'excellent', then we will visit less frequently. For each year that we do not inspect we will carry out an annual review of the service. If we think that the quality of the service may have changed, we may decide to bring forward a key inspection or carry out a random inspection visit.

Find out more

Created: 5/4/2006 Last updated: 12/14/2007