» Step 3 – Your Assessment
A pre-assessment is an informal assessment to determine how ready you are for accreditation. A pre-assessment is optional but it can be a valuable step in the process to prevent delays in gaining accreditation.
You can choose to have either one or two pre-assessments.
Conducted by your Assessment Manager, the pre-assessment does not contribute to the accreditation decision. The Assessment Manager will review and provide feedback on a sub-set of documentary information which you may wish to submit as evidence during the formal assessment stage.
Once you have addressed any issues raised during the pre-assessment and you have agreed that your organisation is ready for formal assessment, your Assessment Manager will appoint the assessment team.
The initial assessment is the first formal assessment and is in two parts:
- A review of documentary evidence, followed by a web-based assessment.
- The formal assessment is conducted by the appointed assessment team (Peer and Lay Assessors) and is co-ordinated by your Assessment Manager.
The practicalities of the review of documentary evidence
Organisations/services can choose to submit their suite of documentary evidence for review using an online web-based assessment tool supplied by UKAS. Alternative options for enabling access to your organisation/service’s documentary evidence should be discussed with your Assessment Manager at the application stage.
The documentary information provided by your organisation/service will be reviewed as evidence by the assessment team. If the team is satisfied with the documentary evidence provided they will initiate the on-site assessment visit.
In advance of the on-site assessment you will be provided with a visit plan which provides a proposed timetable for the work to be assessed.
The practicalities of the on-site assessment visit
The on-site assessment visit is normally conducted over two consecutive days.
- It commences with an opening meeting to introduce the assessment team and to agree the arrangements with your organisation/service management team.
- A detailed review of organisation/service records is conducted.
- The team will observe staff at work, the facilities and the working environment.
- Staff, managers and referrers will be interviewed. Patients, relatives and carers will also be interviewed.
- A private meeting is held whereby the assessors will discuss their ‘Findings’ and agree their recommendation.
- A final closing meeting with your organisation/service management will be held where the assessment team will provide a de-brief of the visit, detail any ‘Findings’ or ‘improvement actions’ identified against the accreditation requirements and agree timescales for required actions to be addressed.
- The assessment team will advise your organisation/service of the recommendation it will be forwarding to UKAS.
- Within a few days of the on-site assessment visit, your organisation/service will receive a detailed written report of the assessment.
- Should you have any ‘Findings’ that require improvement actions, you would be allowed up to 12 weeks to provide suitable evidence to the Assessment Manager that they have been addressed.