How to Jump the CQC’s Well-led Hurdle

April 30, 2016

How to Jump the CQC’s Well-led Hurdle

Image courtesy of Stuart Miles via

Do you remember being told you’re for the high jump in response to some childhood misdemeanour? Notice of a CQC inspection has the same implications – with no training at the lower heights you’ll be required to clear the bar at one bound. No wonder that according to Isopharm: ‘nearly one fifth of dental practices are failing CQC inspections’. The hurdle most likely to leave them flat on their faces is ‘Well-led’. For a start, it is difficult for Registered Managers to predict whether they are meeting the KLOEs associated with the Well-led fundamental standard. Also, under questioning by CQC inspectors, practice staff may unwittingly reveal the Registered Manager’s inability to achieve the necessary altitude.



Let’s explore some of the issues. Fundamentally, we’re talking about leadership – good or even great leadership. The quality of leadership that gets staff arriving early, giving 101 per cent, coming up with ideas for improvements and solutions to problems and being very hugely supportive.

Given the number of books written on the subject and the volume of research undertaken, you’d think leadership would have been cracked by now. It hasn’t. People in leadership positions are still learning. Fortunately, there are some well proven techniques for improving leadership skills and ability. They are invariably represented by a triangle and the particular one I’m thinking of is called the Triangle of Success (sometimes referred to as the Pyramid of Success). The name comes from the title of a book written by Dr Joseph Edsel Edmunds, described on the NIHERST and the Caribbean Council for Science and Technology website Caribbean Icons in Science, Technology & Innovation page as: ‘a scientist, artist, author, poet, educator, and diplomat – a true Renaissance Man.’ The Triangle of Success has Knowledge 15% as the base and 30% Skill and 55% Attitude on the two sides.

There’s a similar story for the triangle that originates from The Five Dysfunction of a Team: A Leadership Fable, a book written by Patrick M. Lencioni – a prolific author on business management, particularly in relation to team management. Ascending this triangle are horizontal layers called Trust, Communication, Commitment and Accountability, with Results as the ‘summit’.


What next?

Let’s see, you could read the books I’ve mentioned, follow the advice and become a great leader with a dedicated team. You’d have to be very strongly in the Read/write learning mode on Fleming’s learning styles model (VARK) to achieve this. I’m guessing you’re not.

You could undertake a placement with, say, Sir Simon Rattle and the Berliner Philharmoniker but you probably don’t have the time.

You could join the waiting list for Ranulph Fiennes next Exploring Leadership talk (cost unknown) in London but could be waiting ages for a place and are unlikely to be able to afford it anyway.


The answer

I’ve got it! You could attend my Executive Practice Management Workshop on Friday 10th June at the Mercure Sheffield Parkway Hotel. Here, myself and Nick Danby of Face 2 Face, will help you and colleagues from other practices learn how to achieve the Well-led fundamental standard. We’ll discuss the Triangle of Success and its synergy with CQC requirements and consider the management of the issues raised by the Five Dysfunctions of a Team. We’ll also explore so-called soft skills for managing teams and identify what improvements individual practices need to make to achieve the C word – compliance.

The day will be fun, hard work, stimulating, hugely worthwhile and refreshing (lunch and refreshments are including in the £150 cost).


A call to action

Now do this: contact Practices Made Perfect by Nicki Rowland at info@pmp‐ or call 01482 872491 with all your details.