CQC inspections in 2026
CQC inspections have become noticeably more rigorous on infection prevention and decontamination since the publication of the updated HTM 01-05 guidance and the new CQC single-assessment framework. Practices that fail to evidence robust decontamination processes and a clearly identified Decontamination Lead are seeing requirement notices, breach reports, and, in some cases, registration concerns.
The expectation is no longer that "everyone does decontamination". CQC and NHS commissioners now look for a named individual with documented training, ongoing competence, and audit responsibility. That person needs to be able to evidence: completion of a recognised Decontamination Lead course, current knowledge of HTM 01-05 best practice, the ability to lead the practice's decontamination audit cycle, and ongoing CPD in the area.
For practice principals and managers, the cost of getting this wrong is significant. A breach finding can require an action plan, follow-up inspection, and corrective training, all under public review on the CQC website. Investing in a properly trained Decontamination Lead before your next inspection is far cheaper than fixing problems after one.
Spade Learning Academy offers two courses that prepare your practice for inspection. Our Decontamination Lead Course is built specifically for the named lead role, covering HTM 01-05, audit cycles, equipment validation, and incident response. Our Infection Control Course (IPC) trains every clinical team member to current standards and provides certifiable CPD evidence for each individual.
Practices typically train one team member as Decontamination Lead and the rest of the clinical team on the IPC course, a combination that satisfies both CQC's named-lead expectation and the wider team competence requirement.

