Ms Susan Cliffe:

When we are out on inspection, we are looking for evidence of incidents that should have been notified to us and that may not have been notified to us. This evidence may come from a resident or a relative whom we meet and speak to during the inspection. It may come from information we see in a complaints log. It may come from information we see in a resident's record. It may come from an allied healthcare professional working in the designated centre. There is a good reporting process throughout the sector. This is seen in the almost 15,000 notifications we received in 2020.

Another factor for us can be the absence of notifications. If we have a centre from which we do not receive notifications it might equally be a flag for us and we would go looking for further information about it.