Governance layer · Action plans
Action plans with a governance audit trail
Create, assign, track, and close actions, with every state change evidenced for CQC inspection. Actions link back to the risk, incident, or audit finding that raised them.
CQC Regulation 17 requires evidence of improvement action — not just that risks were identified, but that action was taken and verified. Action plans with closed audit trails are the evidence.
How plans close
Action plan lifecycle
Every transition is recorded in the audit trail.
Reopened and Cancelled states also tracked with full reason records.
Key capabilities
Action plan Kanban board
Open, In Progress, Awaiting Closure, Closed, Reopened, and Cancelled columns, with drag-and-drop workflow.
Deadline tracking and overdue alerts
Due dates are set per action. Overdue actions are flagged and affect the overall governance health score.
Assigned ownership
Each action has a named owner. Managers are notified on assignment, as deadlines approach, and when actions require closure approval.
Linked to risk register entries
Actions can be linked to a specific risk. Closing the linked action is part of the risk mitigation evidence.
Immutable audit trail
Every state change (open, in progress, awaiting closure, closed, reopened) is timestamped and immutable.
Analytics
Open vs closed vs overdue trends. Understand your response rate to incidents, reviews, and CQC requirements.
When you need this
After a CQC requirement notice
Evidence your response plan. Create actions directly from the requirement, assign owners, track progress, and present the closed audit trail to CQC.
After an incident
Demonstrate corrective action. Action plans linked to incident records show that the organisation responded, acted, and verified the resolution.
After a governance review
Track follow-through. Actions raised in governance reviews are tracked to closure, so the review produces more than a set of minutes.
What it looks like
Action plans in the Kanban board, with priority, owner, due date, and overdue state.
Review and reinstate nurse staffing levels on night shift
Linked to Risk: R-019
Update medication storage protocol document
Linked to Risk: R-022
Complete DBS renewal for 3 lapsed care assistants
Linked to Risk: R-024
Book safeguarding refresher for affected staff
Governance Review: Q1
Verify agency worker compliance documentation
Linked to Risk: R-018
Update right to work file for 2 employees
Linked to Risk: R-021
See a plan close with the trail intact.
Walk through creation, assignment, closure, and the audit trail, in the context of your own governance requirements.