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<p>The Care Quality Commission (CQC) has provided the following response.</p><p>The
dates each of the registered Child and Adolescent Mental Health Tier 4 inpatient services
were last inspected are attached, due to the size of the data.</p><p>The CQC carry
out either comprehensive or focused inspections. For National Health Service trusts,
these inspections will usually be unannounced.</p><p>In a few instances, where there
are very good reasons, the CQC may let a service know it is coming. For example, the
CQC may contact a trust to make sure senior management are present to answer its questions.</p><p>To
enable the CQC to observe normal practice in a service, it has introduced more unannounced
inspections as part of its comprehensive inspection methodology.</p><p>Because the
CQC requests information from providers beforehand, it will carry out the inspection
within three months of the provider submitting its provider information request. However,
the CQC will not announce the day on which it intends to inspect.</p>
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