Ask Sheila

Sheila will try to answer as many of your questions as possible, giving priority to frequently asked questions and questions regarding current events and trends.

Sheila Scott OBE from National Care Association (NCA). Care is Sheila’s life; she possesses a strong command of the issues facing the care sector informed by her long career as a nursing professional, the owner and manager of a care business and as a leader in the care sector.

Sheila will try to answer as many of your questions as possible, giving priority to frequently asked questions and questions regarding current events and trends.

Please note that Sheila can not offer answers to matters requiring legal advice. If your matter concerns a specific service provider, please contact the CQC.

Please leave this field empty.

Latest Questions

Do I have to take verbal abuse 24/7?

Dear Sheila
I am a private live-in-carer and have to take quite a lot of verbal abuse from my woman who I take care of, like (I am a German) you are a Hitler!
I have been working for her nearly 2 years and now I found out that the family didn’t tell me in the beginning that their mum is suffering from depression. What can I do? Do I have to ignore it?
I am working 24/7, Sunday’s I have off 10 hours and 3 hours off on the other days. Can I ask for 1 day off in a week?
I hope you can answer my question.

    Thank you for your question,   Again we have asked our employment law experts Napthens for their comments and this is what they said:   "In relation to the issue of racism, I would...

Read full answer

Are shared rooms still allowed?

What is the current situation with regards to shared rooms in Residential Care of the Elderly? Are they still allowed and in what circumstances?

  Dear Peter,   Thank you for your question. Some of the information that you require you will find in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014:   Regulation 15 which...

Read full answer

Can staff skip their break?

I factor in a thirty minute break for staff in between finishing early evening calls and starting bedtime calls. My staff are telling me that they don’t want a break and would rather finish work earlier. I have explained that by law I need to factor in a break (they could be working from 4:30 until 9:30) and that I am unwilling to sanction them not using that time for a break as it’s not fair on staff who want that time. The clients should have their calls at the allocated time, and not to suit the staff. Staff argue that because they don’t have time to go home that they don’t want to spend a break in their cars.
Thanks in advance.

  Thank you for your question. I asked our employment law specialists Napthens for their advice and this is it: "It appears that the staff are working longer than six hours as, prior...

Read full answer

Do I need a VIP policy?

I am trying to find a VIP policy and procedure for our Care Home. I have been advised that this policy is now required.

  Dear Amanda,   I believe your question is in relation to VIP, or Very Important Persons? It has likely arisen as part of the Lampard Enquiry in response to the Jimmy Savile...

Read full answer

How many hours does a registered manager need to work to satisfy CQC?

Dear Shelia, it appears difficult to ascertain ‘Regulations’ hours a Registered Manager should work as full time hours to satisfy CQC regs. Any observations please? Thank you in anticipation.

  Dear David,   As the Registered Manager the number of hours you work is a matter for you to decide.   CQC is not prescriptive about the hours that must be worked, but they will need to be...

Read full answer

Does CQC inspect day service provision?

We have a Day Service on the site of our supported living home, but we do not provide our regulated activity of Personal Care. Of course we have our CQC inspections along with local teams who come in to inspect certain aspects of the residential group such as funding etc., but do CQC inspect any form of the day service provision? If they do not, is this something that should be inspected regularly with another body or is it generally covered under the unannounced inspections?
We have had a Day Service for years now with no issue arising, but when a different organisation mentioned this a few weeks back, I wanted to be sure that we were fully compliant with all aspects, including Day Service.

  Dear Danielle,   Thank you for your question.   Day Care is not subject to any form of regulation except that which is expected of any employer, such as Health and Safety, which offers...

Read full answer

Do I have to date creams?

Hello Sheila. Is not dating when creams and eye drops are opened a medication error?

  Dear Barbara,   This is a very important question.   The pharmacist should date the cream or eye drops on the date he/she dispensed the cream or eye drops.   As you say the cream, lotion...

Read full answer

Is there a need for advocacy and support services for care givers?

Dear Sheila,

First, I want to thank you for the expertise knowledge, understanding and advice you share on the QCS website.

I have just successfully completed my level 5 Leadership and Management in Care with Access Skills. I am thinking of setting up an an Advocacy and Support service for caregivers, i.e. helping and working with caregivers to promote their rights, responsibilities. I’d also like to help improve their personal and individual development plans, working with care providers and individuals. Is this is a needed service?


This is my passion and I will appreciate your advice.

Once again thanks for your assistance.

Kind regards

Dear Emeka,   Advocacy is normally provided to care users and not care staff.   If that is what you wished to provide then I think you should speak to your local authority to...

Read full answer

Advice for a full time worker setting up a domiciliary care?

Morning, I have 2 questions for you please.


First, I want to know how to have insurance, presumably 2 types of insurance, ready for CQC registration when the business is not in operation yet?


My second question is because I am full time employee planning to go into business. To reduce my overhead, I want to start from using my fully prepared shed as an office including support from a virtual assistant office. Do I need to register both addresses with CQC as they will handle my calls and letters at the beginning when I would be part time at first?


Thank you very much for your help.

  Dear Anita,   Thank you for your questions.   My best advice to the first part is that you should speak to a specialist broker such as Howdens who deal with this sort of...

Read full answer

Care Home or Domiciliary Care?

I am about to buy a care home, yet I am not registered with CQC yet. After reading some things up, I found that it could take up to 3-4 months to register to an organisation as a new provider. Is that the case?

Would it be quicker if I buy a domiciliary home company that’s already registered and change the registered activity via the portal? Would both processes take up the same amount of time?

  Dear Jo, I really need more information from you before I give you a specific answer. The main question is are you buying an existing business or starting a care home...

Read full answer

Partners with the UK's smartest companies

SCIE Access Skills DAA NC
Join over 20,000 users already using the QCS Management System!
Start Free Trial
Back to Top
FOR TODAY ONLY, we have extended the offer, Save £350 when you buy before 5PM
Find out more

Register here for your FREE TRIAL

  • Try our unique Management System, or any of our individual packs
  • PLUS! Gain FREE trial access to our Mock Inspection Toolkit
  • Over 2,300+ pages of easy to use guidance and 300+ policies & procedures

Simply fill out the form below and get full access for 24 hours to a QCS Management System of your choice.

Please leave this field empty.

Start FREE Trial Click here