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.

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Latest Questions

How many managers?

Can you have more than one home manager registered to a home?

Dear Jeanne, Thank you for your question. I have taken the following paragraphs from the Care Quality Commission website: "What is a registered manager?" A registered manager is the person appointed by the...

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Do I need the care certificate if I already have my NVQ2 and 10 years experience?

Hi, I have been doing care work for 10 years now and have my NVQ2 in health and social care. I am due to start a new job with a new care company but they are saying I need to do a care certificate. I don’t think this is right. Can you answer this for me? Thank you

Dear Sarah, The answer to your question is slightly more complex than you would expect. I am assuming that you are moving jobs within the same category of care. On their website...

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What happens when there isn’t a registered manager?

How long can a care home run without a registered manager?

  Dear L,   For a care home it will always be a condition of registration to have a Registered Manager.   Anyone who doesn't have a Registered Manager should be aware of the information taken...

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Can they still visit the home?

Can former employees and family members of former residents still visit the home?

  Dear D, There is no yes or no answer to this question.   This is a matter for the Registered Manager to decide.   It is not unusual in any place of employment for a...

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What should I do if a staff member is being bullied?

How do I go about solving the problem of a member of staff who is being bullied?

  Dear D,   You do not say whether you are the Registered Manager, a member of staff or the person being bullied.   The care home must have a policy on bullying, it may...

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Where do I start with converting 2 rooms in my home for respite care?

Hi Sheila, I am interested in letting out two rooms of my bungalow for respite care. I have had over 20 years experience in the care industry and worked in various care homes, the community and as a HCA in our local hospital as well as being a foster parent. I have spoken to the CQC but they were not able to help me with the next steps to take. Are you able to give me any pointers? Thank you, Laura

Dear Laura, Thank you for your question. If you are going to be providing personal care then you must register with the Care Quality Commission (CQC). I am assuming that you live in...

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How do I start converting a farm into a residential home?

Hi Sheila,

I am currently working as a Social Worker but having recently lost my Dad to cancer I am considering starting up a residential home for adults/children with learning difficulties. My Dad left behind a farm and 50 acres of land and it has always been my dream to create a wellbeing centre or residential home to support vulnerable people in society and I thought that his farm could be perfect for this (in time with some work). I’m not sure where to start and wondered whether you could point me in the right direction please.

Many thanks and regards,


Dear Matt, Thank you for your question and it is very interesting to hear of your plans which sound truly wonderful. I can only advise you about setting up a service for...

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Do we need to have maternity coverage for our registered manager?

Hi Sheila,

Do we need to appoint or recruit a new Registered Manager should the existing one go on maternity leave?

Dear Owen, Thank you for your question. If the Registered Manager is absent for more than 28 days you need to formally inform CQC. You should inform CQC of the arrangements you...

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Assisting residents with undressing?

Dear, Sheila, is it right to undress a resident or dress him/her in bed lying down with two pillows under the head?

  Dear B,   You do not say why you are asking this question.   If a resident is for whatever reason most comfortable lying down to dress or undress, then that is perfectly acceptable.   This...

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Who sets the quality standards of care?

Hi, who is responsible for deciding the quality standards of care for our elders in the following settings:

Home care provided by an agency?
Home care provided by a family member?
Care provided in a care home?

  Dear J,   Thank you for your question. There are no quality standards for home care provided by a family member.   Care in a care home or care provided by a care agency at home...

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