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.






Latest Questions

Can a DOLs be applied for someone who is in long term respite in a residential care home?

Hi Sheila, can a DOLs be applied for if someone is in long term respite in a residential care home ? On paper their home address is with family therefore different from the care home, however they have been receiving respite care full time for over a year. The Local Authority are continuing to fund on respite basis rather than permanent address.

  Dear A,   Thank you for your question.   DOLs applies as much to respite care as it does permanent care, if I were in your position and the service user in your opinion...

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What are the key differences between a care home and a supported / assisted living house?

Dear Sheila, what are the key differences between a care home and a supported / assisted living house?

  Dear R,   Thank you for your question.   I want to refer you to the Care Quality Commission (CQC) website which has a useful document entitled The Scope of Registration.   This document describes a...

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Who is qualified to complete the MCA?

Hi Sheila, who is qualified to complete the MCA?

  Dear M,   Thank you for your question.   There are four pieces of advice I can give you about the Assessment of Mental Capacity.   The first is that anyone doing the assessment should understand...

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Do we have to notify CQC of a service user death if they are on palliative care / end of life?

Hi Shelia, working in Dom care do we have to notify CQC of a service user death if they are on palliative care / end of life. I am aware we do have to notify them in the event of a suspicious or unexpected death but not sure if they are on end of life.

  Dear L,   Thank you for your question.   Care Quality Guidance says:   If you are a registered provider or a registered manager of: Independent healthcare Adult social care Primary dental care Private ambulance services You...

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How many carers should be present in the Care Home to look after 10 elderly people with different disabilities?

Hi Sheila, how many carers should be present in the caring home to look after 10 elderly people with different disabilities?

  Dear O,   Thank you for your question. This is a question that I am often asked and there is not a definitive answer.   Care Quality Commission (CQC) Guidance on The Health and...

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As a care worker, what would you do if you visit a service user and there is no care plan?

Hi Sheila, as a care worker, what would you do if you visit a service user and there is no care plan?

  Dear E,   Thank you for your question.   I presume that you are working for an agency of some sort and not working directly for the service user.   As an employee of an agency...

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How do I report my concerns about the quality of the carers?

Hi Sheila, how do I report my concerns about the quality of the carers attending my father?

  Dear S,   Thank you for your question.   You should have received a complaints policy from the home when your father was admitted.   It will normally tell you that in the first instance you...

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How far in advance should my manager need to give me my rota?

Hi Sheila, how far in advance should my employer need to give me my rotas when working in a care home?

  Dear A,   Thank you for your question.   This is the advice that Chris King, our Employment Law expert at Napthens Solicitors gave us some time ago:   "An employer should give an employee who...

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What qualifications do I need to start up my own care agency?

Hi Sheila, I want to start my own care agency, what qualifications do I need to start?

  Dear A,   Thank you for your question.   I presume that you intend to manage the business as well as own it.   My first question would be what qualifications do you already have?   There will...

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Can you refuse to go to a client if they are physically violent and what are the steps to take?

Hi Sheila, can you refuse to go to a client if they are physically violent? And can you leave the premises?

  Dear M,   Thank you for your question.   It is of course a difficult question to answer.   This is something that you must discuss with the Registered Manager of your service.   The service has an...

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