Ask Sheila England

Sheila will try to answer as many of your English Social Care 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

What financial support is available for equipment and any necessary adaptations that need to be made to a person’s home when they have had a stroke?

Hi Sheila, my wife will be discharged from hospital shortly, we need financial support to get her battery operated wheelchair and to update our ground floor toilet. She is recovering from stroke which has left her with severe right sided weakness. She had the stroke in 2012 but was very ill in January 2019 had to be admitted to hospital due to bleed in her brain which further restricted movement. She is presently in hospital for rehabilitation. Is there anywhere we can get grants or support for this?

  Dear J,   Thank you for your question.   If your wife needs a battery operated wheelchair then I would expect the NHS to supply it for her before she is discharged from hospital.   With...

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Who should I contact to find out information about accessing care for myself as a person confined to a wheelchair and receiving benefits?

Hi Sheila, who should I contact to find out information about accessing care for myself as a person confined to a wheelchair and receiving benefits?

  Dear C,   Thank you for your question.   There is not a great deal of information in your email but I am going to assume that you are already in contact with your...

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Can a residential care home refuse to carry out a Continuing Healthcare Assessment prior to transferring my mother to a Nursing Home?

Hi Sheila, my mother has vascular dementia and breast cancer with diabetes 2 and high blood pressure with irritable bowel. She is frail but can walk with a stick, she was placed in a residential care home by social services and is currently funded. She has been there 18 months but she has refused all medications, she is verbally abusive to everyone and tells residents the food is poisoned so they refuse the cooked meals. The home has now said she needs to be in a nursing care as they cannot meet her needs. I understand this and  I have asked them to do a Continuing Health Care Assessment while she is still with them. I don’t feel they are happy to do this and they have suggested a nursing home but I would like the assessment done before she is moved. Can they refuse to do it and if so who can I get to do it for us?

  Dear S,   Thank you for your question.   The process for applying for NHS continuing healthcare can seem complex so I have looked to simplify the details of how to apply and the...

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Are family carers or friends of a family able to claim to be self employed carers?

Hi Sheila, are family carers or friends of a family able to claim to be self employed carers? CQC states that family carers do not have to register even when they do personal care but what would be the situation if they declared that they are a self employed? Also if they provide care to more than one person does this help them to achieve this status?

  Dear B,   Thank you for your question.   Whenever I receive a question (and I do receive several every week) about whether or not a person needs to register with CQC I always...

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Can a social worker arrange care home placement with staff?

Hi Sheila, can a social worker arrange care home placement with staff? Or should they do this with managers?

  Dear F.   Thank you for your question.   There are several formalities to be gone through before someone is admitted to a care home.   The home will have a policy on admissions.   The Manager cannot...

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What are the benefits of the Care Certificate to individuals in the care sector?

Hi Sheila, I have worked in care for twenty seven years. Now my employer is making me do the Care Certificate. What is the point of completing this and what is the importance?

  Dear J,   Thank you for your question.   The Care Certificate is intended to be delivered at the beginning of a first job in care.   This is what Skills for Care says on their...

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Do Day Care Centres need to be Registered with the CQC?

Hello Sheila,  I am planing to open a day centre for adults with complex needs. I have a couple of questions regarding this, do i need to have a registered manager and do I need to register with CQC?

  Dear J,   Thank you for your question. This is a question that often comes up and the answer is no, day care centres do not need to be registered.   It is extraordinary...

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Can I register with CQC while I am studying NVQ 5?

Hi Sheila, can I register with CQC while am studying NVQ 5?

  Dear T,   I am intrigued by your email.   I do receive a number of questions similar to this each month but I do not know what you think you can register with...

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Do I need to complete the Care Certificate if I already hold an NVQ3 in Health and Social Care?

Hi Sheila, I currently hold an NVQ 3 in health and social care and have been a health care assistant for thirteen years working in a number of fields. I have started a new job and am now in my sixth month and they have informed me that I need to attend the care certificate course, this does not seem to be right?

  Dear K,   Thank you for your question.   The Care Certificate is intended to be delivered at the beginning of a first job in care.   This is what Skills for Care says on their...

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Are you allowed to self medicate at the age of seventy?

Hi Sheila,  are you allowed to self medicate at seventy?

  Dear P,   Many thanks for your question   Everyone regardless of age should be able to and encouraged to self medicate for as long as possible. There is a large population of over 70's...

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