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

Will a new branch affect our overall rating?

We are opening another branch under a different local authority with an additional Registered Manager.  Will the inspection report encompass both arms of the business or would we get separate reports for each? Will the new branch affect our overall rating?

Dear J Thank you for your question. If you are opening a new branch, in a different location with a different Registered Manager, you will need to go through the application...

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Is this a notifiable incident?

A resident in a care home has a spontaneous fracture resulting in surgery. As it was not the result of a fall or incident, is it a notifiable incident?

Dear S Thank you for your question. Although this was a spontaneous fracture and not as a result of a fall or incident its important you notify CQC via your provider...

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How do I attract and retain good carers?

How do I attract and retain good carers?

Dear S Attracting and retaining good carers is essential to delivering high-quality care and support and given that there are approximately 440,000 care workers leave their job every year and there...

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Can you refuse to see a client?

If a client spoke to you inappropriately and because of this you are not comfortable going back in, can you refuse to go in?

Hi C, thank you for your email. I understand that you must have felt vulnerable when you are on your own in this situation is someone’s house. I would suggest before...

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Who determines when a care home can come out of lockdown?

Does it depend on each care home when and how they come out of lockdown?

Thank you for your question. I know this is such a challenging area for care homes. There is no guidance from the Government on this at the moment although it...

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What kind of insurance do I need as a Domiciliary Care Worker?

 I do domiciliary care work but I do not take any clients shopping currently. Do I need business insurance or am I covered by my employer?

Dear M, Thank you for your question. If you are working for a provider who is regulated by CQC, Care Inspectorate in Wales OR Care Inspectorate Scotland, your employer will...

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Can an activity person cut hair?

I work in a nursing home. Can an activity person cut a resident’s hair? We used to have a qualified hairdresser do this

Thank you for your question. COVID-19 has resulted in many challenges and the inability to get a haircut is an issue that many people are facing. As to whether an...

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Should DoLs come into play for a potentially violent service user?

We have a gentleman who accesses a day time opportunity in a horticulture setting from 9 to 4 and then returns home. Lately, behaviours have come to light that he will attack staff and run out of the cabin that he uses into the garden part of the service where there are tools which he has used to chase and throw at staff.  I, as the area manager for the service, have been asked if we can lock the door to stop the person coming out and also lock the windows because he had also climbed out of the window. We have approached the Social Worker for guidance and have been told DoLs does not come into this scenario as the Mental Capacity Act would come into play regarding making decisions in his best interest.  Am I right to be wary of this? advice.

Dear P Thank you for your email. This is a risk. There are some areas I would suggest you look at. You say you have approached the social worker for guidance...

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Is it appropriate for the daughter of a resident to be employed as a carer in the same care home?

I work in a care home which has recently employed the daughter of one of the residents as a carer. This is making staff uncomfortable as the daughter is checking up that staff have attended her mother’s call bell and asks what she wanted, etc. She is also speaking to her mother about the job and other residents and carers which is often inappropriate. Is there any specific legal reason why this should be happening? The company won’t allow members of the same family to work as carers in the same scheme and this seems like a far greater conflict of interest.

Thank you for your question and it’s an issue that arises quite frequently. There may be some arrangement that you are unaware of that was set up when the service...

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Do I need to be accredited to provide my Care Certificate training to staff?

I own a Domiciliary care agency and I am also the Manager. I wanted to ask, in regards with Care Certificate training, if I would want to deliver the training myself, would I need to be accredited to do so? Especially during the COVID, training providers are closed and are doing e-learning which I don’t feel content with.

Thank you for your email. Training during COVID is a hot topic, particularly for domiciliary care.  Registered managers are responsible for signing off the Care Certificate, an RM must be...

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