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.
- Ask Sheila
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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.
Day centres not required to register with CQC
This is prompted by the letter you answered to someone about setting up a day centre, all well and good but 1 member of staff to 20 people is not good.
Why do day centres that provide personal care not come under CQC’s scope of registration? I have clients who visit day centres and have personal care but the day centre is not CQC registered.
DOLs and family members at end of life
When some one has a DoLS, ACP, and end of life care plan in place, how do we explain to relatives that they will not be allowed to touch their loved-ones when they pass away due to the law and the DoLS when this will be the last experience that they have with there loved ones?
Commissioning a new residential home
I am commissioning a new residential home, I have all my policy and procedures in place ready, what else will CQC expect me to have in place? Thank you. – Sharon
Setting up a day centre
I would like to set up a day centre in the village where I live for older people. I would be having this as a small business and around 20 people / one member of staff. Would I need inspection for this service? – Helen
Registering with CQC and direct payment
Hi Sheila I am a self employed carer in the community. I have asked cqc directly and emailed them and get same reply each time which is not what I have asked. Do I need to be registered with cqc if I’m looking after people on the direct payment. I want to do things right but just need straight forward information which I’m not getting. Please help
Advocates signing updated care plans
We provide domiciliary care at people’s homes. When a change to the care plan is required and an advocate is responsible for signing, we have difficulty in getting hold of them to sign the revised care plan within a reasonable time from the date of the review. We have been criticized by CQC for this delay, which is beyond our control. Any thoughts?
Separate DOLS training for Domiciliary Care
Hello, with domiciliary care, my staff all undergo a mandatory mental capacity 2005 booklet that is accredited, do they have to do a separate dols course? Within the community mental capacity and dols assessment falls under the north somerset professional team, and we are not involved in the dols aspect of this
Financial consultant for care home placement
My mother has recently gone into a care home, self funded. She told them that she had funds to pay having sold her house. I asked the question “what happens when -if the money runs out”? I was told “we negotiate and never kick anybody out”. They were very vague when I queried this further and informed them that I lived on benefits and could not fund her care.
Since then she has received phone calls and visits from a financial consultant introduced by the home. I have heard that there are schemes where the home-financial consultant takes all of your money in return for a guarantee to care for life. This smacks of abuse to me, especially with the home having a captive audience of vulnerable people available. What is your take on this as I feel very uncomfortable with the whole idea but she is all for it as the financial consultant “seems a nice man”.
Registered manager interview for role
Being a registered manager with CQC, if and when i leave my current home, do i have to go through the interview process again to be the registered manager of the new home if i get another job in another care home.
can you let me know please ASAP
Who is responsible for carrying out mental capacity assessments?
At my recent inspection I was told that as a manager it was my place to carryout mental capacity assessments on my residents.
I informed them that I refer my residents via the GP after confirming there is no UTI to the mental health team who come and visit the resident. One of the staff who knows them well along with a family member if they are available will sit in on the visit to support the resident. The mental health nurse practitioner will then talk to the team. She will then talk to others in her team which includes a specialist doctor.
When they have made a plan this is given to us added to the care plan and monitor by staff using ABC charts and daily recording.
I feel that I am not qualified to carry these assessments and that it could be seen as a conflict of interest if I say a person lacks capacity.
What is the correct procedure in this area as I am not sure?