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

Finding new homecare clients

Good Afternoon Sheila,
I am a Domiciliary Care provider who has recently registered with the CQC. I am finding it very difficult to find clients, I have been in contact with my local council but wanted to see if you had any further suggestions on how to find new clients? Thank you – Sarah

Dear Sarah, It is always difficult for a new provider to get started. It is essential that all providers remember that at least 40% of all Adult Social Care will be purchased...

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Literature on new CQC inspections

Where can I obtain literature from in respect of the new guidelines for CQC inspections? – Amanda

Dear Amanda, Not surprisingly, the first place to go is the CQC website. You will get the basic information here and more detailed information here Quality Compliance Systems, has also written...

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Qualifications for domiciliary care manager

Hi Sheila

In applying for a job as a care manager for a private sector Domiciliary Care in the community, the requirement of a qualification advertised was for a diploma level 5 in health and social care. I have Level 5 in Management and Development (with the Institute of Leadership and Management) would this qualification qualify for registering as the care manager? – Anne

Hi Anne, You may find the following CQC document helpful:  "Qualifications and continuing professional development requirements for registered managers and for the practitioners they supervise" There is also plenty of helpful information...

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Pensions Regulator

I was speaking to another care provider at a meeting last week and they told me that they had received a letter from the Pensions Regulator with information about what they have to do to carry out their duties and what date those duties will start. I haven’t received anything, is there something I should be doing? – Max

Dear Max, This is the latest information we have from the Pensions Regulator: Automatic enrolment: Look out for a letter from The Pensions Regulator The Pensions Regulator will be writing to ALL small...

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Care Cert for home care agency

As agency providing home care and ad-hoc staff support to care homes, what is the expected criteria we have to meet in line with the care certificate? What measures can we use to assess staff competency? While assessing for competency in people’s homes could be achievable, how do we assess the competency of workers sent to support care homes considering the how busy the home could be and confidentiality and dignity of the service users. – Elizabeth

Dear Elizabeth, Thank you for your question. As I wasn't sure of the answer, I contacted Skills for Care who have sent me the following comprehensive answer. 'It would not be possible for...

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Administering medication in a nursing home

What qualifications are needed to administrate medication in a nursing home, does it have to be a registered nurse? – Susan

Dear Susan, A  care home (nursing) employs Registered Nurses and the Nursing and Midwifery Council (NMC) "requires each Registered Nurse to be individually accountable for making sure that all medicines are...

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2016 Cap on Care Costs

I am a Home Care Provider of Social Care. I read on the Community Care website that the way that care is funded is set to change in 2016. Will this affect me? – Rita

The Department of Health launched a consultation on 4 February: Care Act 2014: How should we deliver the 2016 to cap care costs and manage appeals? These are the most fundamental...

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DoLS authorisation

I applied for a DoLS authorisation for 6 people living in this care home two months ago. Although I have contacted the Local Authority officer about the applications they have still not been dealt with. I am getting anxious now because I am sure I will be inspected soon by CQC and I don’t know what will happen if I don’t have the authorisation in place. – Mark

Dear Mark, The essential thing is that you have made the application for DoLS authorisation as you are required to by law. Since the Cheshire West Judgement there has been a huge...

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Dementia and DoLS

I have a care home registered to care for people with dementia. I have just had an inspection and the inspector told me that I must look very carefully at whether or not I need to apply for Deprivation of Liberty Safeguards (DoLS) authorisation for all of the people I care for. Is this right? – Ellie

Dear Ellie, With regard to DoLS, in March 2014 the Supreme Court handed down a judgement now known as the West Cheshire judgement. This judgement changed the way we had been...

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Care Act

Hi Sheila

Loads of reading done on the new care act.  Is there anything out there – in short version, easy read? A few service users have been asking me for copies.

Looking forward in hearing from you.


Dear Johanna, Thank you for your question. There are, as you know, many different sources of information about the Care Act. I think the best for service users are some of the National...

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