Quality Care Consultant Services Ltd

Quality Care Consultant Services Ltd Health & Social Care Consultant with 18 years experience working in Acute Settings.

Experience supporting providers with mockinspections/ assessments of service, Turnaround support, Quality assurance / Audits/ Mentor and coaching and bespoke training. Key note speaker CQC compliance , systems and processes and governance
Quality Assurance Care Plans, Supervisions, Direct Observations, CQC notifications, Investigations, more available via discussion

Systems & Processess Mock Ins

pections - be CQC ready with comprehensive Action Planning

Complaint and Investigation Support

Training & Mentoring Services Bespoke to your service.

121 Mentoring for Registered Managers or Team Leads

Interim Manager Support

Focussed Surveys and Trends Support

New Business Support/Growth

Business Plan Support

Registrations Support

09/06/2026

Are your future managers already working on your frontline today?…..

Many care providers prefer to develop and promote their own staff into senior team leader and management roles. When done well, this approach can bring significant benefits to both the organisation and the people receiving care.

I can see the benefits when looking for evidence of capable and compassionate leaders in my Mock Inspections….

Here are some of the Pros..

1. Homegrown leaders already understand the culture, values, policies, and expectations of the organisation. They know the people they support, the staff team, and the challenges faced on a day-to-day basis.

2. Promoting from within demonstrates that there are real career progression opportunities. This can improve retention, motivation, and staff engagement.

3. Internal candidates often require less time to settle into their new role because they are already familiar with systems, processes, and tools.

4. Employees who have grown with the organisation often have a strong sense of ownership and pride in its success.

5. Managers who have worked their way up frequently have a deeper understanding of what frontline teams need to deliver outstanding care.

But…. Watch out for cons …

1. Being an excellent carer or team leader does not necessarily mean someone is ready to manage people, performance, budgets, or compliance. Appropriate leadership development is essential.

2. New managers can sometimes struggle to hold friends and former colleagues accountable, which can lead to inconsistencies and conflict.

3. Staff who have been with an organisation for many years may be more likely to continue "the way we've always done it" rather than driving innovation and improvement.

4. Recruiting externally can bring fresh ideas, different experiences, and new ways of working. Organisations should be careful not to become inward-looking.

5. Without sufficient mentoring and support, employees can feel overwhelmed by the demands of management, leading to stress, burnout, or poor performance.

Growing your own leaders can be one of the best investments an organisation makes, but promotion should be supported by structured training, mentoring, coaching, and ongoing development.

What has been your experience with promoting from within? Has it strengthened your organisation, or have you encountered challenges along the way?

Really interested in your thoughts?

Want to see what post 'Mock Inspection' (compliance assessment) looks like for a service recently rated Requires Improve...
16/05/2026

Want to see what post 'Mock Inspection' (compliance assessment) looks like for a service recently rated Requires Improvement by CQC?...........

First of all, I told the provider they do NOT need a Mock Inspection, CQC have already identfied what is working well and what needs to improve. They are RI in Safe and Well led - other domains were rated Good.

Does this mean my services are not engaged? NO.... it does not.
What this means is I bespoke my services to meet the providers needs.

Secondly, why would I look at all the same data CQC looked at and rated them good only 6 months ago? what a waste of the providers time!

What did I do...... I assessed compliance to Regulation 12 and Regulation 17 and wrote a focussed report on what they have done well and what do they still need to improve.

Following the 35 page report with an action plan for Safe and Well led included ( remember I only reviewed Safe and Well led), normally my reports are on average 80 pages long for a full compliance assessment, we agreed some ongoing support.

We booked Intensive for the next 3 months. 2 x days every fortnight. We will then look at stepping this down to 2 x days a month for an agreed time ( maybe 3 - 6 months) to ensure changes are sustainable, embedding and improvements assure CQC ready for their next visit compliance to regulations.

If you are interested in what that support looks like, see attached file. If it helps you to review your own service in the same way, thats great. The attached is a snipping as the whole file wont upload. DM me for the whole file.

Sharing is caring and thats what I am about, and why I started my business - Quality Care Consultant Services Ltd.

Happy to answer any questions 😉😘😁✅

08/05/2026

Want to see what I would review as part of a Mock Inspection or Service Compliance Assessment ( what ever you want to call it) Why not use to QA your service using my schedule?........ its free!

This is what 2 x days work looks like working as a Health & Social Care Consultant. Its hard work but I love it...

My brain is fried at the end of the 2 x days plus, I am often mentoring and coaching too while I gather the same data CQC call 'intelligence' and take weeks or months to gather. Then, I need to write the report!

Now I am going to be controversial here...

I get to review the same safeguarding notifications.
The same investigation reports
The same PAMMS quality team reports and action plans
The same complaints logged
The same CQC notifications
and I speak to the same clients, relatives, staff, professionals and visitors in general.
I have access to the same policies and procedures and systems and tools.

So, I think consultants work ... harder than inspectors as we need to get all that data in a 2 day window. Also, some reports take 'months' to be published.. for example this provider had an Inspection in September 2025 - Report published this month! wow!

Anyway, this is NOT a ' CQC Slate' this is a...... we do a great job to support struggling providers, improve services and assure providers who are doing things well so people using the service have great outcomes and, the provider is CQC ready!

hope you enjoy the schedule and use if to assess your service. It is a Dom Care service visit record.... happy friday.

P.S - love to hear your comments but, if you cant say anything nice, keep scrolling!
Its not a snap shot of the service as I look at data sampled over 2 - 3 years.

Cant upload the PDF for some reason so see below:
Day 1 – Safety, Medicines and Governance
09:00 – 09:30
Opening Meeting with Registered Manager and Leadership Team
Purpose
• Review post-CQC action plan
• Understand improvement progress
• Identify completed and outstanding actions
• Clarify governance oversight arrangements
Documents Requested
• Current service improvement plan
• Governance structure
• Audit schedules
• Latest KPI reports
• Training compliance reports
• Medication audit summaries
• Complaints overview
• Safeguarding tracker

09:30 – 11:30
Medicines Management Review
Areas to Review
• Medication Administration Records (MARs)
• PRN protocols
• Medication support plans
• Medication competency assessments
• Medication training records
• Medication errors/incidents
• Medication audits
• Evidence of follow-up actions
• Spot-check records
• Covert medication documentation (where applicable)
Sample Review
• 5–8 MAR charts
• 5 medication competencies
• Medication audit records
• Medication incident investigations
Key Questions
• Are MAR gaps identified promptly?
• Are staff witnessing administration appropriately?
• Are competencies current?
• Are medication timings aligned to care plans?
• Are medication errors analysed and learned from?
Evidence of Progress
• No unexplained gaps
• Accurate recording practices
• Robust competency monitoring
• Evidence of management oversight
• Reduced medication incidents
Regulation Focus
• Regulation 12 – Safe Care and Treatment
• Regulation 17 – Good Governance

11:30 – 12:30
Review of Visit Timings and Care Coordination
Areas to Review
• Electronic call monitoring reports
• Late/missed visit reports
• Double-up call coordination
• Escalation processes
• Complaints linked to timings
• Staff allocation systems
• Out-of-hours monitoring arrangements
Key Questions
• Have late visits reduced?
• Are medication calls prioritised?
• Are people receiving calls at expected times?
• Are concerns escalated appropriately?
Evidence of Progress
• Reduced late call trends
• Improved call consistency
• Better communication with people/families
• Reduced complaints relating to timings
Regulation Focus
• Regulation 9 – Person-Centred Care
• Regulation 12 – Safe Care and Treatment
12:30 – 13:00
Lunch / Interim Reflection- Eat while you work
13:00 – 15:00
Governance and Quality Assurance Systems
Areas to Review
• Governance meeting minutes
• Action plans
• Incident analysis
• Safeguarding oversight
• Lessons learned records
• Complaints analysis
• Supervision oversight
• Audit outcomes
• Quality assurance systems
Specific Focus
• How risks are identified
• How actions are monitored
• How lessons are embedded
• Evidence of sustained improvement
Key Questions
• Are audits effective?
• Are recurring concerns reducing?
• Is there clear accountability?
• Are actions completed within timescales?
• Are incidents used as learning opportunities?
Evidence of Progress
• Robust governance oversight
• Clear evidence of completed actions
• Trends monitored effectively
• Lessons learned embedded into practice
Regulation Focus
• Regulation 17 – Good Governance

15:00 – 16:30
Staffing, Supervision and Competency Review
Areas to Review
• Staff training matrix
• Supervision records
• Appraisals
• Competency assessments
• Spot-check observations
• Probation records
• Shadowing evidence
• Recruitment records (sample review)
Sample Review
• 6–8 staff files:
o New starters
o Senior carers
o Medication-trained staff
Key Questions
• Are competencies current?
• Is supervision reflective and effective?
• Are staff supported following incidents?
• Is performance monitored consistently?
Evidence of Progress
• Improved training compliance
• Competency systems embedded
• Better staff oversight
• Consistent supervision practice
Regulation Focus
• Regulation 18 – Staffing
• Regulation 17 – Good Governance

16:30 – 17:00
Day 1 Feedback and Risk Escalation
Purpose
• Share immediate concerns
• Identify urgent risks
• Clarify evidence still required for Day 2

Day 2 – Care Delivery, Lived Experience and Embedded Practice

09:00 – 10:30
Care Planning and Risk Assessment Review
Areas to Review
• Care plans
• Risk assessments
• Healthcare guidance
• Environmental risk assessments
• Moving and handling assessments
• Equipment documentation
• Communication records
• Consent/MCA documentation
• Review records
Sample Review
• 6–8 people using the service
• Include:
o Complex medication
o Double-up care
o Moving & handling
o High-risk health conditions
Key Questions
• Are care plans current?
• Are risks clearly mitigated?
• Are instructions detailed and person-centred?
• Are reviews meaningful and outcome-focused?
Evidence of Progress
• More detailed care guidance
• Current and accessible risk assessments
• Clear healthcare instructions
• Better linkage between risks and care delivery
Regulation Focus
• Regulation 9 – Person-Centred Care
• Regulation 12 – Safe Care and Treatment

10:30 – 12:00
Staff Practice and Observation Session
Areas to Observe
• Staff interactions
• Communication
• Dignity and respect
• Infection prevention and control
• Medication practice (where possible)
• Moving and handling practice
• Use of PPE
• Staff understanding of risks
Key Questions to Staff
• How do you escalate concerns?
• What would you do after a medication error?
• How do you access care plans?
• How are changes communicated?
Evidence of Progress
• Staff confident in procedures
• Practice aligned to care plans
• Positive interactions observed
• Good understanding of escalation processes
Regulation Focus
• Regulation 9
• Regulation 10
• Regulation 12
• Regulation 18

12:00 – 12:30
Lunch / Interim Reflection

12:30 – 14:00
People’s Experience and Feedback Review
Engagement With
• People using the service
• Relatives
• Staff
• Coordinators
Areas to Explore
• Reliability of calls
• Medication timings
• Communication quality
• Continuity of carers
• Responsiveness to concerns
• Whether improvements have been noticed
Key Questions
• Do people feel safer?
• Have timings improved?
• Are concerns acted upon?
• Do people feel listened to?
Evidence of Progress
• Positive feedback trends
• Reduced complaints
• Improved confidence in service delivery
• Better communication with families
Regulation Focus
• Regulation 9 – Person-Centred Care
• Regulation 16 – Complaints

14:00 – 15:30
Incident Management and Learning Culture Review
Areas to Review
• Incident reports
• Safeguarding investigations
• Escalation records
• Learning outcomes
• Staff debrief records
• Management follow-up actions
Key Questions
• Are incidents escalated promptly?
• Are staff confident raising concerns?
• Are lessons embedded?
• Are trends monitored?
Evidence of Progress
• Better escalation culture
• Evidence of reflective learning
• Improved management oversight
• Reduced repeat incidents
Regulation Focus
• Regulation 13 – Safeguarding
• Regulation 17 – Good Governance

15:30 – 16:30
Final Feedback Meeting
Feedback Areas
• Areas of strong improvement
• Areas requiring further embedding
• Outstanding risks
• Sustainability of improvements
• Governance maturity
• Recommended next steps

Suggested Outcome Themes
The revisit should determine whether:
• Medicines governance is now safe and effective
• Governance systems are proactive rather than reactive
• Staffing oversight is robust
• People experience more reliable care
• Lessons learned are embedded into daily practice
• Improvements are sustainable long term

Enriching lives - engagement and wellbeing forum for care homes, underway and packed full of great resources for manager...
28/04/2026

Enriching lives - engagement and wellbeing forum for care homes, underway and packed full of great resources for managers and activity teams. My slot this afternoon at 13.45- CQC alignment & evidence building. If you didn’t get a ticket this time , look out for the second date .

Any clients supporting people living with Dementia can obtain a discount code as followers of Quality Care Consultant Se...
15/04/2026

Any clients supporting people living with Dementia can obtain a discount code as followers of Quality Care Consultant Services Ltd -

Its expected to be a great face to face event in Cambridge - I am a guest speaker so, see you there.

Anyone who books through you can receive 20% off each ticket.

Bookings can be made either by emailing [email protected] or by using the discount code MCTC20 via the link below:
https://www.eventbrite.co.uk/e/enriching-lives-engagement-and-wellbeing-forum-for-care-homes-tickets-1976588705025?aff=oddtdtcreator

Happy to be working long term with a fabulas service who have commissioned more work from the services I offer..... a gr...
11/04/2026

Happy to be working long term with a fabulas service who have commissioned more work from the services I offer..... a great compliment in the email which reads...

'We want to continue the independent mock inspection programme, ensuring consistency with the approach that has produced clear, credible reports that closely mirror CQC expectations'......

Cant say better than that. Ive been assessing with the KLOE, The SAF and will continue with CQC's new framework.

I understand the regulations, and these have not changed. My data is aligned to the regulations as a priority.

I ensure I have a high level understanding of the characteristics to score or rate services Outstanding, Good, Requires Improvement and Inadequate.

My secret tip is to deep dive into services systems and processes, triangulate data and align all findings to regulations, characteristics and feedback from people using the service.

Producing clear, crediable reports which mirror CQC expectations is hard work, but I love it..... supporting providers to maintain ratings and improve less favorable ratings and leave a little piece of me with each service, is why I do what I do.

What meaningful activities are your service users enjoying this weekend?The clue is in the word ‘meaningful’ …The number...
06/04/2026

What meaningful activities are your service users enjoying this weekend?

The clue is in the word ‘meaningful’ …

The number of services I am engaged to carry out a Mock CQC style assessment or engaged to support staff training, and I see people ‘colouring’ or ‘sticking ‘ as an activity.

Ofcourse some people love to do this but more often than not, this is how they are supported as a time management task.

It’s so important people are supported with activities which mean something to them . Something to relax their mind, body and dare I say… soul.

Let’s be innovative, involve the person, their families , advocates… who are they and what do they love to do. How would they enjoy spending their time?

For me, anywhere by a beach or by water! That’s my meaningful activity this weekend.

Let’s share some great tips?

One service I visited had people cooking and making cakes and biscuits with support from care teams, they then shared them with people who were less able to participate at tea and coffee time…

Enjoy ❤️

Looking for some Dementia training, specialist advice and support to align services to regulations ! Book your slot now ...
10/03/2026

Looking for some Dementia training, specialist advice and support to align services to regulations ! Book your slot now on this training session .

09/03/2026

Sometimes providers ask me…'How accurate are your mock inspections compared with the real CQC assessment?'

Let me tell you, I do not attempt to be a inspector or mimic a inspection. Instead I carry out a full service assessment and align to regulations in an approachable and thorough way....

Recently I had the opportunity to compare the findings from a mock inspection I completed in 2025 with the latest CQC assessment published in 2026 for a nursing home service.

My 2019 service assessments are at last being inspected by and I can see the results of my works with services in reports.

This week I will be analysing this report and evaluating my findings to that of and sharing my insights in detail.

The comparison between reports are fascinating.

The service was ultimately rated Good across all five domains, Safe, Effective, Caring, Responsive and Well-led.

When I revisited the mock inspection findings, it became very clear how closely the consultancy review had aligned with the regulator’s perspective.

Both the mock inspection and CQC assessment identified a service that demonstrated:
✔ A strong caring culture with compassionate staff interactions
✔ Positive leadership and visible management
✔ A clean, welcoming environment
✔ Good relationships with residents and families
✔ Effective multidisciplinary working with health professionals

These strengths were consistently reflected in feedback from staff, residents and relatives.

So how did the mock inspection add value?......

While recognising the positive culture of the service, the mock inspection also highlighted areas where regulatory evidence and governance systems could be strengthened.

These included:
• Consistency of risk assessment documentation
• Strengthening MCA and consent recording
• Ensuring care delivery evidence matched care notes
• Clearer audit trails and lessons learned from incidents
• Reinforcing practice standards to ensure dignity is consistently demonstrated

These are exactly the types of governance details CQC looks closely at within their Assessment Framework.

Why this matters for providers......
Mock inspections are not about criticising services. They are about translating regulatory expectations into practical improvements before inspection happens.

My service assessment reports ensure providers can see where they are at 'risk' of non compliance. I would like to think this provider 'paid attention' to my recommendations which saw them at risk in SAFE. This has resulted in a good rating in SAFE in 2026!

Watch out for a closer analysis this week - Enjoy and I hope it helps your service to sustain a good or outstanding rating or, improve overall.

Great to join colleagues and sector leaders at a recent event with senior professionals from Norfolk County Council, inc...
03/03/2026

Great to join colleagues and sector leaders at a recent event with senior professionals from Norfolk County Council, including the Executive Director of Adult Social Services and the Director of Strategic Commissioning, discussing the direction of adult social care and the Adult Social Care Transformation Programme.

Some really useful insights for CQC-registered providers in Norfolk, particularly those looking to grow and work more closely with commissioners.

Top takeaways for providers:

Adult Social Care Transformation Programme updates highlighted several workstreams underway across the county. Update #5 is particularly important for providers, outlining how commissioning will evolve to drive better care outcomes and reshape how the council works with the provider market.

Strategic commissioning principles (A–J) emphasised themes that will increasingly shape contracts and partnerships, including:

Social value, co-production (the word of the day!), prevention, value for money, and positive risk practice, all signalling the direction of travel for commissioning decisions.

Great to hear Chris Scott reflect on how much he learned from “learning visits” to providers across the county, a fantastic way to ground the transformation programme in the reality of frontline care. He has invited more providers to request a 'learning visit' from his team! take him up on the invite.

A brilliant interactive feedback session used a QR code to capture live responses from the audience, with words like trust, relationships, collaboration, funding, and support appearing on screen, a powerful snapshot of what matters most across the system.

An inspiring case study from a registered manager reflecting on how they have implemented the MCA in their service successfully complying with regulation and good practices around the act. - Something I know providers struggle with during my Mock Inspections.

A fantastic interactive session from Kate Thubron Mindful Care had everyone on their feet reflecting on the “why” behind behaviour, recognising distress as communication for people living with dementia.

The afternoon workshops were really helpful, with useful discussion around quality monitoring team assessments vs CQC inspections, clearly an area where providers want more clarity and alignment.

Personally, I’m hoping that next year I might be invited back to deliver a session on the changes to the framework and what they mean for providers, helping the sector stay ahead of regulatory developments and changes to the Assessment Framework launched...... Fingers crossed!
- its a good networking event and a platform to 'have your say' (Good and Bad 😁)

I had fun with some great humans too Claire Gilbert Surraya Sadr Kate Thubron

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