new home care businesses must submit a governance document to CQC.

Governance in Home Care Business

The CQC states:

“The intention of this regulation is to make sure that providers have systems and processes that ensure that they are able to meet other requirements in this part of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (Regulations 4 to 20A). To meet this regulation; providers must have effective governance, including assurance and auditing systems or processes. These must assess, monitor and drive improvement in the quality and safety of the services provided, including the quality of the experience for people using the service. The systems and processes must also assess, monitor and mitigate any risks relating the health, safety and welfare of people using services and others. Providers must continually evaluate and seek to improve their governance and auditing practice.

In addition, providers must securely maintain accurate, complete and detailed records in respect of each person using the service and records relating the employment of staff and the overall management of the regulated activity.

As part of their governance, providers must seek and act on feedback from people using the service, those acting on their behalf, staff and other stakeholders, so that they can continually evaluate the service and drive improvement.

When requested, providers must provide a written report to CQC setting out how they assess, monitor, and where required, improve the quality and safety of their services.

CQC can prosecute for a breach of part of this regulation (17(3)) if a provider fails to submit such a report when requested. CQC may consider that this failure could prevent the provider from taking appropriate, timely action. CQC could therefore move directly to prosecution for a breach of this part of the regulation without first serving a Warning Notice.

Regulatory action can be taken for other parts of the regulation. See the offences section for more detail.

CQC must refuse registration if providers cannot satisfy us that they can and will continue to comply with this regulation.”

Below is the one I submitted for Quality Home Care.




MRDI Associates Ltd trades as Quality Home Care and it aims to offer professional care to enable people supported by us to achieve their optimum state of health and well-being.

MRDI Associates Ltd is a privately owned limited liability company and is 100% owned by the managing director.


The managing director has a degree in accounting and has over 20 years of experience of running businesses. The managing director will be responsible for setting financial budgets and ensuring that the balance sheet of Quality Home Care remains strong. The managing director realises that in addition to a business being well led and managed it must also be a financial going concern.

Registered Care Manager

Next in line is the registered care manager who reports to the managing director. The care manager has over 17 years of experience as a care manager. Both the managing director’s approach and the care manager’s approach to Care Governance is one of working in partnership with customers, employees and other stakeholders to ensure the safety and quality of services we offer.

The director and care manager together will formulate long term plans and from them short term plans. Resources will be allocated to plans accordingly. The director and manager will always adopt best practice and constantly improve the services we offer.

Policies and procedures

The Governance processes and procedures are designed to ensure the safety and well-being of our staff and customers. They cover all aspects from recruiting new staff, deciding to accept a new customer to taking action when standards are not being met.

The main decision making person in relation to this is the managing director who has ultimate responsibility for ensuring the quality and safety of the support provided.  The managing director will work closely with the care manager and they hold regular weekly meetings.

The purpose of the weekly meeting is to ensure there is effective control of the care governance process, including managing risk and providing assurance that the right things are being done in the right way and at the right time.

The care manager will also hold regular weekly meetings with the care coordinator and care supervisors. The care manager will hold three-monthly meetings with care workers. The care manager and managing director will constantly seek feedback (informally and formally) from the care workers and customers.

To ensure the safety and welfare of all people receiving care, information will be shared with:

  • Local Authorities as a matter of course.
  • Staff within the department
  • The Care Quality Commission (CQC)
  • And other stakeholders

All decisions and concerns will be shared and discussed, as appropriate, in an open and honest manner.


The managing director will meet with senior managers to share, discuss and agree actions in relation to information received both internally and externally regarding our services.

We may receive information from a range of sources including:

  • CQC reports and regulatory letters/information
  • Other Local Authorities and NHS partners
  • Safeguarding Alerts and or referrals
  • Quality assurance visits and questionnaires
  • Complaints, compliments and enquiries
  • Financial Checks and Insurance Checks
  • Feedback from Individuals
  • Reported untoward incidents
  • Changes and transition in management or ownership
  • Staff turnover


Quality Home Care takes Governance very seriously and is committed to:

  • Complying with key legislation and social care policy
  • Adopting adult social care values
  • Good business practice
  • Ensuring regulatory compliance
  • Using financial information to improve quality and drive growth

Quality Home Care understands the need for best practice governance at the board room and senior manager level.