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{{org_field_name}}

Registration Number: {{org_field_registration_no}}

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Good Governance Policy

1. Purpose

The purpose of this policy is to ensure that {{org_field_name}} operates in a manner that is compliant with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, particularly Regulation 17 – Good Governance. This policy provides a framework for accountability, transparency, and continual improvement within our care home, ensuring that all activities are managed effectively to deliver high-quality, person-centred care.

2. Scope

This policy applies to:

• All staff, including managers, care workers, administrative personnel, and external contractors.
• The Registered Manager, Nominated Individual, and senior leadership team, who have key responsibilities in ensuring regulatory compliance.
• The people we support, their families, and representatives who rely on our service for high standards of care.

3. Key Governance Principles

Good governance at {{org_field_name}} is based on the following principles:

3.1 Compliance with Legal and Regulatory Frameworks

To maintain regulatory compliance, we:

• Adhere to all CQC Fundamental Standards and ensure compliance with Regulation 17 – Good Governance, which requires effective systems and processes to:
  • Assess, monitor, and improve service quality.
  • Identify and mitigate risks.
  • Maintain accurate records relating to care provision and management.
  • Ensure learning and development from incidents and complaints.
• Regularly update our policies in line with CQC guidance, the Care Act 2014, Mental Capacity Act 2005, and Equality Act 2010.

3.2 Leadership and Accountability

• The Registered Manager and Nominated Individual ensure robust governance structures and report to CQC and other relevant bodies.
• A clear organisational structure is in place, defining roles, responsibilities, and accountability at all levels.
• Regular board meetings and leadership reviews take place to assess governance effectiveness.

3.3 Risk Management and Continuous Improvement

• A Risk Management Framework is in place, covering health and safety, safeguarding, and compliance risks.
• All incidents, complaints, and feedback are analysed, and action plans are implemented to mitigate risks.
• Regular audits and quality assurance reviews are conducted to identify areas of improvement.

3.4 Person-Centred and Inclusive Care Delivery

• Care is tailored to each individual, ensuring personal preferences, autonomy, and dignity are respected.
• We support diversity and inclusion, ensuring compliance with the Equality Act 2010.
• People we support, families, and advocates are actively involved in care planning and decision-making.

3.5 Effective Record Keeping and Data Protection

• All records, including care plans, risk assessments, and incident reports, are accurate, up-to-date, and stored securely.
• We comply with GDPR and Confidentiality Policies to ensure the secure handling of personal information.

3.6 Staff Training, Supervision, and Support

• Staff undergo mandatory training in key governance areas, including duty of candour, safeguarding, and compliance.
• Regular supervisions, appraisals, and competency assessments are conducted to ensure high standards.
• A whistleblowing policy is in place to encourage staff to report concerns without fear of retribution.

3.7 Financial Transparency and Ethical Management

• The organisation follows Regulation 13 – Financial Position to ensure financial stability and ethical resource allocation.
• Clear financial policies are in place for managing service user finances, payroll, and operational costs.

3.8 Incident Reporting, Learning, and Continuous Improvement

• All incidents, complaints, and safeguarding concerns are reported, investigated, and addressed.
• Lessons learned from audits, feedback, and inspections drive continuous improvement plans.

3.9 Displaying CQC Ratings and Compliance Information

• Our CQC rating and performance assessments are displayed in accordance with Regulation 20A – Display of Performance Assessments.
• Our Statement of Purpose is reviewed regularly and kept up to date.

4. Related Policies

This policy should be read in conjunction with the following policies:

• CH01 – Fit and Proper Persons: Directors Policy
• CH02 – Fit and Proper Persons: Employed Staff Policy
• CH03 – Requirements for Registered Managers Policy
• CH07 – Person-Centred Care Policy
• CH13 – Safeguarding Adults from Abuse and Improper Treatment Policy
• CH14 – Receiving and Acting on Complaints Policy
• CH18 – Risk Management and Assessment Policy
• CH35 – Duty of Candour Policy

5. Monitoring and Compliance

To ensure that this policy is effectively implemented:

• Quarterly governance audits are carried out.
• Annual governance reports are produced and shared with CQC, trustees, and stakeholders.
• Compliance with governance standards is reviewed during CQC inspections.
• Staff training logs and competency assessments are regularly checked.

6. Policy Review

This policy will be reviewed annually or sooner if:

• There are changes in legislation or CQC regulations.
• Governance audits highlight areas requiring policy improvement.
• There are significant incidents or concerns requiring an update in governance practices.

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Responsible Person: {{org_field_registered_manager_first_name}} {{org_field_registered_manager_last_name}}
Reviewed on: {{last_update_date}}
Next Review Date: {{next_review_date}}
Copyright © {{current_year}} – {{org_field_name}}. All rights reserved.