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{{org_field_name}}
Registration Number: {{org_field_registration_no}}
Receiving and Acting on Complaints Policy
This policy is also available in Welsh on request.
1. Purpose
The purpose of this policy is to establish clear, fair, and transparent procedures for receiving, handling, and resolving complaints efficiently within {{org_field_name}}. It ensures that any complaint, concern, or feedback from service users, their families, advocates, or staff is taken seriously, investigated thoroughly, and resolved promptly. We are committed to a culture of openness and accountability in line with our legal duties. This policy aligns with the Regulation and Inspection of Social Care (Wales) Act 2016 and the Social Services and Well-being (Wales) Act 2014, as well as the latest Care Inspectorate Wales (CIW) guidance and regulatory requirements (including the Regulated Services (Service Providers and Responsible Individuals) (Wales) Regulations 2017). By following this policy, {{org_field_name}} meets CIW’s expectations for regulated services and upholds principles of person-centred care, timely and fair complaint handling, and continuous learning for service improvement.
2. Scope
This policy applies to all individuals who may wish to raise a concern or make a complaint about any aspect of services provided by {{org_field_name}}. This includes people receiving care and support from us (our service users), their family members, advocates or representatives acting on their behalf, and any other stakeholders such as visiting healthcare professionals or external agencies who provide feedback on our service. It also covers complaints or concerns reported internally by our staff members. In essence, anyone who experiences or witnesses an issue related to our care provision can use this policy to have their concern addressed. All parts of the organisation – from frontline care workers to management – are expected to adhere to this policy when handling complaints.
3. Principles of Effective Complaint Handling
At {{org_field_name}}, we follow best-practice principles to ensure that our approach to complaints is effective and compassionate:
- Person-centred approach: We put the individual at the heart of the process. When someone raises a concern, we make sure they feel heard, respected, and safe in voicing their complaint. We listen actively to understand their perspective and what outcome they are seeking. No one will be treated unfavourably for speaking up – raising a complaint will not result in any withdrawal or reduction of service, as our goal is to support the person, not penalise them for voicing concerns.
- Accessibility: We make the complaints process easy to understand and use for everyone. Information on how to complain is well-publicised and available in user-friendly formats (e.g. plain language, large print, or other languages as needed). We offer multiple channels for making a complaint (such as phone, email, in writing, or in person) so that people can choose the method they are most comfortable with. We also provide support to those who might need help to make a complaint – for example, through advocates or interpreters.
- Transparency: We handle complaints in an open and transparent manner. Every complaint is documented and acknowledged, so there is a clear record of the concern and the actions taken. We communicate openly with the complainant about what will happen next and keep them informed at each stage of the process. Our staff are honest and upfront when mistakes have occurred, in line with our duty of candour and ethical practice.
- Timeliness: We address and resolve complaints as quickly as possible without compromising on thoroughness. Prompt action shows the complainant that we take their concerns seriously. We have set timeframes for acknowledging and responding to complaints (outlined below) and we strive to meet these deadlines. If there are any delays, we will inform the complainant and explain why. Acting swiftly can often prevent issues from escalating and leads to faster resolutions.
- Fairness and impartiality: Every complaint is investigated impartially, without bias or pre-judgment. The process is fair to all parties – the person who raised the complaint and any staff or individuals involved. Decisions are based on evidence and facts. If a complaint implicates a staff member, that person will have the opportunity to give their account, and the investigation will be handled objectively. We also ensure that no discrimination occurs in the handling of complaints; all individuals are treated equally and with respect, regardless of their background or the nature of the complaint.
- Continuous improvement: We view complaints as valuable feedback and opportunities to improve our services. Lessons learned from complaints are used to make positive changes (for example, improving a policy, providing additional staff training, or fixing a process issue). We analyse patterns of complaints to identify any underlying issues in service delivery. Our goal is not only to resolve the individual complaint but also to prevent recurrence of similar issues in the future. By embracing complaints in this way, we create a culture of continuous learning and quality improvement.
These principles guide all stages of our complaint handling. By adhering to them, we ensure that people feel confident to voice their concerns, knowing they will be treated with dignity and that their feedback will lead to real improvements.
4. Complaint Handling Process
Our complaint handling process is designed to be clear and straightforward, guiding everyone through each step from raising a concern to reaching a resolution. We recognise that some issues can be resolved quickly and informally, while others may require a formal investigation. The following sections describe how {{org_field_name}} manages complaints at each stage:
4.1 How Complaints Can Be Made
We accept complaints in multiple ways to ensure the process is accessible to all. A service user or their representative can choose the method that is easiest for them:
- Verbally: A person can simply tell us about their concern. For example, a service user might speak directly to a care worker during a visit or call the Registered Manager ({{org_field_registered_manager_first_name}} {{org_field_registered_manager_last_name}}) to explain the issue (Phone number: {{org_field_phone_no}}). Staff are approachable and will listen patiently to the concern. If a complaint is made verbally, the staff member will document it later so that it can be addressed formally.
- In Writing: Many people prefer to put their complaint in writing. Complaints can be sent to us by email or letter. For instance, a family member might write an email detailing their concerns and send it to {{org_field_registered_manager_email}}, which is the dedicated email address for the Registered Manager. We also accept letters sent to our office address. Written complaints are helpful because they clearly record the details in the complainant’s own words.
- Online: If available, individuals may fill out a complaint form on our website (at {{org_field_website}}). Our website provides a clear link to the contact page, where people can submit their feedback or concerns at any time. This is convenient for those who are comfortable using the internet, and it ensures the complaint is sent directly to the management team upon submission.
- Through an advocate or representative: If a service user lacks capacity or finds it difficult to make a complaint themselves, they can have someone they trust raise the complaint on their behalf. This might be a family member, a legal advocate, or any representative chosen by the service user. We fully support individuals using advocacy services – what matters is that the person’s voice is heard, even if it’s communicated via someone else. We will treat a complaint made by an advocate in the same way as one made directly by the service user, provided it is made in the service user’s best interests.
- Anonymous complaints: We do allow anonymous complaints to be made. For example, a staff member or a concerned individual might drop a note or use an anonymous online form without revealing their name. While an anonymous complainant cannot receive a direct response, we will still investigate the issues raised to the extent possible. We encourage openness but understand that some people might fear repercussions; by accepting anonymous complaints, we aim to capture all concerns, even those shared cautiously. Every effort will be made to address the problem raised, even if we cannot reply to the person directly.
Regardless of the way a complaint is made, all staff are trained to recognise and respond to a complaint. Even if the person raising an issue doesn’t formally call it a “complaint,” staff will treat it seriously. For example, if a service user casually mentions, “I’m not happy that my calls have been late this week,” our staff know to take note and report this as a concern. They will not wait for a written letter of complaint – any expression of dissatisfaction is logged and acted upon under this policy. This proactive approach ensures that small issues are addressed before they grow and that no concern is overlooked.
Informal resolution: We encourage individuals to raise issues as soon as they arise, as some matters can be resolved quickly on the spot without needing a formal process. This is sometimes called an informal resolution stage. For example, if a service user complains to their care worker that their visit was an hour late, the care worker or a supervisor might immediately explain the reason (such as an earlier emergency causing a delay) and apologise, perhaps adjusting the schedule to prevent it happening again. If this response satisfies the person and the issue is resolved, a formal complaint investigation may not be necessary (though the concern and outcome should still be noted for our records). However, if the issue is more serious, cannot be resolved promptly, or if the person is not happy with the quick fix, then we proceed with the formal complaint process described below. At all times, the individual making the complaint has the right to insist that their concern be handled as a formal complaint if that is their preference.
4.2 Acknowledging Complaints
When we receive a complaint, whether it’s verbal, written, or via any other channel, the first step is to acknowledge it promptly. We will acknowledge all complaints within 3 working days of receiving them. This acknowledgement is typically done in writing (for example, by email or letter), or by another preferred method if the complainant has specified one. The purpose is to let the person know that we have received their complaint and that we will be dealing with it. In the acknowledgement, we will:
- Thank the person for raising their concerns and express that we understand it is important to them. We want them to feel confident that their voice is heard.
- Confirm briefly what the main points of their complaint are (as we understand it) and clarify any immediate details if needed. This ensures we have understood their issues correctly from the start.
- Provide a reference number or ID for the complaint for easy tracking, and give the name and contact details of the staff member who has been assigned as the complaint handler or investigator for their case. For instance, the letter might say, “Your complaint has been assigned to [Name], [Position]. You can contact them at [phone/email] if you have any questions.”
- Outline what will happen next, including the expected timeframes for a full response. We reiterate our commitment to addressing the issue thoroughly and fairly.
Acknowledging the complaint quickly serves two main purposes: it reassures the complainant that we have taken up their issue, and it starts a communication channel between the complainant and the organisation. This is especially important if the complainant has been worried or upset – hearing from us promptly can provide comfort that the matter is in hand.
If a complaint indicates a potentially serious or urgent issue, we do more than just acknowledge – we act immediately. For example, if the complaint involves an allegation of abuse or a significant risk to a service user’s safety (which is a safeguarding issue), we will take urgent steps right away to ensure the person is safe. This might involve contacting the safeguarding authorities or taking emergency action while the full investigation is planned. In such cases, our acknowledgement to the complainant will note that we are treating the matter with urgency. The key point is that urgent complaints trigger immediate action on our part, even as we follow the usual procedures. We don’t wait 3 days to acknowledge if something is critical – we jump into action and let the complainant know we are doing so.
Throughout the acknowledgement stage, respectful and clear communication is maintained. The complainant should feel that their concern is already being taken seriously from the way we respond at the outset.
4.3 Investigating Complaints
After acknowledging the complaint, we move into the investigation stage, where we examine the issues in depth and gather information. Our approach to investigating complaints is methodical, impartial, and focused on finding out what happened and what we can do to put things right. The steps we take include:
- Appointing an appropriate investigator: We assign a management-level staff member (or a trained investigator) to look into the complaint. This person will not be someone directly involved in the matter that’s being complained about, to ensure impartiality. For example, if the complaint is about a specific care worker’s conduct, the investigator might be that care worker’s line manager or someone from a different team, rather than a close colleague of the person involved. This helps build trust that the complaint will be handled fairly.
- Gathering evidence and information: The investigator will collect all relevant information related to the complaint. This can include reviewing documentation (such as care plans, visit logs, communication records, emails, incident reports, etc.), gathering witness statements or accounts from people involved, and examining any other evidence (for instance, rota records if the complaint is about timing of visits, or medication administration records if it’s about a medication issue). We ensure that all sides of the story are considered. For example, if a family member complains that their calls to the office went unanswered, the investigator might check phone logs and also speak with reception staff to understand what happened during those times.
- Communication with the complainant: As part of the investigation, we often find it helpful to meet with or speak to the complainant to make sure we fully understand their concerns and gather any additional details. This meeting or call is also an opportunity for the complainant to elaborate on their experience, clarify what outcome they are seeking, and for us to show that we are genuinely listening. For instance, if a service user wrote a letter of complaint about missed medication, the investigator might call or visit the service user (or their family) to discuss the letter and ask some follow-up questions in a supportive manner. These conversations are conducted with empathy and respect, and the complainant can have someone with them (a friend, relative, or advocate) if they wish.
- Fair and impartial analysis: Once evidence is gathered, the investigator will analyse the information objectively. They will consider the facts, compare accounts, and determine what is most likely to have occurred. We approach this analysis with an open mind – the goal is to uncover the truth, not to defend the organisation or any individual. If there is any conflict in evidence (say, staff says one thing and the complainant another), the investigator will weigh all information carefully and may seek additional clarification. We also check whether relevant policies and procedures were followed correctly, as this helps in understanding if something was done wrong or could be improved.
- Determining outcomes (upheld or not): After a thorough review, the investigator will arrive at a conclusion about the complaint. We categorize findings typically as one of the following:
- Upheld: We found evidence that the complaint is justified – the concern raised is valid and something did go wrong.
- Partially upheld: Some aspects of the complaint are confirmed (valid), while others are not. For example, a complaint letter might contain several points; we might agree that on one date the service fell short, but find that on another date things were done correctly.
- Not upheld: We did not find evidence to support the complaint, meaning we believe the care provided was appropriate and the issue may have arisen from a misunderstanding or factors outside our control.
It’s important to note that regardless of the outcome, we treat the complainant with respect. Even if a complaint is not upheld, we appreciate the feedback and will explain our findings openly.
- Taking corrective action: If a complaint is upheld or partially upheld (and sometimes even if not upheld but we still see room for improvement), we identify corrective actions to resolve the issue and prevent it from happening again. These actions could range from resolving an immediate problem (e.g. fixing an error in a care plan, replacing faulty equipment, adjusting a schedule) to broader changes (e.g. providing additional training for staff involved, revising a protocol, or improving communication channels). For example, imagine a scenario where the investigation finds that a care worker was arriving late to a person’s home due to poor scheduling. An immediate corrective action would be to adjust the rota and ensure that the specific service user gets their visits on time going forward. A preventive action might be to implement a new scheduling system or have a backup plan for delayed staff, thus preventing future lateness for all service users. We document these actions and begin implementing them as soon as possible, even before the complaint is fully closed, if that’s feasible.
- Referral and external notification (if needed): Throughout the investigation, we remain vigilant in case the issue crosses into areas that require informing external authorities or taking additional steps. For instance, if during a complaint investigation we discover evidence of potential abuse, neglect, or a serious breach of regulations, we will immediately refer the matter to the appropriate bodies. This could include contacting the local authority’s safeguarding team, notifying Care Inspectorate Wales (CIW), or informing the police if a crime may have been committed. We would do this in line with our Safeguarding Adults Policy (DCW13) and regulatory requirements. Taking such action does not mean we stop our own investigation; rather, we run it in parallel with any external investigations. The complainant would be informed if such steps are necessary, and we cooperate fully with external agencies to ensure the safety and well-being of individuals involved.
We aim to complete most investigations and provide a full response within 28 days – our record-keeping system allows us to compile that information accurately. However, some complex complaints might take longer to investigate – for example, if multiple agencies are involved or if key staff are temporarily unavailable (due to leave or illness). If we find that we cannot send a final response within 28 days, we keep the complainant updated regularly on our progress. For instance, at the 28-day mark (or earlier if we anticipate a delay), we would write to the complainant explaining that the investigation is still ongoing, provide an update on what has been done so far, and give a revised expected timeframe. We will continue to update them at reasonable intervals (e.g. weekly or bi-weekly) until the matter is resolved. Keeping the lines of communication open in this way helps maintain trust – the complainant isn’t left wondering what’s happening or feeling forgotten.
Throughout the investigation stage, our focus remains on being thorough, fair, and compassionate. We understand that a complaint can be stressful for the person who made it (and sometimes for those being complained about), so we handle all involved with sensitivity. By the end of the investigation, we aim to have a clear understanding of the events and how we will address any problems identified.
4.4 Complaint Outcomes and Resolution
Once the investigation is complete, we move to formally resolving the complaint and communicating the outcome. The complainant will receive a formal response from {{org_field_name}} that summarizes the investigation and explains our findings. Here’s what the resolution stage involves:
- Written response: We usually provide the outcome in a written letter or report to the complainant. This response will be clear and detailed enough to answer the main points of the complaint. It will typically include:
- Summary of the complaint: A short recap of what concerns were raised (to show we understood the complaint).
- Investigation findings: An explanation of what our investigation found for each aspect of the complaint. We state whether we have upheld the complaint (in whole or part) or not, and the reasons why. We describe the evidence or facts that led to our conclusions, avoiding technical jargon so that it’s easy to understand. For example, “Our investigation found that on three occasions in January, the care worker arrived between 20–30 minutes late. This did not meet our standard. We uphold this part of your complaint and agree the service was not punctual on those dates.”
- Actions taken to resolve the complaint: We outline what we have done or will do to fix any issues identified. This might include immediate remedies (such as apologising and scheduling a make-up visit, replacing a staff member on the care team, etc.) and longer-term preventive measures (such as updating a procedure or providing staff retraining). We try to be as specific as possible so the complainant knows their grievance has led to concrete changes. For example, “We have updated your care schedule to ensure a consistent visit time, and we provided additional training to the staff member on time management. We will also monitor arrival times for the next month to ensure this issue is fully resolved.”
- Improvements or learning points: If the complaint has highlighted a need for broader improvement, the letter will mention what we learned and how we are improving our service generally. For instance, “This complaint has made us review how we communicate changes in visit times. We are implementing a new protocol where any delay over 15 minutes triggers a phone call to inform the service user. This will improve communication for all our service users.”
- Apology (if appropriate): Where we found things went wrong, we include a sincere apology. We acknowledge any inconvenience, distress, or harm caused and express regret. Apologising is a crucial part of resolution – it does not assign legal liability, but it shows empathy and accountability.
- Escalation information: We inform the complainant of their right to take the matter further if they are not satisfied with our response. This part of the letter will guide them on the next steps, such as how to request an internal review or which external organisations they can approach (we detail these options in the next section of the policy as well). We provide contact details for those external bodies like CIW or the Ombudsman, so the individual knows exactly how to reach them. We want to be transparent that if they feel we haven’t resolved the issue, they have other avenues to pursue.
- Offering a meeting (if helpful): In some cases, after sending the written response, we may offer to meet with the complainant in person (or via phone/virtual meeting) to discuss the outcome. This can be especially helpful for more complex or sensitive complaints. A meeting allows the complainant to ask questions about the findings and for us to further explain any actions. It’s also an opportunity to mend relationships if they have been strained – sometimes a face-to-face conversation can resolve lingering dissatisfaction. We might involve a neutral facilitator or mediator if needed to help guide the discussion. The aim is to ensure the complainant fully understands the outcome and feels that they have been treated fairly. Mediation or a facilitated meeting can lead to an amicable resolution, where both parties come to a mutual understanding and agree on how to move forward.
- Implementing actions: Any service improvements or corrective actions identified during the investigation are put into practice. For example, if we committed to changing a procedure or delivering training as a result of the complaint, those changes are initiated promptly. We don’t wait for the complainant to escalate the issue to start making improvements – we treat the agreed actions as part of resolving the complaint. We may also monitor the situation afterward to ensure the resolution was effective (for instance, we might check in later with the service user to confirm the issue has not recurred).
- Record of outcome: We update our complaint records to reflect the outcome and resolution of the case. This includes saving the final response letter in our system and noting any actions taken. Keeping a thorough record is important for accountability and for learning (we review these records to improve, as described in Section 5).
Throughout the resolution stage, we remain professional and empathetic. Whether the outcome is in favour of the complainant or not, we strive to make our explanation clear and respectful. If the complainant receives a thorough response and sees that we have taken their concerns to heart (through apologies and actions), they are more likely to feel satisfied that bringing the complaint was worthwhile.
4.5 Escalation Process
While we do our utmost to resolve complaints to everyone’s satisfaction, there may be times when a complainant remains unhappy with the outcome. Our policy provides clear pathways for escalation in such cases, both within {{org_field_name}} and to external authorities. We ensure people are informed of these options so they can seek further review if needed.
- Internal Appeal: If a person is not satisfied with the outcome of their complaint as handled by our team, they have the option to request an internal review or appeal. This means we will take a second look at the complaint. The review will be carried out by a senior manager or someone at a higher level who was not involved in the original investigation. For example, if the original complaint was investigated by a care coordinator, the appeal might be handled by the Registered Manager or a Director. The senior reviewer will examine the original complaint, how it was investigated, what outcome was decided, and why the complainant is dissatisfied. They may decide to uphold the original decision, overturn it, or modify the outcome (for instance, they might agree that additional actions or remedies are warranted). We aim to complete any internal appeal within 14 days of the request, so that the complainant isn’t kept waiting too long. The result of the appeal will be communicated in writing, with an explanation of the review findings. This internal process gives us one more opportunity to get it right and address any oversights or new information.
- External Escalation: If after the internal appeal the complainant is still unhappy – or if they prefer not to use the internal appeal and go straight to an outside body – they can escalate the complaint externally. We fully inform and support individuals to access the appropriate external avenues. The main external options include:
- Care Inspectorate Wales (CIW): CIW is the regulator for domiciliary care services in Wales. They do not investigate individual complaints on behalf of complainants (their role is to regulate services), but they want to hear about concerns and may consider them as part of their inspection or regulatory action. We provide complainants with CIW’s contact details: Care Inspectorate Wales (CIW) – www.careinspectorate.wales. If a person contacts CIW, they should know that CIW will record their concern and can look into whether we, as a service provider, handled the issue properly or whether it indicates non-compliance with regulations. CIW might contact us for information, or even conduct an inspection if the complaint suggests serious issues. We cooperate fully with CIW in such situations. Importantly, reaching out to CIW does not replace the need for us to have a robust complaints process – rather, CIW is an extra safeguard to ensure providers are doing their job. We encourage people to let us try to resolve the complaint first, but they are always free to contact CIW at any stage.
- Local Authority Complaints Team: If our service is commissioned or funded by a Local Authority (LA), or if the LA has a role in the person’s care, the individual can also complain to the Local Authority Social Services department. Every local authority in Wales has a social care complaints process. For example, if {{org_field_name}} is providing care on behalf of {{org_field_local_authority_information_link}}, the service user (or their representative) can contact that authority’s complaints officer. We include the relevant local authority’s complaints contact information in our response letters when applicable, or direct the person to the LA’s website (via the placeholder {{org_field_local_authority_information_link}}). The local authority will review the complaint and may investigate, especially if it concerns how the care is commissioned or if it ties into other community services. We work in partnership with local authorities and will assist their investigation as needed. In some cases, the local authority might coordinate a joint response with us if the issue overlaps between our service and their responsibilities.
- Public Services Ombudsman for Wales: The Ombudsman is an independent official who investigates complaints about public services in Wales. Domiciliary care services (especially if arranged or funded by a council) fall under their remit. If a complainant feels that our response is unsatisfactory, they have the right to take their complaint to the Public Services Ombudsman for Wales. (Contact details: www.ombudsman.wales; we provide the phone number and address in our response letter as well.) The Ombudsman typically expects the complainant to have tried to resolve the issue with us (and possibly the local authority) first, but they can investigate if the person still isn’t happy. The Ombudsman’s team will look at whether we handled the complaint properly and whether there is any injustice that needs remedy. They have legal powers to obtain information and make recommendations. We treat the Ombudsman’s inquiries very seriously and will supply whatever information is required. If the Ombudsman upholds a complaint, we are bound to take whatever remedial action they direct (such as giving an apology, changing a policy, or in rare cases providing compensation for any hardship caused).
- Other support and advocacy: We also inform individuals that they can seek support from independent advocacy or advisory organisations when considering escalation. One key resource is Llais, the independent Citizen Voice Body for health and social care in Wales. Llais (meaning “voice” in Welsh) was established to help people have a say in their care. While Llais does not have regulatory powers, it can offer advice, support individuals in voicing concerns, and escalate systemic issues to those in charge of health and social care services. We provide information on how to contact Llais for those who might benefit from their advocacy. This ensures that even beyond our organisation, complainants have a voice and their issues will be heard by independent parties.
When providing information about external escalation, we do so in a supportive manner. We never retaliate or become defensive if someone chooses to go to CIW, the local authority, or the Ombudsman. In fact, retaliation is strictly forbidden – a person’s services will not be discontinued or diminished because they complained externally. Our aim is to ensure the individual is fully informed of their rights and options. We often include pamphlets or refer to the websites of these external bodies in our correspondence.
In summary, {{org_field_name}}’s escalation process is about offering a clear route for further action if the complainant feels their issue hasn’t been resolved. We handle internal appeals earnestly, as a second chance to satisfy the concern. And we respect the role of external agencies, cooperating with them to the fullest to address and learn from any shortcomings. By being transparent about these escalation routes, we reinforce confidence in our willingness to be held accountable and to continuously improve.
5. Efficient Management of Complaints at {{org_field_name}}
In addition to handling individual complaints, {{org_field_name}} takes a systematic approach to managing complaints effectively across the organisation. This involves preparing our staff through training, maintaining proper records, monitoring trends, and ensuring that we learn from every complaint. The subsections below outline how we embed efficient complaint management into our daily operations and governance.
5.1 Training and Staff Responsibilities
Our commitment: We are committed to equipping all staff with the knowledge and skills they need to handle complaints confidently and competently. Every team member, from care staff to office staff and managers, has a role in creating a responsive culture where feedback and complaints are handled professionally.
Key roles and responsibilities include:
- Registered Manager (RM): The RM holds lead responsibility for the day-to-day implementation of this Complaints Policy. They ensure that every complaint is dealt with promptly and thoroughly, coordinate investigations and responses, and maintain oversight of complaint records. The Registered Manager is often the primary point of contact for complainants and makes sure that staff follow the correct procedures. They also manage any internal appeals and ensure that improvements identified from complaints are acted upon.
- Responsible Individual (RI): The RI provides oversight at the organisational level to make sure the service has effective systems for handling complaints. They regularly review complaints as part of quality monitoring (for example, during quarterly audits or their statutory visits) and ensure that learning from complaints is used to improve the service. The RI is accountable for ensuring the service complies with regulatory requirements on complaints (such as providing summaries to CIW when requested) and that this policy is kept up to date and properly implemented.
- All Staff: Every staff member has a responsibility to be attentive to service users’ concerns and to respond professionally. Frontline care workers are trained to listen and report issues promptly, and office staff and managers must document and escalate complaints according to this policy. Staff are expected to cooperate in investigations and to implement changes or actions that result from complaints. By being proactive and open to feedback, all staff contribute to a culture where complaints are dealt with positively and without defensiveness.
Staff training: All care staff receive training on complaint handling as part of their induction, with regular refreshers (at least annually) thereafter. This training covers how to recognise a complaint, how to respond in the moment, and how to report it so that it gets addressed. For example, a care worker is trained that if a service user starts to express unhappiness about something (even informally), they should pay attention, ask questions to clarify the issue, and reassure the person that they will help address it. Staff learn not to become defensive or dismissive, but rather to view complaints as important feedback.
Communication skills are a big part of the training. We teach effective communication and de-escalation techniques, since the way a staff member reacts to a complaining person can greatly influence the outcome. This includes active listening, showing empathy (“I’m sorry you’re experiencing this; let’s see how we can fix it”), and remaining calm even if the person is upset or angry. De-escalation might involve apologising on the spot if something is clearly wrong (like a missed visit), or simply assuring the person that the issue will be looked into. Role-playing exercises are often used in training so staff can practise handling different scenarios – such as an angry phone call from a family member, or a service user complaining during a visit that a care worker rushed their care. Through these scenarios, staff learn to stay professional and kind, to gather the facts, and to avoid making any hasty excuses or promises.
Another crucial element is knowledge of procedures: staff are trained on how to document and escalate complaints. They learn the internal steps, like filling out a complaint form or logging the issue in our system, and notifying the right person (e.g. the manager) in a timely way. They also learn what not to do – for instance, not to ignore a complaint or try to handle serious issues on their own without reporting it.
Management and specialist training: Our supervisory and management staff (including the Registered Manager and any team leaders) receive additional training focused on investigating and resolving complaints. This covers how to conduct a fair investigation (as described in section 4.3) and how to write a clear response. It also includes training in conflict resolution – practical ways to resolve disagreements or dissatisfaction, and mediation skills to bring about mutual understanding. Managers learn how to deal with complaints objectively, without bias toward their team, and how to uphold the organisation’s values throughout the process. For example, a manager might be trained in techniques to interview staff or service users as part of an investigation, or how to compile an investigation report that gets to the root cause of the issue.
We ensure managers are familiar with relevant regulatory guidance and legal aspects too. They stay updated on CIW’s expectations, the Social Services complaints procedure (if applicable), and any other frameworks so that our internal process aligns with external standards. If there are changes in the law or best practice around complaints (for instance, new CIW guidance or a new Ombudsman power), we update our management training accordingly.
Ongoing responsibilities: Training is not a one-off event. We expect all staff to continuously uphold good practice in their daily work. Every staff member has a responsibility to be alert to dissatisfaction, even unspoken. For example, if a care worker notices a service user seems unhappy but hasn’t said anything, it’s their responsibility to gently ask if everything is alright. We encourage an environment where staff welcome feedback and do not fear it. In team meetings and supervisions, staff are encouraged to share any minor concerns or complaints they heard, so that these can be followed up. Managers have the responsibility to support their teams in this – for instance, if a staff member is upset because someone complained about them, the manager should coach that staff member on how to learn and improve, rather than the staff member feeling blamed or discouraged.
By providing thorough training and clear expectations, {{org_field_name}} ensures that staff at all levels know what to do when a complaint arises. This preparedness leads to complaints being handled promptly and effectively right from the first interaction. It also empowers staff to feel confident in dealing with challenging situations, which improves the overall quality of service and the experiences of our service users and their families.
5.2 Record Keeping and Confidentiality
Maintaining proper records of complaints and ensuring confidentiality are fundamental to effective complaint management. {{org_field_name}} treats all complaint information with care, keeping a clear trail of what happened while also respecting privacy.
- Secure documentation of complaints: Every complaint received is recorded in a confidential log or database. We use a structured format to capture key details such as the date of the complaint, who made the complaint (unless it’s anonymous), the issues raised, and any immediate actions taken. As the complaint progresses, we add notes about the investigation steps, the outcome, and the date of response. This thorough documentation is important for accountability – it shows what was done and helps ensure nothing gets overlooked. For example, if a complaint is made by phone, the staff member takes notes and then formally enters those into our system or complaint form soon after, so we have a written record to work from.
- Compliance with data protection: All complaint records are stored securely and handled in compliance with our Confidentiality and Data Protection (GDPR) Policy (DCW34). This means complaint files (whether paper or electronic) are kept in a way that only authorized personnel can access them. If we have physical documents (letters, investigation notes), they are filed in a locked cabinet or secure office. Electronic records are password-protected in our system. We limit access to complaint information to those who need to know in order to resolve or review the complaint. For instance, a care worker will know the basics of a complaint that involves them, but they may not see all the detailed investigation notes – those might be limited to management. We also adhere to data retention guidelines: complaint records are retained for a set period (as required by regulation or our policy) and then disposed of securely.
- Contents of the record: Each complaint record typically contains:
- The nature of the complaint – a description of what the complainant says went wrong or caused dissatisfaction.
- Relevant evidence and findings – summaries of interviews, copies of any documents or emails reviewed, and notes from the investigator on what was determined.
- Actions taken and resolution – what we did to address the complaint, and the final outcome communicated to the complainant. (We might attach a copy of the response letter for completeness.)
- Lessons learned – any reflections or noted improvements to be made (even if just in internal notes). For example, an investigator might write, “Communication protocol to be updated as staff were unclear about notifying families of schedule changes – will discuss in next team meeting.”
- Follow-up – if any follow-up actions are planned (like a later check-in with the service user, or a reminder to see if new measures are working), these are noted too.
This comprehensive record means that if CIW or another authority asks for a summary of complaints and actions taken (which they can request), we can provide it readily. In fact, under regulation, if CIW requests a report on complaints, we must send it within 28 days – our record-keeping system allows us to compile that information accurately.
- Confidentiality and consent: We handle complaint information with strict confidentiality. Only those directly involved in resolving or reviewing the complaint will have access to the details. We also protect the identity of people involved as much as possible. For example, if we need to discuss a complaint case in a management meeting for learning purposes, we might anonymise details (“a service user in Area X had an issue with medication timing”) rather than naming the individual. When we do need to share specific details of a complaint (say, with external agencies or between staff during the investigation), we do so on a need-to-know basis and, where appropriate, we seek consent. The complainant’s consent might be requested if we need to obtain personal information from a third party or share their story beyond the immediate investigation team. There are times, however, when we might have to share information without consent due to overriding obligations – for instance, if the law requires us to report a safeguarding issue or a serious criminal matter. Our policy is transparent about this: confidentiality will be respected unless a professional or statutory duty requires disclosure (such as protecting someone from harm, in line with safeguarding laws). We would inform the person if such a situation arises, explaining why we have to share information and with whom.
- No negative repercussions: In line with confidentiality and respect, we also ensure that details of a complaint are not used to victimise or disadvantage anyone who complained. For example, the care team of a service user who complained will not suddenly start treating them differently or withdrawing services – that would be completely against our values and could be viewed as harassment or victimisation. We communicate to staff that retaliation is strictly prohibited. In our records, we do not label someone as a “troublemaker” for complaining; instead, we might flag them to ensure any future interactions with them are handled with extra care to rebuild trust. Likewise, if a staff member was the subject of a complaint, once it’s resolved and if the staff member continues working with that service user, we monitor to ensure professionalism is maintained and there are no hard feelings affecting care. Essentially, confidentiality also means safeguarding the professional relationship from being tainted by the complaint.
Example of confidentiality in practice: Suppose a family member complains that a specific caregiver was rude to their elderly parent. We investigate and take action (say, we found the caregiver was indeed abrupt and we provided coaching to that caregiver). We would not publicise this outcome to other staff or service users. Internally, we document it and perhaps share the general lesson (e.g., a reminder on courteous communication tone at a staff meeting) without naming the people involved. The family who complained would be given the resolution details, but we wouldn’t share that caregiver’s personal history or any disciplinary actions with other clients. This way, the matter is kept appropriately private.
By maintaining rigorous record-keeping and confidentiality, {{org_field_name}} ensures that complaints are handled in a professional manner that respects everyone’s privacy and dignity, while still enabling oversight and improvement through proper documentation.
5.3 Monitoring and Continuous Improvement
Handling complaints case-by-case is important, but so is looking at the bigger picture. {{org_field_name}} actively monitors all complaints collectively to identify trends, address systemic issues, and drive continuous improvement in our services. We treat our log of complaints as a rich source of feedback on our performance.
- Regular audits and reviews: We conduct regular reviews of complaint data – typically on a quarterly basis, although serious issues are escalated immediately and not waited on. In these audits, a senior manager or the Responsible Individual will look at all complaints received in that period and analyse them for patterns. We ask questions like: Are multiple people complaining about the same thing (e.g. late visits, medication errors, staff attitude)? Did certain locations or teams have more complaints than others? Are complaints increasing or decreasing? How quickly are we resolving them on average? By looking across all complaints, we may spot issues that aren’t obvious from a single case. For example, one complaint about a missed visit might seem isolated, but an audit might reveal five similar complaints about missed or late visits in different weeks – indicating a scheduling problem that needs attention.
- Identifying areas for improvement: The outcome of these reviews is to identify areas where the service can be improved. If a trend is noted (say, communication with families is a common theme), the management team will investigate why and decide on actions to take. This could lead to implementing changes like new protocols, additional staff training, or investing in better technology. For example, if we find that several complaints arose from staff not showing their ID badges and some clients felt uncertain about who was coming into their home, we might introduce a new rule that staff must wear prominently visible identification and we remind all clients in a newsletter about our staff identification policy. Or, if multiple complaints point to rushed or shortened visits, we might review our rostering to ensure staff have sufficient travel time between calls, or hire additional staff if workload is too high.
- Timeliness and effectiveness check: Monitoring also involves checking that we handled each complaint in line with our standards. In the quarterly review, we verify that acknowledgements went out in 3 days, responses in 28 days (or that extensions were communicated), and that the actions promised were indeed carried out. If any complaint was mishandled or delayed, we note why and how to prevent that internally. This is a form of quality control on our own process. The Responsible Individual or quality manager might create an internal report that flags any deviations from the process and recommends fixes (e.g. “Two cases missed the 3-day acknowledgement target; ensure admin support cover during manager’s leave to send timely acknowledgements.”).
- Involving stakeholders: We sometimes involve staff and even service user representatives in our evaluation of complaint trends. In team meetings, we discuss anonymised summaries of recent complaints and what we are doing about them. This keeps staff informed and reinforces lessons learned (e.g., “We had a few complaints about staff not staying the full allotted time of visits – please remember the importance of not cutting visits short, as per our Timekeeping Protocol.”). If we have a service user forum or client advisory group, we might share general trends (“We heard your feedback on X and here’s what we’re changing as a result”). Being transparent in this way shows our community that we value their input and act on it.
- Learning from every complaint: We ensure that lessons from complaints are fed back into practice. One method is adding “lessons learned” as a standing agenda item in staff meetings or management meetings. For instance, after resolving a complaint, the manager involved might present a short case study to the team: what happened, what we did, and what everyone can learn from it. If a complaint revealed a gap in a policy, we update that policy and then circulate the revised version to all staff, highlighting what changed. If a training need is identified, we organise that training. This could be immediate (through a quick briefing or one-on-one coaching) or included in the next scheduled formal training sessions.
- Service improvement initiatives: Sometimes complaints drive larger improvement projects. For example, if our monitoring shows that communication issues are a trend, we might initiate a “communication improvement plan” – perhaps introducing a new daily logbook for families or a mobile app for real-time updates to relatives. We treat the root causes behind complaints as focal points for our service development plans. We also share these initiatives with our staff and service users so they know positive changes are being made in response to their feedback.
- Feedback from complainants: As part of our commitment to improvement, we also consider getting feedback on the complaints process itself. For instance, after a complaint is closed, we might invite the complainant to share their thoughts on how we handled it (this could be a short survey or a follow-up call asking if they felt listened to and whether they are satisfied with the process). This meta-feedback can be invaluable. If we learn that people felt the process was too slow, or communication wasn’t clear enough, we can then refine our approach. It’s essentially a way for someone to “complain about the complaints process,” which we welcome in order to keep improving.
All these monitoring activities ensure that we are not just solving individual issues, but also strengthening our service and preventing future complaints. By being proactive and looking at complaints collectively, {{org_field_name}} demonstrates a commitment to quality assurance and to delivering the best possible care. This approach also satisfies regulatory expectations that providers must analyse information relating to complaints and concerns and identify areas for improvement. We see complaints not as headaches, but as a crucial feedback mechanism that drives us to do better.
5.4 Learning from Complaints
A key message in our organisation is: “Every complaint is a learning opportunity.” This section of the policy emphasizes how {{org_field_name}} turns the experience of managing complaints into meaningful improvements and shared knowledge.
- Reflective practice: After a complaint has been resolved, we take time to reflect on what the case taught us. Managers and staff involved will ask questions like: What went wrong and why? Were there warning signs we missed? Did our current policies and procedures provide enough guidance to prevent this issue? Could we have handled the complaint differently for a better outcome? This reflection may happen in a debrief meeting. For example, if a complaint was about a missed medication visit, the team might reflect and realise that communication between the care staff and the GP surgery was poor. This could lead to a realisation that our Medication Management procedure needs an update to include better communication steps.
- Reviewing and updating policies/procedures: If a trend or a particular complaint reveals that our policies or procedures are lacking or outdated, we will review and revise them accordingly. For instance, if a complaint highlights that our current Dignity and Respect Policy (DCW08) didn’t cover a certain scenario adequately, or staff were unclear about it, we would update that policy to include clearer guidance. Similarly, a complaint about data handling might prompt a tweak in our Confidentiality and Data Protection Policy (DCW34). We ensure that all revised policies continue to comply with legislation and best practice. After updating a policy, we disseminate it to staff and provide any necessary training or briefing on the changes. This way, the learning from the complaint is institutionalised – it becomes part of how we operate going forward.
- Implementing changes and measuring impact: Learning isn’t just about writing new procedures; it’s about making tangible changes. We implement any corrective and preventive actions identified through the complaint process. Then, over time, we measure the impact of those changes. For example, if the learning from a complaint led us to introduce a new call monitoring system (say, an electronic log of caregiver arrival/departure times to avoid missed visits), we will monitor subsequent months to see if complaints about missed or late visits drop as a result. If we don’t see improvement, we know we must re-assess our approach or try additional interventions. Learning is an iterative process – sometimes the first solution isn’t perfect, and we keep tweaking until the issue is truly resolved.
- Sharing outcomes with staff: We firmly believe that learning from complaints should be shared across the organisation. We don’t keep it confined to management. Staff at all levels hear about the lessons in appropriate forums. As mentioned earlier, we might share anonymised case examples in team meetings. We might also include a “lessons learned” section in our internal newsletters or emails. For example, an internal memo might say, “Recent feedback has taught us that our communication about schedule changes needs improvement. Effective immediately, we have a new protocol: if a staff member is running more than 15 minutes late, the office will call the service user to inform them. Please adhere to this and ensure you notify the office if you’re delayed.” This turns a complaint into a clear action that everyone is aware of.
- Sharing outcomes with service users and stakeholders: Where relevant, we also share improvements with our service users, families, and other stakeholders. This is often done in a general way (protecting individual confidentiality), but it shows that we listen and act. For example, we might update our website’s news section or a family newsletter with a note like, “You Said – We Did: Some families told us they weren’t always informed when carers were running late. In response, we have implemented a new call alert system to keep you updated. Thank you for your feedback, which helps us improve.” Such communication closes the loop with those who provided feedback and encourages others to speak up, knowing it leads to positive change.
- Engagement with external stakeholders: In cases where a complaint’s learning is valuable beyond our organisation, we may share it with the wider community or networks. For example, if a complaint raised an issue that’s common in the sector (like difficulty in accessing certain community services), we might bring it up in provider forums or multi-agency meetings to collaboratively address it. Also, when inspectors from CIW visit or during our quality of care reviews, we show them how we learn from complaints – for instance, presenting evidence of changes made due to complaints, which can demonstrate our commitment to improvement.
- Celebrating improvements: Lastly, we make it a point to recognise and reinforce improvements that come from complaints. If, for example, a complaint led to a new training module and we then see a decrease in similar complaints, we celebrate that success with the team: “Thanks to everyone’s efforts and openness to change, we haven’t had a repeat of that issue in six months!” This positive reinforcement encourages a continued healthy attitude toward complaints. It shows staff that resolving and learning from complaints is an achievement that makes our service better and our service users happier – something we can all be proud of.
In summary, learning from complaints at {{org_field_name}} is a continuous cycle: Receive feedback → Reflect and analyse → Implement changes → Share and educate → Monitor outcomes. This cycle helps ensure we do not make the same mistake twice and that our service evolves with the needs and expectations of those we care for. It also fosters an organisational culture that is not defensive, but rather proactive and person-centred, always striving to improve the quality of care.
6. Related Policies
This Complaints Policy should be read in conjunction with several other related policies that support and complement our approach to handling complaints. These documents provide additional guidance on specific areas that often intersect with the complaints process:
- Dignity and Respect Policy (DCW08): Emphasises the importance of treating all individuals – service users, families, and staff – with respect and courtesy at all times. It underpins how we manage complaints by reminding us that even when concerns are raised, every interaction should be grounded in respect, preserving the dignity of the person making the complaint and anyone involved.
- Safeguarding Adults from Abuse and Improper Treatment Policy (DCW13): Outlines our procedures for protecting individuals from harm. Some complaints may involve allegations of abuse or neglect (for example, rough handling by a caregiver or financial impropriety). In such cases, this Safeguarding Policy guides our actions, ensuring that we report concerns to the appropriate authorities and take immediate steps to keep people safe. It works hand-in-hand with the Complaints Policy, as any safeguarding-related complaint is handled with both sets of procedures in mind.
- Confidentiality and Data Protection (GDPR) Policy (DCW34): Covers how we handle personal information. During the complaints process, we deal with sensitive personal data (details about a person’s health or circumstances, and information about staff). This policy ensures that we manage all information gathered through a complaint in line with GDPR and other data protection laws – keeping data secure, using it only for the intended purpose of investigating the complaint, and not sharing it inappropriately. It reinforces the confidentiality aspect discussed in section 5.2 of this policy.
- Whistleblowing (Speaking Up) Policy (DCW29): Provides a channel for staff to raise concerns about wrongdoing or poor practice within the organisation without fear of retaliation. While the Complaints Policy is generally for service users, families, and external complainants, the Whistleblowing Policy is the counterpart that encourages staff to speak up if they see something wrong (for instance, a colleague mistreating a client or a policy not being followed). Both policies promote an open culture and sometimes overlap – for example, a staff member’s whistleblowing report might trigger a complaint investigation, or vice versa. Together, they ensure that whether feedback comes from inside or outside, it is addressed.
- Equality, Diversity, and Inclusion Policy (DCW30): Affirms our commitment to providing equal and fair treatment to all, and to celebrating diversity. In the context of complaints, this policy reminds us that everyone has an equal right to voice a complaint and that we must handle complaints without any bias or discrimination. It ensures that, say, a complaint from a person with a disability or from a minority ethnic background is given the same serious attention as any other, and that we make reasonable adjustments (like providing information in accessible formats or different languages) so everyone can access the complaints process equally. It also guides us to be mindful of cultural differences in communication when responding to complaints.
By consulting these related policies, staff can gain a fuller understanding of how to handle complex situations that might arise during complaint handling (such as confidentiality dilemmas or concurrent safeguarding investigations). All these policies interconnect to create a robust framework that supports high-quality, person-centred care and continuous improvement.
Cross-references: For example, if a complaint involves a breach of privacy, staff should refer to the Confidentiality Policy for guidance on managing that aspect. If a complaint suggests potential abuse or neglect, the Safeguarding Policy steps in. When closing a complaint, if the issue was about a staff member’s misconduct, the outcome might involve actions outlined in our disciplinary procedures (which are part of our internal staff policies). Understanding the web of related policies helps ensure that our response to any complaint is comprehensive and in line with all professional and legal standards.
7. Policy Review
To remain effective and up-to-date, this Receiving and Acting on Complaints Policy is subject to regular review. {{org_field_name}} will review this policy at least annually. The annual review checks that the policy still reflects current laws, regulations, and best practices in complaint management, and considers any feedback from staff or service users about the process. We also commit to reviewing the policy sooner than the annual date if certain events occur, such as:
- Legislative or regulatory changes: If there are changes in Welsh law or CIW regulations/guidance that affect complaint handling (for example, a new regulation setting different response times, or new guidance from CIW on complaints procedures), we will update our policy promptly to ensure full compliance.
- Organisational or service changes: If {{org_field_name}} undergoes changes that impact how complaints should be handled (for instance, adopting a new electronic feedback system, restructuring management roles, or expanding services to a new client group), the policy will be reviewed to reflect those changes.
- Learnings from complaints or audits: If our monitoring of complaints (as per section 5.3) reveals a need to strengthen some part of the policy, or if an incident occurs that exposes a gap in our process, we won’t wait for the annual cycle. We will revise the policy as needed to address the identified issue. For example, if an audit shows that staff are unclear about the informal resolution stage, we might update this document to elaborate on that and then retrain staff accordingly.
When a review leads to an updated policy, all staff will be informed of the changes. We communicate updates through staff meetings, email bulletins, or training sessions (depending on the significance of the change). For major changes, we may provide targeted refresher training to ensure everyone understands the new or revised procedures. Staff are often asked to re-read the policy and sign to acknowledge they understand it whenever there’s a significant update.
We also make sure that service users and other stakeholders are aware of any changes that might affect them. For instance, if we change how people can submit complaints or adjust the timeframes, we will update our public-facing materials (like the website, service user guide, or brochures) so that our community always has accurate information about the complaints process.
By diligently reviewing and updating this policy, {{org_field_name}} ensures that our approach to complaints remains current, legally compliant, and aligned with best practice. It also demonstrates to regulators like CIW – and to our service users – that we are committed to self-improvement and responsive management. Each review cycle is another opportunity to reinforce the importance of effective complaint handling and to incorporate any new insights into our procedures.
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}}
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