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Registration Number: {{org_field_registration_no}}

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Requirements for Registered Managers Policy

1. Purpose

The purpose of this policy is to ensure that {{org_field_name}} employs and maintains competent, qualified, and accountable Registered Managers in compliance with the Care Quality Commission (CQC) Regulations. A Registered Manager (RM) plays a crucial role in ensuring that services meet the highest standards of care quality, safety, governance, and compliance.

This policy outlines the eligibility criteria, responsibilities, training, and monitoring procedures for Registered Managers, ensuring they are fully equipped to lead care services efficiently while maintaining regulatory compliance.

2. Scope

This policy applies to:

• All Registered Managers (RMs) working within our domiciliary care service.
• The Senior Management Team, who oversee the recruitment and supervision of RMs.
• The Care Quality Commission (CQC), ensuring adherence to regulatory requirements.
• Any prospective applicants seeking to become a Registered Manager within the organisation.

It covers:

• Legal requirements and eligibility criteria for Registered Managers.
• Core responsibilities and expectations of an RM.
• Recruitment, appointment, and induction process.
• Mandatory training and continuous professional development (CPD).
• Performance monitoring and compliance assurance.
• Disciplinary measures and managing underperformance.

3. Legal and Regulatory Framework

This policy aligns with the following laws and regulations:

• Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 œ Regulation 7 (Requirements relating to Registered Managers).
• Care Quality Commission (CQC) Fundamental Standards œ Ensures that care services are safe, effective, and well-led.
• CQC Key Lines of Enquiry (KLOEs) œ Defines expectations for leadership and service management.
• The Fit and Proper Persons Requirement (FPPR) œ Regulation 5 œ Ensures that RMs are competent and suitable for their role.
• General Data Protection Regulation (GDPR) 2018 œ Governs the secure handling of RM-related records and compliance documentation.

4. Eligibility Criteria for Registered Managers

To be appointed as a Registered Manager, individuals must meet the following requirements:

• Relevant Qualifications:
  • Hold a Level 5 Diploma in Leadership for Health and Social Care or equivalent.
  • Additional specialist qualifications relevant to care services are advantageous.
• Experience:
  • A minimum of 2 years’ experience in a managerial or supervisory role within the health and social care sector.
  • Demonstrated ability to lead teams, manage resources, and maintain regulatory compliance.
• CQC Registration Requirements:
  • Must be registered with the Care Quality Commission (CQC).
  • Provide evidence of suitability, including enhanced DBS (Disclosure and Barring Service) clearance.
  • Be able to demonstrate an understanding of CQC Key Lines of Enquiry (KLOEs).
• Fit and Proper Person Test:
  • Must pass character and competency assessments under the Fit and Proper Persons Requirement (FPPR).
  • Not be disqualified or barred from working with vulnerable adults.

5. Core Responsibilities of a Registered Manager

A Registered Manager is responsible for:

• Operational Leadership:
  • Ensuring the smooth and effective running of domiciliary care services.
  • Providing strategic direction and decision-making aligned with organisational goals.
• Regulatory Compliance and CQC Liaison:
  • Ensuring compliance with CQC Fundamental Standards and regulatory inspections.
  • Preparing for CQC inspections and responding to improvement recommendations.
• Service User Safety and Well-Being:
  • Implementing and monitoring safeguarding policies to protect service users from harm.
  • Ensuring high-quality, person-centred care is delivered at all times.
• Staff Management and Training:
  • Recruiting, supervising, and supporting care staff.
  • Conducting staff appraisals and performance evaluations.
  • Overseeing mandatory training and continuous professional development.
• Governance and Risk Management:
  • Maintaining robust policies and procedures in line with legal requirements.
  • Conducting regular audits and quality assurance reviews.
  • Reporting incidents, complaints, and concerns transparently.

6. Recruitment, Appointment, and Induction Process

To ensure only competent individuals assume the role of Registered Manager, {{org_field_name}} follows a rigorous selection process:

• Job Advertisement and Shortlisting:
  • Candidates undergo a thorough application screening.
  • Shortlisted applicants complete a pre-interview assessment.
• Interview and Competency Assessment:
  • Structured interviews assess leadership skills, regulatory knowledge, and problem-solving ability.
  • Scenario-based questions test applicants’ responses to CQC compliance issues and safeguarding concerns.
• Background and Reference Checks:
  • Enhanced DBS checks are conducted before employment confirmation.
  • A minimum of two professional references are required.
• CQC Registration Submission:
  • The successful candidate must complete the CQC Registered Manager application process.
  • The organisation supports the applicant through CQC vetting and approval stages.
• Induction and Probation Period:
  • A structured 12-week induction programme ensures the new RM is fully familiar with internal processes.
  • The RM undergoes a six-month probationary review before full confirmation in post.

7. Mandatory Training and Continuous Professional Development (CPD)

Registered Managers are required to maintain professional competence through:

• Mandatory Training Courses:
  • Safeguarding Adults and Children.
  • Infection Prevention and Control.
  • Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS).
  • Health and Safety, Fire Safety, and Risk Management.
• CPD and Professional Development:
  • Attendance at CQC workshops and leadership training.
  • Engagement in networking events and industry conferences.
  • Access to mentoring and coaching programmes.

8. Performance Monitoring and Compliance Assurance

To ensure continued effectiveness, RMs are subject to:

• Annual Performance Appraisals: Assessing leadership skills, compliance, and service quality.
• Quarterly Compliance Reviews: Ensuring adherence to CQC regulations and internal policies.
• Staff and Service User Feedback: Regular input from employees and service users to identify areas for improvement.

9. Disciplinary Measures and Managing Underperformance

If an RM fails to meet regulatory or organisational expectations:

• A performance improvement plan (PIP) is implemented.
• Continuous non-compliance may result in CQC notification and disciplinary action.
• If required, regulatory bodies such as the DBS or CQC may be informed for further investigation.

10. Policy Review and Updates

This policy is reviewed annually or sooner if:

• CQC regulations change.
• Service improvement plans require updates.

Significant incidents necessitate policy amendments.

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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}}
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