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What is registration?
All health and social care services in England need to register with the Care Quality Commission.
Below we have answered the most common questions about registration and explained some of the key terms we use both on the registration form and in our guidance documents.
Who needs to register?
You must register with us if you carry on one of the 15 activities we regulate (see below for a definition of these 'regulated activities').
You can find definitions of each of these activities and more information to help you decide if you are required to register in our scope document.Scope of registration
What is a provider?
One of the words you will read a lot in our information about registration is 'provider'. We use this to mean the legal entity responsible for carrying on the health or adult social care services we regulate.
Types of providers
The legal entity can be one of three types of provider: individuals, partnerships or organisations.
When you come to register, it is important you apply as the correct entity and type of provider. It is an offence to carry on any of the health and social care services we regulate (known as 'regulated activities') without being registered.
You should register as an individual if you are a sole trader. Individuals register in their own name and are directly responsible for carrying on regulated activities.
If you carry on any regulated activities as a partnership, it is the partnership (including all the partners) that must register. The partnership as a whole, as well as each individual partner, is responsible for ensuring that the regulated activities provided meet the essential standards.
Therefore, you should only register as a partnership if you have made arrangements for all partners to accept joint and several liabilities for the way the activity is carried on, and each individual partner has agreed to this. This will normally be documented through a written agreement, but this is not a requirement; for example, partnerships-at-will can register as a partnership as long as appropriate arrangements are in place.
A partnership that doesn’t have these arrangements in place, such as one that is limited only to arrangements for expense sharing, should not register as a partnership. In this case, if each person is carrying on regulated activities as an individual without shared liability, they will need to register separately.
For legal reasons, a limited liability partnership (LLP) should register as an organisation, not as a partnership.
You should register as an organisation if you are a registered company or charity, a limited liability partnership (LLP) or other corporate body. In this case it will be the organisation itself that registers, not the people who control it.
What is a regulated activity?
When you are applying for registration with us, you will need to determine which health and adult social care services we regulate you carry on. These are known as 'regulated activities'.
It is your responsibility to ensure you register for each regulated activity that you carry on or manage. It is common to register for more than one.
In all, there are 15 regulated activities. For a more detailed explanation of who is covered by the registration system and a description of each regulated activity, you should refer to the Scope of Registration document (below).
Quick reference guide to regulated activities by type of service
Our new ‘quick reference guide’ helps providers to understand how regulated activities and services types could map to each other.
This will allow you to select the type of service provider you are and find out which regulated activities you are most likely to carry on.
It should be used in conjunction with our scope of registration document, which will allow you to evaluate in more detail if these regulated activities apply to you.
What is a location?
A location is a place in which, or from which, regulated activities are provided or managed. Once you are registered you may only provide services from the locations specified in the conditions of your registration.
In our definition of a location, we count each place where people may be admitted (for example, as an inpatient or as a resident) or treated (for example, a walk-in centre or a primary dental practice) as a location if the regulated activities provided in these places are managed independently.
Where regulated activities are provided and managed as one service but are carried out in a number of different premises, however, the place from which the regulated activities are 'carried on' or managed is counted as the only location.
For other services, such as mobile or visiting services, we need the location as either:
- the head offce
- a regional office or area base from which day-to-day management of the regulated activities is directed.
If you provide regulated activities in or from more than one location, you will need to include details of all of these in your registration application. This includes which activities are provided at or from each location.
It is important to be clear about your locations because in your registration application, you will need to make a declaration about your compliance with the essential standards of quality and safety for each regulated activity at each location.
Once you are registered, as far as possible, we will aim to monitor your compliance with the essential standards at each location.
What is a registered manager?
A registered manager is the person who is in day-to-day charge of one or more regulated activities. In most cases, a provider will need to have one or more registered managers.
As a registered person, they have legal responsibilities in relation to that position. A registered manager shares the legal responsibility for compliance with the regulations with the provider.
The regulations require that a provider must have one or more registered managers for its regulated activities if it is:
- a partnership
- an organisation
- an individual who is not personally in day-to-day charge of carrying on the regulated activities or is not fit to do so.
The person who you appoint as registered manager should be in day-to-day charge of carrying on the regulated activity or activities they apply to be registered for.
There are no restrictions on the number of regulated activities a manager can be registered for or the number of locations which they cover. You can appoint more than one registered manager at the same location if different regulated activities are managed by different individuals or if job share arrangements are in place. The registered manager can be the same person as the nominated individual.
In all cases, the registered manager must be able to demonstrate how they will manage the day-to-day running of the regulated activities at each of their locations.
What is a nominated individual?
If you are applying for registration as an organisation, the regulations require you to nominate an individual to act as the main point of contact with CQC.
A nominated individual should be someone who has responsibility for supervising the management of the regulated activity. They should be an employed director, manager or secretary of the organisation. It is up to you who to nominate, as long as they meet these criteria.
Your nominated individual can cover all or several of the regulated activities you provide. If you wish you can have a different individual for each regulated activity. The application form will ask you to state which regulated activities each nominated individual will be responsible for.
The nominated individual and registered manager can be the same person.
If you register as an individual or partnership you do not need a nominated individual.
What is a statement of purpose?
A statement of purpose for a business describes what you do, where you do it and who you do it for.
You have to include a statement of purpose as part of your application and it must include:
- your aims and objectives
- the services you provide
- the needs your service meets
- your contact details
- your service's legal entity
- the places where services are provided
You can find full details in the regulations.
Read the regulations in full on our Legislation page.
We've produced a guidance document to help you draft your own statement of purpose.
We've also produced templates for each of four sections of the layout we recommend you follow for your statement. You don't have to use our template, but it will help make sure you include all the information required by law.
- Last updated:
- 29 October 2014