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Increase in registered managers since CQC announced plans to take tough action

22 May 2014
  • Media

22 May 2014

The Care Quality Commission (CQC) has secured a 57% increase in the number of new registered managers across 2439 health and social care services targeted in a six-month project.

The project which ran from November 2013 to April 2014 was set up by CQC last September to improve the high number of locations operating without a registered manager in place for the longest periods of time. This is in addition to reviews carried out by CQC inspectors at locations across the whole of England.

Based on project figures set out in yesterday’s (Wednesday 21 May) CQC Board report, 1395 out of those locations now have a registered manager in place.

A further 470 (20%) manager applications have been submitted to CQC for approval.

CQC also used enforcement powers across 590 locations that failed to appoint or submit an application for a registered manager. A high proportion responded without the need for the regulator to take further action but 42% have paid a Fixed Penalty Notice.

CQC will continue to work with providers to ensure all health and adult social care services that are required to have registered managers fill these positions.

Andrea Sutcliffe, Chief Inspector of Adult Social Care and Corporate Lead for Registration said: “This is really positive news for people who are using services and I am very encouraged that providers have responded to our challenge and taken steps to ensure that registered managers are in post.

“We know the role of the registered manager is an important one in making a difference to people’s experiences of care. They are vital in helping to make sure people receive services that are safe, effective, caring, responsive and well-led.

“As part of our new approach to changing the way we inspect and regulate adult social care that we’re currently consulting on, we are proposing that any location providing adult social care services will not be able to achieve a rating higher than ‘requires improvement’ if it has been without a registered manager (where one is required) for more than 6 months without reasonable justification.”

Click here to view the full agenda and all reports from this week’s Board meeting.


Last updated:
13 June 2017

Notes to editors

  • Most providers of health and adult social care are required to have registered managers in post for every location where they run their services – including providers of dental, primary medical and adult social care – according to the terms of their registration with CQC. The same person can cover the role in more than one setting and for more than one regulated care activity.
  • The registered manager is legally responsible for ensuring services comply with the national standards of safety and quality. They are the person who is in day-to-day charge of the regulated activities carried out by the provider. They are legally responsible with the provider, for ensuring compliance with the essential standards of quality and safety.
  • Regulation 5 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 requires CQC to impose a registered manager condition on the registration of most providers. The exceptions are: when the provider is an individual who manages the service full time and NHS trusts (unless the NHS trust provides services, such as care homes and domiciliary agencies).
  • The maximum fixed penalty that CQC issues for a provider not having a registered manager is £4,000. All payments are repaid to the Secretary of State.
  • In September 2013, CQC announced at its public Board meeting that it would take tough action against services that are without registered managers for the longest periods of time. For further information, please visit our board meetings page and see the 18 September 2013 meeting or see item 10 in the document below.



About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.