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Adult Social Care Insights, Governance & Quality Improvement
Practical insights, regulatory updates, governance learning and quality improvement ideas for adult social care providers.


Adult Social Care Briefing
This week’s Adult Social Care Briefing looks at the UK Covid-19 Inquiry’s findings on adult social care, updated NHS Continuing Healthcare documentation, recent CQC inspection findings and a funded Care Workforce Pathway support programme.
2 hours ago7 min read


Adult Social Care Briefing
This week’s Adult Social Care Briefing looks at the latest Skills for Care workforce findings, delegated healthcare activities, a National Patient Safety Alert on blood ketone testing, and recent CQC findings on staffing, leadership and assurance.
7 days ago9 min read


The People We Don’t Talk About Enough
Some of the people who make the biggest difference in a care home are not always the ones delivering direct care. This blog reflects on the everyday relationships built by kitchen, domestic, maintenance, laundry and reception teams, and why those ordinary human connections matter so much.
Oct 104 min read


Adult Social Care Briefing
This week’s Adult Social Care Briefing covers new dementia research investment, Skills for Care workforce training, developments in AI regulation, telecare safety guidance and CQC inspection findings, with practical implications for adult social care providers.
Oct 97 min read


Beyond the Audit: Episode 3
How safe is safe enough? In Episode 3 of Beyond the Audit, I explore positive risk-taking in adult social care, the assumptions we make about people’s abilities, and how keeping people safe can quietly become stopping them living.
Oct 41 min read


Positive Risk-Taking: How Safe Is Safe Enough?
I once worked in a dementia service that had a workshop, with tools and practical activities. When we were going through the registration process, I was asked whether that was really safe considering the client group. I remember being so irritated by the question, because it seemed to start from the assumption that dementia somehow made the whole idea questionable! The person who asked me with real shock, did not know if the people who would use the space had been working wit
Oct 35 min read


Adult Social Care Briefing
This week’s Adult Social Care Briefing covers the government’s plans for a National Care Service, new adult social care workforce measures, DHSC guidance on digital care and AI, delayed national data releases, and new MHRA clinical safety advice.
Oct 19 min read


It Worked While We Were Watching, Sustainable Improvement in Social Care.
A service can improve quickly when everyone is watching. The harder test is whether those changes last once the extra scrutiny, support and pressure begin to step back. This is a reflection on what sustainable improvement really looks like and a lesson I learned the hard way.
Sep 254 min read


Adult Social Care Briefing
This week’s Adult Social Care Briefing covers the 30 September Reasonable Adjustment Digital Flag deadline, the Independent Commission’s new Public Panel on Care, and forthcoming national adult social care activity and finance data. Practical updates for providers, with the key actions and dates leaders need to have on their radar.
Sep 246 min read


Person-Centred Care Planning: Can You Actually Find the Person in the Care Plan?
Person-centred care is about far more than adding someone's name to a care plan. I look at what care records actually tell us about the person, their choices and independence, and why poor mental capacity assessments can undermine genuinely person-centred care.
Sep 187 min read


Adult Social Care Briefing
This week’s Adult Social Care Briefing covers the new MHRA hoist and sling safety alert, adult social care transformation funding, the 2026 workforce survey and the latest ADASS funding position, with practical actions for providers.
Sep 188 min read


Digital Care Records: When Technology Improves Care – and When It Just Digitises the Problem
Moving to digital care records can improve care planning, oversight and access to information, but technology won’t fix poor records or weak governance. Using real CQC findings, I look at what can go right, what can go wrong and what providers should check before and after go-live.
Sep 118 min read


Adult Social Care Briefing
This week’s Adult Social Care Briefing covers the Health Bill’s move to the House of Lords, recent CQC inspection findings and the Government’s new AI Risk Management Toolkit, with practical actions for managers and senior leaders across older people’s services.
Sep 106 min read


When Poor Practice Becomes “Just How We Do Things Here”
How does poor practice become “just how we do things here”? A look at how everyday pressures, shortcuts and workplace culture can gradually shape care, and why good governance needs to spot the patterns before they become the norm.
Aug 285 min read


Adult Social Care Briefing
This week’s Adult Social Care Briefing covers the new UKHSA infection resource for adult social care, the next stage of the Fair Pay Agreement and the latest developments around hospital discharge. Practical actions and considerations for care home leaders.
Aug 276 min read


If We Say Sorry, Are We Admitting Liability?
Saying sorry after something has gone wrong does not necessarily mean admitting fault. This article explores Duty of Candour, why apologies cause so much uncertainty, and how we can balance regulation, professional judgement and the very human need to acknowledge what someone has experienced.
Aug 234 min read


Adult Social Care Briefing
This week’s Adult Social Care Briefing looks at NICE’s new consultation on aggressive behaviour in people receiving NHS or social care, alongside CQC’s latest local authority assessments. Key themes include restrictive practice, risk management, safe transitions, system pressures and what these developments mean in practice for care-home leaders.
Aug 206 min read


Succession Planning in Social Care: When Too Much Sits With One Person
When too much knowledge, judgement and follow-through sits with one person, a service can look strong while still being surprisingly fragile. Succession planning is not just about who might take over next; it is about developing people, sharing judgement and building enough leadership depth before you actually need it.
Aug 154 min read


Adult Social Care Briefing
This week’s Adult Social Care Briefing looks at the practical implications of hot weather for care home leaders, alongside forthcoming changes to NHS hospital discharge reporting. A concise update on resident risk, safe admissions and the key actions providers should be considering
Aug 137 min read


The First 24 Hours After a Significant Incident
What happens in the first 24 hours after a significant incident can shape everything that follows. This article explores leadership, governance, Duty of Candour and why good organisations put people first when it matters most.
Aug 74 min read
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