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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 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


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


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


Living Well With Dementia: The Outcomes That Matter Most
As Dementia Action Week comes to an end, perhaps the most important question is not simply whether people with dementia are safe.
May 232 min read
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