Who are the Care Quality Commission?
They are the independent regulator of health and social care in England. They regulate care provided by the NHS, local authorities, private companies and voluntary organisations in accordance with the Health and Social Care Act 2008.
They will register, and therefore license, care services and have a wide range of actions they can take if they find providers are not meeting the fundamental standards.
Where a provider is not themselves in charge of the day-to-day running of the service, a manager must also be registered. Each practice will have a registered manager and in most cases this will be the practice manager. Each registered manager must apply to the CQC to hold this position.
The core knowledge required to be a Registered Manager
The CQC always ask the following five questions when inspecting a practice and this core knowledge would be discussed in a interview.
- Is it safe, are people protected from abuse and avoidable harm?
- Is it effective, are people’s care, treatment and support achieving good outcomes, promoting a good quality of life and based on the best available evidence?
- Is it caring, do staff involve and treat people with compassion, kindness, dignity and respect?
- Is it responsive, are services organised so that they meet people’s needs?
- Is it well led, does leadership, management and governance of the organisation assure the delivery of high-quality, person-centred care?
You should read and become familiar with the following documentation:
- The Health and Social Care Act 2008 (Regulated Activities) 2014
- The Care Quality Commission (Registration) Regulations 2009
- CQC Primary Dental Care Services Provider Handbook
- Statement of purpose
- Statutory notifications
- Duty of Candour
As part of the application process for any new provider, the CQC will conduct a ‘fit person’ interview with the registered manager. The purpose of an interview is part of the process of considering the ‘fitness’ of a new applicant for registration under the Health and Social Care Act 2008. The law states a person should not manage a regulated activity as a registered manager unless he or she is fit to do so.
The requirements are that he or she is:
- Of good character.
- Physically and mentally fit to carry on the regulated activity and has the necessary qualifications, skills and experience to do so.
- Able to supply the CQC with all the requirements as specified in Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
What is the purpose of the fit person interview?
The CQC state a fit person interview is to:
“Assess the applicant’s fitness to be registered – not their suitability for the particular job. These are not job interviews – we use them to assess fitness against the criteria in the regulations. We use this interview to verify the information we have and to gather new information to help us make a judgement about the fitness of the applicant...”
The assessor will also be looking to satisfy themselves that you are of good character, honest and trustworthy.
All the information gathered will help the CQC make a judgement about the fitness of you becoming a registered manager for your practice.
How long will the interview take and where will it be held?
The length and depth of the interview will depend on whether it is the first time you have registered and who the assessor is.
Where a manager is not currently registered, they will arrange a meeting or interview to assess your fitness and to look at the documents listed in the checklist on the application form.
Interviews may be face to face at your practice or conducted over the telephone.
What will be asked at the interview?
- What is your job role within the practice.
- How you will ensure that everyone in the practice meets the fundamental standards.
- Your understanding of the legal responsibilities of a registered manager, including what notifications you must send to the CQC.
- How you will intend to promote equality and diversity within their service.
- Safeguarding, not only what training you have received but the procedures in place at the practice to ensure the safety of the people who use the services.
The interview may include questions related to the following elements:
- Application form details, including medical details and employment history.
- Duties and responsibilities of the manager and how you intend to discharge them.
- Criminal convictions shown on your DBS disclosure.
- Academic and vocational qualifications and experience.
What documents will be needed at the interview?
- Proof of identity, including a recent photograph.
- An enhanced disclosure and barring check countersigned by the CQC.
- A full employment history together with a satisfactory written explanation of any gaps in employment.
- Documentary evidence of all relevant qualifications and any professional registrations.
- Satisfactory evidence of conduct in relevant previous employment, where the employment concerned the provision relating to health and social care and/or children and vulnerable adults.