The Role & Responsibilities of a CQC Registered Manager


What is a registered manager?

A registered manager is the person who is in charge of one or more regulated activities. When applying for registration with the CQC, you are informing them which regulated activities under the Health and Social Care Act 2008 you wish to carry out.

The regulated activities applicable in Dentistry are:

  • Treatment of disease, disorder, or injury
  • Surgical procedures
  • Diagnostic and screening procedures

Where a provider is not themselves in charge of the day-to-day running of the service they may wish to appoint a registered manager, in most cases this will be the practice manager.

Once registered, a registered manager has a role in enabling and monitoring compliance with the Fundamental Standards across regulated activities and sharing legal responsibilities in relation to that position with the provider.

Registered Managers need to be fully aware, if it was found that a manager had failed to meet the required standards and had put patients at risk then further action could be taken by the CQC.

The CQC have produced guidance regarding the process for new registered managers click here >

What are Fundamental Standards?

These are the standards everybody has a right to expect when they receive care. They form part of changes to the law recommended by Sir Robert Francis following his inquiry into care at Mid Staffordshire NHS Foundation Trust. These standards mean everybody has the right to expect the following standards:

Person-centred care –  You must have care or treatment that is tailored to you and meets your needs and preferences.

Dignity and respect – You must be treated with dignity and respect at all times while you’re receiving care and treatment.

This includes making sure:

  • Service users have privacy when they need and want it.
  • Everybody is treated as equals.
  • Service users are given any support they need to help them remain independent and involved in your local community.
  • People using services must not be discriminated against in any way and the provider must take account of protected characteristics, set out in the Equality Act 2010. The protected characteristics are age, disability, gender, gender reassignment, pregnancy and maternity status, race, religion or belief and sexual orientation
Consent – Service users (or anybody legally acting on their behalf) must give their consent before any care or treatment is given to them.
Safety – Service users must not be given unsafe care or treatment or be put at risk of harm that could be avoided. Providers must assess the risks to your health and safety during any care or treatment and make sure their staff have the qualifications, competence, skills, and experience to keep the service user safe.

Safeguarding from abuse – Service users must not suffer any form of abuse or improper treatment while receiving care, this includes:

  • Neglect
  • Degrading treatment
  • Unnecessary or disproportionate restraint
  • Inappropriate limits on your freedom

Food and drink – Service users must have enough to eat and drink to keep you in good health while you receive care and treatment.

Premises and equipment – The places where service users receive care and treatment and the equipment used in it must be clean, suitable, and looked after properly. The equipment used in care and treatment must also be secure and used properly.

Complaints – Service users must be able to complain about their care and treatment. The provider of the service user care must have a system in place so they can handle and respond to the service user’s complaint. Providers must investigate it thoroughly and act if problems are identified.

Good governance – The provider of service user care must have plans that ensure they can meet these standards. The provider must have effective governance and systems to check on the quality and safety of care. These must help the service improve and reduce any risks to service user health, safety, and welfare.

Staffing – The provider of service user care must have enough suitably qualified, competent, and experienced staff to make sure they can meet these standards. Staff must be given the support, training, and supervision they need to help them do their job.

Fit and proper staff – The provider must only employ people who can provide care and treatment appropriate to their role and must have strong recruitment procedures in place and carry out relevant checks such as criminal records and work history.

Duty of candour – The provider must be open and transparent with the service user about their care and treatment. Should something go wrong, they must tell you what has happened, provide support, and apologise.

To be registered with the CQC, a provider must meet the Fundamental Standards in all of its regulated activities.

ByRick Craven