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GO Online: Inspection toolkit

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Freedom to speak up

Well-led will look at the support you put in place to create a culture where people are empowered to speak up. This will apply as much to your staff team as the people you support.

The following film provides a summary of this area of inspection. It can help you and your teams learn about what will be inspected and what is important to demonstrate to deliver good or outstanding care.

Introducing Freedom to speak up

Duration 01 min 59 sec

Well-led will look at the support you put in place to create a culture where people are empowered to speak up. This applies as much to your staff team as it does to the people you support.

There is crossover here with other elements of CQC inspection looking at the culture of the service, how you listen to and involve people in their care, and how you encourage people to express their views and raise concerns.

What the CQC is hoping for, is that you can evidence though is how you create a positive culture where people feel fully empowered to speak out, knowing that they are supported to do so and that their voice will be heard.

The CQC inspection focus is likely to look for practical examples of how you have supported individuals to raise issues and concerns, both within your service and potentially to other audiences in the wider community.

Inspectors may also look at how you respond to issues that have been raised by people speaking up, and learned from them. Again, there is crossover with elements of Safe and Responsive inspection focus, but the Well-led focus will look more at the effective systems and support you are expected in place.

The CQC may also want to know how you use ‘Freedom to speak up guardians’ or similar support to help empower others to voice their concerns.

CQC interviews will focus on people and staff teams primarily, but may also involve managers and external individuals and groups such as guardians, advocates etc.

A review of documented evidence might look at your investigations, staff support and supervision records, complaints, and more.

To learn more about how you can meet this area of CQC inspection, take a look at GO Online.

Watch the film here: https://vimeo.com/790356891

Practical examples

The examples below provide insight into how other Good or Outstanding rated services are succeeding in this area of inspection. Use the filter to choose different types of examples or select based on related prompt.

If you have an example you would like to share, please e-mail employer.engagement@skillsforcare.org.uk.

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10 example(s) found

Helping communities to speak up in multiple forums

In this one-minute audio clip from the Care Exchange podcast, Aeon Anderson talks about how focusing on environmental sustainability can help attract caring staff.

You can listen to the full podcast here. Access our whole Care Exchange series here.

Read more about this service here.

Care provider: African Caribbean Community Initiative

  • Audio

Date published: May 2023


Supporting tenancy rights

The provider adhered to the Real Tenancy Test. This was designed to ensure people needing support who live in shared accommodation have their housing rights adhered to. This ensures the tenancy arrangement gives the person real tenancy rights and ensure the arrangements are different to a residential care service. 

Read more about this service here.

Care provider: Kingdom Youth Services

  • Case study

Date published: March 2023


Challenging 'do not resuscitate' orders.

Staff advocated on behalf of people to challenge the inappropriate use of 'do not resuscitate' orders. They worked with the learning disabilities nurse and doctors to overturn do not attempt resuscitation (DNACPR) orders on two separate occasions for the same person. 

Read more about the service here.

Care provider: Avenues South East

  • Case study

Date published: November 2022


Challenging issues that impact people's rights

There was an equality and diversity group, with staff and people attending, that raised any issues affecting people and challenged decisions made, such as measures put in place by a local authority that affected a person's rights.

The provider was actively working on implementing active support to ensure people had the right support and were not being discriminated against under the Equality Act.

Read more about the service here.

Care provider: Avenues South East

  • Case study

Date published: November 2022


Fighting for social care recognition

Community Integrated Care has continued its efforts to fight for proper recognition for the social care sector throughout the pandemic, championing the commitment and dedication of those who work within it.

They believe that social care is the backbone of society, and the sector doesn’t get the recognition, funding or respect that it deserves. The organisation set out to change this. Their strategy, ‘We dare’, makes an absolute commitment to championing the sector, including the colleagues, communities and the people they support.

Throughout the pandemic, the charity was proud to speak in the media regarding key issues affecting our sector, such as PPE, lack of testing and visiting. They wanted to make sure that the voices of colleagues could be heard loud and clear on the things that affected them.

The campaigning didn’t stop there. As the pandemic was taking hold, the charity was approached by BBC Panorama, which led to us inviting them to shadow colleagues as they worked through the challenges of COVID-19. The programme – ‘The Forgotten Frontline’ – was the first opportunity for the public to see the stresses and strains, high points and sad moments in social care during the pandemic.

Read more about the service here.

Care provider: Community Integrated Care

  • Case study

Date published: October 2021


Providing a platform to shape future provision

The organisation is developing an Advisory Council of people with a learning disability to ensure everyone, even those who don’t communicate with words, has a voice.

Nexus works with local organisations to provide training in this area for staff and people with a learning disability, and supports them to participate in the People’s Parliament, providing a platform for their views and the opportunity to shape the future of services in the borough.

Care provider: Lewisham Nexus (LN)

  • Case study

Date published: October 2021


Professionally investigating a whistleblowing report

The service had a whistleblowing policy and staff had the confidence to use it. We saw an example where a member of staff whistle blew on a senior member of their team and was supported through the investigation. The allegation was dealt with professionally which gave staff confidence in the system should they need to report any concerns in the future.

Care provider: Anonymous

  • Case study

Date published: March 2020


Reporting concerns with staff

A ‘cause for concern form’ was used and promoted in written and alternate formats. This was created for people who used the service and staff.

The form was used to share any concerns they may have, such as staff practice. These forms were submitted to the registered manager who would review the information and take appropriate action where required.

Any ‘cause for concern’ raised was taken seriously and promptly investigated.

Care provider: Anonymous

  • Case study

Date published: April 2018


Encouraging people to have a voice in the service

A tenants’ voice group was established which sought to encourage people to have a greater involvement in their lives and a real voice in the service they received. To ensure the process was accessible to all people, information at the meetings was presented in a variety of formats, including written, verbal and pictorial-based interactive materials.

Staff had continued to look at more engaging ways to understand the views of people with non-verbal communication skills. The tenants voice had now evolved into its third phase of development and sessions were held with people on a one-to-one basis. These sessions were completed every six weeks. Topics included ‘I want to talk about’, ‘what I don’t like’ and ‘things I’m worried about’. Documentation was in easy-to-read format with good visual prompts.

Care provider: City Care Partnership Ltd

  • Case study

Date published: April 2018


Promoting how to raise concerns

A poster featuring the local authority and CQC contact details was placed beside each phone in the setting, in case staff or people who needed care and support wished to raise concerns.

Care provider: Anonymous

  • Case study

Date published: April 2018



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