Care Quality Commission
Statement on COVID-19 vaccination of people working/deployed in care homes: the role of the Care Quality Commission
The Department of Health and Social Care (DHSC) have amended the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 so that, from 11 November 2021, all care home workers, and anyone else entering a care home, will need to be fully vaccinated against COVID-19, unless they have an exemption.
Registered persons (registered managers, registered providers) will need to ensure that they do not allow anyone entry into a care home unless they have had a complete course of an authorised vaccine or fall into one of the groups exempt from being vaccinated.
Detailed information about how you can prepare for and meet this change in the Regulations can be found in the DHSC operational guidance. We urge all relevant providers, managers and staff to read the guidance and take any necessary actions in order to be ready for when this duty is in place.
The requirement forms part of the fundamental standards and will be monitored and enforced in appropriate cases by CQC. We will not begin monitoring this until it becomes a duty in November. We will continue to use our existing assessment and enforcement policies and take a proportionate approach.
This statement outlines our approach to a) registration, b) ongoing monitoring and inspection, and c) enforcement.
CQC will seek assurance from new providers, and from existing providers varying their conditions of registration, that they will have a robust governance process to:
- monitor vaccination and COVID-19 status of staff
- ensure staff maintain an up to date vaccination status (by providing guidance and assistance for staff to get vaccinated) and ensure staff maintain up to date best IPC practice
- monitor vaccination and COVID-19 status of personnel entering the care home, and
- where applicable, make reasonable adjustments to ensure people using the service receive safe care and treatment.
For new manager applications CQC will seek assurance that:
- applicants are fully vaccinated or exempt
- applicants are aware of their duties in relation to the new Regulations regarding COVID-19 vaccination.
Ongoing monitoring and inspection
- Monitoring that providers comply with the Regulations is CQC’s responsibility.
- We propose to add the following question to the Provider Information Return (PIR) once this duty is in place: ‘How are you assured that those you employ and deploy within your service have had their mandatory vaccinations?’
- We will also build a similar question into our monitoring approach once this duty is in place. Further information will be provided in due course.
- Where we have information of concern, through any route, we will follow this up. This may include seeking assurance from the provider or carrying out an on-site inspection.
- On inspection, where the information we hold identifies concerns, we will look for evidence to confirm systems and processes are in place to comply with the requirement.
- Registered persons will not be required to show a record of the evidence itself to inspectors but will need to be able to provide reassurance that systems and processes are in place to ensure individuals who enter the premises are fully vaccinated. Registered persons may choose to make a record of the evidence they have seen for their own internal staff employment record keeping. If the evidence is collected and recorded, all personal data must be handled in accordance with UK GDPR. This includes providing individuals with privacy information at the stage their data is being collected. Please refer to the guidance from the Information Commissioner’s Office to ensure you have the appropriate lawful basis, technical and security measures in place to protect personal data.
- Registered persons (or those acting on behalf of the registered person) must check that anyone wishing to enter the premises has received a full course of vaccination, unless they are exempt. CQC inspectors are included within the scope of visiting professionals for the purpose of this Regulation and we are considering the practical implications of this for our staff in exercising their regulatory activity. Compliance with the Regulations would be an appropriate reason for not granting access to a CQC inspector, or another individual, unless they are exempt.
- Any enforcement activity which is generated as a result of a breach of the amended Regulations will be undertaken on a proportionate basis, based on our assessment of the impact on quality of care and people’s safety, in line with our existing enforcement policy. We will decide whether/what action to take based on proportionality, treating each case individually and on its’ own merits, in line with our enforcement policy.
For full information on the scope of the Regulations, how to collect and record evidence of vaccination or exemption, and for useful sources of support and information, please refer to the DHSC operational guidance.
Latest News from
Care Quality Commission
Working with National Voices and the Point of Care Foundation on Regulators’ Pioneer Fund project21/02/2024 12:05:00
In September 2023, the Regulators’ Pioneer Fund awarded us a grant of £635,394.
National survey shows some improvement in maternity experiences, but help not always available when needed09/02/2024 16:05:00
Findings from a survey of more than 25,500 women and people who used NHS maternity services in 2023 indicate some aspects of care have improved in the past year, but many maternity care experiences are still less positive than they were five years ago.
Secretary of State commissions CQC to conduct rapid review into Nottingham mental health services02/02/2024 10:25:00
Victoria Atkins MP, Secretary of State for Health and Social Care, has commissioned us to conduct a special review into Nottinghamshire Healthcare NHS Foundation Trust under Section 48 of the Health and Social Care Act 2008.
Update on implementing our local authority assessments: January 202430/01/2024 14:20:00
In December, we published our updated guidance for local authorities ahead of starting our local authority assessments.
Government orders NHS trust review following Nottingham killings29/01/2024 13:12:00
Health and Social Care Secretary Victoria Atkins has ordered a special review into Nottinghamshire Healthcare Foundation Trust which treated Valdo Calocane.
Our new assessment approach: update January 202410/01/2024 14:10:00
We are continuing to roll out our new framework to assess providers region by region.
Consultation on our guidance on visiting in care homes, hospitals and hospices10/01/2024 09:20:00
CQC are consulting on their proposed guidance to help providers and other stakeholders understand and meet the new fundamental standard on visiting and accompanying in care homes, hospitals, and hospices and their roles and responsibilities under it.
Guidance on the management of alcohol in care settings14/12/2023 16:05:00
As part of our commitment to person-centric care, we have worked with the University of Bedfordshire to produce guidance for care home managers and members of the public on the availability and management of alcohol in care homes.