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Duty of Candour: A Practical Guide for Registered Managers
Duty of candour is not a form you complete after something goes wrong. It is a fundamental standard, one of the areas CQC pays particular attention to, and it sits at the heart of how inspectors judge whether a service is genuinely open and safe. For registered managers, that means duty of candour has to work as a live operational process, not a policy document that only gets read after an incident. This guide sets out what the law requires, how to recognise when the duty app
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
5 days ago7 min read


CQC sector-specific frameworks are back: what registered managers need now
By Manu Thomas, Advanced Clinical Practitioner, CQC Specialist Advisor, NHS Clinical
Entrepreneur Fellow, NICE Associate
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Jul 78 min read


How to run audits that actually change something
By Manu Thomas, Advanced Clinical Practitioner, CQC Specialist Advisor, NHS Clinical
Entrepreneur Fellow, NICE Associate | Last updated: [Date]
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Jun 308 min read


Care Certificate in 2026: evidencing competency, not just completion
By Manu Thomas, Advanced Clinical Practitioner, CQC Specialist Advisor, NHS Clinical Entrepreneur Fellow, NICE Associate
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Jun 237 min read


Employment law changes 2026: a care employer's summary
The Employment Rights Act 2025 brings the biggest changes to UK employment law in a generation, phased across 2026 and 2027. For care providers, the changes already in force include day one statutory sick pay, day one paternity and unpaid parental leave, and higher wage rates. The largest changes, guaranteed hours and a shorter unfair dismissal qualifying period, arrive in 2027. Why this matters for care providers Employment law changes hit adult social care harder than almos
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Jun 165 min read


PSIRF for adult social care: how to translate the framework for your service
PSIRF is the NHS framework for responding to patient safety incidents. It is mandatory under the NHS Standard Contract, not for adult social care providers directly. But its four principles, proportionate, learning-led and compassionate response, increasingly shape what CQC expects to see in how your service handles incidents. Why this matters CQC is back in the field. The regulator completed over 50% more inspections in November 2025 than the year before and is targeting 9,0
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Jun 96 min read


CQC inspections are accelerating in 2026: the readiness checklist for registered managers
CQC is accelerating. The regulator completed over 50% more inspections in November 2025 than the same month a year earlier, and has set a public target of 9,000 assessments by September 2026. If you haven't been inspected under the new framework yet, your window is closing. This guide walks you through the five practical steps to prepare. Why this matters In the space of six months, CQC inspection patterns have shifted dramatically. Services that expected 18-24 months before
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Jun 47 min read


Nutrition and Hydration Audit: What a Real One Looks Like
When I walk into a care home and ask to see the nutrition and hydration audit, I usually see one of three things. The first is a form that's been ticked green across the board, every month, for the past two years. Perfect scores. No issues. The staff member hands it over with the apologetic confidence of someone who knows what I'm thinking. The second is nothing at all. It's on the risk register as "todo." It's meant to happen quarterly. It hasn't happened since March. The th
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Jun 37 min read


CQC well-led assessment 2026: how the framework has changed - what inspectors now look for
CQC's well-led assessment framework has evolved in 2026 with tougher expectations. It covers six domains and 24 key lines of enquiry (KLOEs). Inspectors are no longer looking for perfect systems or committees. They're looking for evidence that leaders understand their service, respond to risk, and are visibly changing things based on what they find. This breakdown explains each KLOE and what evidence actually passes inspection under the new framework. Why this matters CQC is
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
May 277 min read


From 34 Quality Statements to 24 KLOEs: What’s Actually Changing in the 2026 CQC Framework
On 24 March 2026, CQC published four draft sector-specific assessment frameworks. For adult social care providers, this marks a major reset. The Single Assessment Framework is being replaced. The 34 quality statements are becoming 24 Key Lines of Enquiry, scoring is being removed, and rating characteristics are returning. The consultation closes at 5pm on 12 June 2026. Pilots are expected through summer, with the new framework due to go live towards the end of 2026. For regis
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
May 225 min read


More People Are Going Private — What the Two-Tier NHS Means for Care Workers
More People Are Going Private — What the Two-Tier NHS Means for Care Workers
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Apr 231 min read


How to Decompress After a Difficult Shift
You’ve finished your shift. You’re in the car, on the bus, or walking through your front door — but part of you is still on the ward. You’re replaying a conversation with a distressed family member. Thinking about the resident who had a bad night. Running ove r whether you handled that incident the right way. Sound familiar? If so, you’re not alone — and you’re not doing anything wrong. Care work involves a level of emotional investment that doesn’t switch off cleanly when yo
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Apr 205 min read


NHS England Has Been Abolished — What Does It Mean for Care Workers?
If you've been following the news, you'll have seen the headlines: NHS England is being abolished. It's the kind of announcement that can send a wave of anxiety through anyone working in health or social care — especially when the language used is dramatic and the details are thin. So let's cut through the noise. This blog explains what has actually happened, what it means in practice, and — most importantly — what it means for you as a care professional. The short answer: fo
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Apr 95 min read


Setting Boundaries as a Care Worker Without Feeling Guilty
If you work in health or social care, chances are you've been taught — explicitly or not — that putting others first is the job. That going the extra mile, staying a little longer, and saying yes when you really mean no is just what good carers do. But here's what nobody tells you early enough: boundaries aren't barriers to good care. They're what make good care sustainable. And the guilt you feel when you enforce them? That's worth examining — because it's often the very th
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Apr 63 min read


What Is a Deprivation of Liberty Safeguard (DoLS)?
What Does DoLS Stand For? DoLS stands for Deprivation of Liberty Safeguards . It is the procedure prescribed in law when it is necessary to deprive a person of their liberty, a resident or patient who lacks the mental capacity to consent to their care and treatment, in order to keep them safe from harm. The legal foundation sits within the Mental Capacity Act 2005 and is underpinned by Article 5 of the Human Rights Act, which establishes that everyone has the right to libert
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Mar 314 min read


What Good Dementia Care Actually Looks Like (And Why It Matters in 2026)
What Good Dementia Care Actually Looks Like (And Why It Matters in 2026)
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Mar 243 min read


LOLER Training Online: Everything You Need to Know About Lifting Operations Regulations
If you work with lifting equipment in any capacity, understanding the Lifting Operations and Lifting Equipment Regulations 1998 (LOLER) is not optional. It is a legal requirement. Whether you are an employer, manager, or operative working in construction, care, logistics, or manufacturing, LOLER compliance directly affects workplace safety and your organisation's legal standing. Our online LOLER course at CareLearner is designed to give you a thorough, accessible, and CPD-ac
Team CareLearner
Mar 165 min read


Pentafold Has Been Welcomed into the NVIDIA Inception Programme
We have some exciting news to share. Pentafold, the company behind CareLearner, has been officially welcomed into the NVIDIA Inception Programme , a global initiative that supports startups pushing the boundaries of AI, data science, and cutting-edge technology. For our team, this is more than a badge. It is recognition that the problem we are solving matters, and that the approach we are taking to solve it is the right one. What Is the NVIDIA Inception Programme? NVIDIA Ince
Team Pentafold
Mar 113 min read


What Is the CQC Looking for in 2026? A Complete Guide for Care Providers
The Care Quality Commission (CQC) is the independent regulator for health and social care in England. Its role is to ensure services are safe, effective, caring, responsive, and well-led - the five key questions that form the backbone of every inspection. In 2026, the CQC continues to evolve its approach, placing increasing emphasis on outcomes for people who use services rather than simply checking whether processes exist on paper. For care providers, keeping pace with this
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Mar 64 min read


Avoiding Inadequate Ratings: Staffing, Medication and Documentation Pitfalls
Have you ever walked into the office at 8:30 am only to find your MAR charts scattered on the desk, half your team still logging on, and a frantic text saying "sorry, I've lost the new policy link"? It feels like herding cats, and you're staring down a CQC inspection in three months. That scenario plays out in care settings across England every single week. The good news? The gaps that lead to an inadequate or requires-improvement rating are almost always predictable, and fix
Manu Thomas ACP | Former CQC Specialist Advisor | NICE Associate
Feb 283 min read
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