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5. Escalating Your Concerns: Communicating with the Local Authority or The CQC.

  • Writer: Raaj Purohit
    Raaj Purohit
  • Dec 1, 2024
  • 3 min read

Updated: Feb 28



We've explored how to raise concerns, formal concerns, and formal complaints directly with the care provider. If, despite your best efforts, a satisfactory resolution remains elusive, it's time to escalate your concerns to the local authority. This step is crucial before contacting the regulator, the Care Quality Commission (CQC).

Important Note: This article focuses on raising a complaint about unresolved care issues with the local authority, not about reporting safeguarding concerns. Safeguarding concerns require immediate action and will be addressed in a separate article.




Taking Your Complaint to the Local Authority:

Your complaint to the local authority must be comprehensive and well-documented. It should include a clear timeline of events, all previous actions taken, and the responses received from the care provider.


What Your Complaint Should Include:

  • Detailed Timeline: Provide a chronological account of all incidents, conversations, and correspondence.

  • Documentation: Include copies of all letters, emails, meeting notes, and any other relevant documents.

  • Previous Actions: Clearly state all the steps you have taken to resolve the issue directly with the care provider.

  • Specific Concerns: Outline the specific areas where the care provider has failed to meet their obligations.

  • Desired Outcome: Clearly state what you hope to achieve by escalating your complaint.


What Happens Next?

The local authority will review your complaint and determine the appropriate course of action. Depending on the nature of your complaint, they may:

  • Investigate Directly: They may conduct their own investigation into the care provider's practices.

  • Refer to CQC: If they believe the complaint raises serious regulatory concerns, they may forward it to the CQC.

  • Mediation: They may offer mediation services to facilitate a resolution between you and the care provider.


Important Considerations:

  • Record Keeping: Continue to keep detailed records of all communication with the local authority.

  • Patience: Investigations can take time, so be prepared to be patient.


Contacting the CQC:

If the local authority's investigation does not result in a satisfactory outcome, it's time to contact the CQC. Remember, the CQC is the regulator, and they oversee the quality and safety of care services.

What the CQC Will Do:

  • Intelligent Monitoring: The CQC uses information from various sources, including complaints, to monitor care providers' performance.

  • Contact Care Provider: They will typically contact the care provider's manager to discuss the complaint and request an update on the situation.

  • Request Information: The CQC may request detailed information from you and the care provider.

  • Inspection: In some cases, they may conduct an unannounced inspection of the care facility.


Preparing for CQC Contact:

  • Provide Comprehensive Information: Ensure you have all relevant documentation and information readily available.

  • Highlight Key Concerns: Clearly articulate the specific areas where the care provider has failed to meet regulatory standards.

  • Documented Attempts: Be sure that you can provide all the documented attempts you have made to resolve this yourself.


The Impact of CQC Involvement:

It's important to understand that involving the CQC can be stressful for everyone involved, including yourself, the care home staff, and the residents. It's a significant step, and we want to ensure it's taken only when absolutely necessary.


When Resolution is Not Possible:

In some unfortunate cases, despite all efforts, a resolution may not be possible. If the issues are irreconcilable and the care environment is consistently unsatisfactory, it may be necessary to serve notice and seek a more suitable placement for your loved one. Care Finder Assist will help in the process ensuring it has a record of this against the placement.


Moving Forward:

Your loved one's well-being is paramount. By understanding the escalation process and communicating effectively with the appropriate authorities, you can ensure that their care needs are met.

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