Independent doctors, clinics and community · Key question 1 of 50/68 answered

Safe

Are people protected from abuse and avoidable harm?

8 quality statements · each asked twice

01

Learning culture

Reg 17, 20(9)

We have a proactive and positive culture of safety based on openness and honesty, in which concerns about safety are investigated and reported thoroughly, and lessons are learned to continually identify and embed good practices.

What happens

How many incidents has this service recorded in the last twelve months?

What can you evidence now

If an assessor followed one incident end to end, would the whole loop be in one place?

02

Safe systems, pathways and transitions

Reg 12, 17

We work with people and our partners to establish and maintain safe systems of care, in which safety is managed, monitored and assured. We ensure continuity of care, including when people move between different services.

What happens

A patient asks you not to write to their GP. What happens then?

What can you evidence now

What could you show about correspondence out of your service in the last month?

03

Safeguarding

Reg 13; Care Act 2014 s.45; SI 2009/3112 reg 18(2)(e)

We work with people to understand what being safe means to them as well as with our partners on the best way to achieve this. We concentrate on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect.

What happens

A Safeguarding Adults Board asks you for information about a patient. What happens?

What can you evidence now

What could you show about safeguarding training and concerns raised?

04

Involving people to manage risks

Reg 9, 11, 12

We work with people to understand and manage risks by thinking holistically so that care meets their needs in a way that is safe and supportive and enables them to do the things that matter to them.

What happens

When does a paying patient hear what could go wrong — before or after they pay?

What can you evidence now

What could you show about how a recent patient's risks and costs were set out?

05

Safe environments

Reg 12, 15

We detect and control potential risks in the care environment. We make sure that equipment, facilities and technology support the delivery of safe care.

What happens

Somebody arrives for a visit and the home is unsafe to work in. What do they do?

What can you evidence now

What could you show about premises, equipment servicing and the resuscitation equipment?

06

Safe and effective staffing

Reg 18, 19

We make sure there are enough qualified, skilled and experienced people, who receive effective support, supervision and development. They work together effectively to provide safe care that meets people’s individual needs.

What happens

A visiting consultant sees patients here under practising privileges. Who checked they are who they say they are?

What can you evidence now

What could you show about registration, indemnity and supervision for everyone who treats patients here?

07

Infection prevention and control

Reg 12, 15

We assess and manage the risk of infection. We detect and control the risk of it spreading and share any concerns with appropriate agencies promptly.

What happens

How is your infection prevention scaled to what you actually do?

What can you evidence now

What infection prevention evidence could you produce for your own procedures?

08

Medicines optimisation

Reg 12(2)(g)

We make sure that medicines and treatments are safe and meet people’s needs, capacities and preferences by enabling them to be involved in planning, including when changes happen.

What happens

How does a private prescription for a controlled drug leave this service?

What can you evidence now

What could you show about medicines held, stored and prescribed here?

Sentinel — free self-assessment tool for adult social care providers in England.

Independent tool. Not affiliated with or endorsed by the Care Quality Commission. The 2026 sector-specific framework is in draft and subject to change.