Effective Rostering: Key to CQC Compliance in Home Care

Optimising care delivery through smart staff management

Care Rostering

How effective rostering supports CQC compliance solutions in home care settings

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The necessity for home care providers to fully embrace digital solutions has been a prominent topic for quite some time. In 2022, the then Health and Care Secretary, Sajid Javid, highlighted the importance of widespread digitalisation within the NHS. As part of this initiative, specific attention was directed toward the digitalisation of nearly all social care services by 2024.

During his address at the HSJ Digital Transformation Summit in February 2022, Sajid Javid stated, “I also want to see a particular focus on social care; we have announced at least £150 million to help drive digitisation in social care, with a target of 80% of social care providers having digital Social Care records by March 2024”.

Many home care service providers have increasingly adopted technology, recognising the advantages of automated processes. The importance of technology has grown significantly, particularly in rostering and allocating visits, especially in light of recent changes that allow employees to structure their working weeks more flexibly. The Employment Relations (Flexible Working) Act 2023 (Commencement) Regulations 2024 are in effect and recognise the importance of flexibility for paid carers because of the unique and often demanding nature of their roles.

The significance of flexible working typifies just why effective home care rostering that supports CQC compliance solutions is so important. Namely, bespoke home care rostering systems that are designed to optimise workforce management, enhance safety, ensure continuity of care and ultimately improve outcomes for all stakeholders while promoting compliance within the care sector. Additionally, ensuring compliance is crucial for meeting the rigorous standards set by regulatory bodies like the CQC.

Regulation: Challenging traditional rostering and workforce management

Home care providers across the UK continue to grapple with persistent staffing challenges, compounded by rising employment costs including the National Living Wage and employer National Insurance contributions.

These regulatory changes highlight the urgent need for providers to strike a careful balance between maintaining operational efficiency and offering flexible, ethical employment practices that support staff and service quality, all while managing financial constraints within the care sector.

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Increasing compliance and industry challenges

The industry faces considerable financial pressure, compounded by significant challenges in adhering to regulations and standards while managing compliance. The CQC Regulation 17: Good Governance and Regulation 18: Staffing exemplify the high standards expected of effective leadership in the sector.

Leaders hold the crucial responsibility of ensuring that while meeting the numerous criteria of good governance, there is a strong emphasis on developing processes that enhance both efficiency and safety across services.

Home care can leverage technology to meet the requirements of Regulations 17 and 18. These technologies streamline processes, enhance care quality and provide evidence for governance and risk management.

It is essential for providers to employ a sufficient number of suitably qualified, competent and experienced staff to ensure compliance with all other regulatory requirements outlined in this section of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Care rostering and staff management for home care providers

Effective care rostering is essential for home care providers to achieve regulatory compliance as it ensures the delivery of safe, efficient and person-centred care.

Here are the key ways in which effective rostering supports compliance:

Ensuring adequate staffing levels

  • Rostering systems play a crucial role in ensuring optimal staffing levels to safely and effectively meet the needs of service users. They offer a comprehensive overview of daily visits and staff availability, empowering managers to plan ahead and proactively address any staffing gaps
  • This approach aligns with the Care Quality Commission’s (CQC) emphasis on safety and effectiveness, ensuring that care recipients receive timely and sufficient support

Reducing missed or late visits

  • Effective rostering is crucial in reducing missed or late visits by enabling the dynamic reallocation of shifts in response to emergencies or absences
    One CareLineLive customer saw a 96% reduction in missed calls during the first eight months of using our software
  • Alerts for unfilled shifts empower managers to swiftly assign available staff, preventing disruptions in continuity of care
  • This responsiveness supports the CQC’s requirement for reliable and high-quality care services

Facilitates personalised care

  • Capacity planning features ensure that care is customised to the recipient’s location, preferences, wishes and health conditions
  • Effective rostering systems align carers with service users by considering their skills, experience and compatibility with each individual’s unique needs
  • Person-centred care is a critical aspect of CQC compliance and the Fundamental Standards. This is in line with the CQC’s key questions and quality statements which incorporate ‘we’ and ‘I’ statements

Reducing stress and improving staff morale

  • Effective rostering plays a crucial role in alleviating stress for both office and field staff by balancing workloads, optimising travel time and considering staff preferences. This approach not only enhances morale for many lone workers but also brings a culture of cohesiveness and a supportive work environment
  • A well-supported workforce aligns with the CQC regulations and goes a long way to evidencing commitment to robust leadership and management practices

Improving risk management and regulatory compliance

  • Integrating electronic call monitoring within rostering systems enhances operational efficiency and improves workforce management. Managers receive alerts to anomalies such as late, short or missed visits. Early issue identification allows for swift intervention, mitigating escalation and service user safety. In turn, this ensures consistent quality care
  • This proactive strategy aligns with CQC’s commitment to safety, well-being and responsiveness

Streamlines administrative processes

  • Automated rostering systems greatly reduce the administrative burdens faced by care coordinators enabling them to concentrate on other essential aspects of their responsibilities. Effectively managing absences, holidays, payroll and billing is crucial. This approach not only guarantees accurate documentation but also ensures adherence to regulatory guidelines
  • Robust and effective record-keeping is essential for meeting CQC’s governance requirements under Regulation 17: Good Governance
By utilising effective rostering practices and software solutions, home care businesses can significantly enhance service quality, boost operational efficiency and ensure compliance across essential regulatory domains including, safety, effectiveness, responsiveness, caring and leadership.

In an increasingly complex and regulated landscape, the digital transformation of home care services is no longer optional, it is essential. The shift toward effective, technology-driven rostering and workforce management offers providers a powerful solution to meet mounting regulatory demands, optimise operations and most importantly, deliver high-quality, person-centred care.

As the sector continues to face financial pressures, staffing challenges and evolving regulations, embracing rostering and care management tools specific for home care services not only enhances compliance with CQC standards but also fosters a more resilient, responsive and supportive care environment. Providers who invest in modern digital systems, like CareLineLive, are setting the foundation for a more sustainable and effective future in home care.

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Customer success stories

“It’s an eye-opener. Seeing first-hand how technology like this can improve care delivery is inspirational. It allows carers to focus on providing high-quality responsive care. If we can replicate what Crescent Homecare [using CareLineLive] has achieved we could transform healthcare across the region.”
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Professor Graham Evans
NHS North East and North Cumbria Integrated Care Board
“CareLineLive has been a game-changer for our compliance and medication management, helping us maintain an excellent rating with the CQC. It keeps us on top of staff reviews, training logs and essential communications with care workers. The ability to instantly notify carers about updated care plans ensures that nothing is missed, adding an extra layer of security and accountability. Across the board, CareLineLive supports our compliance needs and enhances the quality of care we provide."
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Debra Robey
Crescent Homecare
"It's been really good having CareLineLive's compliance checks in place. I like that staff members can't log out until they have completed all the tasks and that it can pick up on issues which trigger an alert that has to be acknowledged. This keeps everyone accountable and means that we can see what is going on out in the field. The timestamp combined with electronic medical records is a big deal for us in our clinical work - it really helps us stand out and has enabled us to take on a large number of high intensity clients."
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Jo Oluafe
Healthy Life Community Services
“We had our first CQC inspection and there were areas that were identified as requiring improvement. It was important for us to consider solutions that helped us make the necessary improvements as quickly as possible. CareLineLive provided us with the answers to our brief as it provides eMAR, allows us to see where the carers are, informed us of missed calls and late calls, and helped us improve the areas that the CQC had identified.”
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Mirina Ndhlovu
AZ Caring Services
“The CQC are looking to see that we keep people safe with their medicines but also that we meet their needs. Working with CareLineLive’s eMAR has removed any restrictions to a client’s care as changes can be made immediately.”
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Clare Flynn
Brightening Lives