GP practices should have a system in place to manage and review risks to children, young people and vulnerable adults.
During an inspection the CQC will also expect practices to have a risk register of vulnerable patients and robust information governance in place. All practices should have a safeguarding lead.
It is vital that all staff understand the practice’s safeguarding policy and have appropriate training for their role and responsibilites. Staff should know how to recognise signs of abuse in children, young people and vulnerable adults, understand their responsibilities around information sharing and documentation of concerns and know how to report and escalate safeguarding concerns. Staff may be asked about these issues during a CQC inspection.
The following articles highlight specific issues around safeguarding and how the CQC expects practices to deliver best practice in this area.
CQC expectations on safeguarding
- Safeguarding children
The CQC will want GPs and all other practice staff to demonstrate their competence in safeguarding children and young people at risk during an inspection. This includes undertstanding how to identify a child in need of safeguarding, arrangements for recording a safeguarding concern and awareness of the external process for reporting the concern.
- Safeguarding adults at risk
This article explains how practices can demonstrate their competence in safeguarding adults at risk during a CQC inspection, inlcuding what the CQC expects from practices staff and the procedures that should be in place.
- GPs and the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards
During its inspections, the CQC will assess if practices and their staff understand the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS).
- Gillick competency and Fraser guidelines
There is often confusion over the meaning of Gillick competence and Fraser guidelines. The CQC will expect practice staff to understand when to apply each.
More CQC resources
- View the full CQC Essentials series on Medeconomics
- CQC's recommended reading to help practices meet regulations and prepare for an inspection