LINKs and CQC briefing 3 safeguarding - Care Quality Commission
LINKs and CQC briefing 3 safeguarding - Care Quality Commission
LINKs and CQC briefing 3 safeguarding - Care Quality Commission
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LINks <strong>and</strong><br />
<strong>CQC</strong><br />
working<br />
together<br />
Introduction<br />
3<br />
Working together where we have<br />
concerns for people’s safety<br />
September 2012<br />
This is one of a series of new <strong>briefing</strong>s for local involvement networks (LINks) about<br />
how to work with the <strong>Care</strong> <strong>Quality</strong> <strong>Commission</strong> (<strong>CQC</strong>). It builds on the Guide for<br />
LINks: How LINks can work with the <strong>Care</strong> <strong>Quality</strong> <strong>Commission</strong> (June 2011) which is<br />
available free at www.cqc.org.uk/public/sharing-your-experience/involving-peoplewho-use-services.<br />
This <strong>briefing</strong> looks at <strong>safeguarding</strong> adults <strong>and</strong> children – <strong>and</strong> how<br />
LINks <strong>and</strong> <strong>CQC</strong> can work together to prevent abuse <strong>and</strong> harm. It also includes<br />
learning for Healthwatch which we hope will be of interest to local authority<br />
Healthwatch commissioners <strong>and</strong> shadow Healthwatch organisations.<br />
The <strong>briefing</strong>s have drawn from <strong>CQC</strong>’s work with LINks over the last three years <strong>and</strong>,<br />
in particular, from work with 26 LINks who took part in a national <strong>CQC</strong> development<br />
project during 2011/12. <strong>CQC</strong> would like to thank all the LINks for their contributions.<br />
<strong>CQC</strong> is the independent regulator for health <strong>and</strong> social care services in Engl<strong>and</strong>. We<br />
value any information from people who use services <strong>and</strong> their representatives to help<br />
us check on the quality <strong>and</strong> safety of care, <strong>and</strong> we have a statutory duty to ‘have<br />
regard’ to the views of LINks.<br />
<strong>CQC</strong>’s local relationships with LINks will remain in place until 31 March 2013 <strong>and</strong><br />
transfer to local Healthwatch from 1 April 2013. The learning from our work with<br />
LINks will be used to develop a guide for local Healthwatch about working together<br />
with <strong>CQC</strong> from April 2013. <strong>CQC</strong> will work closely with Healthwatch Engl<strong>and</strong> from<br />
October 2012 to best coordinate our work with emerging Healthwatch.<br />
<strong>LINKs</strong> <strong>and</strong> <strong>CQC</strong> working together – 3: Working together where we have concerns for people’s safety 1
LINks <strong>and</strong> <strong>CQC</strong> – principles of working<br />
together<br />
<strong>CQC</strong> works with all LINks across the country to exchange information that can help<br />
us both to tackle poor care <strong>and</strong> improve services. We respect the independent status<br />
of LINks, <strong>and</strong> the different roles we play in holding services to account for the care<br />
they provide. We recognise the need to maintain public confidence in both our<br />
organisations, <strong>and</strong> to be open <strong>and</strong> transparent about how we cooperate <strong>and</strong> when<br />
we need to work separately. We strive to use our resources effectively, avoiding<br />
duplication of effort.<br />
About this <strong>briefing</strong><br />
This <strong>briefing</strong> describes:<br />
• Key messages in our work with LINks on <strong>safeguarding</strong> concerns.<br />
• <strong>CQC</strong>’s approach to <strong>safeguarding</strong> – our protocol <strong>and</strong> what this means in practice.<br />
• <strong>CQC</strong>’s approach to monitoring the Mental Health Act 1983.<br />
• Monitoring the Mental Capacity Act 2005 Deprivation of Liberty Safeguards.<br />
• How LINks <strong>and</strong> <strong>CQC</strong> can share information about <strong>safeguarding</strong> concerns.<br />
• Examples of LINks <strong>and</strong> <strong>CQC</strong> working together on <strong>safeguarding</strong> issues.<br />
• Learning for Healthwatch.<br />
Key messages<br />
LINks play a key role in identifying concerns about people’s safety <strong>and</strong> sharing these<br />
with local <strong>and</strong> national bodies who can act to stop poor care.<br />
The first contact for sharing <strong>safeguarding</strong> concerns is with the local authority. The<br />
local authority <strong>safeguarding</strong> team has the primary coordinating responsibility for the<br />
<strong>safeguarding</strong> of people using services. It helps to also inform <strong>CQC</strong> of <strong>safeguarding</strong><br />
concerns, so we can take any regulatory action needed as soon as possible.<br />
There are a number of examples of LINks sharing <strong>safeguarding</strong> concerns (mainly in<br />
adult social care) with <strong>CQC</strong> that have led to action. These have included immediate<br />
responsive inspections, using information to inform our planned inspection, <strong>and</strong><br />
helping our work with the local authority to coordinate local concerns about care.<br />
LINks are encouraged to also share concerns they have about people’s experiences<br />
of being detained under the Mental Health Act 1983 <strong>and</strong> where there are concerns<br />
<strong>LINKs</strong> <strong>and</strong> <strong>CQC</strong> working together – 3: Working together where we have concerns for people’s safety 2
about the use of the Deprivation of Liberty Safeguards. Any wider use of restrictive<br />
practices in mental health services <strong>and</strong> services for people with a learning disability<br />
should also be shared with <strong>CQC</strong> as soon as possible.<br />
Partnership working between the LINk, the local authority, the police <strong>and</strong> <strong>CQC</strong> is key<br />
to effective action on <strong>safeguarding</strong> concerns. LINks who are directly involved in local<br />
<strong>safeguarding</strong> boards <strong>and</strong> meet jointly with the local authority <strong>and</strong> <strong>CQC</strong> can work<br />
more effectively to help ensure concerns are acted upon.<br />
LINks need regular feedback on <strong>CQC</strong> <strong>and</strong> local authority responses to <strong>safeguarding</strong><br />
alerts or concerns, <strong>and</strong> assurance that the information they have shared has been<br />
considered <strong>and</strong> acted upon where necessary. This includes responses to both<br />
named <strong>and</strong> anonymous concerns.<br />
<strong>CQC</strong>’s approach to <strong>safeguarding</strong><br />
“Safeguarding is the responsibility of whole communities <strong>and</strong> depends on the<br />
everyday vigilance of everyone who plays a part in the lives of children <strong>and</strong><br />
adults in vulnerable situations to ensure that people are kept as safe from<br />
harm as possible.” (<strong>Care</strong> <strong>Quality</strong> <strong>Commission</strong>, Our <strong>safeguarding</strong> protocol: The<br />
<strong>Care</strong> <strong>Quality</strong> <strong>Commission</strong>’s responsibility <strong>and</strong> commitment to <strong>safeguarding</strong>,<br />
<strong>CQC</strong> 2012.)<br />
Safeguarding means protecting people’s health, wellbeing <strong>and</strong> human rights, <strong>and</strong><br />
enabling them to live free from harm, abuse <strong>and</strong> neglect. It is fundamental to creating<br />
high-quality health <strong>and</strong> social care.<br />
<strong>CQC</strong>’s <strong>safeguarding</strong> protocol explains <strong>CQC</strong>’s role in the <strong>safeguarding</strong> process <strong>and</strong><br />
how we work with other agencies. It sets out the importance of the relationship with<br />
LINks as a route for information sharing about <strong>safeguarding</strong> issues.<br />
<strong>CQC</strong> will not tolerate care which fails to meet the expected st<strong>and</strong>ards of quality <strong>and</strong><br />
safety we regulate. We use our enforcement powers to stamp out poor practice<br />
where we find it. Any form of abuse, harm or neglect is unacceptable <strong>and</strong> should not<br />
be tolerated by the provider, the staff, the regulators or by members of the public.<br />
<strong>CQC</strong>’s role is to reduce the risk of abuse from occurring in the first place; dealing<br />
with incidents when they do occur, <strong>and</strong> supporting people afterwards. We protect<br />
<strong>and</strong> promote the rights of people who use health <strong>and</strong> social care services.<br />
Our primary role is to make sure providers have appropriate systems in place to<br />
safeguard people who use the service <strong>and</strong> that those systems are implemented <strong>and</strong><br />
followed in practice.<br />
<strong>LINKs</strong> <strong>and</strong> <strong>CQC</strong> working together – 3: Working together where we have concerns for people’s safety 3
Outcomes 7-11 of the government st<strong>and</strong>ards of quality <strong>and</strong> safety set out what<br />
providers should do to make sure that people who use the service, members of staff,<br />
<strong>and</strong> those who visit are as safe as they can be <strong>and</strong> that risks are assessed <strong>and</strong><br />
managed appropriately. The outcomes focus on:<br />
• What the provider needs to do to ensure the human rights <strong>and</strong> dignity of people<br />
are respected.<br />
• How they should identify <strong>and</strong> respond when people are in vulnerable situations.<br />
• What the provider should do to make sure that the premises <strong>and</strong> equipment they<br />
use to provide care, treatment <strong>and</strong> support are safe <strong>and</strong> suitable.<br />
More information about the st<strong>and</strong>ards we inspect can be found at:<br />
www.cqc.org.uk/public/what-are-st<strong>and</strong>ards/government-st<strong>and</strong>ards<br />
Effective <strong>safeguarding</strong> also requires providers to meet a range of the other st<strong>and</strong>ards<br />
we inspect, for example:<br />
• Robust recruitment <strong>and</strong> vetting processes for staff.<br />
• Having enough well trained, competent <strong>and</strong> supported staff.<br />
• Providing effective <strong>and</strong> appropriate treatment.<br />
• Having systems in place that allow people who use services <strong>and</strong> their<br />
representatives to feedback concerns.<br />
• Ensuring that people using the service are respected <strong>and</strong> as fully involved as<br />
possible in their care <strong>and</strong> support.<br />
<strong>CQC</strong> may be involved locally in information sharing, <strong>safeguarding</strong> strategy meetings,<br />
local <strong>safeguarding</strong> boards <strong>and</strong> serious case reviews. Local <strong>CQC</strong> managers maintain<br />
regular contact with the <strong>safeguarding</strong> leads within their local authority areas.<br />
Where we are considering or taking regulatory action, <strong>CQC</strong> shares all relevant<br />
information with the local <strong>safeguarding</strong> partnership on a regular basis. This is the<br />
multi-agency team who are responding to the <strong>safeguarding</strong> incident. We will also<br />
pass <strong>safeguarding</strong> information on in a timely manner to the local authority <strong>and</strong>/or the<br />
police.<br />
Safeguarding <strong>and</strong> monitoring the Mental Health Act 1983<br />
<strong>CQC</strong> monitors the use of the Mental Health Act 1983 to protect the interests of<br />
people whose rights are restricted under the Act. We do this in three main ways:<br />
• Mental Health Act commissioners, who visit patients detained in hospital <strong>and</strong><br />
meet with them in private to find out about their experiences <strong>and</strong> ensure that their<br />
care <strong>and</strong> treatment complies with the Mental Health Act <strong>and</strong> the Mental Health<br />
Act Code of Practice.<br />
• Thematic reviews or visits to focus on specific aspects of the Mental Health Act.<br />
<strong>LINKs</strong> <strong>and</strong> <strong>CQC</strong> working together – 3: Working together where we have concerns for people’s safety 4
• A discretionary role in investigating complaints from patients subject to the Mental<br />
Health Act.<br />
<strong>CQC</strong> also provides the Second Opinion Appointed Doctor (SOAD) service under the<br />
Mental Health Act. SOADs visit detained patients in specific circumstances, defined<br />
by the Mental Health Act, to provide a second opinion on prescribed medical<br />
treatment.<br />
Monitoring the Mental Capacity Act 2005 Deprivation of Liberty<br />
Safeguards<br />
<strong>CQC</strong> also has a duty to monitor the operation of the Mental Capacity Act 2005<br />
Deprivation of Liberty Safeguards (DoLS). We are developing our approach to<br />
monitoring this relatively recent legislation. We currently do this in three main ways:<br />
• Compliance inspectors talk to individuals subject to DoLS <strong>and</strong> to the staff caring<br />
for them as part of their inspections of care homes <strong>and</strong> hospitals.<br />
• We are piloting a process for obtaining information from supervisory bodies<br />
through interviews <strong>and</strong> data collection. Supervisory bodies (local authorities <strong>and</strong><br />
PCTs) are responsible for the management <strong>and</strong> quality assurance of the DoLS<br />
system in their area.<br />
• We conduct an annual review to compare the notifications we receive about<br />
people subject to DoLS with data sent to the national NHS <strong>and</strong> Social <strong>Care</strong><br />
Information Centre. This is to identify variations in the use of DoLS between<br />
regions.<br />
<strong>CQC</strong> <strong>and</strong> Ofsted joint inspections – <strong>safeguarding</strong> children<br />
From June 2013, we will begin our new joint inspection programme of child<br />
protection arrangements. These inspections will be carried out over three years <strong>and</strong><br />
will look at the multi-agency arrangements for the protection of children in all local<br />
authority areas around Engl<strong>and</strong>. <strong>CQC</strong>'s role will focus on the contribution of health to<br />
child protection arrangements.<br />
How LINks <strong>and</strong> <strong>CQC</strong> can share information<br />
about <strong>safeguarding</strong> concerns<br />
Sharing the <strong>safeguarding</strong> concern<br />
LINks should share <strong>safeguarding</strong> concerns with their local authority <strong>safeguarding</strong><br />
team as soon as possible after identifying the concern, <strong>and</strong> the police where<br />
necessary. It is the local authority <strong>and</strong> the police, who have the primary responsibility<br />
for the <strong>safeguarding</strong> of people using services. The <strong>safeguarding</strong> team <strong>and</strong>/or the<br />
police will pass any <strong>safeguarding</strong> concerns to <strong>CQC</strong> if they relate to services we<br />
regulate.<br />
<strong>LINKs</strong> <strong>and</strong> <strong>CQC</strong> working together – 3: Working together where we have concerns for people’s safety 5
It is also helpful if LINks share the concern with <strong>CQC</strong> – either by ringing 03000<br />
616161 or contacting your local <strong>CQC</strong> contact. If there is more than one local<br />
manager in your LINk’s local authority area, you need to share the information with<br />
the manager responsible for the area in which the concern is identified. This will help<br />
us to identify as soon as possible whether we need to take any action in our own<br />
right. We will always do this in cooperation with other key local agencies including<br />
the local authority <strong>and</strong> the police where necessary.<br />
If your LINk happens to share a <strong>safeguarding</strong> concern with <strong>CQC</strong> before the local<br />
authority is alerted, the LINk should also inform the local authority as soon as<br />
possible. <strong>CQC</strong> will also check the authority is aware of the concern, <strong>and</strong> consider<br />
what action we may need to take, if any.<br />
Anonymous concerns<br />
Your LINk may share <strong>safeguarding</strong> concerns which identify the person who provided<br />
the information. In other cases, the person or people may wish to remain<br />
anonymous. In either case, it is important that you share the information with the<br />
local authority in the first instance, <strong>and</strong> then with <strong>CQC</strong>.<br />
You can also inform people who contact the LINk with concerns about care that they<br />
can ring <strong>CQC</strong> directly on 03000 616161. <strong>CQC</strong> will take them through a series of<br />
steps to discuss their information <strong>and</strong> whether they remain anonymous.<br />
H<strong>and</strong>ling <strong>safeguarding</strong> concerns<br />
<strong>CQC</strong> manages <strong>safeguarding</strong> information from NHS <strong>and</strong> social care services in the<br />
same way. We also have a process for dealing specifically with whistleblowing,<br />
where the information we receive is from a person actually working in a regulated<br />
service. We have information about whistleblowing on our website at:<br />
www.cqc.org.uk/sites/default/files/media/documents/20120117_whistleblowing_quick<br />
_guide_final_0.pdf<br />
Wherever the information comes from, we identify the information as either a<br />
<strong>safeguarding</strong> alert or a <strong>safeguarding</strong> concern. A <strong>CQC</strong> <strong>safeguarding</strong> alert is where<br />
<strong>CQC</strong> is the first agency receiving the information <strong>and</strong>/or there is a need for <strong>CQC</strong> to<br />
take immediate action. The inspector responds on the same working day <strong>and</strong> the<br />
local council is informed.<br />
A <strong>CQC</strong> <strong>safeguarding</strong> concern is other <strong>safeguarding</strong> information where <strong>CQC</strong> is not<br />
the first agency to receive this information. There may be no need for us to take<br />
immediate regulatory action. We will assess the risk identified <strong>and</strong> decide if we need<br />
to take action. Safeguarding concerns are responded to within two working days of<br />
receipt of the information – in other words, the risk is assessed in this time.<br />
<strong>LINKs</strong> <strong>and</strong> <strong>CQC</strong> working together – 3: Working together where we have concerns for people’s safety 6
<strong>CQC</strong> will give the LINk feedback when it is possible to do so, about our response to<br />
the concern. It may not be possible to provide feedback for a period of time, if action<br />
is being taken against a service or an individual or individuals. Our inspection reports<br />
will also indicate if we have used <strong>safeguarding</strong> information to inform or direct the<br />
inspection.<br />
Examples of LINks <strong>and</strong> <strong>CQC</strong> working together<br />
on <strong>safeguarding</strong> issues<br />
“A concern was raised by a LINk about an adult social care service; this was<br />
dealt with by the inspector for this service <strong>and</strong> the local authority team. We<br />
worked together to help ensure good outcomes for people.”<br />
(<strong>CQC</strong> manager)<br />
East Sussex LINk<br />
The LINk has been developing protocols for sharing <strong>and</strong> following up <strong>safeguarding</strong><br />
concerns with the local authority <strong>and</strong> <strong>CQC</strong>. It bases its work on the multi-agency<br />
policy on dealing with <strong>safeguarding</strong> issues. It attends the local <strong>safeguarding</strong> group<br />
meetings <strong>and</strong> the <strong>Quality</strong> Monitoring Team to feed into commissioning issues.<br />
It has been working through specific examples of <strong>safeguarding</strong> concerns it has<br />
received <strong>and</strong> tracking the LINk process for managing them, <strong>and</strong> getting feedback on<br />
what has happened as a result.<br />
For example, the LINk received information from a potential employee of a care<br />
home who identified concerns during a visit to the service about manual h<strong>and</strong>ling of<br />
residents; poor use of equipment; staffing levels <strong>and</strong> the use of agency staff; nutrition<br />
<strong>and</strong> the training of staff in food hygiene. The information was shared with the local<br />
<strong>safeguarding</strong> team <strong>and</strong> with <strong>CQC</strong>. The whistleblower wished to remain anonymous.<br />
As a result of this example, the LINk has been exploring how different agencies can<br />
respond to alerts from the LINk, where there is no named individual connected to the<br />
<strong>safeguarding</strong> alert.<br />
In another example, the LINk identified concerns about the use of restrictive<br />
practices in a care home. A resident was blocked into their bed with chairs. The LINk<br />
raised their concerns with the service, the local authority <strong>and</strong> <strong>CQC</strong>.<br />
The LINk has worked with the local authority to ensure its enter <strong>and</strong> view volunteers<br />
receive <strong>safeguarding</strong> training <strong>and</strong> have an underst<strong>and</strong>ing of DoLS <strong>and</strong> the Mental<br />
Capacity Act. A LINk volunteer explained:<br />
“It makes so much difference having this training, so that when we do a visit,<br />
we feel we can spot a concern if we see one.”<br />
Contact: Elizabeth.mackie@thecountylink.net<br />
<strong>LINKs</strong> <strong>and</strong> <strong>CQC</strong> working together – 3: Working together where we have concerns for people’s safety 7
Lincolnshire LINk<br />
The LINk has direct contact with the <strong>safeguarding</strong> board <strong>and</strong> with <strong>CQC</strong> about<br />
<strong>safeguarding</strong> issues. It has worked with <strong>CQC</strong> to establish its role on the local<br />
<strong>safeguarding</strong> information sharing board <strong>and</strong> attends this meeting. It has raised a<br />
concern about a local residential care provider <strong>and</strong> shared this with the <strong>safeguarding</strong><br />
board <strong>and</strong> <strong>CQC</strong>, which has used the information to inform inspection activity.<br />
The <strong>safeguarding</strong> <strong>and</strong> DoLS team in the county have worked with the LINk to<br />
contribute to LINks enter <strong>and</strong> view training.<br />
The LINk has agreed a Working Practices Protocol with <strong>CQC</strong> which includes what<br />
the LINk will do if it identifies a concern about care. The LINk may not investigate a<br />
concern further itself, but to follow the agreed pathway below to ensure that the<br />
legal, monitoring <strong>and</strong> enforcement procedures are followed.<br />
Lincolnshire LINk’s Pathway for Responding to a Report of Concern<br />
Note: if undertaking a<br />
visit at the time of the<br />
concern, please<br />
continue the visit <strong>and</strong><br />
follow the procedures<br />
immediately after the<br />
visit.<br />
Enter & View SOURCE General Public<br />
LINk Chair<br />
Log the issue<br />
with LINk HOST<br />
Contact: Nicola Tallent, Nicola.Tallent@shaw-trust.org.uk<br />
Immediately Report Issue or Concern to<br />
LINk HOST<br />
LINk host contact details here<br />
Safeguarding – Not Your Decision – Make the Call<br />
Make a Safeguarding ALERT – telephone no. here<br />
<strong>CQC</strong> Named<br />
LINk Contact<br />
<strong>Quality</strong><br />
Assurance<br />
What will happen? The Issue will be assessed <strong>and</strong> a level of urgency agreed<br />
<strong>and</strong> action taken. Feedback as to the action taken should be given to the<br />
LINk, For Example. An immediate visit was made, or a visit had been<br />
scheduled.<br />
<strong>LINKs</strong> <strong>and</strong> <strong>CQC</strong> working together – 3: Working together where we have concerns for people’s safety 8
Devon LINk<br />
Devon LINk has been developing its use of enter <strong>and</strong> view, working closely with the<br />
local <strong>CQC</strong> manager <strong>and</strong> the local authority. A training session delivered by the<br />
Devon <strong>safeguarding</strong> team on the local authority’s <strong>safeguarding</strong> procedures now<br />
forms part of the training package for LINk authorised representatives.<br />
The LINk was alerted to a <strong>safeguarding</strong> concern by a participant. The concern<br />
related to a care home for people with dementia. The front door of the care home<br />
was being left open <strong>and</strong> on at least one occasion a resident had w<strong>and</strong>ered out of the<br />
home without staff knowledge. The local authority was alerted to the issue <strong>and</strong> the<br />
LINk shared the information with <strong>CQC</strong>. As part of the response, <strong>CQC</strong> undertook a<br />
responsive inspection <strong>and</strong> the information was used in the <strong>CQC</strong> inspection report of<br />
the service <strong>and</strong> informed <strong>CQC</strong> action.<br />
Contact: Lorna Davis, lorna.davis@edvsa.org.uk<br />
A number of other LINks have raised concerns about individual care homes as a<br />
result of visits or feedback from local people – including Kensington <strong>and</strong> Chelsea,<br />
Sefton <strong>and</strong> East Riding of Yorkshire LINks. This information has been used by <strong>CQC</strong><br />
in various ways – including undertaking a responsive review to the home, feeding<br />
into <strong>CQC</strong> inspectors’ risk assessment prior to a planned inspection, <strong>and</strong> helping to<br />
direct the focus of inspections.<br />
Learning for Healthwatch<br />
Healthwatch can take the following steps to ensure it is well placed to manage<br />
<strong>safeguarding</strong> concerns:<br />
• Underst<strong>and</strong> the local <strong>safeguarding</strong> protocol in the local authority, the police <strong>and</strong><br />
<strong>CQC</strong>’s <strong>safeguarding</strong> protocol <strong>and</strong> whistleblowing procedures.<br />
• Establish Healthwatch’s relationship with the local <strong>safeguarding</strong> team <strong>and</strong> its role<br />
on the local <strong>safeguarding</strong> board.<br />
• Develop a Healthwatch <strong>safeguarding</strong> protocol, liaising with the local authority,<br />
police <strong>and</strong> <strong>CQC</strong>.<br />
• Develop a st<strong>and</strong>ard package for volunteers about what <strong>safeguarding</strong> means, <strong>and</strong><br />
more detailed guidance for authorised representatives on <strong>safeguarding</strong> alerts <strong>and</strong><br />
protocols for action during visits.<br />
• Agree with the local authority how training will be provided for Healthwatch staff<br />
<strong>and</strong> volunteers on <strong>safeguarding</strong>. This should include adult <strong>and</strong> children<br />
<strong>safeguarding</strong> issues, DoLS, people’s rights when detained under the Mental<br />
Health Act 1983 <strong>and</strong> the use of the Mental Capacity Act 2005.<br />
• Agree with <strong>CQC</strong>’s local manager how Healthwatch is given feedback on<br />
<strong>safeguarding</strong> concerns it raises.<br />
<strong>LINKs</strong> <strong>and</strong> <strong>CQC</strong> working together – 3: Working together where we have concerns for people’s safety 9
Further information<br />
• Our <strong>safeguarding</strong> protocol: The <strong>Care</strong> <strong>Quality</strong> <strong>Commission</strong>’s responsibility <strong>and</strong><br />
commitment to <strong>safeguarding</strong> (at www.cqc.org.uk/public/what-arest<strong>and</strong>ards/<strong>safeguarding</strong>-people)<br />
• Deprivation of liberty safeguards – annual monitoring reports <strong>and</strong> guidance are<br />
available at www.cqc.org.uk<br />
• A guide for LINks: How LINks can work with the <strong>Care</strong> <strong>Quality</strong> <strong>Commission</strong> (June<br />
2011) available free to order or download at www.cqc.org.uk<br />
• Healthwatch Engl<strong>and</strong> at www.healthwatch.co.uk<br />
<strong>LINKs</strong> <strong>and</strong> <strong>CQC</strong> working together – 3: Working together where we have concerns for people’s safety 10