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What should a care provider do when a service receives a Requires Improvement or Inadequate rating?The priority is not s...
07/09/2026

What should a care provider do when a service receives a Requires Improvement or Inadequate rating?

The priority is not simply to respond to the inspection findings.

It is to understand what has gone wrong, address the immediate risks and help the service get back to delivering the standard of care people deserve every day.

That can mean strengthening governance, leadership, care planning, staffing, clinical oversight and risk management, often while the management team is already under significant pressure.

Fulcrum Care’s experienced consultants support providers through that process, combining practical care management, regulatory knowledge and service improvement expertise.

The focus is on stabilising the service, supporting the team and embedding changes that lead to safer, better care.

Find out more about our Managed Turnaround & Compliance Recovery support: https://fulcrumcareconsulting.com/managed-services/turnaround-and-compliance-recovery/

04/09/2026

Social care does not have a shortage of conversations about reform.

It has a shortage of lasting solutions.

In this Pivotal Perspectives conversation, David Jones reflects on a challenge the sector has been grappling with for years: how we create a health and social care system that is properly funded, sustainable and fit for the future.

“That needs fixing.”

It is a simple statement, but one that captures a much bigger issue.

Short-term interventions can relieve immediate pressure, but they do not necessarily address the structure underneath it. If the same challenges continue to return, the question becomes whether we need to think differently about the model itself.

For providers, commissioners, investors and the people relying on care, long-term certainty matters.

So what would meaningful reform actually look like, and what needs to change for the sector to finally move forward?

Watch the full Pivotal People interview with David Jones speaking to Tina here: https://youtu.be/n_Y7NvIRQ0E

How old is your CQC Good rating?CQC is returning to eligible adult social care services with ageing Good ratings to conf...
04/09/2026

How old is your CQC Good rating?

CQC is returning to eligible adult social care services with ageing Good ratings to confirm whether those ratings still accurately reflect the quality of care being delivered today.

The Returning to Good programme is generally focused on services with ratings that are at least six or seven years old, and the assessment initially looks at 18 Quality Statements. It also places greater emphasis on people’s experiences, conversations and what inspectors observe in practice.

For providers, that raises an important question:

Would the service CQC sees today still support the Good rating it awarded several years ago?

Our latest article looks at who may be eligible, how the Returning to Good approach works and what providers should be considering now.

Read the full article: https://fulcrumcareconsulting.com/cqc-returning-to-good/

03/09/2026

Athena Evans, Chief Operating Officer at Fulcrum, talks about what she believes makes a mock inspection genuinely valuable for care providers.

For Athena, it is not about coming into a service simply to find faults. It is about giving leadership teams the space to step back, understand what is working well, identify where there may be risk and see what needs attention before those issues become harder to manage.

That practical and supportive approach helps turn inspection findings into actions that can actually be implemented, giving providers greater clarity and confidence about what needs to happen next.

We’re attending the Healthcare Summit 2026On 22 September, the Fulcrum team will be at the Healthcare Summit in London, ...
03/09/2026

We’re attending the Healthcare Summit 2026

On 22 September, the Fulcrum team will be at the Healthcare Summit in London, speaking with care operators, owners and investors about the operational challenges that can affect care assets.

For many owners and investors, the challenge is not simply identifying that a service is under pressure. It is understanding what is driving that pressure, whether the current management structure can address it and what level of intervention may be needed.

This is where Managed Assets can play an important role. By bringing in hands-on operational management and stronger oversight, it can help stabilise services, improve accountability and give stakeholders a clearer view of performance while longer-term decisions are considered.

You’ll find Laura Coupe, Fabio Cecchi, Danielle and Adin on Stand 18, throughout the day, bringing expertise across Managed Assets, commercial performance, service transformation and wider care consultancy support.

If you’re attending, come and speak to the team about the challenges or opportunities within your service or portfolio.

📅 22 September 2026
📍 Business Design Centre, London
📌 Stand 18

Find out more about the Healthcare Summit: https://healthcare-summit.co.uk/

Setting up a new care service involves a significant amount of planning, and CQC registration is one of the areas where ...
03/09/2026

Setting up a new care service involves a significant amount of planning, and CQC registration is one of the areas where getting the detail right matters.

Alongside recruitment, premises and operational planning, providers need to make sure their application, governance arrangements, policies and leadership structure all demonstrate that the service is ready to operate safely and effectively.

From experience, we know this is where delays and complications can arise, particularly when several parts of the service are being developed at the same time.

Fulcrum Care supports providers throughout the registration process, helping with documentation, governance, interview preparation and the practical requirements behind the application.

If you are preparing to register a new service with CQC, our team can provide experienced support throughout the process.

Find out more about our CQC Registration Support: https://fulcrumcareconsulting.com/cqc-registration-support/

Completing an action plan does not necessarily mean improvement has been embedded.Providers need to be able to show that...
02/09/2026

Completing an action plan does not necessarily mean improvement has been embedded.

Providers need to be able to show that changes have translated into day-to-day practice, that staff understand what is expected and that records accurately reflect the care being delivered.

Follow-up assurance is particularly important in complex care, where inconsistency between teams, shifts or individual support approaches can quickly undermine progress.

Fulcrum Complex Care supports providers beyond the initial review, helping teams implement actions, test whether improvements are working and build stronger evidence of sustained change.

Most care providers already know where the pressure points are.The challenge is finding the time and capacity to deal wi...
01/09/2026

Most care providers already know where the pressure points are.

The challenge is finding the time and capacity to deal with them properly while still running the service every day.

That is often when manageable issues start to become embedded.

A backlog of audits. Actions rolling into next month. Training that needs chasing. Care plans waiting for review. Recruitment pressures. Compliance work competing with day-to-day operations.

None of these problems necessarily starts as a crisis.

But when management teams are already stretched, they can quickly become one.

FCML works directly within services to help providers prioritise what matters, implement improvements and make sure they are sustained, rather than simply adding another action plan to the list.

Sometimes the issue is not knowing what needs to be done.

It is having the time, structure and support to get it done.

FCML can provide the hands-on support needed to implement and sustain meaningful change: https://fulcrumcareconsulting.com/fulcrum-care-management-ltd/

You’ve submitted your CQC registration application. What happens next?Submitting the application is a major step, but it...
31/08/2026

You’ve submitted your CQC registration application. What happens next?

Submitting the application is a major step, but it is not the end of the registration process.

CQC will still need to assess whether the proposed provider, registered manager and service can meet the relevant regulatory requirements. That can involve further questions, requests for supporting information, interviews and, in some cases, a visit to the proposed premises.

Providers therefore need to be ready to explain what sits behind the application, including how quality will be monitored, how risks will be escalated, who holds responsibility for key areas and how governance arrangements will work in practice.

Our latest guide looks at what can happen after submission and how providers can prepare for the next stages of the CQC registration process.

What Happens After You Submit a CQC Registration Application?

Read the guide: https://fulcrumcareconsulting.com/after-submitting-cqc-registration-application/

28/08/2026

What if the biggest opportunity for technology in care is not the technology itself, but the time it gives back?

Michael Outmezguine explores exactly that in this Pivotal Perspectives conversation, looking at how digital systems can reduce administrative pressure and create more space for meaningful human interaction.

Because every minute saved on unnecessary processes is time that can be spent with residents.

Time to listen.
Time to talk.
Time to provide better care.

The challenge is making sure technology genuinely supports care teams, rather than simply giving them another system to manage.

So, as digital transformation continues across social care, there is a bigger question to consider:

Are we using technology to make care more efficient, or to make more time for care itself?

Watch the full Pivotal People interview with Michael Outmezguine here: https://youtu.be/0Gmt1nJpyUE

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