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CQC’s learning from safety incidents series

When something goes wrong in health and social care, the people affected and staff often say, "I don’t want this to happen to anyone else." The Care Quality Commission’s (CQC) 'Learning from safety incidents' resources are designed to do just that.

These short and very useable resources describe a critical issue: what happened, what CQC and the provider have done about it, and the steps providers and people working in health and care can take to avoid it happening in their service.

The latest issue focuses on promoting sexual safety. It describes a recent prosecution of a care home provider and a registered manager for failing to protect a resident from avoidable harm.

Other issues include:

  • Unsafe use of bed rails (Issue 2)
  • Caring for people at risk of choking (Issue 6)
  • Falls from windows (Issue 7)
  • Medicines management (Issue 9)

A great set of resources to use in a team meeting. Check them out here Learning from safety incidents - Care Quality Commission.