Fulcrum Care

Care home management, CQC compliance, staff prompt cards, care home consulting, care home management support, nursing home management, nursing home consulting, nursing home management support, CQC mock inspections, Care home compliance, nursing home compliance.

Home Glossary of Terms

Adult social care

Care and support for adults who need extra help to manage their lives and be independent – including older people, people with a disability or long-term illness, people with mental health problems, and carers.

Advance decision

A decision to refuse specified medical treatment, made in advance by a person who has the mental capacity to do so. In this way, people can refuse medical treatment for a time in the future when they may lack the capacity to consent to, or refuse, that treatment.

Assisted living

Housing for older or disabled people, usually privately owned, where you have your own apartment within a larger development, and support (such as help with meals or laundry) is provided to meet your own particular needs.


A thorough examination or evaluation.


The ability by someone to make a specific decision for himself or herself in a given situation. It is assumed that anyone aged 16 or over has capacity unless proven otherwise.

Care home

A home that you live in with other people, with staff providing care and support. The home provides you with your own room, meals and personal care and my be run by a charity or local council.

Care plan

A written plan after you have had an assessment, setting out what your care and support needs are, how they will be met (including what you or anyone who cares for you will do) and what services you will receive.


A carer is someone who looks after their family, partners or friends because they are ill, frail, or have a disability.

Care records

Information about you that is collected and kept by organizations that assess your needs and provide care and support services. Your records include basic personal details such as your name, address, date of birth, close relatives and carers, as well as information about your health and ability to carry out activities of daily living.


The application of the required level of knowledge and skills to a particular task. In applying these, a person demonstrates that they understand and use the required level of knowledge and skills.


An expression of dissatisfaction with something relating to an aspect of a person’s care, treatment or support.


Meeting or conforming with defined requirements.


A person’s agreement to, or permission for, a proposed action, particularly any form of examination, care, treatment, or support.

Care Quality Commission (CQC)

An organisation set up by the Government to make sure that all hospitals, care homes, dentists, GPs and home care agencies in England provide care that is safe, caring, effective, responsive and well-led.


Dignity is concerned with how people feel, think and behave in relation to the worth or value that they place on themselves and others.


This means that people’s care, treatment and support achieves good outcomes, promotes a quality of life and is based on the best available evidence.


In the state of having paid work.

Enforcement Action

If the care provided by a service harms people or puts people at risk of harm, enforcement action will be taken to protect them, including civil enforcement action and criminal enforcement action.

Financial assessment

A discussion that your council may have with you to work out how much you can afford to pay towards the care and support you need.


The service is performing well and meeting our expectations.


The service is performing badly and we’ve taken action against the service or organisation that runs it.


Freedom from the control or influence of others.

Key worker

A person who acts as a single point of contact for you, helps coordinate your care and can give you information and advice.


A substance administered for the purpose of modifying, controlling, treating or diagnosing a medical condition, disease or illness.

Mental Health

A person’s ability to manage and cope with the stresses and challenges of life.


The failure to meet a persons basic physical and/or psychological needs.

Next of kin

Your closest relative by marriage or blood. The person who is your next of kin does not have any automatic legal rights to make decisions for you.

Nominated Individual

A person’s whose name has been nominated by CQC as someone who is responsible for supervising the management of that body.


The service is performing exceptionally well.

Palliative Care

The active, holistic care of people who use services who have advanced progressive illness. The goal of palliative care is to achieve the best quality of life for people who use services and their families.


This is when the person using the service leads, with choice being the defining principle in relation to the care or treatment provided to meet their particular needs and preferences.


Putting the person who uses services at the centre of their care, treatment and support, ensuring that everything that is done is based on what is important to that person from their own perspective.


The point at which you make contact with your local council and a decision is made about whether a full assessment is necessary.


To respect a person’s privacy is to recognise when they wish and need to be alone (or with family or friends), and be protected from others looking at them or overhearing their conversations as well as personal information.


An individual person, partnership or organisation registered with CQC to carry on one or more regulated activities.


A formal written report or statement of facts, events or information, usually collected over a fairly long period. The act of maintaining individual records is called recording.

Registered Person

A person who is the registered provider or registered manger in respect of one or more regulated activities.

Requires Improvement

The service is not performing as well as it should and we have told the service how they can improve.


When you receive a re-assessment of your needs and you and the people in your life look at whether the services you are receiving are meeting your needs and helping you achieve your chosen outcomes.

Risk assessment

The process of identifying all the risks to and from an activity assessing the potential impact of each risk.


People being protected from abuse and possible harm.


Ensuring that people live free from harm, abuse and neglect and, in doing so, protecting their health, wellbeing and human rights. Children, and adults in vulnerable situations, need to be safeguarded. For children, safeguarding work focuses more on care and development; for adults on independence and choice.

Social care

In relation to CQC, this is core provided for, and mainly for, people over the age of eighteen in England. This is commonly known as adult social care


The entire group of people employed for the purposes of carrying on a regulated activity.


Supervision is the regular, contact between a supervisor and a social care worker in which to monitor and reflect on practice; review and prioritise work with individuals; provide guidance and support and identify areas of work that need development.

Support plan

A plan you develop that says how you will spend your personal budget to get the life you want.


Being in a position where you have good physical and mental health, control over your day-to-day life, good relationships, enough money, and the opportunity to take part in the activities that interest you.


The leadership, management and governance of the organisation assures the delivery of high-quality person-centred care, supports learning and innovation, and promotes an open and fair culture.