RUN · ASSURE · IMPROVE

Governance, Regulation 45 & Quality Assurance

Stronger governance. Better oversight. Continuous assurance.

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Independent assurance that strengthens your service

Strong services need more than policies and audits. They need effective leadership, clear accountability, reliable quality assurance and governance systems that identify risk early, before it becomes a regulatory concern.

Team Care Compliance provides independent quality, compliance and governance support to CQC and Ofsted-regulated organisations, from individual services to growing and multi-site providers. We work alongside your organisation to maintain standards, strengthen oversight, evidence quality and support continuous improvement.

From independent audits and governance reviews to an embedded Quality Assurance Lead or ongoing external governance partner, support adds the expertise and oversight needed to remain compliant, well-led and inspection-ready.

At a Glance

Independent Assurance
Objective review of governance, compliance, quality and organisational risk for individual services and growing providers.
Quality Assurance
Independent audits, compliance monitoring, evidence sampling and quality reviews that test actual practice, identify gaps and strengthen standards.
Governance & Oversight
Structured governance systems, reporting, action tracking, risk management and senior leadership assurance.
Quality Assurance Leads
Experienced quality professionals working within your organisation on a flexible, interim or ongoing basis to provide dedicated leadership and compliance oversight.
Multi-Service Assurance
Centralised governance and quality oversight across services, locations and management teams, strengthening consistency, visibility and assurance.
Flexible On-Site & Remote Support
Remote, on-site or blended support tailored to your organisation, regulator, service model and level of risk and need.

Our Governance & Quality Assurance Services

The following capabilities are scoped around your organisation. They are not automatic aliases for, or additional inclusions in, existing priced inspection, Intensive or Partnership offers.

Governance & Leadership Review — know where your organisation stands

An independent review of whether your governance arrangements effectively identify risk, monitor quality and hold leaders and services accountable.

Our review can include the following areas.

Best suited for: Providers, Directors and senior leadership teams wanting independent assurance that governance arrangements are effective and regulatory risks are being identified.

  • Leadership and management effectiveness
  • Governance structures
  • Roles and accountability
  • Risk management
  • Quality assurance systems
  • Audit effectiveness
  • Safeguarding governance
  • Incidents, complaints and concerns
  • KPI and performance monitoring
  • Service Improvement Plans
  • Management and governance meetings
  • Regulatory compliance oversight
  • Evidence of learning and improvement
  • Written findings and prioritised recommendations
Compliance Audits & Independent Quality Assurance — go beyond the checklist

Our compliance audits test the evidence behind systems, records and practice to establish whether expected standards are actually being implemented. Areas can include the following.

Best suited for: Providers wanting an independent compliance health check, additional QA capacity or assurance across one or multiple services.

  • Care and support plans
  • Risk assessments
  • Medicines management
  • Safeguarding
  • MCA and consent
  • Restrictive practice
  • Incidents and accidents
  • Complaints and concerns
  • Safer recruitment
  • Staff training and competencies
  • Supervision and appraisal
  • Workforce compliance
  • Policies and procedures
  • Regulatory notifications
  • Service-user feedback
  • Quality monitoring
  • Evidence sampling
  • RAG-rated findings and actions
Regulation 44 Independent Visits

Independent scrutiny and constructive challenge help providers understand what is working well and where improvement is required. Support can include the following areas.

Visits can be commissioned individually or through an ongoing monthly arrangement, with continuity to monitor progress and recurring themes.

Regulation 44 is distinct from Responsible Individual oversight. An RI cannot act as the independent Regulation 44 visitor for a home they oversee.

  • Independent on-site visits
  • Safeguarding arrangements and significant incidents
  • Children's wishes, feelings, experiences and outcomes
  • Complaints, concerns and notifications
  • Discussions with staff, management and relevant professionals
  • Review of records and care practice
  • Environment and health and safety observations
  • Leadership and management oversight
  • Recognition of strengths and good practice
  • Identification of concerns and emerging risks
  • Clear actions and recommendations
  • Formal Regulation 44 reporting
  • Follow-up of previous actions and recurring themes
Regulation 45 Quality of Care Reviews

Support for Registered Managers and Responsible Individuals with the provider's Quality of Care Review, bringing together evidence of children's experiences, outcomes and meaningful improvement. Support can include the following areas.

Available as six-monthly review support or alongside separately agreed ongoing governance and quality assurance consultancy. This is not the independent visitor function.

  • Regulation 45 review preparation and evidence gathering
  • Evaluation of the quality of care provided
  • Children's wishes, feelings, experiences, progress and outcomes
  • Placement stability and outcomes
  • Education, health and emotional wellbeing
  • Feedback from children, families, professionals and other stakeholders
  • Safeguarding and incident analysis
  • Complaints, concerns and compliments
  • Behaviour support and significant-event themes
  • Regulation 44 findings and recurring themes
  • Staffing, workforce performance, training and development
  • Quality assurance, audit findings and governance oversight
  • Previous improvement actions
  • Trends, themes and emerging risks
  • Measurable improvement priorities and actions
  • Support structuring the final six-monthly Regulation 45 report
Quality Assurance Lead — Experienced quality leadership embedded within your organisation

Bring experienced quality and compliance leadership directly into your organisation without necessarily recruiting a permanent senior QA professional. Our QA Leads work alongside Registered Managers, operational leaders, Directors and internal quality teams to strengthen oversight and drive improvement.

Support can include the following, on an interim, project, monthly or longer-term basis. Embedded support is agreed around the organisation; it is not simply an external audit.

Best suited for: Growing providers, multi-service organisations, providers without an internal QA lead or organisations requiring additional senior quality capacity.

  • Dedicated quality leadership
  • Governance oversight
  • Planned audit programmes
  • Compliance monitoring
  • Service Improvement Plan oversight
  • Risk and escalation management
  • Care and support record sampling
  • Medication assurance
  • Safeguarding oversight
  • Incident and complaint analysis
  • Workforce compliance
  • Manager support and professional challenge
  • Action tracking
  • Quality reporting
  • Senior leadership assurance
  • Multi-service quality monitoring
  • Inspection readiness
Monthly Governance & Quality Partnership — continuous oversight, not just inspection preparation

Our ongoing partnerships provide independent governance and quality expertise throughout the year. Rather than waiting for inspection or a compliance problem, support helps continually monitor performance, identify emerging risks and maintain regulatory readiness.

Support can include the following. Structured six-month and twelve-month partnerships are available within agreed scope. Duration does not establish a recurring charge, attendance allowance or cancellation term.

Best suited for: Providers wanting an experienced external quality and governance partner and greater independent assurance across their organisation.

  • Scheduled governance reviews
  • Compliance monitoring
  • Audit oversight
  • Service Improvement Plan monitoring
  • Risk-register review
  • Safeguarding oversight
  • Medication assurance
  • Incident and complaint trends
  • Workforce and training compliance
  • Manager support
  • Regulatory readiness
  • Action tracking
  • Governance reporting
  • Escalation of significant concerns
  • Continuous improvement support
Clinical Governance & Assurance — specialist assurance for complex and clinical services

Additional independent scrutiny for nursing, nurse-led, healthcare and complex care services. Areas can include the following. This is governance and assurance support, not a new clinical-treatment service.

Best suited for: Nursing, nurse-led, healthcare and complex care providers requiring additional clinical governance and risk assurance.

  • Clinical governance frameworks
  • Clinical risk
  • Medicines management
  • Medication errors and learning
  • Clinical incidents
  • Patient and service-user safety
  • Clinical documentation
  • Clinical competencies
  • Delegated healthcare tasks
  • Professional accountability
  • Infection prevention and control
  • Safeguarding
  • Clinical audit
  • Lessons learned
  • Leadership assurance
Executive Governance & Due Diligence — independent assurance for better strategic decisions

Specialist review for Boards, Directors, owners, investors and organisations acquiring, expanding or restructuring regulated services. Support can include the following.

The scope concerns governance, regulatory compliance, quality and operational risk; it is not unscoped financial, legal or investment due diligence.

Best suited for: Boards, Directors, investors, acquisitions, mergers, expansion projects and organisations requiring independent executive-level assurance.

  • Board and executive governance
  • Organisational controls
  • Regulatory compliance position
  • Quality and operational risk
  • Leadership structures
  • Performance and KPI assurance
  • Safeguarding and serious incident oversight
  • Workforce and management risk
  • Multi-site governance
  • Pre-acquisition compliance due diligence
  • Expansion and new-service assurance
  • Regulatory history
  • Material risk identification
  • Executive findings and recommendations

Children's Homes Governance & Quality Assurance

Specialist governance and independent quality assurance for Ofsted-regulated children's homes. Support can include the following, within the agreed scope:

  • Regulation 44 Independent Visits
  • Regulation 45 Quality of Care Review Support
  • Children's record audits
  • Care and placement plan audits
  • Safeguarding and incident oversight
  • Safer recruitment and staff-file audits
  • Training and competency monitoring
  • RM and RI mentoring
  • Leadership and management oversight
  • Service Improvement Plan monitoring
  • Ofsted inspection readiness
  • Turnaround and improvement support
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How independent assurance works

  1. Step 1

    Discovery

    Understand the organisation, current risks and required assurance.

  2. Step 2

    Independent review

    Review governance, records, operational practice and agreed regulatory requirements.

  3. Step 3

    Findings & improvement plan

    Provide findings, prioritised recommendations and an improvement plan.

  4. Step 4

    Ongoing support

    Continue governance, mentoring or quality-assurance support where agreed.

STABILISE · RECOVER · REBUILD

Turnaround Management

When advice alone isn't enough

A regulated service experiencing significant operational, leadership or regulatory pressure may need more than a review and action plan. Our Turnaround Management service provides hands-on specialist leadership and intervention alongside owners, Directors, Registered Managers and operational teams to stabilise the service, regain control and lead structured recovery.

We support providers facing significant compliance failures, leadership instability, regulatory concerns, Requires Improvement or Inadequate ratings, commissioner concerns and services where previous improvement activity has not delivered sustainable change.

Turnaround Support — explore the full recovery scope

Depending on the circumstances and agreed scope, our specialists can support with:

  • Immediate service diagnostic
  • Regulatory and operational risk assessment
  • Service stabilisation
  • Leadership and management review
  • Governance restructuring
  • Recovery and Service Improvement Plans
  • Immediate priority actions
  • Safeguarding assurance
  • Medication governance
  • Care/support plan and risk review
  • Workforce and staffing analysis
  • Recruitment and management structures
  • Training and competency oversight
  • Incident and complaint management
  • Audit and QA implementation
  • Performance and KPI monitoring
  • Management accountability
  • Evidence tracking
  • Stakeholder engagement
  • Regulator and commissioner response support where agreed
  • Senior leadership reporting
  • Inspection and reinspection preparation
  • Transition back to the provider's leadership team

Who Is Turnaround Management For?

  • Services rated Requires Improvement or Inadequate
  • Providers facing regulatory concerns or enforcement
  • Services experiencing serious governance failures
  • Supported living services requiring operational recovery
  • Residential care services experiencing quality concerns
  • Domiciliary care providers requiring significant improvement
  • Children's services requiring structured recovery
  • Providers experiencing leadership or management instability
  • Organisations where previous improvement plans have stalled
  • Multi-service providers requiring coordinated improvement across several locations

The intervention, available leadership capacity and delivery arrangements are agreed following assessment; no deployment timescale or regulatory outcome is guaranteed.

Explore turnaround leadership capacityExplore independent inspection and reviewExplore Ofsted improvement and recovery

Flexible Turnaround Leadership

Turnaround Consultant
An experienced specialist working alongside your existing leadership team to lead and coordinate recovery.
Interim & Embedded Leadership
Operational, quality or compliance leadership embedded within your organisation where internal management capacity needs strengthening.
Intensive Recovery Programme
A focused intervention for services requiring urgent or significant improvement.
Longer-Term Recovery Partnership
Continued specialist oversight to embed improvement, strengthen leadership and demonstrate sustained progress.

Our Turnaround Approach

  1. Step 1

    Stabilise

    Identify immediate risks, establish priorities and regain operational control.

  2. Step 2

    Diagnose

    Understand the underlying causes of compliance, quality, governance and leadership failures.

  3. Step 3

    Recover

    Implement a structured recovery plan with clear actions, ownership, deadlines and evidence.

  4. Step 4

    Embed

    Strengthen leadership, governance and quality systems so improvement becomes sustainable.

  5. Step 5

    Transition

    Return responsibility to a strengthened internal leadership team with effective systems for continued oversight.

Quality Assurance & Compliance Leadership

Kayleigh leads our QA consultancy, alongside Judith's specialist domiciliary care, TDDI and compliance expertise.

Specialist Expertise Matched to Your Service

Wherever possible, we match expertise to your service type, regulator and the challenges you are experiencing rather than sending a generic consultant.

Which Support Do You Need?

Governance questions

What does a review cover?
The agreed scope can cover leadership, governance, records, workforce, safety and quality systems.
Is the work tailored?
Yes. The scope is agreed for the service, regulator and organisational objectives.

Discuss the scope of governance, QA leadership or recovery support for your organisation. Separately priced inspection offers retain their own published inclusions.

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