Choice Control and Self Determination policy
For CQC-registered domiciliary care services · version 1.0 · last reviewed 1 June 2026
Covering both everyday decisions and significant life choices, this policy explains how people using the service keep control over their own support. It addresses genuine rather than token choice, co-production in care planning, the place of mental capacity, and self-directed support through personal budgets and direct payments.
What this policy covers
- Why choice and control matter
- The legal and policy basis
- Everyday choices
- Significant choices and life decisions
- Genuine choice, not token choice
- Co-production and involvement in care
- Choice and mental capacity
- Self-directed support, budgets and direct payments
- Choice about who, when and how
- Balancing choice with safety and others
- Assessors / care planners
- Annex a — my choices and preferences
Regulations and guidance it supports
Supports the fundamental standards at Regulations 9, 10 and 20 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
- Care Act 2014
- Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
- Mental Capacity Act 2005
- Human Rights Act 1998
- Equality Act 2010
Common questions
- Is the choice control and self determination policy CQC-aligned?
- Yes. It is written and reviewed by practising UK compliance consultants against current CQC expectations, and supports the fundamental standards at Regulations 9, 10 and 20. It is a controlled starting-point document that you adapt to your own service — you remain the accountable provider.
- Can I download and edit this policy?
- Yes. It downloads as Word (.docx) or PDF with your company name, registered manager, CQC ID and address already filled in on the cover page and throughout the document. The Word version is fully editable.
- Can I buy this policy on its own?
- Policies are sold as a complete library rather than individually, because CQC expects a coherent set that cross-references properly — a single policy in isolation creates gaps. The domiciliary care library contains 141 policies and can be bought outright as a one-off purchase and kept permanently.
- How often is it reviewed?
- The library is re-reviewed every six months and after any material regulatory change. This policy was last reviewed 1 June 2026, and is at version 1.0. Updates reach you automatically, so downloads always reflect the current version.