CuraFlow DC-I20CQCSection I · Clinical Specialty Modules (TDDI)
Deteriorating Service User policy
For CQC-registered domiciliary care services · version 1.0 · last reviewed 1 June 2026
Recognising when a person using the service is becoming unwell is the theme of this module. It explains what deterioration means and why early recognition matters, then covers the recognition mindset built on soft signs, observations and staff instinct. Delegation, competency and the boundaries of the care worker role are also set out.
What this policy covers
- Module control
- Definitions and key terms
- What deterioration is, and why early recognition matters
- Delegated healthcare activities — authorisation and competency
- What care workers should always do
- What care workers must never do
- Legal, professional and clinical framework
- The recognition mindset — soft signs, observations and instinct
- Structured escalation — sbar / sbard
- The escalation pathway — who to contact, how fast
- Sepsis — think sepsis
- Other ‘act now’ emergencies
Regulations and guidance it supports
Supports the fundamental standards at Regulations 9, 12 and 20 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
- Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
- Mental Capacity Act 2005
- Equality Act 2010
Common questions
- Is the deteriorating service user 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, 12 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.