Helping you deliver good and outstanding care


Good and outstanding care

The updated ‘Good and outstanding care guide’ is ideal for providers wanting to achieve or sustain a good or outstanding Care Quality Commission (CQC) rating.

The guide includes the recent changes to the CQC’s inspection approach (introduced in November 2017).

Whether you want to sustain your rating or are striving for improvement, this easy-to-use guide provides examples of excellent care and support, and guides providers to make this happen. The guide includes:

  • tried and tested ways to prepare for inspection to demonstrate you’re meeting the CQC’s fundamental standards
  • practical examples and recommendations from good and outstanding service providers
  • tips on what to avoid and common pitfalls
  • real-life examples of what’s impressed inspectors
  • revised areas of inspection.


The hard copy ‘Good and outstanding care guide - extended workbook edition’ is also available and has also been comprehensively updated. This enhanced edition features:

  • 50+ practical activities aimed at managers and staff teams to assess current performance and identify areas for improvements
  • self-assessment checklists based around what differentiates care providers from being rated outstanding, good, requires improvement and inadequate
  • exclusive access to online versions of the activities and checklists.

The workbook edition can be purchased online.

This guide is excellent to use to improve your service. It demonstrates examples from all aspects of providers, whether good or bad, which provides valuable learning opportunities for you and your staff.” Jackie Timbers, C&S Care Services

A good solid base from which to raise quality and standards, useful as a tool in itself and as a support for planning training and in supervision.” 

Bernie Mayall, Mayall Management Ltd


I found this very useful to see how other services work and how good and outstanding was achieved.”


Alison O’Halloran, Roche Health Care


I would like to thank Skills for Care for producing such a fantastic guide that shines a light on the good and outstanding practice my inspectors see on a daily basis. I hope providers will make full use of this resource so they can make improvements for the benefit of people using services, their families and carers – which is what we all want to see." 

Andrea Sutcliffe, CQC’s Chief Inspector of Adult Social Care

Here are four short films from providers delivering good and outstanding rated care. These organisations share what they do on a day-to-day basis to ensure they deliver high quality person-centred care.




Two of the organisations who supported the development of the 'Good and outstanding care guide' provide valuable insight into how they deliver high standards of care in their services. 

The Old Vicarage Residential Care
This organisation located in Leigh in Dorset explains how hands on management, the involvement of people who need care and support in the recruitment process and staff support have all contributed to their outstanding rating.  They reflect on the pride that exceeding the CQC standards has resulted in and recommend steps for other services to take.

Welmede Housing Association
This organisation explains how their recruitment process and induction programmes supports staff, how existing skills and capabilities are refreshed and how they overhauled records to meet the needs of people who use the service. In preparing all for CQC, the service used effective communications and mock inspections leading to a range of good and outstanding ratings being achieved.