How we deal with complaints about care

Last updated: 21 May 2026

Assessment of risk and pathway action

Our risk assessment process helps us determine the appropriate action to resolve your complaint. There are four routes we can take.

1. We can use the information you have given us as intelligence about the service

We will treat the information you have given us as intelligence and pass it to the inspector responsible for regulating the service. This will help inform future scrutiny activity. Where we have logged the complaint as intelligence we will also inform the provider or service of the concerns in order for them to take any action they deem appropriate. We will take all steps to remove any identifying factors to your identity from the concerns

2. Direct service action – where we talk to the care service on your behalf

Where we assess your complaint as suitable for quick or immediate action, we use direct service action. We will contact the care service on your behalf and ask them to engage directly with you, take action and resolve your complaint. We will discuss this with you before making any contact with the care service.

3. Investigation by the care service provider

We may assess your complaint as appropriate for investigation via the provider’s complaint procedure. If this is the situation, we will ask the service provider to investigate your complaint and reply directly to you within 20 working days. The care service will also provide us with a copy of their response to you.

If you are unhappy with the way the service provider handles your complaint, you can ask us to reassess your complaint for further investigation. We will assess your complaint and decide on any action that may be appropriate.

4. Investigation by us

Not all complaints are suitable for direct service action or investigation by the care service. We use a risk assessment to decide if we will investigate your complaint. Our investigations aim to establish all the relevant facts and give you a full, objective, and proportionate response that includes whether we uphold your complaint.

Our investigating inspector will speak with you and discuss your complaint. They will then write to you to tell you about what areas we will investigate. The areas for investigation are called “heads of complaint.”

Our investigation will include:

  • writing to you to confirm the areas we will be investigating

  • contacting the care service to investigate your concerns

  • examining and assessing evidence, including documentation, and speaking to relevant people

  • writing to you with the outcome of investigation.