CQC quality statement — Well-led
Freedom to speak up
"We foster a positive culture where people feel they can speak up and their voice will be heard." In MyCareCompliance, 10 mapped checks across 4 audit templates map to this quality statement.
Last reviewed: September 2026. This guidance reflects CQC information available at the date above — always refer to cqc.org.uk for current regulatory requirements.
How we check it
Each check below is a real question from a MyCareCompliance audit template. It names the regulation it evidences, describes what an auditor looks for in good and poor practice, and lists the evidence an inspector would expect you to produce.
- 10 mapped checks under the "Freedom to speak up" quality statement
- Evidences 1 regulation: Regulation 17 — Good governance
- Failed checks become tracked improvement actions with an owner, due date and evidence
The 10 checks
- Regulation 17 — Good governanceManagement Governance
Are there effective mechanisms for the management team to engage with staff, actively promoting a positive culture and 'Freedom to Speak Up'?
What we look for: Look for evidence of two-way communication. Good looks like staff surveys driving actual changes (e.g. routing adjustments, pay structure) and staff knowing who the FTSU guardian is. Fail if feedback is collected but ignored, or staff report a closed culture.
Evidence: Staff survey results, action plans from surveys, supervision records, details of the Freedom to Speak Up Guardian
- Regulation 17 — Good governancePolicy & Procedure Audit
Is the Whistleblowing policy actively promoted, clearly outlining external escalation routes (e.g., CQC, Local Authority)?
What we look for: Check that the policy clearly distinguishes whistleblowing from grievances and lists correct external contacts (CQC, Whistleblowing Helpline). Staff must feel safe to use it without fear of reprisal. A fail is if the policy only directs concerns internally.
Evidence: Whistleblowing policy, staff noticeboards, staff handbook, induction records
- Regulation 17 — Good governanceSafeguarding Audit
Is the Whistleblowing (Freedom to Speak Up) policy actively promoted, and do staff feel safe raising concerns about poor practice?
What we look for: Check that whistleblowing procedures are distinct from grievances and are promoted. Good looks like an appointed, known Freedom to Speak Up champion and staff confirming in surveys they feel safe raising issues. A fail is staff not knowing what whistleblowing is or fearing retribution.
Evidence: Whistleblowing policy, Staff surveys, Freedom to Speak Up Guardian contact details, Meeting minutes
- Regulation 17 — Good governanceWhistleblowing / Speak Up
Is there an up-to-date, legally compliant Whistleblowing / Freedom to Speak Up policy that clearly defines how staff can raise concerns without fear of reprisal?
What we look for: Review the current policy to ensure it aligns with current legislation (e.g., Public Interest Disclosure Act) and CQC guidance. Good practice clearly distinguishes whistleblowing from grievances. A fail would be an outdated policy or one that only lists internal management contacts without independent escalation routes.
Evidence: Whistleblowing policy, Freedom to Speak Up policy, Staff Handbook, Policy review log
- Regulation 17 — Good governanceWhistleblowing / Speak Up
Has the service appointed a Freedom to Speak Up Guardian or designated an independent contact, and are their details clearly communicated to all staff?
What we look for: Check if staff have access to an impartial person to raise concerns with, separate from their direct line manager. Good looks like clear contact details (phone, email) readily available to community-based staff. A fail is having no designated person or staff being unaware of how to contact them.
Evidence: Staff newsletters, Office noticeboards, Guardian appointment letter, Induction packs
- Regulation 17 — Good governanceWhistleblowing / Speak Up
Do care workers and office staff demonstrate a clear understanding of how to speak up, and do they feel psychologically safe to do so?
What we look for: Sample 3-5 staff members (mix of care and office) and ask how they would raise a serious concern. Good looks like staff confidently describing the process and expressing trust in management to act. A fail is staff stating they would be afraid to speak up due to potential repercussions.
Evidence: Staff interview notes, Spot check records, Staff survey results, Supervision records
- Regulation 17 — Good governanceWhistleblowing / Speak Up
Does the policy and staff training clearly provide contact details for external agencies (e.g., CQC, Local Authority Safeguarding, Whistleblowing Helpline)?
What we look for: Verify that staff are given direct ways to bypass internal management if they feel their concerns are being ignored or involve the Registered Manager/Provider. Good looks like external agency numbers are on staff ID badges or mobile apps. A fail is a lack of external escalation routes.
Evidence: Whistleblowing policy, Staff handbook, Training slides, Pocket guides/lanyards
- Regulation 17 — Good governanceWhistleblowing / Speak Up
Are whistleblowing concerns accurately recorded, tracked, and thoroughly investigated in line with the provider's policy timeframes?
What we look for: Review the whistleblowing log for the past 12 months. Ensure investigations are objective, documented, and completed within stated deadlines. A fail would be concerns logged as whistleblowing but handled as standard complaints without the necessary confidentiality or rigor.
Evidence: Whistleblowing log, Investigation reports, Confidential correspondence files
- Regulation 17 — Good governanceWhistleblowing / Speak Up
Is there documented evidence that feedback is provided to the person who spoke up, detailing the outcome and any actions taken (subject to confidentiality)?
What we look for: Trace a recent whistleblowing case to see if the whistleblower was kept informed. Good practice involves acknowledging the concern, providing updates, and sharing the final outcome. A fail is a 'black hole' where staff raise concerns and never hear back, damaging future trust.
Evidence: Feedback letters/emails to whistleblowers, Meeting minutes, Investigation conclusion summaries
- Regulation 17 — Good governanceWhistleblowing / Speak Up
Does the provider ensure that staff who raise concerns are protected from detriment, and is this monitored post-investigation?
What we look for: Check how the provider supports the whistleblower during and after the process. Good looks like proactive welfare checks and monitoring of shift allocations to ensure no subtle victimization occurs. A fail is evidence of the whistleblower's hours being cut or them leaving the service shortly after speaking up.
Evidence: Return to work interviews, Supervision notes, Exit interviews, Whistleblower welfare check records
Other Well-led quality statements
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