CQC registered managers — why you need one, what they do and key legal considerations

Under the Health and Social Care Act 2008 (the Regulations), any provider that carries out regulated activities must appoint a registered manager unless an exemption applies. So the role of a CQC registered manager isn’t just fundamental — it can also be a legal requirement. 

Here, Eugene Pena and Kirsty McKenzie-Hopkins explore the legal and practical considerations of the role, with particular relevance for dental practices. 

What is a registered manager?

A registered manager is legally accountable for the day-to-day management of regulated activities. This accountability is shared with the registered provider, which means that the registered manager can also be held liable for breaches of the Regulations. 

While the registered manager is usually the main point of contact with the CQC, their role also includes ensuring that the service meets the fundamental standards set by the CQC. So appointing a registered manager who understands both the business and the Regulations can go a long way. Registered managers must further keep on top of any changes in the law and regulations that may affect dental practices. 

Why do I need to appoint a registered manager?

When registering in partnership or as an organisation (e.g., a company), it’s a legal requirement to appoint a registered manager. This requirement can also apply to individual providers (sole traders) where they’re not responsible for the day-to-day running of the regulated activities.

When appointing a registered manager, providers should give consideration to Regulation 7 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 when deciding who to appoint. 

They must be fit to fulfil the role — and to determine this, the CQC will look at whether:

1. They’re of good character.
2. They have the necessary qualifications, competence, skills and experience to manage the regulated activities.
3. They’re able to properly perform tasks that are intrinsic to the role.

The application process

A registered manager must complete an application process. As part of this, the CQC will ask them to provide certain information, including:

1. A CQC-countersigned or enhanced DBS check.
2. Full employment history.
3. References.
4. Evidence of qualifications and registration with any regulatory bodies.

It’s important that this information is readily available prior to making an application, since submitting an application with outstanding information can lead to delays. 

The CQC may also ask the proposed registered manager to attend a fit-person interview to ensure that they can meet the requirements as set out in Regulation 7. 

Selecting the right individual

The role of a CQC registered manager is far more than a regulatory formality. It’s a position of legal responsibility and can also be a position of operational leadership and strategic influence. 

For providers, selecting the right individual — and supporting them with the necessary resources and training — is essential to delivering safe, effective and compliant care.

Instructing specialist lawyers with the knowledge, expertise and know-how gives dentists a distinct advantage when registering with the CQC. Our experienced dental team can help you to prepare the correct applications and guide you throughout the application process — liaising with the CQC to ensure that you’re issued with the correct paperwork.

Talk to us by calling 0333 004 4488, emailing hello@brabners.com or completing our contact form below.