How to Align Your Governance with Regulatory Expectations

It’s not enough to have governance documents β€” they need to reflect reality. Too often, there’s a gap between what’s written in your strategy or framework and what regulators see in action.


🎯 What Do Regulators Expect?

CQC and local authorities increasingly look for:

  • Clear lines of accountability from senior leadership to front-line delivery
  • Integrated quality systems β€” not just audits, but meaningful follow-up and learning loops
  • Service user voice in governance and decision-making
  • Board and exec-level oversight of risk, safety, and safeguarding

In other words, they want governance to be embedded β€” not just theoretical.


πŸ“Š Signs of Misalignment

If you’re unsure whether your governance truly aligns with what CQC expects, watch out for these signs:

  • Your leadership team hasn’t reviewed the governance framework in 12+ months
  • QA reports aren’t being discussed at board or senior level
  • Risk logs are updated by one person, not reviewed by a group
  • Service users aren’t represented in governance conversations

These are warning lights β€” and opportunities for improvement.


🧭 Steps to Realignment

Use these practical steps to bring your governance in line with regulatory standards:

  • Schedule quarterly governance reviews that include risk, quality, and safeguarding
  • Ensure all governance documents have named leads, review dates, and version control
  • Use service user feedback in board or SMT reports
  • Track inspection recommendations in your governance minutes or action tracker

Real-world governance is fluid. Regulators understand this β€” but they want to see that your approach is active, reflective, and reviewed.


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Updated for Procurement Act 2023 β€’ CQC-aligned β€’ BASE-aligned (where relevant)


Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd β€” bringing extensive experience in health and social care tenders, commissioning and strategy.

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