Following on from the Francis Report (20130, the principles of good care practice have been revised by the Care Quality Commission and other UK care regulators to form new inspection frameworks. What has taken place is a reaffirming of long standing underpinning values, as reflected, for example, in the Wagner Report (1988) developed in recognition of the fact that vulnerable people can all too easily be exploited and harmed unless they are supported and cared for in ways that put their needs first.

The key principles of privacy, dignity, choice, independence, human rights and equality, and fulfilment underpin successive standards frameworks, including the Fundamental Standards that are integral to the current regulatory framework.

Within a framework of care based on these principles, it has also been recognised that care workers must balance the need to promote their service users’ independence with a responsible attitude to protecting them from danger. This is often discussed currently in terms of care workers having a duty of care to keep safe and protect their users from coming to harm in the course of providing services to them.

Equally they need to respect the cultural diversity of their users. Accordingly, safeguarding and duty of care and diversity and cultural awareness can be added to the original principles to be discussed in this topic.

The principles of good practice are common to all care services but their application will depend on the type of service and the nature of the care and support provided.

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