Following the Francis Report (2013), the Care Quality Commission and other UK care regulators refreshed long standing underpinning values and principles, as reflected, for example in the Wagner Report (1988) to revise their inspection frameworks.

The key principles of privacy, dignity, choice, independence, human rights and equality, and fulfilment that have underpinned successive standards frameworks are all integral to the current regulatory frameworks in all UK countries.

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.

It is recognised that there might be difficulties in applying fully the principles and values of good care with the restrictions and pressures of the Covid-19 emergency. However care providers must always be mindful of the importance of reflecting person-centred thinking in all their decisions.

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