The Care Certificate Standards Self-Assessment Tool

What is the Care Certificate?

The Care Certificate is an identified set of standards that health and social care workers adhere to in their daily working life. Designed with the non-regulated workforce in mind, the Care Certificate gives everyone the confidence that these workers have the same introductory skills, knowledge and behaviours to provide compassionate, safe and high quality care and support.

The Care Certificate:

  • applies across health and social care;
  • will equip workers with the fundamental skill they need to provide quality care; and
  • gives a basis from which workers can further develop your knowledge and skills as their career progresses.

What are the standards?

The 15 standards in the Care Certificate are:

  1. Understand your role
  2. Your personal development
  3. Duty of Care
  4. Equality and diversity
  5. Work in a person centred way
  6. Communication
  7. Privacy and dignity
  8. Fluids and nutrition


  1. Awareness of mental health, dementia and learning disability
  2. Safeguarding adults
  3. Safeguarding Children
  4. Basic Life Support
  5. Health and Safety
  6. Handling information
  7. Infection prevention and control

About the self-assessment tool

Employers may want to use the self-assessment tool prior to health and social care workers commencing their induction. Induction can then be tailored, based on the workers self- assessment. The tool is not designed to be used as part of the selection process and can be used for both new starters and where the employer wishes to award the Care Certificate to existing staff or if necessary identify additional training needs.

Health and social care workers. Your employer has asked you to complete this self-assessment for the Care Certificate. Each of the standards is listed with a check list to allow you to rate your own knowledge and skills against the following scale:

GoodYou have a good standard of skills and/ or knowledge. You use these skills and knowledge on a regular basis and feel confident in your ability. No refresher required.
AdequateYour standard of skills and/ or knowledge meets the standard required. You may only use the skills and knowledge from time to time or you may not feel confident in your ability. You and your employer may agree that you need to refresh specific knowledge or skills from this selection.
Needs refreshingYou previously had this standard of skills and/or knowledge but it is no longer current or you have not used it in your work recently/regularly. You therefore no longer have the skills and/ or knowledge to meet the standard. A refresher is required.
New to meEither you have never worked in a caring role previously or you haven’t previously covered this topic. Training/development is required.

Once you have rated yourself against each standard you will need to have a professional discussion with your assessor, employer or manager to see how you can refresh or develop new knowledge and skills in different areas. It is important that you are honest in your assessment of your current knowledge and skills against each of the Standards. The checklist is just a tool and is not evidence that you are competent against the Care Certificate. The decision on whether you meet the Standards for the Care Certificate will be made by your manager, employer or assessor using the self-assessment, any other appropriate evidence and in line with the guidance set out for the Care Certificate. Please see: Health Education England https://www.hee.nhs.uk; Skills for Care www.skillsforhealth.org.uk or Skills for Health www.skillsforhealth.org.uk for full details.

Standard 1: Understand Your Role

GoodAdequateNeeds refreshNew to me
1.1a Describe your main duties and responsibilities
1.1b List the standards and codes of conduct and practice that relate to your role
1.1c Demonstrate that you are working in accordance with the agreed ways of working with your employer
1.1d Explain how your previous experiences, attitudes and beliefs may affect the way you work
GoodAdequateNeeds refreshNew to me
1.2a Describe your employment rights and responsibilities
1.2b List the aims, objectives and values of the service in which they work
1.2c Explain why it is important to work in ways that are agreed with your employer
1.2d Demonstrate how to access full and up-to-date details of agreed ways of working that are relevant to your role
1.2e Explain how and when to escalate any concerns they might have (whistleblowing)
1.2f Explain why it is important to be honest and identify where errors may have occurred and to tell the appropriate person
GoodAdequateNeeds refreshNew to me
1.3b Explain how a working relationship is different from a personal relationship
1.3c Describe different working relationships in health and social care settings
GoodAdequateNeeds refreshNew to me
1.4a Explain why it is important to work in teams and in partnership with others
1.4b Explain why it is important to work in partnership with key people, advocates and others who are significant to an individual
1.4c Demonstrate behaviours, attitudes and ways of working that can help improve partnership working.
1.4d Demonstrate how and when to access support and advice about: partnership working and resolving conflicts

Standard 2: Your personal development

GoodAdequateNeeds refreshNew to me
2.1a Identify sources of support for your own learning and development
2.1b Describe the process for agreeing a personal development plan and who should be involved
2.1c Explain why feedback from others is important in helping to develop
2.1d Contribute to drawing up own personal development plan
2.1e Agree a personal development plan
GoodAdequateNeeds refreshNew to me
2.2a Describe the functional level of literacy, numeracy and communication skills necessary to carry out your role
2.2b Explain how to check your current level of literacy, numeracy and communication skills
2.2c Describe how a learning activity has improved your own knowledge, skills and understanding
2.2d Describe how reflecting on a situation has improved your own knowledge, skills and understanding
2.2e Describe how feedback from others has developed your own knowledge, skills and understanding
2.2f Demonstrate how to measure your own knowledge, performance and understanding against relevant standards
2.2g List the learning opportunities available to them and how they can use them to improve the way they work
2.2h Demonstrate how to record progress in relation to your personal development
2.2i Explain why continuing professional development is important

Standard 3: Duty of Care

GoodAdequateNeeds refreshNew to me
3.1a Define ‘duty of care’
3.1b Describe how the duty of care affects your own work role
GoodAdequateNeeds refreshNew to me
3.2a Describe dilemmas that may arise between the duty of care and an individual’s rights
3.2b Explain what they must and must not do within your role in managing conflicts and dilemmas
3.2c Explain where to get additional support and advice about how to resolve such dilemmas
GoodAdequateNeeds refreshNew to me
3.3a Demonstrate how to respond to comments and complaints in line with legislation and agreed ways of working
3.3b Describe who to ask for advice and support in handling comments and complaints
3.3c Explain the importance of learning from comments and complaints to improve the quality of service
GoodAdequateNeeds refreshNew to me
3.4a Describe how to recognise adverse events, incidents, errors and near misses
3.4b Explain what they must and must not do in relation to adverse events, incidents, errors and near misses
3.4c List the legislation and agreed ways of working in relation to reporting any adverse events, incidents, errors and near misses
GoodAdequateNeeds refreshNew to me
3.5a List the factors and difficult situations that may cause confrontation
3.5b Describe how communication can be used to solve problems and reduce the likelihood or impact of confrontation
3.5c Describe how to assess and reduce risks in confrontational situations
3.5d Demonstrate how and when to access support and advice about resolving conflicts
3.5e Explain the agreed ways of working for reporting any confrontations

Standard 4: Equality and Diversity

GoodAdequateNeeds refreshNew to me
4.1a Explain what is meant by: diversity, equality, inclusion and discrimination
4.1b Describe ways in which discrimination may deliberately or inadvertently occur in the work setting
4.1c Explain how practices that support equality and inclusion reduce the likelihood of discrimination
GoodAdequateNeeds refreshNew to me
4.2a Identify which legislation and codes of practice relating to equality, diversity and discrimination apply to your own role
4.2b Demonstrate interaction with individuals that respects their beliefs, culture, values and preferences
4.2c Describe how to challenge discrimination in a way that encourages positive change
GoodAdequateNeeds refreshNew to me
4.3a Identify a range of sources of information, advice and support about diversity, equality and inclusion
4.3b Describe how and when to access information, advice and support about diversity, equality and inclusion
4.3c Explain who to ask for advice and support about equality and inclusion

Standard 5: Work in a person centred way

GoodAdequateNeeds refreshNew to me
5.1a Describe how to put personcentred values into practice in your day-to-day work
5.1b Describe why it is important to work in a way that promotes person centred values when providing support to individuals
5.1c Identify ways to promote dignity in your day-to-day work
GoodAdequateNeeds refreshNew to me
5.2a Describe the importance of finding out the history, preferences, wishes and needs of the individual
5.2b Explain why the changing needs of an individual must be reflected in their care and/or support plan
5.2c Explain the importance of supporting individuals to plan for their future wellbeing and fulfilment, including end-of-life care
GoodAdequateNeeds refreshNew to me
5.3a Take appropriate steps to remove or minimise the environmental factors causing the discomfort or distress. This could include: Lighting, noise, temperature and unpleasant odours
5.3b Report any concerns they have to the relevant person. This could include: Senior member of staff, carer and family member
GoodAdequateNeeds refreshNew to me
5.4a Raise any concerns directly with the individual concerned
5.4b Raise any concern with your supervisor/ manager
5.4c Raise any concerns via other channels or systems e.g. at team meetings
GoodAdequateNeeds refreshNew to me
5.5a Ensure that where individuals have restricted movement or mobility that they are comfortable.
5.5b Recognise the signs that an individual is in pain or discomfort. This could include: Verbal reporting from the individual, non-verbal communication and changes in behaviour
5.5c Take appropriate action where there is pain or discomfort. This could include: Re-positioning, reporting to a more senior member of staff, giving prescribed pain relief medication and ensure equipment or medical devices are working properly or in the correct position e.g. wheelchairs, prosthetics, catheter tubes
5.5d Remove or minimise any environmental factors causing pain or discomfort. These could include: Wet or soiled clothing or bed linen, poorly positioned lighting and noise
GoodAdequateNeeds refreshNew to me
5.6a Explain how individual identity and self-esteem are linked to emotional and spiritual wellbeing
5.6b Demonstrate that your own attitudes and behaviours promote emotional and spiritual wellbeing
5.6c Support and encourage individuals own sense of identity and self-esteem
5.6d Report any concerns about the individual’s emotional and spiritual wellbeing to the appropriate person. This could include: Senior member of staff, carer and family member
GoodAdequateNeeds refreshNew to me
5.7a Demonstrate that your actions promote person centred values including: Individuality, independence, privacy, partnership, choice, dignity, respect and rights

Standard 6: Communication

GoodAdequateNeeds refreshNew to me
6.1a Describe the different ways that people communicate
6.1b Describe how communication affects relationships at work
6.1c Describe why it is important to observe and be receptive to an individual’s reactions when communicating with them
GoodAdequateNeeds refreshNew to me
6.2a Describe how to establish an individual’s communication and language needs, wishes and preferences
6.2b List a range of communication methods and styles that could help meet an individual’s communication needs, wishes and preferences
GoodAdequateNeeds refreshNew to me
6.3a List barriers to effective communication
6.3b Describe ways to reduce barriers to effective communication
6.3c Describe how to check whether they (the HCSW/ASCW) have been understood
6.3d Describe where to find information and support or services, to help them communicate more effectively
GoodAdequateNeeds refreshNew to me
6.4a Describe what confidentiality means in relation to your role
6.4b List any legislation and agreed ways of working to maintain confidentiality in day-today communication
6.4c Describe situations where information, normally considered to be confidential, might need to be passed on
6.4d Describe who they should ask for advice and support about confidentiality
GoodAdequateNeeds refreshNew to me
6.5a Demonstrate the use appropriate verbal and nonverbal communication: Verbal: Tone and volume. Nonverbal: Position/proximity, eye contact, body language, touch, signs, symbols and pictures, writing, objects of reference, human and technical aids. Communication may take place: face to face, by telephone or text, by email, internet or social networks and by written reports or letters
GoodAdequateNeeds refreshNew to me
6.6a Ensure that any communication aids/ technologies are: Clean, work properly and in good repair
6.6b Report any concerns about the communication aid/ technology to the appropriate person. This could include: Senior member of staff, carer and family member

Standard 7: Privacy and Dignity

GoodAdequateNeeds refreshNew to me
7.1a Describe what is meant by privacy and dignity
7.1b List situations where an individual’s privacy and dignity could be compromised
7.1c Describe how to maintain privacy and dignity in the work setting
GoodAdequateNeeds refreshNew to me
7.2a Demonstrate that your actions maintain the privacy of the individual. This could include: Using appropriate volume to discuss the care and support of an individual, discussing the individual’s care and support in a place where others cannot overhear
7.2b Demonstrate that the privacy and dignity of the individual is maintained at all times being in line with the person’s individual needs and preferences when providing personal care. This could include: Making sure doors, screens or curtains are in the correct position, getting permission before entering someone’s personal space, knocking before entering the room, ensuring any clothing, hospital gowns are positioned correctly. The individual is positioned appropriately and the individual is not exposing any part of their body they would not want others to be able to see.
7.2c Explain why it is important not to disclose anything about the individual that they may wish to be kept private, unless it is appropriate to do so. This could include: Health condition, sexual orientation, personal history and social circumstances
7.2d Report any concerns they have to the relevant person. This could include: Senior member of staff, carer or family member
GoodAdequateNeeds refreshNew to me
7.3a Describe ways of helping individuals to make informed choices
7.3b Explain how risk assessment processes can be used to support the right of individuals to make their own decisions
7.3c Explain why personal views must not influence an individual’s own choices or decisions
7.3d Describe why there may be times when they need to support an individual to question or challenge decisions made about them by others
GoodAdequateNeeds refreshNew to me
7.4a Demonstrate how to support individuals to make informed choices
7.4b Ensure any risk assessment processes are used to support the right of individuals to make their own decisions
7.4c Ensure their own personal views do not influence an individual’s own choices or decisions
7.4d Describe how to report any concerns they have to the relevant person. This could include: Senior member of staff, carer or family member
GoodAdequateNeeds refreshNew to me
7.6a Demonstrate that they can support the active participation of individuals in their care
7.6b Reflect on how your own personal views could restrict the individual’s ability to actively participate in their care
7.6c Report any concerns to the relevant person. This could include: Senior member of staff, carer or family member

Standard 8: Fluids and nutrition

GoodAdequateNeeds refreshNew to me
8.1a Describe the importance of food safety, including hygiene, in the preparation and handling of food
8.1b Explain the importance of good nutrition and hydration in maintaining health and wellbeing
8.1c List signs and symptoms of poor nutrition and hydration
8.1d Explain how to promote adequate nutrition and hydration
GoodAdequateNeeds refreshNew to me
8.2a Ensure drinks are within reach of those that have restrictions on their movement/ mobility
8.2b Ensure that drinks are refreshed on a regular basis
8.2c Ensure that individuals are offered drinks in accordance with their plan of care
8.2d Support and encourage individuals to drink in accordance with their plan of care
8.2e Know how to report any concerns to the relevant person. This could include: Senior member of staff, carer or family member
GoodAdequateNeeds refreshNew to me
8.3a Ensure any nutritional products are within reach of those that have restrictions on their movement/ mobility
8.3b Ensure food is provided at the appropriate temperature and in accordance with the plan of care i.e. the individual is able to eat it
8.3c Ensure that appropriate utensils are available to enable the individual to meet their nutritional needs as independently as possible
8.3d Support and encourage individuals to eat in accordance with their plan of care
8.3e Know how to report any concerns to the relevant person. This could include: Senior member of staff, carer or family member

Standard 9: Awareness of mental health, dementia and learning disability

GoodAdequateNeeds refreshNew to me
9.1a. List how someone may feel if they have: 1. Mental health conditions such as: a. Psychosis b. Depression c. Anxiety 2. Dementia 3. Learning Disabilities The issues may be physical, social or psychological and will affect the individual in different ways.
9.1b. Explain how these conditions may influence a person’s needs in relation to the care that they may require.
9.1c. Explain why it is important to understand that the causes and support needs are different for people with mental health conditions, dementia and learning disabilities.
GoodAdequateNeeds refreshNew to me
9.2a. Explain how positive attitudes towards those with mental health conditions, dementia or learning disabilities will improve the care and support they receive.
9.2b. Describe the social model of disability and how it underpins positive attitudes towards disability and involving people in their own care.
GoodAdequateNeeds refreshNew to me
9.3a. Describe what adjustments might need to be made to the way care is provided if someone has 1. Mental health conditions such as: a. Psychosis b. Depression c. Anxiety 2. Dementia 3. Learning Disabilities
9.3b. Describe how to report concerns associated with any unmet needs which may arise from mental health conditions, dementia or learning disability through agreed ways of working.
GoodAdequateNeeds refreshNew to me
9.4a. Explain why early detection of mental health needs, dementia or learning disability is important
9.4b. Give examples of how and why adjustments to care and support might need to be made when a mental health condition, dementia or learning disability is identified.
GoodAdequateNeeds refreshNew to me
9.5a List the main requirements of legislation and policies that are designed to promote the human rights, inclusion, equal life chances and citizenship of individuals with mental health conditions, dementia or learning disabilities
9.5b Explain how the legislation and policies listed may affect the day to day experiences of individuals with mental health needs, dementia or learning disabilities and their families
GoodAdequateNeeds refreshNew to me
9.6a Explain what is meant by the term “capacity”.
9.6b. Explain why it is important to assume that someone has capacity unless there is evidence that they do not
9.6c Explain what is meant by “consent”, and how it can change according to what decisions may need to be taken.
9.6d Describe situations where an assessment of capacity might need to be undertaken and the meaning and significance of “advance statements” regarding future care.

Standard 10: Safeguarding Adults

GoodAdequateNeeds refreshNew to me
10.1a Explain the term safeguarding adults
10.1b Explain your own role and responsibilities in safeguarding individuals
10.1c List the main types of abuse
10.1d Describe what constitutes harm
10.1e Explain why an individual may be vulnerable to harm or abuse
10.1f Describe what constitutes restrictive practices
10.1g List the possible indicators of abuse
10.hg Describe the nature and scope of harm to and abuse of adults at risk
10.1i List a range of factors which have featured in adult abuse and neglect
10.1j Demonstrate the importance of ensuring individuals are treated with dignity and respect when providing health and care services
10.1k Describe where to get information and advice about your role and responsibilities in preventing and protecting individuals from harm and abuse
GoodAdequateNeeds refreshNew to me
10.2a Describe how care environments can promote or undermine people’s dignity and rights
10.2b Explain the importance of individualised, person centred care
10.2c Explain how to apply the basic principles of helping people to keep themselves safe
10.2d Explain the local arrangements for the implementation of multi-agency Safeguarding Adult’s policies and procedures
10.2e List ways in which the likelihood of abuse can be reduced by managing risk and focusing on prevention
10.2f Explain how a clear complaints procedure reduces the likelihood of abuse
GoodAdequateNeeds refreshNew to me
10.3a Explain what to do if abuse of an adult is suspected; including how to raise concerns within local whistleblowing policy procedures
GoodAdequateNeeds refreshNew to me
10.4a List relevant legislation, local and national policies and procedures which relate to safeguarding adults
10.4b Explain the importance of sharing information with the relevant agencies
10.4c Describe the actions to take if they experience barriers in alerting or referring to relevant agencies

Standard 11: Safeguarding Children

GoodAdequateNeeds refreshNew to me
children If they work in health: Meet the most up to date national minimum training standards for Safeguarding Children at Level 1 as set out in the guidance issued by the Intercollegiate Royal College of Paediatrics and Child Health. If they work in Social Care: Explain what they must do if they suspect a child, young person (met in any circumstances) is being abused or neglected.

Standard 12: Basic Life Support

GoodAdequateNeeds refreshNew to me
Be able to carry out basic life support. Complete practical Basic Life Support Training that meets the UK Resuscitation Council guidelines. If working with Adults in health and social care they will undertake training in adult basic life support. If working with Paediatric patients in health they will undertake training in paediatric basic life support. If working with Newborn patients in health they will undertake training in newborn life support. Guidance: Most up to date Resuscitation Council Resuscitation Guidelines and Cardiopulmonary Resuscitation – Standards for clinical practice and training Joint Statement

Standard 13: Health and safety

GoodAdequateNeeds refreshNew to me
13.1a Identify legislation relating to general health and safety in a health or social care work setting
13.1b Describe the main points of the health and safety policies and procedures agreed with the employer
13.1c Outline the main health and safety responsibilities of: self, the employer or manager and others in the work setting
13.1d List tasks relating to health and safety that should not be carried out without special training
13.1e Explain how to access additional support and information relating to health and safety
13.1f Describe different types of accidents and sudden illness that may occur in your own work setting
GoodAdequateNeeds refreshNew to me
13.2a Explain why it is important to assess the health and safety risks posed by particular work settings, situations or activities
13.2b Describe how and when to report health and safety risks that they have identified
GoodAdequateNeeds refreshNew to me
13.3a Identify key pieces of legislation that relate to moving and assisting
13.3b List tasks relating to moving and assisting that they are not allowed to carry out until they are
13.3c Demonstrate how to move and assist people and objects safely, maintaining the individual’s dignity, and in line with legislation and agreed ways of working
GoodAdequateNeeds refreshNew to me
13.4a List the different types of accidents and sudden illness that may occur in the course of your work
13.4b Describe the procedures to be followed if an accident or sudden illness should occur
13.5c List the tasks relating to medication and health care procedures that they are not allowed to carry out until they are competent
GoodAdequateNeeds refreshNew to me
13.5a Describe the agreed ways of working in relation to medication
13.5b Describe the agreed ways of working in relation to healthcare tasks
13.5c List the tasks relating to medication and health care procedures that they are not allowed to carry out until they are competent
GoodAdequateNeeds refreshNew to me
13.6a Describe the hazardous substances in your workplace
13.6b Demonstrate safe practices for storing, using and disposing of hazardous substances
GoodAdequateNeeds refreshNew to me
13.7a Explain how to prevent fires from starting or spreading
13.7b Describe what to do in the event of a fire
GoodAdequateNeeds refreshNew to me
13.8a Describe the measures that are designed to protect your own security at work, and the security of those they support
13.8b Explain the agreed ways of working for checking the identity of anyone requesting access to premises or information
GoodAdequateNeeds refreshNew to me
13.9a Recognise common signs and indicators of stress in themselves and others
13.9b Identify circumstances that tend to trigger stress in themselves and others
13.9c List ways to manage stress

Standard 14: Handling Information

GoodAdequateNeeds refreshNew to me
14.1a Describe the agreed ways of working and legislation regarding the recording, storing and sharing of information
14.1b Explain why it is important to have secure systems for recording, storing and sharing information
14.1c Demonstrate how to keep records that are up to date, complete, accurate and legible
14.1d Explain how, and to whom, to report if they become aware that agreed ways of working have not been followed

Standard 15: Infection prevention and control

GoodAdequateNeeds refreshNew to me
15.1a Describe the main ways an infection can get into the body
15.1b Demonstrate effective hand hygiene
15.1c Explain how your own health or hygiene might pose a risk to the individuals they support or work with
15.1d List common types of personal protective clothing, equipment and procedures and how and when to use them
15.1e Explain the principles of safe handling of infected or soiled linen and clinical waste