Healthcare & Social Care Wales

If CIW takes enforcement action against your service, you need to understand what is happening, what your options are, and how to respond effectively. Acting quickly and appropriately can be the difference between losing your registration and resolving the issues.

CIW has a graduated enforcement approach under RISCA 2016. The action taken depends on the severity of the concerns, the risk to service users, and your track record of compliance.

Types of enforcement action

CIW can take the following enforcement actions, broadly in order of severity:

  • Non-compliance notice: A written notice identifying specific failures and requiring you to take corrective action within a specified timescale. This is the most common enforcement response to moderate concerns.
  • Conditions on registration: CIW can impose, vary, or remove conditions on your registration. For example, restricting the number of people you can accommodate or requiring specific staffing levels.
  • Improvement notice: A formal notice requiring specified improvements within a set period. Failure to comply may lead to further enforcement action.
  • Restriction notice: In urgent situations where there is a risk of serious harm, CIW can issue a restriction notice that takes immediate effect. This may restrict admissions or require specific actions to protect service users.
  • Cancellation of registration: The most severe action. CIW can cancel your registration if you have failed to comply with conditions, the service poses a risk to service users, or you have been convicted of a relevant offence.

How to respond to enforcement action

  1. 1. Read the notice carefully and understand the concerns

    Identify exactly what CIW says you are failing to do, which regulations or standards are cited, and what timescale you have been given to respond or take action. Make copies of the notice and keep the original safe.

  2. 2. Take legal advice promptly

    If you receive anything more serious than a non-compliance notice, seek specialist legal advice immediately. Solicitors experienced in health and social care regulation can advise on your options and represent you in any appeal. The Community Law Service or Citizen's Advice can help you find suitable legal support. Do not delay, as appeal timescales are strict.

  3. 3. Prepare an action plan

    For non-compliance and improvement notices, prepare a written action plan addressing each concern raised. Be specific about what you will do, who is responsible, and when each action will be completed. Share the action plan with CIW even if they have not asked for one, as it demonstrates engagement and commitment to improvement.

  4. 4. Gather evidence of compliance

    Document everything you do in response to the enforcement action. Keep dated records, photographs, training certificates, updated policies, supervision notes, and any other evidence that demonstrates you have addressed the concerns. CIW will want to see evidence, not just assurances.

  5. 5. Consider whether to make representations or appeal

    Before CIW imposes conditions or cancels registration, it must give you a notice of proposal and at least 28 days to make written representations. If CIW then confirms the action, you have a further 28 days to appeal to the First-tier Tribunal (Health, Education and Social Care Chamber). An appeal does not automatically suspend the enforcement action except in cancellation cases where the tribunal may grant a stay.

Appeal routes

Appeals against CIW decisions are heard by the First-tier Tribunal (Health, Education and Social Care Chamber). The tribunal is independent of both CIW and the Welsh Government.

You can appeal against:

  • Refusal to grant or vary registration
  • Imposition of conditions on registration
  • Cancellation of registration

You cannot appeal against non-compliance notices or improvement notices through the tribunal, though you can make representations to CIW and, if necessary, challenge them through judicial review.

If CIW takes urgent action

In cases of serious and immediate risk to service users, CIW can take urgent cancellation or urgent restriction action that takes effect immediately, without prior notice. If this happens:

  • The action takes effect on the date stated in the notice
  • You can still appeal to the tribunal within 28 days
  • The tribunal can grant a stay (suspension) of the action pending the full hearing, but only in exceptional circumstances
  • You must cooperate with any arrangements CIW puts in place to protect service users, including transfer to alternative provision

What next

To avoid enforcement action, ensure you are meeting all RISCA requirements. See RISCA 2016 compliance requirements and CIW inspection preparation checklist.