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Field notes

Reading from the Carefold team.

Long-form notes on regulation, clinical workflow, predictive models, and the UK home-care market. Written by people on our team. Not search-engine bait.

All Regulation Operations Engineering Pulse / ML Customer notes
Featured · 12 min read

What "Assured" actually means under DSCR — and what your team has to evidence.

A close read of the NHS England DSCR standards as they stand in 2026, and what an agency moving onto Carefold inherits versus what they need to assemble themselves. Includes a downloadable evidence-mapping spreadsheet.

14 May 2026 · Pippa Hollis · 12 min read · Regulation
Recent

More from the team.

A cross-section of the last six months. Sorted by what we'd read first if we were you.

Operations · 9 min read

The seven outcomes commissioners actually ask about.

We read 31 UK council and ICB tenders from the last eighteen months. These are the patterns in the outcome questions buyers are asking — and how to evidence them.

02 May 2026 · Anil Ghosh
Engineering · 7 min read

Why we built temporal versioning at the schema layer, not the application layer.

A short technical note on the bitemporal table design under Carefold's care plans, assessments and rate cards — and the regulatory cost of getting this wrong.

21 Apr 2026 · Tom Lin
Pulse / ML · 11 min read

Why our missed-visit forecast cites its sources, every time.

The technical and organisational reasons Pulse never returns a black-box output. With a worked example from a pilot tenant where the reasoning saved a Friday-evening run.

14 Apr 2026 · Rosa Munoz
Regulation · 6 min read

The CQC Single Assessment Framework in plain English.

Six categories. Thirty-four Quality Statements. We map them to the Helm evidence panels that produce the audit pack, line by line.

02 Apr 2026 · Pippa Hollis
Operations · 8 min read

Continuity score: the agency metric nobody had until last year.

What "% of visits with a preferred carer" tells you about your business. The benchmarks we're seeing in our pilot cohort. Why it's the leading indicator we'd watch above any other.

22 Mar 2026 · Jess Marshall
Customer notes · 5 min read

What twelve Registered Managers told us about the WhatsApp problem.

Pilot interview notes, lightly edited. The patterns in how agencies use unencrypted messaging today — and what Home replaces, specifically.

14 Mar 2026 · Sami Karim
Engineering · 4 min read

Move's offline sync, in three diagrams.

The conflict-resolution and ordering guarantees behind Move's offline-first design. Why we use cryptographic ordering and why we don't trust client clocks.

28 Feb 2026 · Tom Lin
Regulation · 8 min read

DCB0129 / 0160 for the home-care manager: a short primer.

The clinical safety case framework as it applies to deploying digital tools in adult social care, and what your provider should hand you on day one.

14 Feb 2026 · Dr A. Faulkner
Pulse / ML · 10 min read

Bias monitoring across demographic cohorts — our public commitment.

How we monitor Pulse's accuracy across age, postcode and gender cohorts. What triggers a hold on a model. The first quarterly bias report from the pilot.

02 Feb 2026 · Rosa Munoz