The Care Quality Commission have recently published their State of Care Report 2016. The report highlights the state of care given by providers and while some show exceptional levels of development, others are struggling to increase their proficiency beyond ‘requires improvement’. Here, CPIMS review the findings of the report.
Providing quality adult care
According to the CQC findings, despite increasingly challenging circumstances throughout the care setting, many providers are managing to deliver good quality care and are even showing encouraging levels of improvement. According to the CQC, three-quarters of care homes and agencies that were inspected during the research project were originally rated inadequate. However, upon re-inspection, the level of service had increased dramatically, meaning their rating could improve. This still leaves a quarter of services who didn’t manage to advance their level of care and, on re-inspection, their overall rating stayed the same.
The demand on primary care services
At present, the pressure on primary care services is having a huge impact on both the performance of secondary care and the people who are relying on these services. This lack of balance is mainly due to the fragility of the adult social care market, which is set to become even more demanding due to a combination of a growing and ageing population and the number of people with long term conditions. In the current challenging economic climate, this can only mean a greater demand on care services and therefore an increasing issue for people accessing care.
There is a strong likelihood that the greater demand will impact primary care services and may be reflected in the form of increased A&E attendances, emergency admissions and delays when people are leaving hospital. The demand will directly impact those accessing the services, as well as care givers who may fail to meet performance or financial targets.
State of care in home care agencies
The CQC has stated the falling level of care by home care agencies may be due to financial challenges, including falling profit margins. Arguably, the pressure on fees and the national living wage contribute to the financial struggle of care providers and consequently, the same level of care can no longer be provided.
The diminishing availability of nursing home beds and undeliverable care contracts are just two consequences of the financial struggle that care providers are facing. While the financial challenges have been extensively documented, little is being done to help improve profit margins and help care standards to get back to the level they were at previously.
The CQC noted that too many acute care facilities were rated inadequate, particularly in emergency and medical services. However, they accepted how difficult it is for trusts to make changes to the level of care provided without the adequate funding and suggested care providers with financial difficultly should work closely with facilities who are operating to a good standard.
The State of Care report 2016 also highlighted the great work done by general practices, with the majority being rated good. While some were even awarded outstanding certification.
You can read the full Sate of Care Report 2016, published by the Care Quality Commission here.
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