CQC finds vulnerable people are receiving poor care
- 23 Nov
Care report shows that the quality of care is suffering and one in four services failed at least one of the 16 key standards.
With the standard of care falling across the health and social care sector, the most commonly failed areas were the standards relating to dignity and respect, nutrition, care and welfare and the skills and amount of staff.
CQC is finding that the increasing complexity of conditions and older people living longer are impacting on the ability of care providers to deliver person-centred care that meets individuals’ needs.
There is an increasing pressures on staff, both in terms of the skills required to care for people with more complex conditions and in terms of staff numbers.
Across 2,500 nursing homes, in 15% there was a lack of respectful care. Inspectors noted that 20% of 1,362 nursing homes and residential care homes and 15 per cent of 258 NHS hospitals failed to ensure that the people in their care were given the food and drink they need or helped them to eat or drink
The CQC report, State of Care 2011/12 said there tend to be three common factors which contribute to the poor quality of services:
- Providers who try to manage with high vacancy rates or the wrong mix of skills.
- An attitude to care that is ‘task-based’, not person-centred.
- A care culture in which the unacceptable becomes the norm.
The CQC report identified 32,360 patients who were admitted to hospital from care homes and went on to die there, more than half of these within a week, which shows poor arrangements for end of life care and weak links with local social services.
CQC report said:
These are challenging times for providers. CQC continues to see many examples of organisations that meet these challenges and deliver an excellent quality of care.
But it also sees others, across both health and social care, that are failing to manage the impact of these pressures effectively.
David Behan, chief executive of the CQC, said:
These pressures can not be used as an excuse to deliver poor care.
Health and care services need to rise to the challenge of responding to the increasingly complex conditions suffered by our ageing population. That means delivering care that is based on the person's needs, not care that suits the way organisations work.
It also means that different services need to work well together in an integrated way that meets the best interests of the people who use these services.
Jamie Reed MP, Labour's Shadow Health Minister, in response to the publication of the Care Quality Commission's 'State of Care' report, said:
The Care Quality Commission is right to say patients are paying the price for falling staffing levels in care homes, nursing homes and hospitals.
Over seven thousand hospital nursing jobs have been axed since David Cameron entered Downing Street, with almost one thousand in the last month alone.
The loss of experienced nurses is picking up speed and healthcare assistants are increasingly being used to cover nurses roles. Ministers are taking unacceptable risks with standards of patient care - they cannot continue to ignore the warnings from nurses' leaders.
Mike Farrar, NHS Confederation chief executive, said:
It is extremely worrying that some organisations are still not getting the basics right every time.
In every part of the health service, we must make it a priority to get the cornerstones of good care right every time, including providing the right food and drink, treating people with dignity and respect, and co-ordinating arrangements to support people when they are ready to leave hospital.
Image source: http://www.sxc.hu/photo/1031747
- 25 May
CARE HAS IMPROVED CONSIDERABLY IN ENGLAND
Almost three fourth of 372 care homes rated inadequate in 2014 and still operating have improved.205 care homes have improved from a low rating to requiring improvement, 68 are now rated good and 99...
- 24 May
NHS ADJUSTMENTS TO BUDGET CUTS
NHS trusts which have been previously rated good or outstanding will not be inspected as frequently as before, but those rated as inadequate will be regularly visited by the CQC.The Guardian reports...
- 19 Mar
Government to inspect if housing can reduce NHS costs
In the Budget document the government have said it's looking at the ‘cost-effectiveness of options to integrate spending around some of the most vulnerable groups of people.' This includes...
- 15 Oct
End of life patients are lacking support
The charity has found that almost 92% of NHS clinical commissioning groups do not provide round the clock telephone helplines, reports the BBC.Guidelines say there should be 24-hour telephone...
- 15 Sep
Social care is being limited due to council cuts
ADASS are warning that cuts are making the care system "unsustainable" with charities saying hundreds of thousands of people are struggling without help, even though the government says councils have...
- 17 Jul
Young people should not be placed in B&Bs says MPs
The Commons Education Select Committee has said that B&B accommodation is "threatening and frightening" and should only be used in emergency situations reports the BBC.MPs say that young people...
- 16 Jul
Special measures system designed to improve failing care homes
A scheme similar to special measures of hospitals will be introduced for care homes and home care agencies next year, ministers will say, reports the BBC.This will cover 25,000 services and could...
- 14 Jul
Research says that one in three Alzheimer's cases can be prevented
The research says that the main risk factors of Alzheimer's is lack of exercise, smoking, depression and poor education, reports the BBC. Alzheimer's Research UK said age was still the biggest risk...
- 10 Jul
NHS boss says those with vulnerabilities need joint health and care budget
Simon Stevens wants to see older people, those with disabilities and people with serious mental health problems given joint pots from the NHS and council-run social care services, reports the...
- 17 Jun
Council falters in reviewing autistic man’s care plan
According to Community Care:"The ruling was made by the Local Government Ombudsman after the man's mother complained that his physical and mental health deteriorated in the two-year period after...
Responding to the DWP Consultation: Housing Benefit Reform - Supported Housing "It was well-run, in a good location, and very useful. I've only one suggestion; as the session went on it would perhaps have been useful for bullet points of general agreement about what should be in the sector response to be displayed and added to as the session went on, maybe on a flip chart. Regarding your response paper, I particularly like the answer you give to question 9. In fact the general: "if it ain't broke don't fix it" response could be pushed harder." M.P. - Adref Ltd