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