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Helping people choose adult social care in England: consumer survey findings
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 10
- Place of publication:
- Newcastle upon Tyne
Reports on the results of a survey to explore people’s experiences when choosing a care home for either themselves or for a loved one. The survey sought views from over 1,000 adults who had been responsible for making a decision about a care home in England in the last three years. Survey questions covered how stressful they found the decision, what influenced their decision most, whether they were aware of the care home's Care Quality Commission (CQC) rating, and the most important factor when choosing a care home. Of those surveyed, 70 per cent stated that visiting the care home influenced them most when choosing a home, with 65 per cent having read the CQC report for the care home before making their decision. (Edited publisher abstract)
Time to listen in care homes: dignity and nutrition inspection programme 2012
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 40
- Place of publication:
- Newcastle upon Tyne
Report of an inspection of 500 care homes, which were inspected on five standards: respecting and involving people who use services; meeting their nutritional needs; safeguarding them from abuse; staffing; and records. Almost two-thirds (316) of the homes inspected met all the standards checked. This meant that staff were respecting and involving people and that people’s nutritional needs were being met. To support this, homes had enough skilled and knowledgeable staff, they had taken steps to protect people from the risk of abuse, and they kept accurate records to support people’s care. However, people living in one in six of the care homes (80 homes) did not always have their privacy and dignity respected or were not involved in their own care. All the inspections were unannounced, each scheduled to include a mealtime. Excerpts from individual inspection reports illustrate what worked well and what needed to improve. (Original abstract)
Time to listen in care homes: dignity and nutrition inspection programme 2012: summary
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 5
- Place of publication:
- Newcastle upon Tyne
Report of an inspection of 500 care homes. Almost two-thirds (316) of the homes inspected met all the standards checked. This meant that staff were respecting and involving people and that people’s nutritional needs were being met. To support this, homes had enough skilled and knowledgeable staff, they had taken steps to protect people from the risk of abuse, and they kept accurate records to support people’s care. However, People living in one in six of the care homes (80 homes) did not always have their privacy and dignity respected or were not involved in their own care. (Edited publisher abstract)
The quality of care services purchased by councils: 2010: technical report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2010
- Pagination:
- 45p.
- Place of publication:
- London
Councils spend nearly £8 billion each year on residential care and home care, which is over 70% of all their expenditure on adult care services. In November 2009, all 152 councils in England provided the Care Quality Commission (CQC) with data on the number of their residents for whom they purchased care in care homes in the period April to September 2009. This report links the data supplied to data on quality ratings for each care home. In addition, the councils reported to CQC in November 2009 on 317,000 adults for whom they had arranged home care with registered agencies in a week in the 6 months to 30 September 2009. The report provides a detailed analysis of the findings of these council returns. The data shows some variation in the quality of services purchased by councils. Councils purchased care for 230,000 adults in care homes. Eighty-six percent of these adults were living in care homes rated good or excellent. The percentage was lower (82%) for those in homes offering nursing care for older people. Ninety-three percent of adults whose home care was arranged or purchased by their council received a service from a home care agency rated good or excellent. Comparisons of the quality of care arranged by councils between September 2008 and September 2009 show that the percentage of people receiving care from services rated good or excellent has improved for both care homes and home care.
Smiling matters: oral health care in care homes
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2019
- Pagination:
- 34
- Place of publication:
- Newcastle upon Tyne
This review draws on one hundred inspections of care homes in England to examine oral health in care homes, with specific reference to the NICE guideline NG 48 on oral health for adults in care homes. It includes direct quotations from managers, staff and people using services and their relatives. It also includes good practice examples to highlight the benefits of good oral care for older people, people with learning disabilities and people living with dementia. The review found that staff awareness of the NICE guideline recommendations was low, over half of care homes visited had no policy to promote and protect people’s oral health, and nearly half of care homes were not providing staff training to support people’s daily oral healthcare. The review also identified challenges such as: a lack of dentists who were able or willing to visit care homes and local dentists not accepting new patients and the length of time it took to get an appointment with an NHS dentist. The report recommends mandatory staff training in oral care, oral health check-ups for all residents upon admission, better signposting to local dental services and awareness raising. (Edited publisher abstract)
Hillcroft Carnforth Limited, Hillcroft Throstle Grove, October 2010 - January 2014: an analysis of the Care Quality Commission’s responses to events at Hillcroft Throstle Grove identifying the key lessons for CQC and outlining its actions taken...
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2014
- Pagination:
- 21
- Place of publication:
- Newcastle upon Tyne
Examines the events leading up to the prosecutions of four care staff of Hillcroft Nursing Home, Throstle Groveand, setting out the actions taken by the Care Quality Commission, and looks at points where CQC as the regulator could have done more to protect the people living at the home. The review acknowledges that at the time the Commission did not recognise the increasing risk at the service, failing to trigger the necessary responsive action. It also failed to work collaboratively with partner agencies until such time as the police escalated the concern and suspended staff. It was too easily persuaded by the provider’s reassurance that they were able to improve and provide people with safe, effective, compassionate, high quality care at each stage from the transition registration through to the applications to vary their registration and the appointment of a registered manager. There is little evidence that CQC regularly reviewed all the information held about Throstle Grove or the provider, and this included points when the management oversight changed. At the time, registration and compliance inspectors were under pressure to register services in a timely way and inspectors had high numbers of inspections to complete. While Hillcroft Throstle Grove demonstrated an improving picture of complying with regulation from December 2012 to January 2014, the report recognises that, given the providers history, it will be important to monitor if this is sustainable at not only the home itself, but within the Carnforth Group as a whole, so that any escalating risks are identified and responded to promptly. (Edited publisher abstract)
Health care in care homes: a special review of the provision of health care to those in care homes
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2012
- Pagination:
- 8p.
- Place of publication:
- London
This review explores how older people and people with learning disabilities living in care homes access healthcare services, whether they have choice and control over their healthcare and whether they receive care that is safe and respects their dignity. The results are based on an analysis from the inspections of 81 care homes in 9 primary care trust areas during January and February 2011. The inspection teams interviewed managers, residents and staff, observed care provided to residents, and examined case files. The findings are discussed against 4 themes: involvement and information; personalised care, treatment and support; safeguarding and safety; and suitability of staffing. Among the findings were that 77% of care plans considered the views of the resident, and that 96% of care homes identified the changing health care needs of residents through informal or responsive monitoring. However, the review also showed that: 25% of residents did not feel they were offered a choice of male or female staff to help them use the toilet; 44% of care homes indicated they received routine visits from GPs; 30% of nursing homes did not have a 'do not attempt resuscitation' policy (and, of those that did, just 37% of staff had received training on it); 35% of homes reported they sometimes had problems getting medicines to residents on time; and 10% of care homes said they paid for their GP surgeries to visit.
Local system review: Reading
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2019
- Pagination:
- 40
- Place of publication:
- Newcastle upon Tyne
This targeted local system review looks at how older people move through the health and social care system in Reading, with a focus on how services work together. It is one of a series of reviews which look at how hospitals, community health services, GP practices, care homes and home care agencies work together to provide seamless care for people aged 65 and over living in a local area. The review found that older people in Reading had a positive, experience of health and social care services and were treated with dignity. The report identifies examples of good practice and highlights areas for improvement to ensure providers of health and social care services work better together. Areas working well include that: compared to other areas, people in Reading were less likely to be kept in hospital when they were ready to leave; people living in care homes were well supported, preventing them from needing to access hospital care unnecessarily; and a dial-a-ride transport service which allowed older people to remain independent and active. Recommendations for improvements included: the development of a joint commissioning strategy and for the development of prevention and early intervention services that increase the support offer in the community. (Edited publisher abstract)
The state of health care and adult social care in England in 2012/2013
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- TSO
- Publication year:
- 2013
- Pagination:
- 86
- Place of publication:
- London
The Care Quality Commission's annual report on the state of health and social care services for the period 2013/13. The findings are based on the results of over 35,000 inspections to services. Part 1 of the report focuses on the increasing number of older people arriving in A&E with avoidable conditions. The thematic study looks at the increase in admissions, the impact on A&E departments, and regional differences. A case study of Queen's Hospital in Romford is included. Part 2 of the report sets out the quality of care in each sector. The remainder of Part 2 contains specific sections on: adult social care; NHS services; Independent health care; and primary dental care. The finding are summarised under the headings of safeguarding and safety; care and welfare; respect and dignity; suitability of staffing; and monitoring quality.Appendices include a listing of the numbers of registered adult social care providers across the different regions and sector performance tables by outcome. (Original abstract)