The state of adult social care services 2014 to 2017: findings from CQC's initial programme of comprehensive inspections in adult social care

Care Quality Commission
Publication year:
Place of publication:
Newcastle upon Tyne

This report looks at the quality of care across adult social care services regulated in England by the Care Quality Commission. It draws on more than 33,000 inspections of approximately 24,000 different services, including residential homes, nursing homes, care in people’s own homes, Shared Lives schemes and supported living services inspected during the period October 2014 and February 2017. The inspections rate services as either: Outstanding, Good, Requires Improvement or Inadequate across the five key questions: whether they're safe, effective, caring and well-led. Services area also given an overall rating. The report summarises key findings from the inspections; highlights the features of high-quality care identified in inspections, focusing leadership, culture and person-centred care; looks at characteristics that can lead to poor-quality care and how the CQC use their enforcement powers to improve services; and examines how successful services have been in improving the quality of their care following inspections. It illustrates the quantitative findings from the CQC ratings database with qualitative information and examples from a sample of inspection reports. The results show that that almost four out of five adult social care services are rated as good or outstanding overall. However, approximately one quarter of services required improvement or were inadequate in the areas of ‘safe’ and ‘well-led’. In relation to types of services community social care services were rated the best overall, whereas nursing homes remain the biggest concern. (Edited publisher abstract)

Subject terms:
adult social care, shared lives schemes, home care, inspection, quality assurance, service users, care homes, nursing homes, supported living, performance evaluation, quality improvement, regulation;
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