Quality of Care - Residential and Community Care
The Care Quality Commission (CQC) is the independent inspector and regulator of health and social care services in England. They make sure health and social care services, such as Care Homes and Care and Support in peoples’ own homes are safe, effective and high-quality.
The CQC monitor, inspect and regulate services to make sure that they meet fundamental standards of quality and safety and they publish what they find to help people make informed decisions about their choice of care. The CQC focus on safety, effectiveness, caring environment, responsive to people's needs, and leadership. Information and intelligence is gathered from a range of sources including: Local Authorities, NHS and the Care Provider, and then carry out an on-site inspection.
There are four ratings which the CQC give to health and social care services:
- Outstanding - The service is performing exceptionally well.
- Good - The service is performing well and meeting our expectations.
- Requires improvement - The service isn't performing as well as it should and we have told the service how it must improve.
- Inadequate - The service is performing badly and we've taken action against the person or organisation that runs it.
Our aim is for the number of Outstanding and Good Care Quality Commission(CQC) ratings, of Care Homes in West Sussex, to be in the top quartile of statistical neighbours by 2022.
December 2019 performance
During the third quarter performance remained static. Whilst the number of homes rated Outstanding and Good increased slightly during the quarter, this is not reflected through a change in the overall percentage due to a reduction in the total number of services registered with CQC in West Sussex. Also, some care home services that are no longer operational continue to have published ratings this adversely skews the % rating figures.
The number of care homes closing in the West Sussex market has continued to impact on the quality of services; at the end of Quarter 4 2018/19 there had been 7 care home closures during the previous 12-months, at October 2019 this number had increased to 10 closures, with a further 3 care home closures/de-registrations in Quarter 3 making a total of 13 closures within the past 12-months.
December 2019 Performance
During the third quarter of this year the proportion of care at home services rated Good or Outstanding, in West Sussex, by the Care Quality Commission also remained static at 89%.
The care providers in West Sussex continue to report that recruiting and retaining an experienced and qualified workforce continues to impact their businesses.
Whilst the care at home market appears to have significantly grown, with 13 new services opening during quarter 3 according to CQC statistics, this is not a true reflection of growth in the market as it relates to a small number of providers individually registering services that were previously registered in groups.
The closure of Care Homes may have also impacted the Care at Home market, due to lack of capacity in the Care Home it is likely that more people will choose to receive Care at Home.
We work with providers to improve quality, however, we are currently reviewing how this support is delivered to ensure that CQC ratings are improved and existing good quality is sustained throughout the coming year and improvements are made towards the target.
The Council continues to support the care market with initiatives to improve quality of services and improve the recruitment and retention of staff through Proud to Care (West Sussex).
Commissioning arrangements for Care at Home are currently under review, with a key focus on models of care that grow sustainable capacity at the right quality to support people to safely remain at home.