Recruitment, financial pressures and a lack of integration have been highlighted as the main threats to adult social care in England.
The assessment comes in the CQC’s annual State of Care report which has been published today.
Recruitment is highlighted as a problem for many providers in terms of attracting and retaining staff.
The report says some providers have considered providing residential but not nursing care because they could not recruit enough staff while others had trained and developed other care staff to expand their roles.
Some have expanded links with universities to encourage recruitment as well as offering apprenticeship schemes.
The CQC also highlights the potential threat by Brexit to the sector’s 90,000 non-British EU workers.
Financial pressures as a result of the introduction of the National Living Wage are also stressed.
Staff costs represent around 60% of total costs of some of the largest providers of residential homes.
Funding and staffing pressures were hitting operator profits, the report states.
Care home providers relying on local authorities for over half their turnover were found to achieve an average of 10% less fee income per bed and 28% less profit per bed compared with others with some being forced out of business.
Frustration had been expressed by many adult social care providers over a lack of integration with other providers.
Hospital admission and discharge was identified as a key area where integration was lacking, although some individual successful innovations were noted.
To read the full report, click here.