STATE OF CARE: Increased demand and workforce challenges create perfect storm  

Ian Trenholm

The combination of increased demand and workforce challenges are creating a perfect storm in adult social care, the CQC has said.

In its annual State of Care report the CQC said that while the level of care is generally good when people can access it, people often struggle to access appropriate services.

CQC chief executive Ian Trenholm (pictured) said: “The combination of increased demand and workforce challenges is creating a perfect storm in adult social care.

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“People’s experience of care depends on the way they access it and they are being pushed into inappropriate care.”

Age UK estimates that 1.4m older people (nearly one in seven) do not have access to all the care and support they need.

The CQC boss said pressures on the sector were being exacerbated by government’s failure to find a long-term funding solution.

Mr Trenholm said there were real concerns about the overall capacity in the system with staffing under pressure from high vacancy and turnover rates.

There has been a decline in the number of residential and nursing home beds over the last five years, reflecting an ambition to keep people in their homes for as long as possible.

London and the north east saw the biggest declines in their number of beds in the year, both down by 11%. The two regions also had the lowest proportion of people who fully fund their own care in care homes with the former also having the highest proportion of fully funded local authority residents.

“Our challenges is to think beyond barriers and to accelerate the action needed,” the CQC CEO said.

He called for system wide action on workforce planning so that people could move much more freely between services to ease staffing challenges.

Tags : CQCRecruitmentState of Care Report

The author Lee Peart


  1. I think home care would be more practical these days. I don’t mean to sound like I’ve got something against care homes. It’s just that when people are offered a care home bedroom, they often turn very pale and go I’ll at ease at even just the idea of ending up in a care home. I can’t ignore that. They prefer to live in their own homes for the rest of their lives with their life partner. I think it’s unfair locking people in a care institution for the rest of their lives. They’re not in touch with the outside world, so then it feels strange even just walking over the doorstep. I always say that if you don’t live in a care home, then you won’t understand.

    1. Sarah Jane – IF a person has someone to live with and their health meant they were safe to do so, as a care home owner i would tend to agree with your view.
      However we see many many people who have lived in their own home on their own for several years or more following the death of their partner. They typically have few if any visitors, due to mobility issues they cannot or do not get out of their home. They are generally frankly incredibly lonely, often dont look after themselves properly (nutrition and personal care) and tend to lose mental capacity due to a lack of mental and physical activity.
      Life in a good care home is exactly the opposite providing company, mental and physical stimulation, support for external trips and visits, great nutrition and exemplary personal care. For single , lonely and physically challenged elderly people, whats not to like about a Care Home ?

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