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How Will You Use the CQC Ratings When You Search for a Care Home?

Choosing a care home or a home care provider is a big decision. Anything that helps people make a better choice for themselves or for an elderly relative should be welcomed.

In theory, the ratings issued following inspections by the Care Quality Commission (CQC) ought to be a useful, or even definitive, guide. In our experience, people do pay a lot of attention to ratings, particularly if poor ratings are picked up by the local press. A CQC judgement of inadequate can effectively put a care provider out of business.

But how well do most people understand where the ratings come from, what they mean or how reliable they are? It can be quite complicated as we explained in a recent article about what CQC ratings for care providers mean.

A central problem is that the CQC has developed into a large, cumbersome organisation. The complexity of the inspection regime, with over 600 regulations and CQC expecting 100% compliance for each is getting close to micromanagement. But this is hard to sustain in an organisation that struggles to recruit enough qualified inspectors and only visits most providers every couple of years.

How Accurate Are CQC Ratings?

CQC ratings and reports reflect a snapshot of how an inspection team interpreted what they saw on a specific day. Is this a realistic and accurate picture of what happens on a normal day when inspectors aren’t around? Are some providers simply better at preparing for inspections than others?

Some high-profile cases of neglect and abuse have, in fact, happened at homes that had been rated ‘good’. Similarly, you could probably find many perfectly contented residents in the more than one-in-eight care homes that have never had an overall rating of good. And several homes that are rated as inadequate had previously been rated as good.

So, does all of this mean that CQC ratings have no value? Not necessarily. They are still the result of an independent person who has followed an inspection process. Overall, they will tend to identify homes that are better run and where residents are better cared for.

There’s a strong argument that there are other important considerations for people choosing a care home. The best advice is to see the home for yourself during a normal day. Talk to the staff, try to get a sense of the atmosphere and ask yourself whether it’s somewhere that you or your family member would be happy to live.

Visitors are always welcome at all of our care homes. If you’d like to see for yourself how we work, you can contact us here to arrange a visit and find out more information.

What do CQC Inspection Reports Really Tell You?

First of all, Care Quality Commission (CQC) inspections are a good thing. It is important that there is accountability so that people placing their trust in care services can have confidence that the system is properly regulated.

Accountability also helps providers with common performance benchmarks and guidance on where we can improve.

To make best use of CQC inspection reports when choosing a care home or home care provider, it can help to understand a bit of background and context. Inspectors report on whether services are safe, effective, caring, responsive and well led. There are four possible ratings: Outstanding, Good, Requires Improvement and Inadequate. There is no category for ‘satisfactory.’

Some of the inspection rating is based on documentation such as procedures and record keeping and some of it is essentially a snapshot of what inspectors saw and who they spoke to. So, there could be some subjectivity in the findings- there’s also potentially some randomness based on exactly when the inspection happened.

There’s no doubt too, that some providers are better at the process of preparing for inspections than others. Although you could argue that this is what you’d expect from a well-managed organisation.

What do Ratings Mean?

Don’t dismiss homes simply if they are not Outstanding or Good. Care providers, and more importantly, care users are highly individual and other factors should also be considered.

For example, a home with a lower rating may be a better choice for an individual if the location makes it easier for relatives to visit and for the resident to maintain links with the community they come from. It may be that the facilities and activities on offer are more in line with what a particular person wants.

Similarly, you shouldn’t necessarily be put off a care home because its CQC rating at its last inspection was ‘Requires Improvement.’ There may not be that much practical difference between a provider that just got over the threshold to be rated ‘Good’ and one that didn’t quite make it.

If a home or provider is said to require improvement, it’s important to understand what this means. It could be that they provide essentially safe and effective care but need to tighten up some of their management processes. Even a provider with an ‘Inadequate’ rating shouldn’t be discounted out of hand if the management is taking urgent and purposeful action to correct the shortcomings found in the inspection.

The best way to identify the most suitable care home is to arrange a visit during a normal day to see for yourself whether residents look happy and well cared for. By all means, take along a copy of the most recent inspection report and talk through any concerns with the manager. More importantly, go with an open mind and ask: ‘is this a place where I or my loved one could live the life they want to live. To arrange a visit at any of our ‘Good’ care homes, contact us today on 01305 300 161.

What to consider before moving into a care home?

If you think the time has come to move into a care home, choosing the right one is an important and often difficult decision.

But before making that choice, there are often other questions and considerations to take into account. And one of the most common, is whether to get any financial help?

Local authority support

Contrary to what many believe, care homes and in fact, all social care services – aren’t free. That said you may qualify for support from your local authority.

To find out, you first need to apply for a ‘care assessment’, to confirm the level of support your local authority believes you need. If you’re assessed as needing a care home place, you’ll then be means tested to find out if you can afford to pay or contribute towards the cost of your stay.

Means test

The means test looks at your regular income (pensions, benefits or earnings) and other capital (savings and investments, land and property and business assets).

As it stands, if you have capital of over £23,250, you have to pay the full cost of your care home stay. However, if you own your own home and your spouse still lives there, the property isn’t taken into account in the means test. If your capital is between £14,250 and £23,250, you’ll be expected to contribute some of the costs but if it’s below, you qualify for the maximum level of support.

Care home figures

Around 240,000 care home or nursing home residents qualify for financial help.

That’s out of a total of 426,000 elderly and disabled people in residential and nursing care according to a recent market survey by Laing and Buisson. Around 405,000 of them are aged 65 or over, although only 16% of people aged 85 or over in the UK live in care homes.

Interestingly, even though the number of people aged 65 rose 11% between 2001 and 2011, the care home resident population has increased by just 0.3% in that time. One explanation is the general improvement in people’s health as they age which therefore means they do not need to go into a care home as quickly or for as long compared to earlier years.

Choosing the right home

When it comes to making the decision about which home to choose the importance lies with the research that is done beforehand. A mixture of recommendations, reputation, the internet and actually visiting the home is likely to be used. But with 13685 care homes in England as reported by the CQC, it can be difficult knowing where to start.

It’s important to get the perfect balance between professional care and a personal approach. So that you feel at ease with your surroundings & the care workers and that you are getting the care that you need.

This is why Altogether Care are committed to providing the perfect fit care solution to meet your personal needs. Believing that care should always be person-centric, shaped around what is best for you and what you prefer.

If you or a loved one are considering what the best form of care may be for the future, contact Altogether Care who can discuss the range of care solutions available which can be tailored to your needs and requirements. Whether that is care at home, respite, specialist dementia or care homes – our commitment to your care is clear with every option.

To find out more visit the website or contact us directly on 01305 300 161.

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