CQC finds some care homes have difficulties meeting the healthcare needs of residents


The Care Quality Commission has been looking at the way in which the healthcare needs of residents of care homes are being met. They looked at both older people and people with learning disabilities. They were particularly interested in whether people had choice and control over their healthcare and whether they received care that was safe and respectful of their dignity. The inspection teams visited a sample of 81 care homes within nine Primary Care Trust areas.

The review found that

  • 77% of care plans they saw had taken the views of the resident into consideration
  • 96% of the care homes they visited had identified changing health care needs of residents through informal or responsive monitoring
  • 25% of residents did not feel they were offered a choice of male or female staff to help them use the toilet
  • Only 44% of care homes said they received routine visits from GPs
  • 34% of nursing homes did not have a ‘do not attempt resuscitation’ policy. Of those that did, just 37 per cent of staff had received training on it
  • 35% of homes reported they ‘sometimes’ had problems getting medicines to residents on time
  • 10% of care homes said they paid for their GP surgeries to visit.


CQC have made the data available in spreadsheets:

1. An overarching data workbook

2. Data by participating PCT

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John Northfield

After qualifying as a social worker, John worked in community learning disability teams before getting involved in a number of long-stay hospital closure programmes, working to develop individual plans for people moving into their own homes. He worked for BILD, helping to develop the Quality Network and was editorial lead for the NHS electronic library learning disabilities specialist collection. This led him to found the Learning Disabilities Elf site with Andre Tomlin as a way of making the evidence accessible to practitioners in health and social care. Most recently he has worked as part of Mencap's national quality team and also been involved in a number of national website developments, including the General Medical Council's learning disabilities site.

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