Care Quality Commission State of Care Annual Report 2019

Wednesday, October 16, 2019

The Care Quality Commission (CQC) released their annual “State Of Care” report yesterday, it is the CQC’s annual assessment of Health Care and Social Care in England. The report looks at the trends, shares examples of good and outstanding care, and highlights where care needs to improve.

You can read the full report and summary on their website.

Key Findings in Social Care sector were:

  • It is estimated around 1.4 million older people do not have access to all the care they need because of inadequate access to services such as help in the home and care homes.
  • Workforce issues remain a pressure for the sector. Staff turnover in all roles has risen over the last six years with Care Workers having the highest rate, at 40%.
  • The CQC also expressed strong concerns about the state of services for people with learning disabilities and mental health. Some 10% of inpatient services for people with learning disabilities and autism were rated inadequate - up from 1% last year.
  • 84% of Social Care services were rated good or outstanding.
  • The CQC said the number of care-home places had declined by 11% over the last five years while the number of domiciliary care agencies have increased by 23% over the same period. The CQC notes that this reflects a national and local ambition to support people to remain at home for as long as possible. However the report also highlights its concerns over the sustainability of the domiciliary care market, which can have an impact on people’s access to care.
  • Adequate funding for the social care sector continues to add pressure on all services.

Great news coming out of Stoke-On-Trent!

After the CQC’s damming report: CQC Review of Local Health and Social Care System – Stoke-On-Trent Report was published in November 2017 which found that health and social care services in Stoke-On-Trent were failing older people. The CQC identified that the system had too many residential care homes, nursing care homes and social care homes that are rated as Inadequate or Requires Improvement.

Senior leaders from Stoke-on-Trent City Council, Stoke-on-Trent Clinical Commissioning Group, North Staffordshire Combined Healthcare NHS Trust (NSCHT), University Hospitals of North Midlands NHS Trust (UHNM), Staffordshire and Stoke-on-Trent Partnership NHS Trust (SSOTP) committed to work together and developed the CQC Stoke-on-Trent Local System Review Improvement Plan and the North Staffordshire and Stoke-on-Trent Alliance  was formed to ensure that the plan was delivered.

The CQC has stated in the State Of Care report that a new transparency between leaders meant they could address issues together, which helped them to make progress and improve people’s experience of care.

They found that there was good joint strategic work to develop plans for winter, and the patient flow through the Royal Stoke Hospital had improved considerably.

The quality of independent social care, and the way that those who commission services work with providers of care, had improved. There were no care homes, nursing homes or domiciliary care services rated as inadequate and the percentage of nursing homes rated as good had increased from 32% in July 2017 to 76% in July 2019!


Working from offices in Hanley and Walsall, Cream Health Care is a name that is synonymous with Health & Social Care recruitment throughout Staffordshire, Shropshire and the West Midlands. Established in 2009 we have become the first choice Health & Social Care Agency for job seekers and employers throughout the region.

To contact the Cream Team about recruitment send an e-mail to:  or call: 01782 261552.