Supported by the Office for National Statistics, the Care Quality Commission have completed a targeted piece of work to analyse the impact of coronavirus (COVID-19) on different ethnic groups in care settings. This data indicates a disproportionate number of deaths among people from BME groups.
The data published includes death notifications in adult social care settings from 10 April -15 May 2020 (and the equivalent period in 2019).
While the vast majority of all reported deaths from adult social care settings were White people the proportion of deaths in all adult social care services due to confirmed or suspected COVID-19 was higher for Black (49%) and Asian (42%) people compared to White people (41%) and people from mixed or multiple ethnic groups (41%).
This difference increases when looking at care home settings only, where 54% of deaths amongst Black people and 49% of deaths amongst Asian people are related to COVID-19 compared to 44% of deaths of White people and 41% for mixed or multiple ethnic groups.
Care Quality Commission | March 2020 | Getting safer faster: key areas for improvement in maternity services
In 2017, CQC reported on the findings of our first round of comprehensive inspections of all NHS acute hospital services in England. The CQC’s report highlighted concerns about the safety of maternity services, with half of all maternity services rated as requires improvement or inadequate for the key question ‘are maternity services safe?’.
Their current NHS maternity service ratings show some improvement since the CQC’s first round of comprehensive inspections, and the number of services rated inadequate for safety has reduced considerably. While almost 61% of maternity services are rated good for safety and 1% are outstanding, just under 38% are still rated requires improvement for safety. For these services, improvements focused on developing their safety culture are required to narrow the variation that still exists and ensure that all women have access to high-quality maternity care.
Care Quality Commission, Office for National Statistics & NHS | January 2020 | Maternity services survey 2019
The Care Quality Commission (CQC), Office for National Statistics & NHS has published its patient survey programme of maternity services for 2019.
Key Findings for England
The report shows that overall, women reported many positive experiences of maternity care in 2019
There has been important improvement across a greater number of questions compared to 2018 and positive upward trends are evident over time in areas such as feeding choices and partner involvement
The most positive results this year relate to women’s experience interacting and communicating with staff in maternity services, particularly during labour and birth
However, in line with previous years, results still indicate poorer experience of care for many women postnatally compared to antenatal care and care during labour and birth
Results also show that outside the labour ward or birthing centre, a significant proportion of women felt they did not have access to the support that they needed and that the quality of information provided about mental health could be improved
This survey looked at people’s experiences of using Type 1 (major A&E) and Type 3 (urgent care centres, minor injury units, urgent treatment centres) urgent and emergency care services, from decision to attend to leaving | Care quality Commission
132 trusts took part in the survey, of which 63 trusts had both a Type 1 and a Type 3 department, and 69 trusts had only a Type 1 A&E. The survey only includes Type 3 departments that are run directly by acute trusts, and not those run in collaboration with, or exclusively by others.
Key findings for England
The majority of people were positive about most aspects of the urgent or emergency care they received. Results across both type 1 and type 3 services have remained generally stable and have not significantly changed between 2016 and 2018.
Respondents in both the type 1 and type 3 surveys were very positive when answering questions about their interactions with staff. For example, the majority of respondents ‘definitely’ felt listened to, ‘definitely’ had confidence and trust in the staff examining and treating them and felt they were treated with respect and dignity ‘all of the time’. Staff are also generally providing clear explanations to most people about their treatment.
The survey results suggest there is scope for improvement in a number of areas across both service types, including:
help from staff to control their pain
information provision when leaving A&E or the urgent care centre
Certain groups of patients consistently reported poorer experiences of urgent and emergency care services, including:
younger type 1 respondents (aged 16 to 35)
type 1 respondents who said that they had been to the same A&E about the same condition or something related to it within the past week
for both type 1 and type 3 respondents, people whose visit to A&E or the urgent care centre lasts for more than four hours
Skills for Care Workforce Intelligence | October 2019 | The State of the adult social care sector and workforce
Skills for Care Workforce Intelligence have published a new report, the report looks at the adult social care sector and workforce in England. The State of the adult social care sets out the CQC’s assessment of the state of care in England in 2018/19. Using data from CQC inspections and ratings, to inform judgements of the quality of care.
The report indicates that quality ratings have been maintained overall but people’s experience of care is determined by whether they can access good care when they need it.
Care Quality Commission | August 2019 | Workforce Race Equality Standard 2018/19
The Care Quality Commission (CQC) has published its annual report -Workforce Race Equality Standard 2018/19 (WRES) on the experiences of BME staff to ensure equal access to career opportunities and fair treatment in the workplace.
According to the CQC, this year’s data shows progress in Indicators 2, 3 and 4:
the likelihood of white staff being appointed from shortlisting is the same as for BME staff
the data tells us there is no difference in the likelihood of a BME colleague entering a formal disciplinary process compared to a white colleague
this year’s data shows that there is no difference in the relative likelihood of white staff accessing non-mandatory learning compared to BME staff
The CQC still has lots of work to do in other areas such as ensuring BME representation at senior levels and reducing the gap in bullying and harassment. The CQC will be developing a robust action plan with the Race Equality Network and other colleagues to raise and accelerate our ambition in achieving a fair and inclusive workplace (Source: CQC).
Care Quality Commission | June 2019 | Smiling matters: oral health care in care homes
Care Quality Commission (CQC) has published its review of oral health care in care homes across England. The review also includes a number of case studies .Their findings show that too many people living in care homes are not being supported to maintain and improve their oral health.
What CQC did
Dental professionals accompanied our adult social care inspectors on 100 routine inspections. Three years on from the publication of the NICE guideline
(NG48), oral health in care homes is still not a priority and people are not always able to access the dental care they need.
Seventeen per cent of care homes said they never assessed people’s oral health on
What CQC found
Among the homes visited:
most had no policy to promote and protect people’s oral health (52%)
nearly half were not training staff to support daily oral healthcare (47%)
73% of care plans reviewed only partly covered or did not cover oral health
it could be difficult for residents to access dental care
10% of homes had no way to access emergency dental treatment for residents
A cross-sector approach including:
sharing best practice
repeating and reinforcing the guidance
mandatory staff training
oral health check-ups for all residents moving into a care home
Adult inpatient survey 2018 | Care Quality Commission (CQC)
The results of the latest inpatient survey show what over 75,000 adults who stayed in hospital for at least one night in July last year said about the care they received. The survey covered the quality of information and communication with staff, whether they were given enough privacy, the amount of support given to help them eat and drink, and their discharge arrangements. The results are provided for England as a whole and by NHS trust.
Across the majority of questions asked in the survey there has been no improvement since it was last carried out, and this year’s results show an increase in those reporting lengthy delays, greater dissatisfaction with the amount of information provided when leaving hospital, and those who felt a lack of involvement in their care.
Most results for the 2018 Adult Inpatient Survey have slightly declined since last year or remained static.
Relationships with the medical and nursing staff are usually positive although there is a small decline compared to last year. For example, patients reported that overall, doctors and nurses answered their questions in a way they understood.
Trust in doctor and nurse is high, although declining slightly compared to last year.
Fundamental needs of most patients are being met in terms of food, hydration and rest.
The proportion of patients reporting being given enough privacy when being examined or treated continues to be very high.
However, this year’s results indicate that there are many areas in need of improvement:
Patients are reporting poorer experience when it comes to the integration of their care.
Patients are reporting that they are waiting too long at admission and longer than previous years at discharge.
At the time of being discharged, significant numbers of patients were unsure about their situation. This includes not being given appropriate information about their care after leaving the hospital, and not receiving enough notice.
Significant numbers of patients reported not being sufficiently involved in decisions regarding their care and treatment.
Certain groups of patients consistently reported poorer experiences of their time in hospital, including
The Care Quality Commission | June 2019 | Driving improvement: Case studies from eight independent hospitals
CQC visited eight hospitals that had improved their ratings to hear, how they have driven improvement for people who use their services. From this they identified common themes in the hospitals’ improvement journeys: