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Care Homes: Standards

Volume 498: debated on Wednesday 28 October 2009

To ask the Secretary of State for Health how many and what proportion of care homes did not meet the National Minimum Standard for Care Homes in 2008-09. (295607)

We are informed by the Care Quality Commission (CQC) that, when inspecting care homes against the National Minimum Standards (NMS), the CQC rates their performance using a four point system:

standard not met with major shortfalls

standard not met with minor shortfalls

standard met

standard exceeded

The tables show ratings against the NMS by number and percentage of care homes for younger adults and older people for the year ending 31 March 2009—the latest year for which information is available.

Score against NMS for care homes for younger adults as at 31 March 2009

Standard not met with major shortfalls

Standard not met with minor shortfalls

Standard met

Standard exceeded

NMS

No. of services

% of all scores

No. of services

% of all scores

No. of services

% of all scores

No. of services

% of all scores

1

Information

94

1

1,301

19

5,172

75

375

5

2

Needs assessment

55

1

427

6

6,244

84

745

10

3

Meeting needs

117

2

556

9

5,301

84

349

6

4

Introductory visits

28

0

179

3

5,802

90

412

6

5

Contract

155

2

1,067

17

5,048

79

140

2

6

Service user plan

107

1

1,397

19

4,778

64

1,227

16

7

Decision making

35

0

542

7

5,881

78

1,047

14

8

Participation

52

1

486

8

5,235

83

554

9

9

Risk taking

81

1

962

13

5,691

76

769

10

10

Confidentiality

50

1

489

8

5,371

89

109

2

11

Personal development

50

1

421

7

5,084

81

723

12

12

Education and occupation

35

0

467

6

5,669

76

1,332

18

13

Community links and social inclusion

26

0

404

5

5,915

79

1,158

15

14

Leisure

61

1

680

10

4,895

73

1,066

16

15

Relationships

4

0

133

2

6,547

87

816

11

16

Daily routines

26

0

351

5

6,095

81

1,021

14

17

Meals and mealtimes

25

0

462

6

6,200

83

809

11

18

Personal support

32

0

366

5

6,121

82

986

13

19

Healthcare

54

1

571

8

5,916

79

966

13

20

Medication

130

2

1,591

21

5,467

73

319

4

21

Ageing and death

70

1

628

11

4,664

83

261

5

22

Concerns and complaints

40

1

526

7

6,530

87

417

6

23

Protection

117

2

922

12

6,146

82

328

4

24

Premises

156

2

1,612

21

4,968

66

786

10

25

Space requirements

51

1

430

7

5,531

86

427

7

26

Furniture and fittings

74

1

806

12

5,193

80

399

6

27

Toilets and bathrooms

147

2

1,006

16

4,977

78

290

5

28

Shared space

59

1

679

11

5,267

82

397

6

29

Adaptations and equipment

77

1

592

10

5,050

85

220

4

30

Hygiene and control of infection

55

1

670

9

6,301

84

490

7

31

Roles

72

1

419

7

5,397

90

133

2

32

Qualities and qualifications

62

1

893

12

5,630

75

889

12

33

Staff team

181

3

1,333

20

4,845

72

346

5

34

Recruitment

193

3

1,102

15

5,814

78

344

5

35

Training and development

95

1

1,220

16

5,485

73

671

9

36

Supervision and support

143

2

1,148

17

5,047

76

324

5

37

Day to day operations

103

1

1,066

14

5,328

71

1,012

13

38

Ethos

93

1

430

7

4,933

80

747

12

39

Quality assurance

132

2

1,352

18

5,291

71

720

10

40

Policies and procedures

90

1

1,141

19

4,678

78

104

2

41

Record keeping

208

3

1,511

25

4,275

70

146

2

42

Safe working practices

129

2

1,428

19

5,617

75

335

4

43

Conduct of the service

171

3

917

16

4,533

79

93

2

Note:

Figures are based on the most recent score for each standard as at 31 March. The year shown is not necessarily the year of inspection - not every standard is inspected against every year and not every service is inspected annually.

Source:

CQC database

Score against NMS for care homes for older people as at 31 March 2009

Standard not met with major shortfalls

Standard not met with minor shortfalls

Standard met

Standard exceeded

NMS

No. of services

% of all scores

No. of services

% of all scores

No. of services

% of all scores

No. of services

% of all scores

1

Information

161

2

1,504

15

7,621

78

444

5

2

Contract

123

1

1,099

12

7,684

85

126

1

3

Needs assessment

112

1

871

8

8,667

84

728

7

4

Meeting needs

254

3

1,059

12

7,057

81

376

4

5

Trial visits

16

0

197

2

8,272

95

250

3

6

Intermediate care

77

4

160

7

1,841

84

104

5

7

Service user plan

269

3

2,990

29

6,259

60

892

9

8

Healthcare

168

2

1,338

13

7,934

76

968

9

9

Medication

397

4

2,752

26

6,973

67

286

3

10

Privacy and dignity

85

1

762

7

8,568

82

988

9

11

Dying and death

58

1

826

10

6,941

83

489

6

12

Social contact and activities

171

2

1,906

18

6,585

63

1,749

17

13

Community contact

18

0

230

2

9,150

88

1,008

10

14

Autonomy and choice

64

1

685

7

8,751

84

899

9

15

Meals and mealtimes

73

1

1,039

10

7,818

75

1,481

14

16

Complaints

92

1

754

7

9,133

88

432

4

17

Rights

40

1

280

4

7,571

95

66

1

18

Protection

199

2

1,293

12

8,629

83

286

3

19

Premises

198

2

2,117

20

6,867

66

1,227

12

20

Shared facilities

107

1

984

11

7,205

80

689

8

21

Lavatories and washing facilities

223

2

1,623

18

6,715

75

410

5

22

Adaptations and equipment

192

2

1,632

18

6,737

76

293

3

23

Space requirements

48

1

569

7

7,573

88

450

5

24

Furniture and fittings

131

1

1,461

16

6,973

76

576

6

25

Heating and lighting

301

3

1,802

20

6,527

73

291

3

26

Hygiene and infection control

147

1

1,413

14

7,918

76

926

9

27

Staff complement

208

2

1,412

14

8,228

79

558

5

28

Qualifications

102

1

1,154

11

7,660

74

1,453

14

29

Recruitment

359

3

1,779

17

7,903

76

356

3

30

Staff training

183

2

1,782

17

7,507

72

928

9

31

Day to day operations

221

2

1,521

15

7,252

70

1,403

13

32

Ethos

199

2

822

9

6,691

76

1,037

12

33

Quality assurance

243

2

1,808

17

7,375

71

965

9

34

Financial procedures

164

2

697

9

6,795

88

76

1

35

Service user money

57

1

535

5

9,442

92

214

2

36

Staff supervision

438

5

2,297

25

6,403

69

207

2

37

Record keeping

415

5

2,494

29

5,617

65

158

2

38

Safe working practices

272

3

2,214

21

7,460

72

462

4

Note:

Figures are based on the most recent score for each standard as at 31 March. The year shown is not necessarily the year of inspection - not every standard is inspected against every year and not every service is inspected annually.

Source:

CQC database