An online examination of Care Quality Commission (CQC) inspection records from almost 10,000 care homes, performed by BBC Radio 5 Live Investigates and LaingBuisson (healthcare analysts), suggests that around 20% of care homes for older people in England failed to meet national CQC standards.
An interpretation of these findings implies that 73,000 residents live in homes where care is sub-standard, and some 3,500 people are thought to live in the 96 homes which failed to meet any of the CQC’s key tests.
Champion, G. (2015). One in five care homes ‘failing standards’. London: BBC Health News (BBC 5 Live), February 8th 2015.
On Dementia Diagnosis in Care Homes
Alistair Burns (National Clinical Director for Dementia at NHS England) has been highlighting the need better dementia recognition and the need for GPs to play an active role in achieving higher diagnosis rates among care home residents.
“Ensuring that residents have a diagnosis and care plan in place would benefit patients, care homes and the system. This is reinforced by the recent review carried out by Care Quality Commission (CQC)”.
GPs have a vital care home dementia role – Alistair Burns. London: NHS England, January 29th 2015.
NHS England has released a semi-published fact sheet (grey literature) of FAQs to offer GPs guidance:
[Burns, A. (2015)]. The diagnosis of dementia for people living in care homes: Frequently Asked Questions by GPs. [London: NHS England], January 28th 2015.
Further detail on this topic was supplied late 2014, but somehow went under the radar:
Burns, A. Harwood, D. [and] Twomey, P. (2014). Don’t let care home residents slip through the dementia net – Alistair Burns. London: NHS England, December 18th 2014.
The broad plan can be remembered with the mnemonic acronym “GEMS”:
- General Practitioners key role.
- Enhanced services linkage.
- Memory services involvement.
- Support for care homes.
There is an NHS England primary care support guide:
Dementia diagnosis and management: a brief pragmatic resource for general practitioners. London: NHS England, January 14th 2015.