The findings of the CQC review of home care services (Not just a number: Review of home care services) show that good care is being delivered, but a minority of people are affected by late or missed calls, lack of continuity of care workers, poor care planning and more.
Services providing reablement rather than just maintenance care were more likely to be good. Small agencies (6 - 100 people receiving support) were more likely to involve people’s carers in decisions about care, with 86% of carers reporting some level of involvement, compared to 81% of medium-sized and 64% of large agencies. Overall, 100% of micro agencies (1-5 people supported) met all the standards inspected, falling to 98% small; 96% medium and 90% large agencies. Other characteristics of good home care services included good written information about the services and choices available, also explained face-to-face; people are encouraged and supported to express their views in a variety of ways, with detailed records of preferences and choices and daily logs. Other good characteristics are small, stable group of known care workers being properly introduced to people, having a good understanding of relevant conditions eg dementia and the right vetting, training, support and skills.