Quality levels in adult social care improved slightly in 2018/19 but people continue to struggle to access care, the CQC has revealed.
In its annual State of Care report, the CQC said four out of five services in England are rated Good, up slightly on last year, with the percentage of Outstanding services rising from 3% to 4%.
Services rated Requires Improvement fell on the previous year to 15% from 17%, while services rated Inadequate remained at 1%, although this fell slightly in unit terms.
By service type, the percentage of registered domiciliary agencies rated Outstanding rose from 3% to 4% and services rated Good remained at 82%.
The percentage of home care providers rated Requires Improvement fell from 14% to 13% this year and those rated Inadequate remained at 1%.
Residential homes had a greater percentage of Good and Outstanding homes (85%) than nursing homes (76%), although there were more Outstanding nursing homes (4%) than residential services (3%).
More than one in five (22%) nursing homes were rated Requires Improvement with a further 2% rated Inadequate. For residential homes, the figures were 14% for Requires Improvement and 1% for Inadequate.
Across the entire adult social care sector in England, the percentage of Good and Outstanding ratings either stagnated or improved slightly. The same was true for Requires Improvement services, but the percentage of Inadequate providers rose by 1% in some areas.
The South West had the highest percentage of Good and Outstanding services (87%) with Yorkshire & the Humber having the lowest percentage (81%). Yorkshire & the Humber also had the highest percentage of Requires Improvement and Inadequate services (20%) followed by the West Midlands (18%).
But while quality ratings across adult social care have been maintained overall, people’s experience of care is determined by whether they can access good care when they need it, the CQC said.
Click here for more details on how difficulties in accessing the right care and growing workforce challenges are creating a ‘perfect storm’ in adult social care.