One in four hospitals, clinics and care homes fail to meet basic standards for patient safety and quality of care

 

One in four hospitals, clinics and care homes in England are failing to meet basic standards for patient safety and quality of care, according to the most comprehensive study of its kind.

The Care Quality Commission’s state of the nation report based on 14,000 unannounced inspections of dentists and NHS, private, and social care run facilities reveal widespread problems with staffing levels, safe medication management and record keeping.

Nursing leaders last night said the report should act as a “wake-up” call to the government amid accusations that ministers had thus far ignored evidence of redundancies, unfilled vacancies and job cuts.

One in 10 services failed to meet legally binding standards for staffing levels which often led to compromises in the care and welfare of patients, as well as limiting training and supervision for staff, the CQC found.

Almost one in five services inspected were failing to safely administer medications with “worrying” examples of risks associated with age, side-effects and drug interactions being poorly managed. Care homes for the elderly and adults with disabilities, which often have no trained nurses or doctors on a day-to-day basis, fared worst. People with complex and multiple medical needs such as dementia or Parkinson’s disease sufferers often reside in these homes.

The deteriorating physical state and suitability of premises was also a particular concern in social care, the inspectors found.

In the private sector proper record keeping was the biggest concern. The CQC inspectors found out of date and incomplete notes about patients, stored in insecure places which could jeopardize patients’ confidentiality.

The CQC says it has taken tough action against failing services, including some closure, and would continue to hold them to account.

Dr Peter Carter, general secretary of the Royal College of Nursing, said: “It is shocking that more than one in four locations inspected in this report have failed to meet even essential standards of quality and safety… this presents a long overdue wake-up call for the Government. Those locations in question must be brought up to standard as a matter of urgency.”

The report also includes a special focus on maternity services, emerging as a problem area for a number of NHS Trusts due to midwife numbers not keeping pace with the birth rate and increase in complex births.

Arts and Entertainment
TVShow's twee, safe facade smashed by ice cream melting scandal
Arts and Entertainment
tv
Arts and Entertainment
Lisa Kudrow, Courtney Cox and Jennifer Anniston reunite for a mini Friends sketch on Jimmy Kimmel Live
tv
Life and Style
tech
PROMOTED VIDEO
Have you tried new the Independent Digital Edition apps?
News
ebooksAn evocation of the conflict through the eyes of those who lived through it
News
Actor, model and now record breaker: Jiff the Pomeranian
Video
News
REX/Eye Candy
science
Sport
Alexis Sanchez celebrates after scoring his first goal for Arsenal in the Champions League qualifier against Besiktas
sportChilean's first goal for the club secures place in draw for Champions League group stages
News
i100
News
Down time: an employee of Google uses the slide to get to the canteen
scienceBosses are inventing surprising ways of making us work harder
Independent
Travel Shop
the manor
Up to 70% off luxury travel
on city breaks Find out more
santorini
Up to 70% off luxury travel
on chic beach resorts Find out more
sardina foodie
Up to 70% off luxury travel
on country retreats Find out more
Latest stories from i100
Have you tried new the Independent Digital Edition apps?
Independent Dating
and  

By clicking 'Search' you
are agreeing to our
Terms of Use.

iJobs Job Widget
iJobs General

Teacher

£130 - £131 per day: Randstad Education Chelmsford: Ks1 teacher required for m...

Project Manager (infrastructure, upgrades, rollouts)

£38000 - £45000 Per Annum + excellent benefits package: Clearwater People Solu...

MI Analyst and SQL Developer (SQL, SSAS, SSRS)

£28000 - £32500 Per Annum + 28 days holiday, pension, discounts and more: Clea...

Creative Content Executive (writer, social media, website)

£30000 - £35000 Per Annum + 25 days holiday and bonus: Clearwater People Solut...

Day In a Page

Israel-Gaza conflict: No victory for Israel despite weeks of death and devastation

Robert Fisk: No victory for Israel despite weeks of devastation

Palestinians have won: they are still in Gaza, and Hamas is still there
Mary Beard writes character reference for Twitter troll who called her a 'slut'

Unlikely friends: Mary Beard and the troll who called her a ‘filthy old slut’

The Cambridge University classicist even wrote the student a character reference
America’s new apartheid: Prosperous white districts are choosing to break away from black cities and go it alone

America’s new apartheid

Prosperous white districts are choosing to break away from black cities and go it alone
Amazon is buying Twitch for £600m - but why do people want to watch others playing Xbox?

What is the appeal of Twitch?

Amazon is buying the video-game-themed online streaming site for £600m - but why do people want to watch others playing Xbox?
Tip-tapping typewriters, ripe pongs and slides in the office: Bosses are inventing surprising ways of making us work harder

How bosses are making us work harder

As it is revealed that one newspaper office pumps out the sound of typewriters to increase productivity, Gillian Orr explores the other devices designed to motivate staff
Manufacturers are struggling to keep up with the resurgence in vinyl records

Hard pressed: Resurgence in vinyl records

As the resurgence in vinyl records continues, manufacturers and their outdated machinery are struggling to keep up with the demand
Tony Jordan: 'I turned down the chance to research Charles Dickens for a TV series nine times ... then I found a kindred spirit'

A tale of two writers

Offered the chance to research Charles Dickens for a TV series, Tony Jordan turned it down. Nine times. The man behind EastEnders and Life on Mars didn’t feel right for the job. Finally, he gave in - and found an unexpected kindred spirit
Could a later start to the school day be the most useful educational reform of all?

Should pupils get a lie in?

Doctors want a later start to the school day so that pupils can sleep later. Not because teenagers are lazy, explains Simon Usborne - it's all down to their circadian rhythms
Prepare for Jewish jokes – as Jewish comedians get their own festival

Prepare for Jewish jokes...

... as Jewish comedians get their own festival
SJ Watson: 'I still can't quite believe that Before I Go to Sleep started in my head'

A dream come true for SJ Watson

Watson was working part time in the NHS when his debut novel, Before I Go to Sleep, became a bestseller. Now it's a Hollywood movie, too. Here he recalls the whirlwind journey from children’s ward to A-list film set
10 best cycling bags for commuters

10 best cycling bags for commuters

Gear up for next week’s National Cycle to Work day with one of these practical backpacks and messenger bags
Paul Scholes: Three at the back isn’t working yet but given time I’m hopeful Louis van Gaal can rebuild Manchester United

Paul Scholes column

Three at the back isn’t working yet but given time I’m hopeful Louis van Gaal can rebuild Manchester United
Kate Bush, Hammersmith Apollo music review: A preamble, then a coup de théâtre - and suddenly the long wait felt worth it

Kate Bush shows a voice untroubled by time

A preamble, then a coup de théâtre - and suddenly the long wait felt worth it
Robot sheepdog technology could be used to save people from burning buildings

The science of herding is cracked

Mathematical model would allow robots to be programmed to control crowds and save people from burning buildings
Tyrant: Is the world ready for a Middle Eastern 'Dallas'?

This tyrant doesn’t rule

It’s billed as a Middle Eastern ‘Dallas’, so why does Fox’s new drama have a white British star?