Care and Social Services Inspectorate Wales (CSSIW) has published its all-Wales review into domiciliary care.
The review concluded that:
- Care and support arranged for a set time with fixed tasks is more likely to be inflexible and rushed.
- Care purchased at low prices tends to lead to problems with recruiting and keeping care workers.
- At its best, domiciliary care is centred on relationships between care workers and people who receive care.
- Most people, most of the time, are happy with and appreciate the care they receive.
- However, a small proportion of people experience poor care, especially regarding poor care worker continuity and unreliable visits.
- Despite poor pay and working conditions, most care workers are very motivated and often go ‘above and beyond’, giving care in their own time.
- However, there is a lack of workforce capacity, and the market is very fragile. Current approaches are not sustainable.
David Francis, Assistant Chief Inspector of CSSIW said:
“This report is based on an extensive piece of work and provides a comprehensive perspective on domiciliary care in Wales. We are extremely grateful to all the people who have helped us and have contributed to its findings. It provides a rich evidence base, a unique analysis and a wide range of suggestions which will support improvement to the lives of those receiving domiciliary care.
“Plans are already underway to register care workers in Wales and our findings have been used to shape the five year strategic plan for domiciliary care in Wales which has been commissioned by Welsh Government. This is being prepared by the Care Council for Wales and will be published later in the autumn.
“As in other parts of the UK, the domiciliary care market in Wales is fragile, which is clear in the report. Going forward it will be important to commission sustainable services; increase the number of people working in domiciliary care; and recognise the importance and value of care workers who go ‘above and beyond’, providing care at all hours, week in, week out.”
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