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Essex County Council - Provider Hub
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Market Quality in Essex

The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England. They are responsible for ensuring that health and social care services provide people with safe, effective, compassionate, high-quality care and they encourage care services to improve.

With the introduction of the Health and Care Act 2022 the Care Quality Commission has a duty to review and assess providers, Local Authorities and Integrated Care Systems. The new framework will ensure a consistent and transparent approach that will provide an up-to-date view of market quality.

Essex County Council also has its own Provider Quality Team which undertake quality assessment audits across regulated services within Essex administrative area.

Our vision is to form strong relationships with our care providers and partners within local communities to create a supportive environment that enables people to achieve the best outcomes and remain independent for as long as possible.

We will look at the four broad elements that are known to be associated with system wide improvement: leadership, skills, culture and infrastructure. We will continue to ensure we are strengthening and improving these core areas, which support strong and effective outcomes for our residents.

We want the people of Essex to be confident that good health and social care means good wherever they are in the county and whichever service they are using.

The current overall rating for CQC regulated providers in the Essex market is 83%, and it has been consistently above the national and regional averages in the recent years.

How does Essex benchmark either regionally, nationally or with other local authorities?

Benchmarking Essex data against regional and national data indicates positive performance, with 83.16% rated as Outstanding or Good compared to 80.51% across the Eastern Region but with 82.44% nationally

The local authorities shown in the table below have been chosen based on their size relative to Essex in terms of provider numbers (at least 200 providers)

Integration

NHS trusts, and the adult social care market tends to be made up of multiple and often small-scale, independent providers, funded through diverse financial arrangements. The complexity of the system highlights particular difficulties of engaging a hugely diverse network of providers in system-working.

The integration agenda between health and adult social care will continue to work to achieve a greater understanding of each other and define a shared and effective approach.

As ICS’s develop, we will continue to define how people, systems and processes talk and work together across organisational structures and professions, supported by technology, which will support communication and medical information flow as easy as possible.

We’ll look at how the care provided in a local system is improving outcomes for people and reducing inequalities in their care. This means looking at how services are working together within an integrated system, as well as how systems are performing as a whole.

The information shown in the  graphs above is correct as of 31st March 2024

Placement ratings by service type

We aim to place adults in care through either our own frameworks or ‘spot’ placements, when necessary, in providers rated at least Good by the CQC. The tables below provide a breakdown of ECC funded placements by relative cohort where appropriate.

Residential & nursing care insight

Service Type

Total No. of People

% Good/ Outstanding

%  Requires Improvement/Inadequate

Older People

3,066

71%

29%

Adults with Disability

1,031

81%

19%

Mental Health

208

68%

32%

Live at Home insight

Service Type

Total No. of People

% Good / Outstanding

% Requires Improvement/Inadequate

Live at Home

6580

84%

16%

Mental Health Live at Home

153

83%

17%

Supported Living insight

Service Type

Total No. of People

% Good / Outstanding

% Requires Improvement/Inadequate

Supported Living

1,350

80%

20%

Extra Care insight

Service Type

Total No. of People

% Good / Outstanding

% Requires Improvement/Inadequate

Extra Care

335

78%

22%

The information shown in the tables above is correct as of 31st March 2024

The table below provides CQC quality ratings and percentages based upon the framework contracts that the Council currently has:

Framework

Total No. of Providers

% Good/ Outstanding

% Requires Improvement/Inadequate

Integrated Residential and Nursing

61

64%

36%

Live at Home

40

93%

8%

Supported Living

60

90%

10%

The table below provides the same level of detail but at a service level:

Service Type

Total No. of Providers

% Good/ Outstanding

% Requires Improvement/Inadequate

Older People Residential

74

68%

32%

Adults With Disabilities

59

85%

15%

Care Home with Nursing

33

85%

15%

Live at Home

163

90%

10%

The table below provides CQC quality ratings and percentages based upon the framework contracts that the Council currently has:

Framework

Total No. of Providers

% Good/ Outstanding

% Requires Improvement/Inadequate

Integrated Residential and Nursing

50

78%

22%

Live at Home

15

80%

20%

Supported Living

39

87%

13%

The table below provides the same level of detail but at a service level:

Service types

Total No. of Providers

% Good / Outstanding

% Requires Improvement/Inadequate

Older People Residential

55

84%

16%

Adults With Disabilities

83

80%

20%

Care Home with Nursing

25

80%

20%

Live at Home

72

83%

17%

The table below provides CQC quality ratings and percentages based upon the framework contracts that the Council currently has:

Framework

 Total No. of Providers

% Good/ Outstanding

% Requires Improvement/Inadequate

Integrated Residential and Nursing

18

72%

28%

Live at Home

13

77%

23%

Supported Living

16

100%

0%

The table below provides the same level of detail but at a service level:

Service

Total No. of Providers

% Good/ Outstanding

% Requires Improvement/Inadequate

Older People Residential

24

79%

21%

Adults With Disabilities

7

100%

0%

Care Home with Nursing

17

88%

12%

Live at Home

67

82%

18%

Last updated: 31/03/2024