State of Adult Social Care report covering 2014 to 2017 and clearly feels empowered and emboldened to draw conclusions from the inspections it has conducted. Nursing Homes are singled out for particular mention in the report with one in three failing to be rated at least good overall. Across all adult social care providers one in four providers failed to be rated as at least good for the question 'is the service safe?' These conclusions are based within the confines of CQC’s inspections of providers, which by their very nature, are subjective opinions on service provision. Given the continual stream of CQC negative reports about the performance of Adult Social Care and the subjective opinions of inspectors; is it not time that we started to look for a more balanced approach to the results of inspections that takes an objective account of the provider’s position. Is there not a need for a balanced, rounder, picture of care to come into the public domain. This should include fair due process which acknowledges that providers have rights, too. In practice, we see the rating system being reduced to a binary judgement in the public discourse on care: so, we have 'good and outstanding' or 'failing' homes. This is simplistic and adds to the negative portrayal of the sector that is making it so hard to recruit the care managers and other care staff that are needed. The sector cannot survive on a diet of blame and criticism while the longstanding structural issues remain unresolved.
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