Helping primary care to support people with dementia

Cracks in the pathway

October 30 2014

This report presents the findings of a Care Quality Commission review of the care people living with dementia receive as they moved between care homes and acute hospitals.

The report shows that the quality of care for people living with dementia varies greatly and that it is likely that someone living with dementia will experience poor care at some point while living in a care home or being treated in hospital.

The report highlights that the variation in how care is assessed, planned, delivered and monitored by hospitals and care homes puts people living with dementia at risk of experiencing poor care.

Download Cracks in the pathway

The CQC inspected care in 129 care homes and 20 hospitals across England, looking at four areas:

  1. how people’s care needs were assessed
  2. how care was planned and delivered
  3. how providers worked together
  4. how the quality of care was monitored

The CQC asked people and their families to share their experiences of care and what was most important to them.

  • In 29% of care homes and 56% of hospitals assessments were not comprehensive in identifying all of a person’s care needs.
  • In 34% of care homes and 42% of hospitals, care was variable or poor in relation to people’s mental health, emotional and social needs.

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