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Care England and Cornerstone Launch New Report Series to Address Care Home Challenges

The adult social care sector has long faced significant pressures, but today, mounting workforce, and regulatory challenges on top of financial pressures driven by changes to the Employers National Insurance Contributions have further pushed care providers to the brink of unsustainability.

In response, Care England has commissioned Cornerstone Care Solutions to launch a series of reports examining the root causes of care home failures and develop comprehensive turnaround strategies focused on early intervention and stakeholder collaboration.

The first report in the series, titled Timely Intervention for Profitability and Compliance, is published today and will be followed by additional reports on Quality and Financial KPIs and Governance and Risk Management. The three reports will set the stage for an in-depth webinar on 4 March 2025, where experts will present the findings and discuss actionable strategies to help care homes address the most pressing challenges.

The inaugural report underscores the importance of early intervention and robust management practices to ensure the long-term sustainability of care homes. It identifies key challenges, including:

• Financial Viability: Legacy debts and inadequate financial oversight are major contributors to care home closures. A detailed financial assessment and sound management practices are crucial for stabilising these businesses.
• Management and Workforce: Leadership quality and staff engagement are central to care quality. Addressing skill gaps, restructuring leadership teams, and enhancing staff training are recommended to improve outcomes.
• Operational Efficiency: Smaller care homes often struggle with limited resources. Optimising operations and exploring specialised care offerings can enhance their competitiveness and sustainability.
• Regulatory Compliance and Trust: Non-compliance with CQC standards and local authority audits severely impacts reputations and operations. Comprehensive compliance audits and corrective action plans are critical for restoring trust and stability.

The report further highlights the importance of timely responses to early warning signs such as declining occupancy rates, poor CQC inspections, and financial irregularities. Proactive measures, including operational reviews, transparent reporting, staff upskilling, and enhanced stakeholder collaboration, are essential to prevent crises from escalating. It also emphasises the potential of leveraging technology to drive efficiencies, improve care delivery, and boost community engagement.

Professor Martin Green OBE, Chief Executive of Care England, commented: “The pressures on the adult social care sector have never been greater, and with the changes to the Employers National Insurance Contributions putting further costs on providers, the consequences of inaction are stark. Care homes play a vital role in supporting vulnerable people, and we cannot afford to see their doors closing due to preventable issues. This report is a wake-up call, offering practical solutions to some of the most critical challenges facing care providers. Early intervention, collaboration, and a commitment to excellence are not optional – they are essential to securing the future of social care.”

Care England’s webinar on 4 March 2025 will provide an in-depth overview of the series and offer actionable strategies to support care homes, to register, click here. The full report, Timely Intervention for Profitability and Compliance, is available here.