Residential and Nursing Care Market Position Statement 2025 - 2040 - Quality and cost
Quality of care home provision in Walsall
This table sets out the CQC rates of bed-based provision in Walsall as of early 2025.
| CQC Rating | Number of homes and beds |
|---|---|
| Outstanding | 2.86% |
| Good | 54.49% |
| Requires Improvement | 20.58% |
| Inadequate | 0% |
| Unrated | 22.07% |
CQC quality ratings of Walsall Care Homes February 2024 (Source: WM ADASS Data Hub and Walsall Council ASC commissioning CQC ratings analysis)
This table shows the significant quality improvement journey that overall the care home market in Walsall needs to undergo.
Costs of residential and nursing care in Walsall and average placements ends per month (November 2024)
Walsall Council has standard published weekly rates for residential and nursing care. These are set out in the table below for 25/26 as agreed by Walsall Council’s Cabinet in late February 2025. These rates will commence on April 1st 2025.
| Residential | Residential EMI (Dementia) | Nursing (plus FNC) | Nursing EMI (Dementia) (Plus FNC) |
|---|---|---|---|
| £617.32 | £696.66 | £718.62 | £808.68 |
The table below sets of the actual average rates paid per week for residential and nursing care in late 2024 (excluding FNC) (Source: Adult Social Care Finance)
| Average Contracted Rates Per Week - (Residential) - Under 65 | £2,085.29 |
|---|---|
| Average Contracted Rates Per Week - (Residential) - 65 Plus | £769.47 |
| Average Contracted Rates Per Week - (Nursing) - Under 65 | £1,451.52 |
| Average Contracted Rates Per Week - (Nursing) - 65 Plus | £1,042.01 |
Cost and Quality - Residential Care
Analysis has been done on the relationship between cost and quality of bed-based care. It shows the limited amount of CQC rated ‘Good’ quality commissioned capacity available at standard published rates.
- There are 4 residential homes that are CQC rated ‘Good’ quality and worked at standard published rates as of late 2024
- There are 2 care homes that are of lower CQC rated quality work and worked at standard published rates as of late 2024
- There are 14 residential homes that are CQC ‘Good’ rated but charged more than the Council standard published rate as of late 2024
- There are 8 residential homes that are of lower CQC rated quality but charged more than the standard published rate as of late 2024
- There are 4 residential homes CQC rated ‘Good’ that worked over standard published rates
It shows where residential and nursing care commissioners need to target efforts to improve quality and pricing strategy. This cost/ quality analysis is a tool that brokers will now use to determine placements subject to need, choice, capacity at the time of placement.
Cost and Quality - Nursing Care
This analysis shows the very limited amount of CQC rated ‘Good’ quality commissioned nursing care capacity available at standard published rates. It also shows, however, that there is a sizeable volume of nursing homes (10 homes) that charge not far off standard published rates
- There is 1 nursing home that is CQC rated ‘Good’ quality and worked at standard published rate as of late 2024
- There is 1 nursing home that is of a lower CQC rated quality that worked at standard published rate as of late 2024
- There are 8 nursing homes that are CQC ‘Good’ rated but charged more than the Council standard published rate as of late 2024
- There are 4 nursing homes that are of lower CQC rated quality but charged more than the standard published rate as of late 2024
- There are 10 nursing homes CQC rated ‘Good’ that worked over standard published rates but are under Walsall Fair Cost of Care determined rates as of late 2024.
This approach shows where residential and nursing care commissioners need to target efforts to improve quality and pricing strategy and it is a tool that brokers will now use to determine placements subject to need, choice, capacity at the time of placement.
The intention is that the Council will only work in the future with care homes that are CQC rated ‘Good’ or above, have good local quality assurance assessment and that work at our standard published rates and/ or that can negotiate with us to near those rates.
From April 1st 2025, brokers will prioritise placements in those care homes that are of good quality and work at/ near our standard published rate This is part of the Council’s 3 Year Pricing and Quality Improvement Plan.