Market Position Statement - Our market landscape

Market overview and analysis

A fair and sustainable care market is fundamental to the government’s wide-ranging and ambitious reforms to adult social care. We are committed to shaping healthy and diverse social care markets and ensuring the quality and safety of care. We have published our ‘cost of care report’ and our market sustainability plan. We are working with our ICB partners on market issues such as reviewing the local rates of care to help understand and support market sustainability at a sub-regional level and provide clearer guidelines to providers on quality, safety and partnership working.

We will continue to work with the market and our partners to ensure availability of a good choice of local housing options, reducing reliance on traditional residential and nursing care, moving towards more independent living and supporting people to live at home or in a home like setting wherever possible. We work closely with our housing partners to identify and deliver suitable housing for vulnerable residents and to support the building of inclusive and accessible homes.

Overview of quality

The proportion of regulated adult social care services rated good or above by Care Quality Commission (CQC) is better than comparator and national averages in terms of nursing care and homecare provision indicating that the quality of services within the borough is high. The proportion of residential care rated good and above is slightly lower than the national average. Local authorities, the NHS and partners have a wider responsibility to promote quality across all sectors, and our commissioners work with providers on quality improvements through our quality assurance team. 

To help us to work with the market to foster continual improvement, we use the provider assessment and market management solution (PAMMS) which is an online assessment and auditing tool and framework which helps us assess the quality of care delivered by providers. It supports collaborative working with providers, identifying what is working well, and areas for improvement where we can provide additional support and advice.

Map colour key:

• Red - Inadequate
• Yellow - Requires improvement
• Green - Good
• Blue - Outstanding

Map shape key:

• Nursing homes - Squares
• Residential homes - Circles

Home care and other services are not shown on the map.

The table below shows how Richmond's nursing homes are rated by the CQC.

Nursing homes	Inadequate	Requires improvement	Good	Outstanding
Richmond	0%	0%	13% (1)	88% (7)
England	2%	2%	22%	72%
SW London	0%	0%	13%	82%

The table below shows how Richmond's residential homes are rated by the CQC.

Nursing homes	Inadequate	Requires improvement	Good	Outstanding
Richmond	3% (1)	3% (1)	91% (32)	3% (1)
England	2%	16%	79%	4%
SW London	2%	12%	84%	3%

The table below shows how Richmond's home care services are rated by the CQC.

Nursing homes	Inadequate	Requires improvement	Good	Outstanding
Richmond	3% (1)	3% (1)	85% (28)	9% (3)
England	1%	14%	81%	5%
SW London	2%	13%	82%	3%

The table below shows how other care services in Richmond are rated by the CQC.

Nursing homes	Inadequate	Requires improvement	Good	Outstanding
Richmond	0%	0%	100% (5)	0%
England	0%	11%	84%	5%
SW London	0%	15%	83%	2%

Housing development

We work closely with our Housing partners to identify and deliver suitable housing for vulnerable residents and to support the building of inclusive and accessible homes. Affordable housing options are also likely to be required as set out in the affordable housing policies within the Local Plan.

Developers are encouraged to engage with the council’s planning, housing, and commissioning teams to ensure any proposals brought forward demonstrate how they meet local priority needs, ensuring they are in the appropriate location, and taking into account the latest baseline information.

The emerging Richmond Local Plan (2023) expects proposals should demonstrate they have been informed by discussions with providers and accord with the Council’s commissioning and housing strategies. It expects the Council’s housing and commissioning officers to be involved in discussions with providers, at an early stage, to ensure proposals will meet local identified supported housing needs, and evidence of these discussions submitted with the application. Applications are expected to be submitted with details of how the design and management will provide the necessary level of supervision, management, care and support, including Operational Management Plans (incorporating minimum levels of care). A cascade approach will be sought to ensure the units will be first offered to eligible persons residing within the borough, for example for a minimum period of 3 or 6 months.

Providers and developers when designing accommodation are recommended to follow the requirements set out in the council’s guidance 'Specification: Supported Housing Accommodation 2023', which provides further detail on the requirements of supported housing in the borough, ensuring developments reach a good standard and are safe and suitable for residents.