Supporting Adult Social Care With Practical, Experienced Consultancy And Operational Support

Fulcrum Care Stronger Care Services Start With the Right Support

When Care Services Need Clarity, Practical Support Matters There are times when a care service needs more than another internal review. It may be preparing for inspection, responding to regulatory pressure, strengthening governance, stabilising leadership or understanding why improvement is not happening quickly enough. In those moments, experienced external support can help bring clarity, structure…

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CQC’s Next Phase of Local Authority Assessments: Why Providers Should Pay Attention

CQC Local Authority Assessments The Next Phase

CQC has confirmed the next phase of its local authority assurance assessments, with updated guidance, clearer processes and more defined expectations around how councils will be assessed against their adult social care duties. This is not just a local government issue. Local authority performance shapes the environment in which care providers operate, from commissioning and…

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Registered Manager Gaps: How Interim Management Can Protect Stability and Quality

Registered Manager Gaps How Interim Management Can Protect Stability and Quality

Registered manager gaps remain a significant pressure point in adult social care. Skills for Care’s 2025 workforce report states that, in 2024/25, there were 29,719 CQC-regulated adult social care establishments in England and around 26,400 registered managers in post. The report also identifies a registered manager vacancy rate of 11.4%, equivalent to an average of…

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What CQC’s Sector-Specific Inspection Frameworks Could Mean for Providers

What CQC’s Sector-Specific Inspection Frameworks Could Mean for Providers

Fabio Cecchi, Commercial Director at Fulcrum Care, shares the organisation’s response to the Care Quality Commission’s (CQC’s) March update and explains what the proposed move towards sector-specific inspection frameworks could mean for providers. In its March update, CQC provided further detail on how it intends to evolve its regulatory approach following feedback on the single…

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The Rising Cost of Running a Care Home: Staffing, Energy and Operational Pressures

The Rising Cost of Running a Care Home: Staffing, Energy and Operational Pressures

A sector facing sustained cost increases Running a care home has always required balancing high-quality care with financial sustainability. For many providers today, however, that balance is becoming increasingly difficult to maintain. Across the adult social care sector, operating costs are rising across multiple areas at the same time. Staffing costs continue to increase as…

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What Recent CQC Assessment Findings Reveal About Dementia Care Homes

What Recent CQC Assessment Findings Reveal About Dementia Care Homes

A spotlight on specialist care home settings Following a review of recent Inadequate-rated CQC assessment reports published for care homes specialising in dementia care, several clear and recurring themes have emerged. While the details differed from service to service, the wider patterns were consistent: weak oversight, poor governance, ineffective risk management and a failure to…

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Social Care Workforce Pressures: Why the Latest King’s Fund Data Comes as No Surprise

Recent analysis from The King’s Fund highlights the continuing pressures facing the adult social care workforce in England. Although vacancy rates have improved slightly, the sector still faces well over 100,000 vacancies, and many providers continue to rely heavily on international recruitment to maintain staffing levels. For those working closely with care providers, these findings…

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CQC Update: Proposed Sector-Specific Inspection Frameworks for Health and Social Care

The Care Quality Commission (CQC) has recently announced proposals to introduce sector-specific frameworks for assessing health and social care services. The proposed changes, outlined in the regulator’s latest update, are intended to make inspections clearer, more consistent and more relevant to different areas of care while continuing to focus on the CQC’s five core questions:…

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