Market Position Statement - Our market landscape

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Market overview and analysis

We want to foster a diverse and sustainable care and support market, where our providers are supported to deliver the highest quality of support and services possible.

We collectively need to find ways of working together to support the increasing numbers of people seeking help from adult social care and the increase we see in safeguarding enquiries, for example. Our residents have more complex needs as our population continues to age with co-existing conditions, an increase in the numbers of people living in poor housing circumstances and with poor mental health.

We have 52 unique contracted providers in Wandsworth, with a further 42 contracted providers who work across Richmond and Wandsworth.

The overall budget per client group, including non-contracted providers, for 2024-25 is as follows:

Budget per client group
Client group 2024-25 budget
Older people, physical and sensory disabilities £28,897,700
Adults with a learning disability £39,403,700
Adults with mental health needs 10,150,200

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 Wandsworth's nursing homes are rated by the CQC.

Nursing homes Inadequate Requires improvement Good Outstanding
Wandsworth 0% 0% 92% (12) 8% (1)
England 1% 21% 73% 5%
SW London 0% 9% 87% 4%

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

Residential homes Inadequate Requires improvement Good Outstanding
Wandsworth 0% 0% 82% (13) 0%
England 1% 17% 78% 4%
SW London 1% 14% 83% 3%

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

Home care services Inadequate Requires improvement Good Outstanding
Wandsworth* 0% 0% 71% (22) 3% (1)
England 1% 14% 81% 5%
SW London 1% 13% 83% 2%

* One home care service had insufficient evidence to rate, seven were unrated.

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

Other services Inadequate Requires improvement Good Outstanding
Wandsworth 0% 0% 89% (8) 11% (1)
England 0% 11% 84% 5%
SW London 0% 9% 88% 3%