Market intelligence Nursing 14%
Residential dementia 37%
Nursing dementia 27% Residential 22% Nursing 10%
Residential dementia 42%
Nursing dementia 31% Residential 17%
January 2022 Figure 1. Share of care homes by sector
Looking ahead The dark days of Covid brought with them a reduction in occupancy levels as relatives refrained from placing their loved ones into what were locked down care homes, with little hope of visitation. It will be interesting to see whether the pre-Covid levels return,
Local Authority Rutland
Peterborough Oxfordshire Milton Keynes Bexley
South Gloucestershire Stoke-on-Trent Slough
Central Bedfordshire Islington Bedford
Region
East Midlands East of England South East South East London
South West
West Midlands South East
East of England London
East of England Figure 2. Percentage increase in care homes by authority Local Authority
Waltham Forest Brent
Greenwich Hounslow Haringey Sutton
Calderdale Dorset Bath and North
East Somerset Lambeth Halton
Newham Region
London London London London London London
Yorkshire and The Humber South West South West
London
North West London
Figure 3. Percentage decrease in care homes by authority 16 Change
in homes -36%
-33% -32% -29% -27% -27% -24%
-21% -21%
-20% -20% -20%
2022 supply level
53% 61% 68% 50% 35% 83% 88%
72% 100%
69% 94% 58%
or whether people will look more towards care in the community. If levels do return to the levels forecast in LaingBuisson’s ASD model, then availability of beds may well be an issue, but I foresee a review of what share of each age group are needing a care home bed.
Change
in homes +30%
+22% +16% +16% +15% +14% +14% +13% +12% +11% +11%
2022 supply level
101% 104% 102% 99% 82% 87%
132% 63% 84% 63%
113%
With the equivalent of ten per cent of all care homes opening over seven years, and around 20 per cent closing, it has brought with it a change in the shape of the market. Nursing dementia grew in market share from 26 per cent of homes in 2015 to 30 per cent in 2022, with residential dementia growing from 37 per cent to 42 per cent in the same period (see Figure 1). Due to the fact that the newer dementia home is larger than average, the share of dementia beds is currently even greater with a 42 per cent share for nursing dementia and 37 per cent for residential dementia, meaning that currently around eight of every ten care home beds are in a dementia home.
Market share
On a regional basis, overall there has been very little change with regard to market share, with only around half of one per cent change across the nine regions. At local authority level, however, there have been some major changes. Out of 150 authorities, eleven grew their care homes by more than 10 per cent (see Figure 2). Eight of these authorities are located across the middle of England. Looking at their supply levels compared to England, most needed this growth to bring them up towards the national supply levels. An exception is Stoke-on-Trent, which
now has much higher supply levels compared to national averages. It must be questioned how planning permissions continued to be given by the local authority during that time if supply levels had been considered.1 A further 12 local authorities lost more than 20 per cent of their care homes over the seven-year period (see Figure 3), and eight of these are in London, the lowest supplied region in the country. With the exception of Bath & North East
www.thecarehomeenvironment.com April 2022
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