The adult care sector is understaffed. This is an excerpt from a government survey of the care providers, who were asked to self report the issues they were having with staffing. The full thing is worth reading, tbh.
The survey found that 71.0% of provider locations reported that they found the current workforce recruitment situation challenging and 37.0% were concerned about sustaining the current level of service delivery over the next 6 months. However, 58.6% also said that the recruitment challenges they faced had remained unchanged compared with the same time last year (August to September 2023). Respondents said that the primary challenge to both recruitment and retention is better pay outside the adult social care sector (27.8% and 35.2% respectively).
Domiciliary care settings reported greater recruitment and retention challenges than residential care settings. In domiciliary care settings, 74.0% responded that recruitment was challenging, and 58.5% reported the same for retention. In comparison, 66.7% of residential care settings found recruitment challenging, and 53.9% reported retention difficulties. These workforce pressures may be linked to staff morale, with 46.1% of domiciliary care settings reporting low morale, compared with 41.4% in residential care settings. Less than 1% of respondents answered that recruiting social workers, occupational therapists and nursing associates has become more challenging compared with last year.
Nationally across the sector, it's generally quoted that there are over 100,000 vacant posts at any one time. So in practice care settings employ anyone just to have boots on the ground.
To provide care well, you need dozens and dozens of soft skills, including timekeeping, task prioritisation, empathy, de-escalation of heightened emotions, symptom recognition, compassion, ability to build rapport with service users, and to be able to give your full attention and patience to what your client is telling you about trains/going dancing at the Locarno even if your client has told you the exact same story over a hundred times this month.
And you need to have the capacity to do this with adults you have no prior relationship with. There is something about human evolutionary psychology that means it is much easier to find patience with children (especially your own), than it is an elderly adult who is on the level of a child due to dementia or learning disabilities.
But technically, it's not a role you need GCSEs in to start, so there are so many staff in the sector because they need a job that doesn't require qualifications. They find the clients dull, so they stare at their phones until clocking off time.