Nottingham Care Services Flagged for Major Improvement

Adult social care services overseen by Nottingham City Council have been identified as needing improvement by the Care Quality Commission (CQC). The watchdog's report highlighted "significant shortfalls" in crucial areas, including the authority's system for ensuring safety. Chris Badger, chief inspector for adult social care, noted that the council lacked "effective systems and processes" to manage care-related risks. He also pointed to instability within the senior leadership team as a factor hindering partnership working and innovation.

The CQC's assessment revealed that governance, management, sustainability, and safe pathways, systems, and transitions were rated one out of four, indicating substantial deficiencies. In one instance, leaders did not promptly address recommendations for distinct assessment processes for individuals detained under the Mental Health Act. Other assessed areas received a score of two out of four, signifying some shortfalls.

Nottingham experienced a high turnover of Directors of Adult Social Services (DASS) over two years, which Badger stated had affected collaborative efforts and service development. While a new leadership team was in place, they had not been in post long enough to enact sustained improvements by the time of the CQC's December 2025 visit. Nevertheless, the report acknowledged that residents valued the staff's goal-oriented approach and their promotion of independence. Staff were commended for providing advice, support with complex decisions, and effectively handling safeguarding and financial queries, with residents able to raise concerns through multiple channels.

A council spokesperson confirmed that work has commenced on the improvements mandated by the CQC. Councillor Helen Kalsi, executive member for adult social care and health, stated that the council "fully accept[s] the findings of this report" and is committed to providing quality services that ensure the safety of vulnerable individuals. The council has developed a clear improvement plan and is actively working to reduce waiting times, enhance services, and improve the overall experience for those accessing social care.