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Disability Care Homes – Understanding Demand

 

Residential Care 18 -64

Nursing Care 18-64

District/Borough

North Warwickshire

Nuneaton and Bedworth

Rugby

Warwick

Stratford

Totals

North Warwickshire

Nuneaton and Bedworth

Rugby

Warwick

Stratford

Totals

Number of Locations

14

16

8

8

9

55

0

2

1

6

1

10

Number of CQC Beds

92

107

66

91

40

396

0

28

7

148

8

191

Beds per 1000 18-64 years age group

2.32

1.3

0.9

0.94

0.49

1.06

0

0.34

0.1

1.52

0.1

0.51

Residential Care Provision

There are 55 residential care locations across Warwickshire, offering a total of 396 CQC-registered beds for adults aged 18–64. However, the distribution of provision varies significantly across the county. North Warwickshire has the highest level of provision, with 2.32 beds per 1,000 adults aged 18–64, followed by Nuneaton & Bedworth with 1.30 beds per 1,000 population. In contrast, Stratford (0.49 beds per 1,000 population) and Warwick (0.94 beds per 1,000 population) have comparatively lower levels of provision, which may indicate areas where access to residential care is more limited.

Nursing Care Provision

Nursing care provision for adults aged 18–64 is considerably more limited, with only 10 nursing care locations providing a total of 191 beds across Warwickshire. The distribution of nursing care capacity is uneven across the county. Warwick has the highest level of provision, with 1.52 beds per 1,000 adults aged 18–64, significantly exceeding other areas. North Warwickshire currently has no nursing care beds for this age group, while Rugby and Stratford each have only 0.10 beds per 1,000 population. This variation highlights potential challenges in ensuring equitable access to nursing care services across all parts of Warwickshire, particularly in more rural or underserved areas.

Challenges in Forecasting Demand

A key challenge in planning for future care needs is the limited visibility of self-funders, individuals who privately pay for their care and support. As these individuals are not always captured within local authority data, it can be difficult to develop a complete understanding of current demand and accurately forecast future requirements. This is particularly relevant for adults with disabilities and complex needs, where care and support requirements may be highly specialised, long-term, and subject to change over time.

Strategic Response

To address these challenges, Warwickshire County Council is committed to:

  • Strengthening partnerships with care providers to improve data sharing, intelligence, and market understanding.
  • Developing a more comprehensive understanding of the self-funder population to ensure the market remains responsive, sustainable, and reflective of actual demand.
  • Supporting the development of a diverse and resilient market that can meet both current and future needs, with a focus on quality, choice, person-centred care, and equitable access to services across the county.

Conclusion

The data highlights variation in the distribution of disability care home provision across Warwickshire. While some areas have relatively high levels of provision, others have more limited capacity, particularly in relation to nursing care. As the population of adults with disabilities and complex needs continues to grow, a strategic, data-informed approach to market development and commissioning will be essential to ensure that people can access the right care and support, in the right place, at the right time.

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