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Uncategorized 4th July 2025

The domino impact: Why measuring need is key for better care and support staffing decisions 

By Lorcán Murray

Care and support is always evolving. Medical advances and demographic changes mean that established practices require frequent review. With rising demand, increasing complexity of support needs, and a workforce under pressure, providers are being asked to do more with less. From care and support staffing to funding, providers are feeling the pinch, and the sting goes down the line to the people they support. Fortunately, technology is always evolving too, and in some co-produced cases, it’s helping support solutions. 

At the heart of the workforce challenges facing social care lies a simple truth, you can’t staff effectively if you don’t understand the needs of the people you support. That’s where dependency assessments can make a big difference. By systematically measuring the evolving needs of the people supported, providers can make informed care and support staffing decisions that are both efficient and person-centred. 

The care and support staffing puzzle: Why understanding needs matters 

Care and support staffing isn’t just about numbers. It’s about matching the right skills, at the right time, to the right people. Yet, many providers still rely on static staffing models or gut instinct to determine how many team members are needed on a shift. This approach can lead to overstaffing during quiet periods or, more worryingly, understaffing when needs are high. 

This issue is particularly acute in elderly care, where residents’ conditions can change rapidly. One resident recovering from surgery may need intensive support for a few weeks. While another with progressing dementia may require increasing supervision and emotional care. Without a clear, up-to-date picture of these needs, care teams are left to react rather than plan. An issue that presents itself both at the point of care delivery, and in the head office. 

The UK’s social care sector is already under immense strain. As of 2024, Skills for Care research showed there were over 131,000 vacancies in adult social care in England alone. With recent government decisions to significantly reduce overseas recruitment for care staffing, the pressure on domestic recruitment intensified. In this context, making every staffing decision count goes beyond good practice. It’s a matter of survival for both the person drawing support, and the business providing it. 

Changing level of need perspectives for one resident 

Let’s take for example, a mid-sized care home in the Midlands. The manager noticed that her team was increasingly stretched during the evening shift. Complaints about delayed assistance were rising, and staff morale was dipping. 

The manager decided to trial a structured care and support assessment for one resident who had recently returned from hospital after a fall. The assessment revealed that the resident now required assistance with mobility, toileting, and medication. Needs that had previously been minimal. 

This insight prompted the manager to adjust the evening rota slightly. A change which ensured a senior carer was available to support the resident during peak hours. As a result, the resident received timely care, staff felt less overwhelmed, and the overall quality of care improved. 

The assessment opened a new perspective on the needs, and the resources, of the care community. It allowed the manager to better understand both their team and their resident. 

Crucially, the care and support assessment didn’t just help one resident. It highlighted a broader issue. The home’s care staffing model hadn’t kept pace with residents’ changing needs. 

Scaling the impact: From one resident to the whole service 

What the manager discovered with that specific resident was just the tip of the iceberg of what a level of need assessment tool can unlock in care and support settings. When we widen our scope to a whole service we can see the potential impact increase significantly. The right digital tool will help you track the support and staffing needs of your service with accuracy and efficiency. 

You can also improve your team’s satisfaction by reducing burnout and ensuring fair workloads with more efficient care and support staffing. All of which feed into the efficiency, effectiveness and understanding of your service. Enhancing care quality by ensuring residents received the right support at the right time, from the right people. 

This is the power of measuring care and support needs at scale. It transforms care and support staffing from a reactive challenge into a proactive strategy. 

Utilising a transparent, dynamic, and data-driven service  

Transparent, data-driven tools can make a huge difference. Designed to help providers track and visualise the evolving needs of those they support. The best systems offer a clear, real-time picture of care and support levels across a service. This empowers managers to make confident, data-informed decisions about staffing, care and support planning, and resource allocation. 

Unlike traditional paper-based assessments or ad hoc reviews, dynamic, data-driven systems can integrate fluidly into daily workflows. We know it’s not just about ticking boxes, it’s about creating a culture of responsive, person-centred care.  

The power of integration 

Knowledge is power and siloing the knowledge you have available to you drains the power of your service. Integrations build connections across your systems to centralise your information and expand your perspective. When your level of need system can talk to your care management system, it is able to inform your care plans. This creates a comprehensive and accessible picture of the people utilising your support. Ultimately helping to drive improved outcomes across your service.  

Connections continue to define care and support as the sector digitises. Much like the crucial connections in your community, the connections in your technology rely on open communication. This is the key benefit of integrations and a core focus here at Nourish. If you are looking to further digitise your processes there are a wealth of options for a range of functions. Picking systems that integrate helps you avoid replacing a physical filling cabinet with a digital one. Instead giving you a robust, interlinked digital ecosystem to support your community. If you’d like to learn more about partners Nourish integrates with check out the Nourish Partnership Programme

Better data, better decisions, better care 

In a sector where every minute and every resource counts, understanding the needs of your community isn’t a luxury, it’s a necessity. Care and support assessments provide the clarity needed to make smarter staffing decisions, improve outcomes, and support your team. From the quality of life of an individual utilising your service, to the overall efficiency and viability of your businesses finances! 

As the UK social care sector navigates a period of profound change, it is important to have people you trust. At Nourish we are building for the future alongside our users, coproducing relevant, effective technology throughout. We are guided by experienced insight, not guesswork. When we work together, and measure what matters, we can build the right systems together, with the right people, to provide the best care all the way down the line. 

Want to find out more about a structured and objective approach to assessing people’s evolving needs? Ensuring that care and support plans remain aligned with real-world requirements? Read more about Nourish Transparency, our new product innovation, coming soon. 

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