CQC publishes 18 more reports from its review of services for people with learning disabilities

Wednesday 04 Apr 2012 @ 14:15
Care Quality Commission

The Care Quality Commission (CQC) today publishes a further 18 reports from a targeted programme of 150 unannounced inspections of hospitals and care homes that care for people with learning disabilities.

The programme is looking at whether people experience safe and appropriate care, treatment and support and whether they are protected from abuse. A national report into the findings of the programme will be published later this year.

These 18 inspections covered locations that provided a range of services including assessment and treatment, rehabilitation and longer term care.

Inspections were focused on two outcomes relating to the government’s essential standards of quality and safety: the care and welfare of people who use services, and safeguarding people who use services from abuse.

Major concerns were identified against both outcomes at Harkstead Barns, and a major and a moderate concern were identified at Shear Meadow.

At Harkstead Barns, the inspection team found that people were not being protected against the risks of inappropriate or unsafe care and treatment because care plans and health action plans were not being reviewed or updated to reflect changes in people’s needs. They also found that systems to prevent and identify abuse were inadequate.

The main concern at Shear Meadow was that, although procedures were in place to prevent and identify abuse, they were not always followed. There were risks to the safety and wellbeing of people receiving support as the number of restraints was not monitored or analysed.

All the services where concerns are identified have to tell the CQC how and when they will improve. Those failing to meet essential standards could face enforcement action by the regulator if improvements are not made.

Overall, six locations are compliant with Outcome 4, seven have minor concerns, four have moderate concerns and one has a major concern. On Outcome 7, ten locations are compliant, five have minor concerns, one has a moderate concerns and two have a major concern.

Six locations are compliant with both outcomes, with a further seven having no more than a minor concern with both outcomes.

The batch contains eight NHS, four independent health care and six adult social care locations.

CQC inspectors were joined by ‘experts by experience’ – people who have first hand experience of care or as a family carer and who can provide the patient or carer perspective as well as professional experts in our learning disability inspections.

Today, we have also published interviews with experts by experience on our web site. Two people with experience of care and two family carers talk about their contributions the inspections and about what being involved in the programme has meant to them.

Read the interviews in our article Experts by experience make their mark

Where inspectors identified concerns, they raised these immediately with the providers and managers of services.

The national report will be based on the findings from all the 150 inspections and will make conclusions about the overall state of this type of service.

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Notes to editors

For media enquires call the CQC press office on 0207 448 9401

The reports will be published on CQC’s web site on Wednesday 4 April. http://www.cqc.org.uk/LDReports6

The reports published today are for the following providers and locations. The table shows our findings in relation to the two outcomes we focussed on, but some reports also show concerns in respect of other outcomes.

Summary Table - Reports to be published 4 April 2012

Provider	Organisation Name	Findings	Region
Four Seasons (Granby One)	Kings Delph Lodge	1Moderate 1 Minor	East
Oxfordshire Learning Disability NHS Trust	Evenlode	Compliant	South East
Southern Health NHS Foundation Trust	Trust HQ (Ashford Unit)	1 Minor	South East
Cambian Learning Disabilities Limited	Shear Meadow	1 Major 1 Moderate	East
Cambian Learning Disabilities Limited	CambianFairview Hospital	Compliant	East
David Lewis Centre	Education & Life Skills Warford	2 Minor	North West
SouthEssex Partnership UniversityNHS Foundation Trust	The Glades (The Coppice)	Compliant	East
Accord Housing Ltd	Hob Meadow	2 Minor	West Midlands
Wycar Leys Limited	Wycar Leys The House	1 Minor	East Midlands
BerkshireHealthcare NHS Foundation Trust	ProspectPark	1 Minor	South East
Calderstones Partnership NHS Foundation Trust	15 - 16 Daisy Banks	Compliant	North West
Hertfordshire Partnership NHS Foundation Trust	Little Plumsted Hospital	Compliant	East
Scope	BeaumontCollege and Scope Inclusion North West	Compliant	North West
Black CountryPartnership NHS Foundation Trust	Orchard Hills	2 Minor	West Midlands
Oxfordshire Learning Disability NHS Trust	Postern House	1 Minor	South West
Cambian Learning Disability Midlands Limited	The Views	1 Moderate 1 Minor	East Midlands
Autism North Limited	Tynedale	2 Moderate	North East
United Response	Harkstead Barns	2 Major	East

Inspection teams are making unannounced visits to 150 services. More than 100 are NHS and independent services that provide services such as assessment and treatment, rehabilitation and longer term care. The others are adult social care locations.

They are checking two outcomes:

Outcome 4 Care and welfare
Outcome 7 Safeguarding adults from abuse.

But where our inspectors find problems with other outcomes, they will report on these.

Our inspection teams are led by CQC inspectors joined by two ‘experts by experience’ - people who have experience of using services, either first hand or as a family carer and who can provide the patient perspective and a professional advisor.

CQC set up an advisory group to help it plan the programme. CQC’s Chair, Dame Jo Williams, chairs the group. The members come from a range of voluntary, charitable and other organisations that work with or represent people with learning disabilities and their families.

The learning disability inspection programme was launched in response to the abuse revealed by undercover filming by the BBC Panorama programme. CQC apologised for failing to respond to warnings of abuse at Winterbourne View. Matters concerning Winterbourne view are the subject of serious case review.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England. We make sure that care in hospitals, dental practices, ambulances, care homes, people’s own homes and elsewhere meets government standards of quality and safety – the standards anyone should expect whenever or wherever they receive care. We also protect the interests of vulnerable people, including those whose rights are restricted under the Mental Health Act.

We register services if they meet government standards, we make unannounced inspections of services – both on a regular basis and in response to concerns – and we carry out investigations into why care fails to improve. We continually monitor information from our inspections, from information we collect nationally and locally, and from the public, local groups, care workers and whistleblowers. We put the views, experiences, health and wellbeing of people who use services at the centre of our work and we have a range of powers we can use to take action if people are getting poor care.

Further information

There is information on this website about How to share concerns and complaints about a social care service, a council, independent healthcare services, the NHS or CQC.

People can telephone concerns to CQC on 03000 616161

The Challenging Behaviour Foundation has provided this list of organisations providing independent support to families with disabled relatives. Click on the name of an organisation to read more information.

Support for families

Ann Craft Trust

The Challenging Behaviour Foundation

Disability Law Service

Mencap Learning Disability Helpline

National Autistic Society

Hft Family Carer Support Service (FCSS)

Respond

Voice UK