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Registering the right support: CQC's policy on registration and variations to registration for providers supporting people with learning disabilities

Author:
CARE QUALITY COMMISSION
Publisher:
Care Quality Commission
Publication year:
2016
Pagination:
26
Place of publication:
London

This policy statement provides guidance on handling new applicants for registration and applications to vary registration from providers of services for people with learning disabilities. It aims to guide registration managers and inspectors in their assessments of providers of services for people with learning disabilities, and to help them decide whether to grant or refuse registration applications, or applications to make variations to registration. The statement covers the opening a new specialist assessment and treatment unit or hospital; the opening a new care home or location for supported living; and new applications for registration. (Edited publisher abstract)

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Review of compliance: Castlebeck Care (Teesdale) Ltd.: Winterbourne View

Author:
CARE QUALITY COMMISSION
Publisher:
Care Quality Commission
Publication year:
2011
Pagination:
45p.
Place of publication:
London

Winterbourne View is a 24-bed purpose designed Assessment and Treatment Unit providing healthcare and support for adults with learning disabilities, complex needs and challenging behaviour. It is operated by  Castlebeck Care (Teesdale) Ltd. This review was carried out following the BBC television programme Panorama which showed the serious abuse of patients at Winterbourne View over several months. The review found that Winterbourne View was not meeting 10 essential standards. Concerns resulted in the Care Quality Commission taking enforcement action to remove Winterbourne View from the registration of Castlebeck Care (Teesdale) Ltd.

Book Full text available online for free

A different ending: addressing inequalities in end of life care: people with a learning disability

Author:
CARE QUALITY COMMISSION
Publisher:
Care Quality Commission
Publication year:
2016
Pagination:
4
Place of publication:
Newcastle upon Tyne

This document outlines the barriers to good end of life care experienced by people with a learning disability. The report is one of a suite of documents reporting on the Care Quality Commission end of life care thematic review, and is designed to be read in conjunction with the other documents. There are challenges in delivering good end of life care in prison, and the experience of prisoners at the end of life is variable. The reviewers asked a group of people with a learning disability about what was important to them for good end of life care. They said that it was important to have family and friends nearby, to have privacy, peace and quiet, preferably not to be in hospital, to be able to go outside, and to have the support of a care coordinator when needed. They thought that services should talk more to people who have a learning disability to get their views and check that they are improving and inclusive. The document focuses on staff lack of knowledge around learning disabilities, communication and coordination of care. The Care Quality Commission encourages commissioners and providers to support early identification of people with a learning disability who may be approaching the end of life, as part of improved health care; and to make sure that health and care staff have the skills and support they need to communicate well with people with a learning disability who may be approaching the end of life. This includes access to appropriate communication aids and tools. (Edited publisher abstract)

Book

Review of compliance: Tees, Esk and Wear Valleys NHS Foundation Trust: Durham Rd

Author:
CARE QUALITY COMMISSION
Publisher:
Care Quality Commission
Publication year:
2011
Pagination:
14p.
Place of publication:
London

Durham Road, part of Tees, Esk and Wear Valley NHS Foundation Trust, was inspected as part of a targeted inspection programme in hospitals that care for people with learning disabilities. Durham Road provides a respite service for patients with learning disabilities and a service for the assessment and treatment adults with learning disabilities. The inspection was to assess how well they experience effective, safe and appropriate care treatment and support that meets their needs and protects their rights; and whether they are protected from abuse. Durham Road was found to meet all the essential standards of quality and safety reviewed.

Book

Review of compliance: Oxfordshire Learning Disability NHS Trust: Slade House

Author:
CARE QUALITY COMMISSION
Publisher:
Care Quality Commission
Publication year:
2012
Pagination:
15p.
Place of publication:
London

This review of compliance is from Slade House, Oxfordshire Learning Disability NHS Trust, an inpatient facility for people with learning disabilities who may also have a mental illness and severe challenging behaviour who need to be treated in a secure environment. Fourteen patients were using the service at the time of the inspection. Slade House is registered with the Care Quality Commission to provide: assessment or medical treatment for persons detained under the Mental Health Act 1983; and treatment of disease, disorder or injury. This inspection report found that Slade House was meeting all the essential standards of quality and safety that were reviewed.

Book Full text available online for free

Review of compliance: Kent and Medway NHS and Social Care Partnership Trust: assessment and intervention service: The Birling Centre

Author:
CARE QUALITY COMMISSION
Publisher:
Care Quality Commission
Publication year:
2012
Pagination:
18p.
Place of publication:
London

This review of compliance is from The Birling Centre, Kent and Medway NHS, an inpatient facility for people with learning disabilities who may also have a mental illness and severe challenging behaviour. Nine patients were using the service at the time of the visit. The unit is registered to provide: assessment or medical treatment for persons detained under the Mental Health Act 1983; treatment of disease, disorder or injury; and diagnostic and screening procedures. The report found that the Birling Centre was not meeting one or more essential standards. Improvements were needed in the following areas: there were major concerns that outcome 4 needed improvements – ‘people should get safe and appropriate care that meets their needs and supports their rights’; and outcome 7 was adequate – ‘people should be protected from abuse and staff should respect their human rights’.

Book Full text available online for free

Review of compliance: Cambian Learning Disabilities Limited: Rainham Farm Lodge

Author:
CARE QUALITY COMMISSION
Publisher:
Care Quality Commission
Publication year:
2012
Pagination:
17p.
Place of publication:
London

This review of compliance is from Farm Lodge, an independent hospital run by Cambian Learning Disabilities Limited.  Farm lodge is an independent hospital registered to provide assessment or medical treatment for persons detained under the Mental Health Act 1983, diagnostic and screening procedures and treatment of disease, disorder or injury. The service is for six adults with a learning disability and additional diagnoses, who are liable to be detained under the Mental Health Act 1983. Most of the standards were met; however the ‘standards of caring for people safely and protecting them from harm’ was noted as in need of improvement.

Book Full text available online for free

Review of compliance: Partnerships in Care Limited: Stockton Hall

Author:
CARE QUALITY COMMISSION
Publisher:
Care Quality Commission
Publication year:
2012
Pagination:
18p.
Place of publication:
London

This review of compliance is from Stockton Hall Hospital, owned and managed by Partnerships in Care and located in the village of Stockton-on-the-Forest about five miles from the centre of the city of York. It provides medium secure psychiatric facilities for adult men suffering from mental illness, personality disorder or a mild to moderate learning disability. The hospital is a purpose-built facility registered to accommodate 112 patients, all of whom are liable to be detained under the 1983 Mental Health Act. There were six wards capable of accommodating between sixteen and twenty four patients. This report focuses on Kyme ward, as it was the ward accommodating patients with learning disabilities. All the patients on Kyme ward were detained under the Mental Health Act 1983 and all were male. The report found that Kyme Ward at Stockton Hall was meeting all the essential standards of quality and safety reviewed, but, to maintain this, suggested some improvements are made.

Book Full text available online for free

Review of compliance: Parkcare Homes (No. 2) Limited: Melling Acres

Author:
CARE QUALITY COMMISSION
Publisher:
Care Quality Commission
Publication year:
2012
Pagination:
21p.
Place of publication:
London

Melling Acres provides care and support for people with learning disabilities and complex support needs. The accommodation is provided in several houses on one site with large grounds. The regulated activities registered for the location Melling Acres are: Accommodation for persons who require nursing or personal care. The provider for Melling Acres is Parkcare Homes (No 2) Limited, part of Craegmoor care services. This is a national organisation that provides services to people with learning disabilities, mental health problems or who are elderly. People’s care and support needs were assessed but most care plans were not up to date and some important information including that relating to their physical health needs was not in place. This reduced the effectiveness of the care and support provided and the poor management of their care resulted in distress or harm for some people. There were some activities and experiences in place but these were limited. Whilst most staff were respectful to the people using the service there were examples when this had not been consistent. The lack of advocacy limited the ways people had to express any concern. This meant that some people were not experiencing effective, safe and appropriate care, support and treatment that met their needs and protected their rights.

Book Full text available online for free

Review of compliance: Curo Care Limited: Constance house Hospital

Author:
CARE QUALITY COMMISSION
Publisher:
Care Quality Commission
Publication year:
2012
Pagination:
16p.
Place of publication:
London

Constance House is an independent hospital run by Curo Care Limited. The service is for female adults with a learning disability and additional diagnoses, who are liable to be detained under the Mental Health Act 1983. Eight people were residing at the hospital during the visited. Constance House is registered to provide: assessment or medical treatment; accommodation for persons who require nursing or personal care; diagnostic and screening procedures; treatment of disease, disorder or injury. This compliance report found that Constance House was meeting all the essential standards of quality and safety that were reviewed.

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