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Winterbourne View: time is running out
- Author:
- TRANSFORMING CARE AND COMMISSIONING STEERING GROUP
- Publisher:
- Association of Chief Executives of Voluntary Organisations
- Publication year:
- 2015
- Pagination:
- 35
- Place of publication:
- London
A review of the progress being made by the Transforming Care programme to act on the recommendations of Winterbourne View - Time for Change, which laid out a new national framework in which commissioners choose community-based provision over hospitals for people with learning disabilities and/or autism. The report argues that the pace of change is slow, while leadership and stakeholders’ engagement remain weak. It also notes that it will be impossible to deliver a closure programme without ensuring robust community provision. A closure programme requires the retraining of staff, the development of community-based facilities, a transition programme and alternative investments to underpin change. The report sets out a series of recommendations to support the strengthening of rights, the delivery of the closure programme and building capacity in the community. (Edited publisher abstract)
The abuse of vulnerable adults at Winterbourne View Hospital: the lessons to be learned
- Author:
- PLOMIN Joe
- Journal article citation:
- Journal of Adult Protection, 15(4), 2013, pp.182-191.
- Publisher:
- Emerald
This article seeks to consider the lessons from the abuse of a number of patients with learning disabilities or autism and challenging behaviour over a number of years at Winterbourne View private hospital in the outskirts of Bristol. The abuse persisted, irrespective of a number of attempts to alert a broad range of regulatory authorities and health professionals about the situation. The article provides a detailed analysis of the lessons for professionals responsible for adult protection by one of the journalists most responsible for exposing the abuse at Winterbourne View private hospital. Drawing on information the BBC uncovered during the making of its two films about the subject, the author shares details of relevance to professionals responsible for adult protection and considers the implications of the catastrophic failure to protect vulnerable people. This article shows how the lessons from the abuse at Winterbourne View have permeated only to some areas and professionals, not necessarily to where those lessons are most needed. The author suggests that further efforts are required to prevent another, similar scandal happening elsewhere in the UK. (Edited publisher abstract)
Winterbourne View Hospital: a glimpse of the legacy
- Authors:
- FLYNN Margaret, CITARELLA Vic
- Journal article citation:
- Journal of Adult Protection, 15(4), 2013, pp.173-181.
- Publisher:
- Emerald
This paper concerns the fall-out from a TV programme “Undercover Care: the Abuse Exposed” which exposed cruelty at Winterbourne View Hospital, a private hospital that purported to provide assessment, treatment and rehabilitation to adults with learning disabilities, autism and mental health problems. It describes the principal findings of the Serious Case Review which was commissioned after the TV broadcast, and outlines some of the activities designed to reduce the likelihood of such abuses recurring. From policy, commissioning, regulation, management, service design and practice perspectives, events at Winterbourne View Hospital highlight a gulf between professionals, professionals and their organisations, and leadership shortcomings. The English government responded promptly and encouragingly to the circumstances of patients at Winterbourne View Hospital with a “Timetable of Actions”. (Edited publisher abstract)
Interviewing victims of sexual abuse with an intellectual disability: a Dutch single case study
- Authors:
- NIJNATTEN Carolus van, HEESTERMANS Marianne
- Journal article citation:
- Journal of Social Work Practice, 24(4), December 2010, pp.391-407.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Working with and interviewing people with an intellectual disability who are (suspected) victims of sexual abuse is a challenge for social professionals. This article is about strategies used to deal with conversational problems in the different stages of suspecting abuse and dealing with post-abuse traumas. The study aimed to analyse the communicative approaches against the background of different types of interview. It looked at a clinical analysis of a case with five encounters between a female health professional specialising in this type of interview and a 32 year old woman with autism and with intellectual disabilities. The meetings between the professional and client lasted about one hour each and all were videotaped. The analysis discusses aspects of the general assessment interview, the appraisal interview, and the trauma-related interview, with extracts from the transcripts. The authors note the modes of questioning required and the importance of the professional avoiding actions that might bias a possible future police interrogation.
Identifying and responding to closed cultures: supporting information for CQC staff
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2019
- Pagination:
- 3
- Place of publication:
- Newcastle upon Tyne
Information to help CQC inspectors and their managers to identify and respond to ‘closed cultures’ in health and social care services, where abuse and human rights breaches may be taking place. Closed environments may develop in services where people are situated away from their communities, where people stay for months or years at a time, where there is weak management of these services and where staff often lack the right skills, to support people. The document includes advice on identifying risk factors and warning signs and how to use existing regulatory policy when enforcement action is required. The information will be particularly useful for regulating services for people with a learning disability or autistic people. However, the principles apply to all settings where people may be less able to self-advocate, including adult social care services for people with dementia or mental health conditions. (Edited publisher abstract)
Time for change: the challenge ahead
- Author:
- BRITTAIN Kate
- Publisher:
- Association of Chief Executives of Voluntary Organisations
- Publication year:
- 2016
- Pagination:
- 28
- Place of publication:
- London
This report expresses the views and experiences of the people most affected by Transforming Care, a programme designed to reduce the number of people with learning disabilities and/or autism inappropriately housed in hospital settings and to ensure there are meaningful alternatives to hospital-based care across the country. The report focusses on whether or not the programme can actually deliver on what it has promised. To date, around 3,500 people are in institutional care. The report focuses on: building the right support; assessing the progress of the closure programme; measuring the success of social care and community-based support not simply by the lack of referrals back to the health sector but rather through a comprehensive review of how the needs are met in the community; the provision of the right care in the right place; and prevention. It then looks at the need for and role of an appropriately trained workforce, supporting the development of social care careers and the accreditation of training in Positive Behavioural Support. In addition, the report examines how best people can be given a choice about where and with whom they live and discusses the various housing alternatives and funding options. The report calls on the Department of Health to commission independent evaluation of the Transforming Care programme, to ensure the programme is fully implemented and can demonstrate that the changes are making a difference to people with a learning disability. (Edited publisher abstract)