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Our checks of learning disability services in England: easy read
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2012
- Pagination:
- 16p.
- Place of publication:
- London
Inspections of 150 services for people with learning disabilities following the poor care and abuse found at Winterbourne view, a private hospital for people with learning disabilities. This easy read summary reports on which services were inspected and what the inspectors found. It then provides advice for commissioners who buy services for local councils and health services, service providers, and how the Care Quality Commission carry out their inspections.
Learning disability services inspection programme: national overview
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2012
- Pagination:
- 56p.
- Place of publication:
- London
In response to the serious abuse and poor standards of care at Winterbourne View, a series of unannounced inspections of learning disability services were carried out by the Care Quality Commission. This national overview report provides an analysis of the findings of 150 unannounced inspections of services providing care for people with learning disabilities and challenging behaviours in England. These included 71 NHS trusts and 47 independent healthcare services providing assessment and treatment and secure services, and 32 adult social care services providing residential care. Inspections were carried out against two 'outcomes: outcome 4 (care and welfare of people who use services) and outcome 7 (safeguarding people who use services from abuse). The report highlights the key areas of concern for overall compliance and for each outcome. Of the 145 inspections included in the report (five of the inspections were pilots and not included) 35 met both standards, 41 met both standards with minor concerns and 69 failed to meet both standards. The report also states that there is no need for additional guidance, but the need to ensure that existing guidance in implemented. The findings demonstrate that services for people with learning disabilities still need to improve and that this requires a whole system response and approach from the policy makers, the providers, the commissioners and the regulators. Separate recommendations are provided for commissioners, providers and the Care Quality Commission.
Monitoring the Deprivation of Liberty Safeguards in 2014/15
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2015
- Pagination:
- 32
- Place of publication:
- Newcastle upon Tyne
This is the fifth annual monitoring report on the implementation of the Deprivation of Liberty Safeguards. The report focuses on the impact on outcomes for people who lack mental capacity and may be deprived of their liberty, and highlights CQC actions and recommendations for improvement. The report draws on a range of sources, including analysis of a sample of 214 inspection reports of hospitals and care homes inspected in 2014/15 and data on Deprivation of Liberty Safeguards notifications received by CQC in 2014/15. Short case studies and good practice examples are included within the report. Key findings show there has been a tenfold rise in Deprivation of Liberty Safeguards applications from 13,715 in the year ending March 2014 to 137,540 by March 2015 which has also resulted in a backlog in local authority processing of applications. Evidence from CQC inspections also found that providers' use of the Deprivation of Liberty Safeguards was variable in relation to levels of staff training and awareness and the existence and implementation of policies and processes. Examples where provides may be unlawfully depriving people of their liberty were also identified. (Edited publisher abstract)
Evaluation of our checks of learning disability services in England: easy to read
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2012
- Pagination:
- 8p.
- Place of publication:
- London
An easy read summary report which looks at how inspections of 150 learning disabilities were carried out and what the people who took part in the inspections felt about them. It looks at what experts by experience or service users and their advisers and care providers' felt about the inspections. It also looked at what could be done to make the process better. The inspections were carried out by the Care Quality Commission because of poor care and abuse at Winterbourne View hospital.
Smiling matters: oral health care in care homes
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2019
- Pagination:
- 34
- Place of publication:
- Newcastle upon Tyne
This review draws on one hundred inspections of care homes in England to examine oral health in care homes, with specific reference to the NICE guideline NG 48 on oral health for adults in care homes. It includes direct quotations from managers, staff and people using services and their relatives. It also includes good practice examples to highlight the benefits of good oral care for older people, people with learning disabilities and people living with dementia. The review found that staff awareness of the NICE guideline recommendations was low, over half of care homes visited had no policy to promote and protect people’s oral health, and nearly half of care homes were not providing staff training to support people’s daily oral healthcare. The review also identified challenges such as: a lack of dentists who were able or willing to visit care homes and local dentists not accepting new patients and the length of time it took to get an appointment with an NHS dentist. The report recommends mandatory staff training in oral care, oral health check-ups for all residents upon admission, better signposting to local dental services and awareness raising. (Edited publisher abstract)
National inspection of care and support for people with learning disabilities: overview
- Authors:
- CARE AND SOCIAL SERVICES INSPECTORATE WALES, HEALTHCARE INSPECTORATE WALES
- Publishers:
- Care and Social Services Inspectorate Wales, Healthcare Inspectorate Wales
- Publication year:
- 2016
- Pagination:
- 51
- Place of publication:
- Cardiff
Sets out the findings of the national inspection of quality and safety of care and support for adults with learning disabilities. The inspection includes fieldwork in six local authorities and corresponding health boards; the results of a thematic enquiry into services for people with learning disabilities regulated by CSSIW; and the results of a national data and self-assessment survey undertaken in all 22 local authorities in Wales. Inspectors focused on a number areas including: support for carers; whether local authorities provide information, advice and assistance; and whether or not local authorities have good leadership and governance arrangements. Inspectors from Healthcare Inspectorate Wales (HIW) also looked at the efficacy of the partnership between social services and health. Findings of the report looks at what is working well and areas for improvement under the following themes: understanding need, providing effective care and support, and leading in partnership. The report found that the quality of care and support for many people with learning disabilities depended on the effectiveness of the front line social services and health staff and the assertiveness of relatives. The report makes a number of recommendations, including: that local authorities review their quality assurance arrangements for care and support planning with individuals; for local authorities and health boards to share best practice; and for local authorities and health boards to ensure that the lines of accountability and responsibility in relation to adult safeguarding are clear and understood by staff. (Edited publisher abstract)
Focussed visits 2013: summary of recommendations and outcomes from focussed visits 2013
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2015
- Pagination:
- 19
- Place of publication:
- Edinburgh
This report identifies the main issues raised following focussed visits to 96 different services (eg hospitals, care homes and prisons) carried out between January 2013 and December 2013. The visits aim to identify individual concerns; assess whether the requirements of legislation are being met; and assess the facilities for individuals' care. A total of 339 recommendations were made relating to these visits. These were grouped into the categories of: Assessment, care planning and review, person-centred care; Adults with Incapacity (Scotland) Act 2000; The physical environment; Therapeutic activity; Mental Health (Care and Treatment) (Scotland) Act 2003; Medication; Restrictions. Some specific examples of where improvements have been made are also highlighted. (Original abstract)
Monitoring the use of the Mental Capacity Act Deprivation of Liberty Safeguards in 2013/14
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2015
- Pagination:
- 58
- Place of publication:
- Newcastle upon Tyne
This is the fifth annual monitoring report on the Deprivation of Liberty Safeguards. The report looks back at the first five years of the safeguards implementation and highlights recurring themes; summarises the impact of recent developments such as the House of Lords MCA post-legislative scrutiny committee and Supreme Court judgement; and reviews the use of the safeguards for the year 2013/14. Short case studies and good practice examples are included. Recurring themes identified over the past five years were: low numbers of applications; regional variations in application rates; and variations in practice and training across organisations. The year 2013/14 saw a rise in the number of applications to use the safeguards, with a dramatic rise in Q1 and Q2 of 2014/15. This rapid rise has resulted in a backlog of applications. (Original abstract)
Health care in care homes: a special review of the provision of health care to those in care homes
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2012
- Pagination:
- 8p.
- Place of publication:
- London
This review explores how older people and people with learning disabilities living in care homes access healthcare services, whether they have choice and control over their healthcare and whether they receive care that is safe and respects their dignity. The results are based on an analysis from the inspections of 81 care homes in 9 primary care trust areas during January and February 2011. The inspection teams interviewed managers, residents and staff, observed care provided to residents, and examined case files. The findings are discussed against 4 themes: involvement and information; personalised care, treatment and support; safeguarding and safety; and suitability of staffing. Among the findings were that 77% of care plans considered the views of the resident, and that 96% of care homes identified the changing health care needs of residents through informal or responsive monitoring. However, the review also showed that: 25% of residents did not feel they were offered a choice of male or female staff to help them use the toilet; 44% of care homes indicated they received routine visits from GPs; 30% of nursing homes did not have a 'do not attempt resuscitation' policy (and, of those that did, just 37% of staff had received training on it); 35% of homes reported they sometimes had problems getting medicines to residents on time; and 10% of care homes said they paid for their GP surgeries to visit.
Mental Welfare Commission for Scotland: summary of outcomes from focussed visits 2010-11
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2011
- Pagination:
- 19p.
- Place of publication:
- Edinburgh
Between April 2010 and March 2011, the Commission undertook 87 focussed visits to people receiving care for mental health problems or learning disability in various settings. A total of 301 recommendations for improvement were made following these visits. When followed up, it was found that services had taken satisfactory action in 76% of cases. This paper reports on the main issues emerging from 74 of those visits, and specific examples of improvements made by these services after the visits. These 74 visits were to people receiving treatment in the following types of care settings: intensive psychiatric care and secure units; care facilities for people with learning disability; older people in hospital; older people in care homes; people with mental disorders in prison; young people's care facilities; mental health continuing care and rehabilitation facilities; and adult acute admission wards. Many of the recommendations addressed principles of Scottish mental health and incapacity legislation, the articles of human rights legislation and other international conventions. The most common issues raised were: care environments that did not appear to meet people's right to privacy and dignity; care plans that did not appear to comply with the principles of maximum benefit, participation and the range of options available; and lack of attention to physical health.