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)
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)
Subject terms:
care homes, Deprivation of Liberty Safeguards, mental capacity, dementia, learning disabilities, hospitals;
Updated good practice guidance for health and social care professionals in Scotland on the use of seclusion when working with people who are being treated for mental illness, dementia, learning disability or related conditions in health and social care settings. The view of the Mental Welfare Commission is that services should minimise the use of all forms of restrictive practice, and that in most cases, proactive behavioural support plans would mean that the use of seclusion would be unnecessary. The guidance aims to ensure that where seclusion takes place, the safety, rights and welfare of the individual are safeguarded. It looks at what any policy for seclusion should cover, including: maintaining the safety of the secluded person, care planning, record keeping, assessment and review during a period of seclusion, the impact of seclusion and staff training. The guide also provides a summary of good practice points, a summary of relevant legislation in Scotland and case studies to illustrate areas of good and poor practice.
(Edited publisher abstract)
Updated good practice guidance for health and social care professionals in Scotland on the use of seclusion when working with people who are being treated for mental illness, dementia, learning disability or related conditions in health and social care settings. The view of the Mental Welfare Commission is that services should minimise the use of all forms of restrictive practice, and that in most cases, proactive behavioural support plans would mean that the use of seclusion would be unnecessary. The guidance aims to ensure that where seclusion takes place, the safety, rights and welfare of the individual are safeguarded. It looks at what any policy for seclusion should cover, including: maintaining the safety of the secluded person, care planning, record keeping, assessment and review during a period of seclusion, the impact of seclusion and staff training. The guide also provides a summary of good practice points, a summary of relevant legislation in Scotland and case studies to illustrate areas of good and poor practice.
(Edited publisher abstract)
Subject terms:
good practice, restraint, hospitals, mental health problems, learning disabilities, dementia, policy, care homes, social care provision;
This publication uses maps to show the variation in health care for a variety of conditions across England and Wales. The maps are accompanied by commentary on the background context, scale of variation and options for action. Conditions covered include: care of mothers, babies, and children and young people; mental health problems; dementia; care of older people; end of life care; and learning disabilities. Twenty one of the indicators are also presented by local authority area. The Atlas also highlights the work being done by Right to Care to support anyone wanting to reduce unwarranted variation of health care provision within their locality or between their locality and other areas of the country.
(Edited publisher abstract)
This publication uses maps to show the variation in health care for a variety of conditions across England and Wales. The maps are accompanied by commentary on the background context, scale of variation and options for action. Conditions covered include: care of mothers, babies, and children and young people; mental health problems; dementia; care of older people; end of life care; and learning disabilities. Twenty one of the indicators are also presented by local authority area. The Atlas also highlights the work being done by Right to Care to support anyone wanting to reduce unwarranted variation of health care provision within their locality or between their locality and other areas of the country.
(Edited publisher abstract)
Subject terms:
access to services, end of life care, health care, hospitals, learning disabilities, mental health problems, older people, quality assurance, dementia, health inequalities;
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)
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)
Subject terms:
care homes, Deprivation of Liberty Safeguards, hospitals, learning disabilities, dementia, mental capacity, local authorities, Mental Capacity Act 2005, Supreme Court;
Written by a group of art therapists working for a variety of organisations including the NHS, a probation service, an education authority and voluntary organisations. Aims to explain the practice of art therapy. Includes chapters on art therapy and manic depression; in day hospitals; in community based rehabilitation; in psychogeriatrics; with dyslexic children; and with people with learning difficulties.
Written by a group of art therapists working for a variety of organisations including the NHS, a probation service, an education authority and voluntary organisations. Aims to explain the practice of art therapy. Includes chapters on art therapy and manic depression; in day hospitals; in community based rehabilitation; in psychogeriatrics; with dyslexic children; and with people with learning difficulties.
Subject terms:
hospitals, learning disabilities, older people, art therapy, bipolar disorder, day services, dementia, depression, dyslexia;
Respite care is often made from bits and pieces from services which are meant to be integrated, but not at the top of many agendas. This means that respite care uses borrowed funding and secondhand policies and practices. A survey in Scotland examined four types of respite care: hospital, residential, family-based, and domiciliary for seven main groups: older people, people with dementia, those with mental health problems, and children and adults with learning and physical disabilities, to find out the reality for carers. Also explores the possibilities for improving services for them.
Respite care is often made from bits and pieces from services which are meant to be integrated, but not at the top of many agendas. This means that respite care uses borrowed funding and secondhand policies and practices. A survey in Scotland examined four types of respite care: hospital, residential, family-based, and domiciliary for seven main groups: older people, people with dementia, those with mental health problems, and children and adults with learning and physical disabilities, to find out the reality for carers. Also explores the possibilities for improving services for them.
Subject terms:
home care, hospitals, learning disabilities, older people, physical disabilities, residential care, short break care, social care provision, surveys, carers, community care, children, dementia;
This report provides unit costs estimates for a range of health and social care services and staff. It comprises five sections. Section 1 estimates the costs of services for older people, people with mental health problems, people who misuse drugs or alcohol, people with learning disabilities, adults with physical disabilities, children and their families, hospital and related services and care package. Sections 2, 3 and 4 provides cost estimates for community-based health and social care staff and hospital-based staff. These include: allied health professionals, nurses, general practitioners, social workers, home care staff, scientific and professional staff and specialist doctors. Section V details the sources of information used. The report also includes four discussion and research papers, examining some of the implications of the 2014 Care Act, the development of a new survey tool to gather self-reported data about respondents’ care needs, use of formal care, and their use and provision of informal care, the costs of vision rehabilitation services in England, and resource-use questionnaires used in trial-based economic evaluations.
(Edited publisher abstract)
This report provides unit costs estimates for a range of health and social care services and staff. It comprises five sections. Section 1 estimates the costs of services for older people, people with mental health problems, people who misuse drugs or alcohol, people with learning disabilities, adults with physical disabilities, children and their families, hospital and related services and care package. Sections 2, 3 and 4 provides cost estimates for community-based health and social care staff and hospital-based staff. These include: allied health professionals, nurses, general practitioners, social workers, home care staff, scientific and professional staff and specialist doctors. Section V details the sources of information used. The report also includes four discussion and research papers, examining some of the implications of the 2014 Care Act, the development of a new survey tool to gather self-reported data about respondents’ care needs, use of formal care, and their use and provision of informal care, the costs of vision rehabilitation services in England, and resource-use questionnaires used in trial-based economic evaluations.
(Edited publisher abstract)
Subject terms:
costs, wages, community care, social care staff, social workers, health professionals, nurses, general practitioners, hospitals, doctors, care homes, childrens social care, older people, mental health services, learning disabilities, residential care, extra care housing, dementia, substance misuse, disabilities, looked after children, autism, palliative care, end of life care;