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A hospital or a home? Findings from themed visits to NHS and private sector wards for people with learning disabilities
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2008
- Pagination:
- 16p.
- Place of publication:
- Edinburgh
The Commission undertook a themed visit to all learning disability in-patient units during the 2007-08 visiting programme. The Commission visited 39 facilities across Scotland from 25 October to 7 November 2007. Prior to the visits, health boards were asked to provide some information about the wards in their areas. Staff were asked a series of questions about the people living in the ward on the day of the visit and about how care and treatment was provided. Commission staff met with individual patients and some relatives and carers. The Commission was particularly interested in seeing how assessment of individual need was taking place and the ways identified needs were being met. Commission staff also looked for evidence within files that would indicate how individual people and carers were being involved in decisions about current and future care. Key recommendations are outlined.
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.
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.
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’.
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.
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.
Review of compliance: Cambian Learning Disabilities Limited: Chaseways
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2012
- Pagination:
- 20p.
- Place of publication:
- London
Chaseways is a community hospital for people with a learning disability and associated mental health problems. It provides assessment, treatment and rehabilitation to up to nine people of the same gender and at the time of the review all beds were occupied. The location is registered to carry out the regulated activities of: treatment of disease, disorder or injury; assessment or medical treatment for persons detained under the Mental Health Act 1983; and diagnostic and screening procedures. The location is one of a number throughout the country operated by Cambian Learning Disabilities Ltd. The care, health and support needs of people receiving treatment and support at Chaseways were detailed in care plans. Although new care plan documentation was being introduced, which was in a person centred format, people receiving treatment and support were not routinely involved. Some documentation was in an easy read format, but not accessible to the people receiving support. Health care plans did not show routine medical treatment accessible for people who use the service. Staffing shortages sometimes restricted the number of activities available to people receiving treatment, and there was a lack of stimulation within everyday living for the people receiving treatment and support at Chaseways. The service did not provide the assessment, treatment and rehabilitation that was required.
What we think about Durham Rd: easy read report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2011
- Pagination:
- 10p.
- 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. 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. Using words and pictures this easy read report describes the reasons for the inspection, the way the inspection was carried out and provides a summary of the main findings.
The sun finally sets on Orchard Hill
- Author:
- TICKLE Louise
- Journal article citation:
- Community Care, 2.4.09, 2009, pp.16-17.
- Publisher:
- Reed Business Information
By 30 April, Orchard Hill, the last remaining hospital housing people with learning disabilities will finally close. Residents who have moved out of the hospital are now in a mixture of supported independent living and registered residential provision. This article looks at whether the process has been successful from the perspective of residents, families and staff.
Past masters
- Author:
- HOPKINS Graham
- Journal article citation:
- Community Care, 25.05.06, 2006, pp.36-37.
- Publisher:
- Reed Business Information
The history of people with learning difficulties is largely hidden and uncomfortable one. This article looks at a project in Hertfordshire which is looking back in order to look forward.