Search results for ‘Subject term:"learning disabilities"’ Sort:
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Review of compliance: Mild Professionals Homes Ltd: Old Leigh House
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2011
- Pagination:
- 18p.
- Place of publication:
- London
Old Leigh House was reviewed as part of a targeted inspection programme in hospitals that care for people with learning disabilities. Two essential standards of quality were examined: Outcome 4: People should get safe and appropriate care that meets their needs and supports their rights; and Outcome 7: People should be protected from abuse and staff should respect their human rights. The report includes a summary describing why the review was carried out, the main findings and action required. It also provides detailed findings for the two essential standards and outcomes reviewed. The provider was found not to be meeting these essential standards and improvements are required.
Review of compliance: Northamptonshire Healthcare NHS Foundation Trust: Vale Assessment and Treatment Unit
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2011
- Pagination:
- 19p.
- Place of publication:
- London
Northamptonshire Healthcare NHS Foundation Trust was reviewed as part of a targeted inspection programme in hospitals that care for people with learning disabilities. The Intensive Support Service provides inpatient assessment and treatment of people with a learning disability who have mental health problems or challenging behaviour. Two essential standards of quality were examined: Outcome 4: People should get safe and appropriate care that meets their needs and supports their rights; and Outcome 7: People should be protected from abuse and staff should respect their human rights. The report includes a summary describing why the review was carried out, the main findings and action required. It also provides detailed findings for the two essential standards and outcomes reviewed. Improvements were found to be needed for essential standard Outcome 4.
Review of compliance: Partnerships in Care Limited: Burston House
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2011
- Pagination:
- 18p.
- Place of publication:
- London
Burston House was reviewed as part of a targeted inspection programme in hospitals that care for people with learning disabilities. The hospital provides assessment, treatment and continuing care to patient’s with mild to moderate learning disabilities who may also have other complex mental health problems, such as autistic spectrum disorder, aspergers syndrome, personality disorders. Two essential standards of quality were examined: Outcome 4: People should get safe and appropriate care that meets their needs and supports their rights; and Outcome 7: People should be protected from abuse and staff should respect their human rights. The report includes a summary describing why the review was carried out, the main findings and action required. It also provides detailed findings for the two essential standards and outcomes reviewed. The provider was found to be compliant with both standards of quality and safety reviewed.
Restraint, segregation and seclusion review: progress report (December 2021)
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2021
- Place of publication:
- Newcastle upon Tyne
This short report comments on the progress following publication of ‘Out of sight – who cares?’ report and highlights the main areas where further work is still needed. ‘Out of sight – who cares?’, published in October 2020, looked at the use of restraint, seclusion and segregation in care services for people with a mental health condition, a learning disability or autistic people. The health and care system has taken action to understand the needs of people with a learning disability and autistic people in inpatient units. However, there is still much to be done. Too many people have still not seen their care improved. While the health and care system has made a commitment to increase the range of community support available to help prevent hospital admissions, this commitment now needs to be converted into real change. The findings of this report show that too many people are still in inpatient wards and they are spending too long in hospital. Getting the right care provision, support services and early intervention in the community will prevent hospital admissions, reduce the time it takes to discharge people into the right support and enable people to live their best lives. (Edited publisher abstract)
Out of sight: who cares? A review of restraint, seclusion and segregation for autistic people, and people with a learning disability and/or mental health condition
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2020
- Pagination:
- 74
- Place of publication:
- Newcastle upon Tyne
This report describes the current state of the care system for children, young people and adults who are subject to restrictive interventions, and who are cared for in a range of settings. While the focus of this report is learning disabilities and autism, the findings have also implications and learning for settings that support people who have a mental health condition and/or who are living with dementia. The review found that often people were not getting the care they need, when they need it. There were many examples of care that was undignified, inhumane and that potentially breached people’s basic human rights. While it is possible to support people well in the community, care packages are often not available; and people are frequently not receiving the hospital care that they are entitled to. While the use of restrictive practice is not inevitable, nearly all of the services (hospitals and adult social care services) visited as part of this review used some form of restrictive practice. Where there was evidence of people being restrained, secluded or segregated, it was claimed that this was for their own safety or the safety of others. The report makes four key recommendations: people with a learning disability and or autistic people who may also have a mental health condition should be supported to live in their communities; people who are being cared for in hospital must receive high-quality, person-centred, specialised care in small units; there must be renewed attempts to reduce restrictive practice by all health and social care providers, commissioners and others; there must be increased oversight and accountability for people with a learning disability, and or autistic people who may also have a mental health problem. (Edited publisher abstract)
Review of restraint, prolonged seclusion and segregation for people with a mental health problem, a learning disability or autism: interim report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2019
- Pagination:
- 43
- Place of publication:
- Newcastle upon Tyne
Interim findings from a review of the use of restrictive interventions in places that provide care for people with mental health problems, a learning disability and/or autism. The review focuses on the experiences of 39 people in segregation on a learning disability ward or a mental health ward for children and young people. It also draws on information from a request sent to 92 registered providers of services for people with a mental health problem, a learning disability and or autism. The report describes emerging themes about the pathway that these people have followed, their current care and treatment and what prevents them from leaving hospital. The findings show that: a high proportion of people in segregation had autism; some of the wards did not have a built environment that was suitable for people with autism; many staff lacked the necessary training and skills; and several people visited were not receiving high quality care and treatment. In the case of 26 of the 39 people, staff had stopped attempting to reintegrate them back onto the main ward, usually due to concerns about violence and aggression. Some people were also experiencing delayed discharge from hospital due to there being no suitable package of care available in a non-hospital setting. The report makes a number of recommendations for the health and care system. They include for the care, safeguarding and discharge plan of every person with learning disabilities or autism held in segregation be examined, as well as that of children detained on mental health wards. (Edited publisher abstract)
Learning, candour and accountability: a review of the way NHS trusts review and investigate the deaths of patients in England
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2016
- Pagination:
- 76
- Place of publication:
- Newcastle upon Tyne
Reports on a review carried out by the Care Quality Commission to investigate how NHS trusts identify, investigate and learn from the deaths of people under their care. This review was carried out in response to the very low numbers of investigations or reviews of deaths at Southern Health NHS Foundation Trust. It draws on evidence from a national survey of NHS trusts and visits to 12 acute, community healthcare and mental health trusts; the views of over 100 families, collected through interviews, events and an online form; and consultation with charities and NHS professionals. The findings are discussed in five areas: the involvement of families and carers; the identification and reporting of deaths; making decisions to review and investigate; decisions to review or investigate; and governance arrangement and learning. Examples of promising practice are also included. The results found that that many carers and families had a poor experience of investigations and are not always treated with respect and honesty. This was especially true of deaths involving people with a learning disability or people with mental problems. The review also found that opportunities are missed to learn across the system from deaths that may have been prevented. It concludes that learning from deaths needs to be a much greater priority for all working within health and social care. The report makes recommendations for improvement. (Edited publisher abstract)
A different ending: addressing inequalities in end of life care: overview report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2016
- Pagination:
- 41
- Place of publication:
- Newcastle upon Tyne
This report provides the background to the Care Quality Commission thematic review of how dying patients are treated across various settings, an overview of the key findings and recommendations for providers, commissioners and local health and care system leaders, as well as information on what CQC will do going forward. The review focused on end of life care for people who may be less likely to receive good care, whether because of diagnosis, age, ethnic background, sexual orientation, gender identity, disability or social circumstances. The report shows that where commissioners and services are taking an equality-led approach that responds to people’s individual needs, people receive better care. Although some commissioners and providers of end of life care are doing this well, many are not. People from the groups included in the review reported mixed experiences of end of life care, and highlighted barriers that sometimes prevented them from experiencing good, personalised end of life care. In particular, the review found that lack of awareness of people’s individual needs is a significant barrier to good care and that commissioners and providers do not always consider the needs of everyone in their community. (Edited publisher abstract)
Checking how the Mental Health Act is used: easy read
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2010
- Pagination:
- 30p.
- Place of publication:
- London
This document is the easy read version of the first report into the work of the Care Quality Commission on monitoring the use of the Mental Health Act. It covers the period from April 2009 until March 2010. It describes the findings of these visits, listing aspects that need to be improved. It considers the following: taking people into hospital and keeping them there; children or young people; safe places; general hospitals; what things are like for people who are kept in hospital under the Mental Health Act; locked wards; low secure services; involving patients and looking after their rights; Independent Mental Health Advocates; Mental Health Tribunals; people being stopped, held or kept away from others; patients agreeing to treatment; Second Doctors; electro-convulsive therapy; and supervised community treatment. It concludes that services need to get better at involving patients who are kept in hospital in their care and treatment, checking whether patients understand and can agree to treatment, and treating people as individuals and making sure rules to keep people safe do not take away everyone’s rights.
Count me in 2009: results of the 2009 national census of inpatients and patients on supervised community treatment in mental health and learning disability services in England and Wales
- Authors:
- CARE QUALITY COMMISSION, NATIONAL MENTAL HEALTH DEVELOPMENT UNIT
- Publisher:
- Care Quality Commission
- Publication year:
- 2010
- Pagination:
- 59p.
- Place of publication:
- London
This is the fifth national census of the ethnicity of inpatients in NHS and independent mental health and learning disability services in England and Wales. Carried out in March 2009 it follows a similar format to those conducted each year since 2005 but now also includes patients subject to Community Treatment Orders (CTO) introduced in 2008. Information was obtained for 31,786 patients who were either inpatients or on a CTO on census day. The number of patients in each census has declined from 33,785 in 2005 to 31,020 (without the outpatients on CTO) in 2009. The proportion of patients in independent hospitals has increased steadily over this period from 10% to 16%, with a corresponding decline in the proportion of NHS patients. Ethnicity information was available for 98% of the patients; 22% were from minority ethnic groups compared to 20% in the 2005 census. White British account for 78% of all patients, Black or Black/White mix groups 10%, other white groups 4%, South Asian 3%, White Irish 2%, and others (including Chinese) 3%. Differences in mental health problems were seen between and within ethnic groups. It is noted that there has been no reduction in the rates of admission, detention and seclusion among black and minority ethnic groups.