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Review of compliance: Castlebeck Care (Teesdale) Ltd.: Winterbourne View
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2011
- Pagination:
- 45p.
- Place of publication:
- London
Winterbourne View is a 24-bed purpose designed Assessment and Treatment Unit providing healthcare and support for adults with learning disabilities, complex needs and challenging behaviour. It is operated by Castlebeck Care (Teesdale) Ltd. This review was carried out following the BBC television programme Panorama which showed the serious abuse of patients at Winterbourne View over several months. The review found that Winterbourne View was not meeting 10 essential standards. Concerns resulted in the Care Quality Commission taking enforcement action to remove Winterbourne View from the registration of Castlebeck Care (Teesdale) Ltd.
Discovering Camphill: new perspectives, research and developments
- Editors:
- JACKSON Robin, (ed.)
- Publisher:
- Floris Books
- Publication year:
- 2011
- Pagination:
- 336p.
- Place of publication:
- Edinburgh
Bringing together research from scholars and experts in a variety of disciplines, the editors explore a broad range of issues which affect Camphill life. The essays examine social, political and educational topics including; spiritual needs, residential childcare, disabled identity, working with autistic children and the development of Camphill communities around the world. It is suggested that the lack of easily accessible literature about Camphill communities has contributed to a common perception of Camphill as 'closed' communities which have little interest in communicating with the 'the outside world'. Some influential officials and practitioners who determine education and social-work policy and practice are believed to know little about Camphill, thus increasing the risk of misunderstanding and threatening the future of Camphill communities. The book has two main aims; to report on the finding of research on several Camphill communities, and to discuss societal trends which may impact on the future of the Camphill movement. This book seeks not only to bridge the knowledge gap about Camphilll but also to demonstrate to a wider audience the unique and inspiring qualities of Camphill communities. The book is expected to be of interest to those with an interest in the provision of services for children and adults with special needs.
Transforming staff practice through active support
- Authors:
- RICHES Vivenne C., et al
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 36(3), September 2011, pp.156-166.
- Publisher:
- Taylor and Francis
The active support model is being introduced in many residential and respite homes worldwide. It aims to increase the opportunities for the participation of people with intellectual disability (ID) in meaningful activity with appropriate assistance from staff. This article describes the development and delivery of an active support training pilot for staff in a large government organisation that supports people with ID in Australia. A train-the-trainer approach was used in which 5 apprentice trainers were trained to provide active support training to 65 staff associated with 6 group homes. These 5 trainers were then monitored to provide training to 54 staff in another 6 group homes. Staff evaluated their interactive training experiences by completing an anonymous questionnaire. In addition, pre and post outcome data were collected for a small number of service users from group homes, along with staff outcome data regarding residential working practices, group home management, and staffing practices. The findings show that the train-the-trainer model was an effective strategy for training large numbers of staff. The interactive training component was particularly effective and was associated with improvements in service user engagement in domestic tasks and decreased depression levels. Staff job satisfaction increased and significant improvements were recorded in residential working practices.
A home of my own: report from visits to people with learning disabilities who are living in care homes which are registered with the Care Commission as having more than 20 places: June to September 2010
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2011
- Pagination:
- 29p.
- Place of publication:
- Edinburgh
One of the ways in which the Mental Welfare Commission monitors individual care and treatment is through visit programmes in a range of settings throughout Scotland. These visits take place at home, in hospital or in any other setting where care and treatment is being delivered. This report presents findings from a programme of national themed visits to people with learning disabilities living in the larger residential care homes registered with the Care Commission as having more than 20 places. The visits are designed to assess and compare care and treatment for particular groups of people across Scotland. This report provides an overview of findings from a series of visits in Scotland between June and September 2010. Positive outcomes from the visits showed that people had pleasant homely bedrooms where they could spend time with their personal belongings, music, and TV and had some choice in the décor or furnishings. There was good access to primary health care services and Community Learning Disability Teams in nearly all units. However, communal units were less homely.
Utility of staff training on correcting sleep problems in people with intellectual disabilities living in residential settings
- Authors:
- HYLKEMA Tejo, PETITIAUX Wanda, VLASKAMP Carla
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 8(2), June 2011, pp.85-91.
- Publisher:
- Wiley
Sleep problems are common in people with intellectual disabilities (ID), and may aggravate behavioural problems or cause functional irritations during the day. The cause of sleep problems can be intrinsic factors having a physical origin or extrinsic factors linked to environmental causes. This study examined how to introduce training to improve the knowledge and understanding of sleep quality and sleep problems in people with ID among care staff at a residential facility in order to reduce extrinsic sleep problems. The study was carried out over 19 weeks in 2 residential care institutions in the northern part of the Netherlands. The care staff were divided into 2 groups: the first was offered a lecture and a workshop; and the second was only offered a lecture. Sleep efficiency and sleep latency in the residents with ID who were not suspected of having sleep problems were measured 4 times. In both groups, sleep efficiency rose significantly. The time spent in bed by residents overseen by the first group was reduced significantly, and there was a significant reduction of daily napping time. In the second group, there was a significant increase of daily napping time and in the number of naps. The article concludes that educational techniques, such as lectures and workshops, provided to staff can lead to significant improvements in residents' sleep efficiency.
Feeling settled project: guide for those involved in changing a service from a residential care home to supported living where the people stay in the same place
- Authors:
- STRONG Steve, HALL Claire
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2011
- Pagination:
- 49p.
- Place of publication:
- Bath
Many people with learning disability, unlike the rest of the population, do not choose were they want to live. More than half of people with learning disabilities live with their families and many live in residential care. It can be hard to get clear information about the different options. This guidance addresses moving from residential care to supported living supported by Valuing People Now, the Care Quality Commission and Association of Directors of Adult Social Care (ADASS). It describes how different agencies and people need to be involved and makes sure the person with a learning disability is at the centre of the planning all the time. Feeling Settled is launched together with the latest guidance from the Care Quality Commission on registration for supported living. It uses case studies and examples to help commissioners and providers to develop real person centred solutions.
Intellectual disabilities, challenging behaviour and referral texts: a critical discourse analysis
- Authors:
- NUNKOOSING Karl, HAYDON-LAURELUT Mark
- Journal article citation:
- Disability and Society, 26(4), June 2011, pp.405-417.
- Publisher:
- Taylor and Francis
This paper examined the texts of referrals written by care workers in residential services for people with learning difficulties. It used Critical Discourse Analysis to examine referrals made to a Community Learning Disability Team (CLDT). The paper starts with a description of CLDTs and then examines the construction of ‘challenging behaviour’ and ‘intellectual disability’. All 59 referrals about challenging behaviour made to a CLDT for a period of 18 months were reviewed. The study found that referral forms position the person with intellectual disabilities as a problem to be solved, as in need of surveillance, and showed evidence of the routinisation of daily life, surveillance, and mortification of the self. In other words, the study found evidence of institutional ways of life in the referrals. The study was important in highlighting the writing of derogating documents about people with learning disabilities, and raised questions about power in the relationships of these people. The paper concludes with suggestions for further action.
Preventing abuse in accommodation services: from procedural response to protective cultures
- Authors:
- ROBINSON Sally, CHENOWETH Lesley
- Journal article citation:
- Journal of Intellectual Disabilities, 15(1), March 2011, pp.63-74.
- Publisher:
- Sage
- Place of publication:
- London
This paper considers the dominant policy and practice approaches of Australian disability accommodation services with respect to the abuse and neglect of people with learning disabilities, and questions the effectiveness of these approaches. The paper reviews international literature and provides practice examples to help develop a framework of current research, policy and practice in this area. Findings show that dominant policy and practice approaches do not give adequate consideration to the prevention and protection of people from harm, focusing primarily on responding to individual instances of maltreatment. Managerial, compliance-based systems may be deflecting attention from recognizing and responding more effectively to abuse and neglect at individual, systemic and structural levels. The current dominant approach fails to develop a culture of prevention and protection for people with intellectual disability. The authors concluded that some systemic and structural preconditions are set which make abuse and neglect less preventable.
Use of physical restraints with people with intellectual disabilities living in Sweden's group homes
- Authors:
- LUNDSTROM Mats O., et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 8(1), March 2011, pp.36-41.
- Publisher:
- Wiley
People with intellectual disabilities often exhibit physical and communicative difficulties as well as challenging behaviours, and physical restraints are one method used to manage challenging behaviours and promote physical safety for them, their fellow residents, and professional carers. In the context of a lack of data about the practice of using physical restraints in Swedish group homes, this research aimed to investigate the prevalence of physical restraint use for people with intellectual disabilities and to identify the characteristics of individuals subjected to these restraints. The study included 556 people with intellectual disabilities, aged 16-90 years, living in 118 group homes, with information gathered through a questionnaire completed by a carer. The article describes the study and its results. 17.8% of the residents studied had been subjected to physical restraint over the previous week, with most of them subjected to more than one type of restraint; the most commonly used type of physical restraint was a belt. The authors conclude that despite the absence of legal authority for physical restraint use in group homes for people with intellectual disabilities, physical restraints are frequently used in Sweden, and that both physical impairments and behavioural symptoms are significantly associated with physical restraint use.
How much will it cost? Characteristics of the most expensive residential placements for adults with learning disabilities
- Authors:
- McGILL Peter, POYNTER Jo
- Journal article citation:
- Tizard Learning Disability Review, 16(2), April 2011, pp.54-57.
- Publisher:
- Emerald
The high cost of residential services for some adults with learning disabilities is of concern, especially in a period of financial retrenchment in publicly funded services. Valuing People Now (DH, 2009) acknowledged that too often people are sent to expensive out-of-area placements. This collaborative research between the Valuing People Now Team, the Challenging Behaviour National Strategy Group and the Tizard Centre aimed to identify the characteristics of the highest-cost placements in the South-East of England. Between November 2009 and June 2010 commissioners in 19 local authority areas were asked to provide information on their 5 most expensive adult placements. Information was provided on 70 placements from 14 of the areas. The mean placement cost was £172,000 per annum, with a range from £83,000 to £333,000. The article discusses the individual characteristics, placement characteristics, differences between in-area and out-of-area placements, and predictors of higher costs. The article concludes that a small number of placements consume a significant amount of local authority resources. On average the authorities surveyed spent £0.9 million annually on their 5 most expensive placements. Suggestions for further research are provided.