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Department of Health: Winterbourne View review engagement: a summary of responses
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2012
- Pagination:
- 34p.
- Place of publication:
- London
Opened in December 2006, Winterbourne View was a private hospital owned and operated by Castlebeck Care Limited. It was designed to accommodate 24 patients in two separate wards, and was registered as a hospital providing assessment, treatment and rehabilitation for people with learning disabilities. It closed in June 2011 after the Panorama investigation. To understand the breadth and depth of opinion about the events that took place at Winterbourne View Hospital, the Department of Health held a number of stakeholder events and workshops held between September 2011 and August 2012. The engagement generated extensive material in a variety of forms, much of which was rich and detailed feedback. This document presents this feedback word for word and in its “raw form”.
Transforming care: a national response to Winterbourne View Hospital: Department of Health review: final report
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2012
- Pagination:
- 62p.
- Place of publication:
- London
Opened in December 2006, Winterbourne View was a private hospital owned and operated by Castlebeck Care Limited. It was designed to accommodate 24 patients in two separate wards, and was registered as a hospital providing assessment, treatment and rehabilitation for people with learning disabilities. It closed in June 2011 after the Panorama investigation. Though individual members of staff at Winterbourne View have been convicted, this case has revealed weaknesses in the system’s ability to hold the leaders of care organisations to account. This report sets out steps to respond to those failings, including tightening up the accountability of management and corporate boards for what goes on in their organisations.
Transforming care: a national response to Winterbourne View Hospital: Department of Health review: final report: easy read version
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2012
- Pagination:
- 33p.
- Place of publication:
- London
Opened in December 2006, Winterbourne View was a private hospital owned and operated by Castlebeck Care Limited. It was designed to accommodate 24 patients in two separate wards, and was registered as a hospital providing assessment, treatment and rehabilitation for people with learning disabilities. It closed in June 2011 after the Panorama investigation. This easy read report details the reasons for the closure of Winterbourne View, what happened to the patients who were at Winterbourne View hospital, how people with learning disabilities and autism are supported in England, and finally, what needs to happen now, and how those changes will be made.
Winterbourne View: summary of the Government response
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2012
- Pagination:
- 6p.
- Place of publication:
- London
Opened in December 2006, Winterbourne View was a private hospital owned and operated by Castlebeck Care Limited. It was designed to accommodate 24 patients in two separate wards, and was registered as a hospital providing assessment, treatment and rehabilitation for people with learning disabilities. It closed in June 2011 after the Panorama investigation. The government review found that Patients stayed at Winterbourne View for too long and were too far from home – the average length of stay was 19 months. Almost half of patients were more than 40 miles away from where their family or primary carers lived. There was an extremely high rate of ‘physical intervention’ – well over 500 reported cases of restraint in a fifteen month period. Multiple agencies failed to pick up on key warning signs – nearly 150 separate incidents – including A&E visits by patients, police attendance at the hospital, and safeguarding concerns reported to the local council – which could and should have raised the alarm. There was clear management failure at the hospital – with no Registered Manager in place, substandard recruitment processes and limited staff training. The government will set out proposals to strengthen accountability of boards of directors and senior managers for the safety and quality of care which their organisations provide.
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.
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.
Changes in the provision of residential care for adults with an intellectual disability: a national longitudinal study
- Authors:
- KELLY Fionnola, McCONKEY Roy
- Journal article citation:
- Tizard Learning Disability Review, 17(1), 2012, pp.4-10.
- Publisher:
- Emerald
The Republic of Ireland has a National Intellectual Disability Database (NIDD) of persons with an intellectual disability, which is updated annually. It records people living in various forms of residential provision as well as those living with family carers. This study used NIDD data to explore changes in provision of residential care from 1999 to 2009 for nearly 8,000 adults with intellectual disability in Ireland living in congregated or community-based accommodation. The analysis found that the largest area of growth over the ten-year period was in the provision of community group homes, with just under 50% of people living in community settings by 2009. There was a reduction in the number of places in congregated options, but more people were living in new forms of congregated provision designated specialist units. The article points out that a move from congregated living arrangements to more homely, community-based accommodation is a policy objective in many developed countries, and asserts that outmoded models of residential provision are likely to persist unless there is sustained investment in new forms of provision.
Knowledge of mental capacity issues in residential services for people with intellectual disabilities
- Authors:
- WILLNER Paul, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 6(1), 2012, pp.33-40.
- Publisher:
- Emerald
An earlier study of health and social services professionals in community teams for people with intellectual disabilities (CTIDs) identified a number of significant gaps in their knowledge of mental capacity issues. This study aims to judge the knowledge of staff working in residential services for people with intellectual disabilities. Participants worked in three specialist residential settings for people with intellectual disabilities; qualified nurses working in the NHS and in the independent-sector and senior staff in residential houses. All took part in the same structured survey that was used in the earlier work which was designed around three scenarios concerning a financial/legal issue, a health issue, and a relationships issue, as well as a set of ten “true/false” statements. There were no differences in interview performance between the three groups of residential carers, who performed better than generic NHS staff but worse than CTID professionals. However, the three residential groups did differ in their self-ratings of how well-informed and confident they felt in relation to mental capacity issues. The authors suggest that the confidence of staff in their own knowledge may not be a good guide to their ability to deal with these issues when they arise in practice.
Carers' responses to challenging behaviour: a comparison of responses to named and unnamed vignettes
- Author:
- DAGNAN Dave
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 25(1), January 2012, pp.88-94.
- Publisher:
- Wiley
In this study, 62 paid carers working in homes for people with intellectual disabilities reported their responses to vignettes illustrating challenging behaviour presented by an unknown person and the same behaviour presented by a named and known person. Questionnaires were used to gather information about the care workers' attributions, emotional responses, intended behavioural responses and behavioural knowledge. This article describes the background to the study, the methodology and measures used, and the results of data analysis. The results suggested that in general carers make more internal and global attributions and identify themselves as less optimistic in response to vignettes relating to named and known people with intellectual disabilities than those relating to unnamed people. The author discusses how the findings may contribute to understanding carer interaction with people with intellectual disabilities.
Closing the Winterbournes
- Authors:
- SHARED LIVES PLUS, KEYRING
- Publisher:
- Shared Lives Plus
- Publication year:
- 2012
- Pagination:
- 7p.
- Place of publication:
- Liverpool
The abuse suffered by people with learning disabilities in ‘assessment and referral centres’ (specifically Winterbourne) has been well documented by two BBC Panorama investigations and a report from the Care Quality Commission (CQC). Shared Lives Plus and KeyRing, have produced this report which sets out ways in which community-based services could be used to close down the "Winterbourne Views" - with four recommendations for change. The Shared Lives sector and KeyRing Living Support Networks are two models which have been used successfully to enable people labelled as "challenging" or who have "complex needs" to move out of institutional settings into ordinary family homes and communities. These moves enable people to develop independent living skills, make new friends and move on with their lives - saving thousands of pounds in the process. The new briefing, "Closing the Winterbournes", outlines how these successful approaches - along with other community-based approaches - should be used as part of person-centred support planning to consign the vast majority of assessment and referral units to history.