Search results for ‘Subject term:"learning disabilities"’ Sort:
Results 1 - 6 of 6
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)
What we think about Atlas House: easy read report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2011
- Pagination:
- 10p.
- Place of publication:
- London
An easy read version of an inspection of Atlas House, a hospital for 11 patients with learning disabilities who have challenging behaviour. Bullet points highlight the main findings.
Strategic plan 2010-2015: position statement and action plan for learning disability
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2009
- Pagination:
- 29p.
- Place of publication:
- London
The Care Quality Commission has identified five priorities where its role as regulator will enable it to significantly enhance the quality of outcomes for people who use services. These are: ensuring care is centred on people’s needs and protects their rights; championing joined-up care so that health and social care are more coordinated; acting swiftly to help eliminate poor quality care. ensuring and promoting high quality care; regulating effectively in partnership. This document sets out the strategic plan for improving standards of social care for adults with learning disabilities 2010-2015, with regard to safe care, improving outcomes, value for money and personalisation.
Home for good: successful community support for people with a learning disability, a mental health need and autistic people
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2021
- Place of publication:
- London
This short report identifies common features which echo recommendations and findings in the supporting literature of what good community support should look like for people with a learning disability and/or autistic people. Common features include: services must be bespoke and truly person-centred; agencies should work in partnership; appropriate housing and environments are a prerequisite; positive behaviour support approach should be adopted when people are labelled as having ‘challenging behaviour’; and family involvement in all aspects of service planning and delivery increases the chance of a good outcome. It includes eight stories of people who have previously been placed in hospital settings, often called Assessment and Treatment Units and who are now thriving in community services across England. The stories in this report suggest that community support is: sometimes cheaper than support provided through out-of-district hospitals; far less reliant on medication and restraint to manage behaviour and delivers a demonstrably better quality of life. (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)