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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.
Use of seclusion: good practice guide
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2019
- Pagination:
- 26
- Place of publication:
- Edinburgh
Updated good practice guidance for health and social care professionals in Scotland on the use of seclusion when working with people who are being treated for mental illness, dementia, learning disability or related conditions in health and social care settings. The view of the Mental Welfare Commission is that services should minimise the use of all forms of restrictive practice, and that in most cases, proactive behavioural support plans would mean that the use of seclusion would be unnecessary. The guidance aims to ensure that where seclusion takes place, the safety, rights and welfare of the individual are safeguarded. It looks at what any policy for seclusion should cover, including: maintaining the safety of the secluded person, care planning, record keeping, assessment and review during a period of seclusion, the impact of seclusion and staff training. The guide also provides a summary of good practice points, a summary of relevant legislation in Scotland and case studies to illustrate areas of good and poor practice. (Edited publisher abstract)
Focussed visits 2013: summary of recommendations and outcomes from focussed visits 2013
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2015
- Pagination:
- 19
- Place of publication:
- Edinburgh
This report identifies the main issues raised following focussed visits to 96 different services (eg hospitals, care homes and prisons) carried out between January 2013 and December 2013. The visits aim to identify individual concerns; assess whether the requirements of legislation are being met; and assess the facilities for individuals' care. A total of 339 recommendations were made relating to these visits. These were grouped into the categories of: Assessment, care planning and review, person-centred care; Adults with Incapacity (Scotland) Act 2000; The physical environment; Therapeutic activity; Mental Health (Care and Treatment) (Scotland) Act 2003; Medication; Restrictions. Some specific examples of where improvements have been made are also highlighted. (Original abstract)
Themed visit to hospital units for the assessment and treatment of people with learning disabilities
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2012
- Pagination:
- 33p.
- Place of publication:
- Edinburgh
There has been widespread closure of long stay hospitals for people with learning disabilities. Today, excluding forensic beds, there are fewer than 240 people in acute and longer stay assessment and treatment beds in Scotland. However it is recognised that there is a need for a small number of inpatient beds for those with specialised or complex needs which cannot be met in the community. This report presents the findings of visits from June 2011 to September 2011 to all 20 hospital units (19 NHS and 1 private hospital) for the assessment and treatment of people with learning disabilities. Information was gathered from Clinical Service Managers, staff, service users, care plans and other records, and relatives. The care and treatment of 113 people was looked at. There were 4 general areas of enquiry: health needs; rights and restrictions; quality of life; and participation and involvement. The findings were mainly positive. A number of key messages and recommendations are provided based on these findings, and areas of best practice are highlighted.