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Multi-agency inspection of services for people with learning disabilities in Ayrshire: accessible summary
- Author:
- SOCIAL WORK INSPECTION AGENCY
- Publisher:
- Social Work Inspection Agency
- Publication year:
- 2007
- Pagination:
- 19p.
- Place of publication:
- Edinburgh
An accessible summary of a report of services for people with learning disabilities in North Ayrshire, East Ayrshire and South Ayrshire is presented. The inspection looked at services for people with learning disabilities and their families in each of the three areas and covered services provided by the local council, particularly social work and education, the NHS, and others such as Strathclyde Police. The team of people that came to Ayrshire to check up on how good services were for people with learning disabilities included people with learning disabilities and family carers.
Evaluation of our checks of learning disability services in England: easy to read
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2012
- Pagination:
- 8p.
- Place of publication:
- London
An easy read summary report which looks at how inspections of 150 learning disabilities were carried out and what the people who took part in the inspections felt about them. It looks at what experts by experience or service users and their advisers and care providers' felt about the inspections. It also looked at what could be done to make the process better. The inspections were carried out by the Care Quality Commission because of poor care and abuse at Winterbourne View hospital.
Multi-agency inspection of services for people with learning disabilities in Ayrshire
- Author:
- SOCIAL WORK INSPECTION AGENCY
- Publisher:
- Social Work Inspection Agency
- Publication year:
- 2007
- Pagination:
- 182p.
- Place of publication:
- Edinburgh
A report of the pilot multi-agency inspection of services for people with learning disabilities in Ayrshire that took place between February and June 2006 is presented. A multi-agency inspection model for services for people with learning disabilities was developed. A consultation event about the model was held and people’s comments were taken into account. A number of people with learning disabilities and family carers attended the event. The model was specifically designed for multi-agency inspections of learning disability services and is congruent with the SWIA performance inspection model and HMIe’s performance inspection model. The report covers enabling and sustaining independence, promoting inclusion, meeting health needs, safety and protection, record keeping and communication, meeting staff needs, developing partnership working, leadership and direction, financial resource and information management, and capacity for improvement. Recommendations are presented.
Should the CSCI review its own standards?
- Author:
- WILLIAMS Paul
- Journal article citation:
- Community Living, 19(1), August 2005, pp.18-19.
- Publisher:
- Hexagon Publishing
The author summarises key points from research carried out by the Tizard Centre and the University of Kent which confirmed criticisms that have been made of the Care Standards and inspection of them by the Commission for Social Care Inspection (CSCI). The studies findings suggest that the assessment of services using the national minimum standards does not yet reflect important user outcomes.
Looking at day services in Dorset: recreation and leisure
- Authors:
- SHEPHERD Andrew, WRIGHT Fiona
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate. South and Wes
- Publication year:
- 1995
- Pagination:
- 7p.
- Place of publication:
- Bristol
Report from two people with learning difficulties who were involved in an inspection of day services in the Dorset area.
Who I am matters: experiences of being in hospital for people with a learning disability and autistic people
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2022
- Place of publication:
- London
This report looks what people with a learning disability and autistic people experience when they need physical health care and treatment in hospital. We looked specifically at: access to care; communication; care and treatment in hospital; other equality characteristics and quality of care; workforce skills and development. People have a right to expect: access to the care they need, when they need it and that appropriate reasonable adjustments are made to meet people's individual needs; staff communicate with them in a way that meets their needs and involves them in decisions about their care; they are fully involved in their care and treatment; the care and treatment they receive meets all their needs, including making reasonable adjustments where necessary and taking into account any equality characteristics such as age, race and sexual orientation; their experiences of care are not dependent on whether or not they have access to specialist teams and practitioners. However, people told us they found it difficult to access care because reasonable adjustments weren't always made. Providers need to make sure they are making appropriate reasonable adjustments to meet people's individual needs. There is no 'one-size-fits-all' solution for communication. Providers need to make sure that staff have the tools and skills to enable them to communicate effectively to meet people's individual needs. People are not being fully involved in their care and treatment. In many cases, this is because there is not enough listening, communication and involvement. Providers need to make sure that staff have enough time and skills to listen to people and their families so they understand and can meet people's individual needs. Equality characteristics, such as age, race and sexual orientation, risked being overshadowed by a person's learning disability or autism because staff lacked knowledge and understanding about inequalities. Providers need to ensure that staff have appropriate training and knowledge so they can meet all of a person's individual needs. Specialist practitioners and teams cannot hold sole responsibility for improving people's experiences of care. Providers must make sure that all staff have up-to-date training and the right skills to care for people with a learning disability and autistic people. (Edited publisher abstract)
Identifying and responding to closed cultures: guidance for CQC staff
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2020
- Pagination:
- 21
- Place of publication:
- Newcastle upon Tyne
This guidance supports CQC operational staff to better identify and respond to services that might be at risk of developing closed culture. A closed culture is defined as a poor culture that can lead to harm, human rights breaches and abuse. Features of a closed culture include: staff and/or management no longer seeing people using the service as people; very few people being able to speak up for themselves, for lack of support or fear; people who use the service more likely to be at risk of harm, including deliberate harm. The guidance helps inspectors: understand what a closed culture is; identify a closed culture; understand what potential breaches of the CQC fundamental standards involving human rights look like; be alert to signs of breaches of standards in services with a closed culture; know the right questions to ask at the right time; ensure the voices of people who use services are sought, listened to and acted on; determine next steps if evidence is uncovered that suggests people are at risk of harm or have experienced harm or abuse. (Edited publisher abstract)
Independent evaluation of the learning disability inspection programme
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2012
- Pagination:
- 8
- Place of publication:
- London
In response to the serious abuse and poor standards of care at Winterbourne View, the Care Quality Commission under took a series of unannounced inspections of 150 services for people with learning disability, mental health needs and challenging behaviour. Two organisations were also commissioned to carry out an independent evaluation of the inspections. This evaluation report looks at the experience of those involved in the inspection process, including people who used services and their family carers (Experts by Experience); Care Quality Commission inspectors and the care providers. Overall all three groups found being involved in the inspection process was a positive experience and believed their views has been taken seriously. The evaluation also highlights how the Care Quality Commission can improve their involvement of these three groups in the future.
The visit of the Scottish Health Advisory Service and the Social Work Services Inspectorate to services in East Lothian for adults with learning disabilities: 17 - 21 October 1994
- Author:
- SCOTTISH HEALTH ADVISORY SERVICE
- Publisher:
- Scottish Health Advisory Service
- Publication year:
- 1995
- Pagination:
- 24p.
- Place of publication:
- Edinburgh
Report of an inspection of services for people with learning difficulties which had been transferred from NHS to voluntary sector management.
The keys to life: report of the Care Inspectorate's inspection focus area 2014-2016
- Author:
- CARE INSPECTORATE
- Publisher:
- Care Inspectorate
- Publication year:
- 2017
- Pagination:
- 53
- Place of publication:
- Edinburgh
This report presents the results of thematic inspections of services for adults with learning disabilities in Scotland, which were carried out to examine the quality of services and the extent to which the key principles of The Keys to Life policy were being met. It also looks at the extent to which the learning from the Department of Health review into Winterbourne View Hospital in Gloucestershire is informing practice in Scotland. The inspection included care homes, care at home services, housing support services and d combined care at home/housing support services for people with a learning disability. The report examines the findings in relation to outcomes for people who use these services, and their carers, aligning these to the four overarching strategic outcomes of The Keys to Life: a healthy life; choice and control; independence; and active citizenship. The inspections found that over 93 per cent of the services were providing good, very good, or excellent care. They also identified a high-level awareness about The Keys to Life strategy. Where services were good, this related to the implementation of person-led care practices which promoted choice and protected the rights of those using services. Areas for improvement identified included: some care managers reporting difficulties in accessing the right healthcare for the people they support; improvements in the way care was planned and delivered; and providing activities that were better focused on people’s individual choices. Examples of good practice are also included throughout the report. (Edited publisher abstract)