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CQC publishes 20 more reports from its review of services for people with learning disabilities

29 February 2012

The Care Quality Commission (CQC) today publishes a further 20 reports from a targeted programme of 150 unannounced inspections of hospitals and care homes that care for people with learning disabilities.

The programme is looking at whether people experience safe and appropriate care, treatment and support and whether they are protected from abuse. A national report into the findings of the programme will be published in the Spring.

The 20 inspections covered locations that provided a range of services including assessment and treatment, rehabilitation and longer term care.

Inspections were focused on two outcomes relating to the government’s essential standards of quality and safety: the care and welfare of people who use services, and safeguarding people who use services from abuse.

CQC served one location, Walkern Lodge, with a warning notice following the inspection. The inspection team reported that systems to prevent and identify abuse were inadequate and that patients did not always have their concerns listened to and appropriately reported to the local safeguarding team. We have been back to inspect again and are now satisfied that the provider has made the necessary improvements.

Inspectors also reported concerns with the safeguarding standard at Bloomfield Court and 5, 6 Ivy Mews. They found that staff did not understand their roles in safeguarding vulnerable patients and the provider had not made an appropriate referral to the local authority safeguarding team when a patient sustained an injury. The provider has told us how it will ensure compliance.

Overall, of the 20 locations inspected:

  • Four locations were compliant with both outcomes, two locations had a major concern and a moderate concern, and three locations had a moderate concern for both outcomes.

Specifically for outcome 4 (care and welfare):

  • five locations were compliant, eight had minor concerns and seven had moderate concerns

Specifically for outcome 7 (safeguarding):

  • seven locations were compliant, seven had minor concerns, four had moderate concerns, and two had major concerns.

Thirteen locations were from the NHS and seven from independent healthcare.

CQC inspectors were joined by ‘experts by experience’ – people who have first hand experience of care or as a family carer and who can provide the patient or carer perspective as well as professional experts in our learning disability inspections.

Where inspectors identified concerns, they raised these immediately with the providers and managers of services.

All the services where concerns are identified have to tell the CQC how and when they will improve. Those failing to meet essential standards could face enforcement action by the regulator if improvements are not made.

The national report will be based on the findings from all the 150 inspections and will make conclusions about the overall state of this type of service.

- ends -

Notes to editors

For media enquires call the CQC press office on 0207 448 9401

The reports will be published on CQC’s web site on Wednesday 29 February. http://www.cqc.org.uk/LDReports4

The reports published today are for the following providers and locations. The table shows our findings in relation to the two outcomes we focussed on, but some reports also show concerns in respect of other outcomes.

 

Provider

Organisation Name

Findings

Region

Central and North West London Foundation Trust

KingswoodCentre

2 Minor

London

Coventryand Warwickshire Partnership NHS Trust

Caludon Centre

1 Moderate

West Midlands

 Curo Care Limited

 

Bloomfield Courtand 5,6 Ivy Mews

1 Major

1 Moderate

London

SuffolkMental Health Partnership NHS Trust

Lothingland

Compliant

East

Four Seasons (Granby One)

LindenHouse

2 Moderate

Yorkshire & Humberside

Bradford District Care Trust

LynfieldMount Hospital

1 Minor

Yorkshire & Humberside

Oxfordshire Learning Disability NHS Trust

Chilterns Assessment and Treatment Unit

1 Minor

South East

Burgess Care Ltd

Burgess Care

2 Minor

West Midlands

North East London Foundation Trust

Sunflowers Court (Moore Ward - Goodmayes)

2 Minor

London

North StaffordshireCombined Healthcare NHS Trust

BucknallHospital

1 Minor

West Midlands

St Andrews Healthcare

St Andrew's Healthcare -Women's Service

1 Moderate

1 Minor

East Midlands

South West Yorkshire Partnership NHS Foundation Trust

Fox View

1 Moderate

I Minor

Yorkshire & Humberside

Cambian Learning Disabilities Limited

Walkern Lodge

1 Major

1Moderate

East

Four Seasons (Granby One)

Ashley House

2 Moderate

West Midlands

Kent and Medway NHS & Social Care Partnership Trust

Tarentfort Centre

Compliant

South East

Surreyand Borders Partnership NHS Foundation Trust

Fairmead (Bramdean)

2 Minor

South East

Tees, Esk and Wear Valleys NHS Foundation Trust

LanchesterRoad Hospital

Compliant

North East

Northumberland, Tyne and Wear NHS Foundation Trust

Ferndene

Compliant

North East

Black CountryPartnership NHS Foundation Trust

Ridge Hill

2 Moderate

West Midlands

Mild Professional Homes Limited

Knightsbridge House

2 Minor

South East

Update on Beech House

Our press release of 8 February reported that as a result of the inspection carried out under this programme, we had served a warning notice on Beech House. We have been back to check progress and can now report that Beech House has made the necessary improvements.

Read the latest report

Inspection teams are making unannounced visits to 150 services. More than 100 are NHS and independent services that provide services such as assessment and treatment, rehabilitation and longer term care. The others are adult social care locations.

They are checking two outcomes:

  • Outcome 4 Care and welfare
  • Outcome 7 Safeguarding adults from abuse.

But where our inspectors find problems with other outcomes, they will report on these.

Our inspection teams are led by CQC inspectors joined by two ‘experts by experience’ - people who have experience of using services, either first hand or as a family carer and who can provide the patient perspective and a professional advisor.

CQC set up an advisory group to help it plan the programme. CQC’s Chair, Dame Jo Williams, chairs the group. The members come from a range of voluntary, charitable and other organisations that work with or represent people with learning disabilities and their families.

The learning disability inspection programme was launched in response to the abuse revealed by undercover filming by the BBC Panorama programme. CQC apologised for failing to respond to warnings of abuse at Winterbourne View. Matters concerning Winterbourne view are the subject of serious case review.

Further information

There is information on this website about How to share concerns and complaints about a social care service, a council, independent healthcare services, the NHS or CQC.

People can telephone concerns to CQC on 03000 616161

The Challenging Behaviour Foundation has provided this list of organisations providing independent support to families with disabled relatives. Click on the name of an organisation to read more information.

 

Support for families

 

Ann Craft Trust

 

The Challenging Behaviour Foundation

 

Disability Law Service

 

Mencap Learning Disability Helpline

 

National Autistic Society

 

Hft Family Carer Support Service (FCSS)

 

Respond

 

Voice UK

Other useful contacts

Samaritans

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.