We expect Health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability or autistic people.
The paragraph below was added as a revised section of the report following the completion of enforcement action so it clear to the public what action had been taken following this inspection.
We took enforcement action against the registered provider to remove the services registration - this meant they would not be allowed to continue to provide a service after a specified date. This decision was made due to continued serious concerns about the quality of service provision. In response to this action the provider decided not to appeal the notice and agreed to close the hospital. Irrespective of the hospitals decision, we served the Notice of Decision to close the hospital using our civil powers to ensure that the closure took place without delay.
The enforcement action undertaken limited our overall rating of this location to inadequate.
Our rating of this location went down. We rated it as inadequate because:
- The service could not show how they met the principles of Right support, right care, right culture. People were not being kept safe from avoidable harm because there was not enough suitably trained staff to keep people safe and incidents continued to recur.
- People continued to receive care that did not meet their needs and was not always compassionate or kind. The service did not have a clear model of care, and did not have the required specialists and therapies suitable to meet the needs of people with learning disabilities and/or autistic people to ensure they did not spend longer than necessary in hospital. However, the provider told us that activities had been limited by the COVID-19 pandemic.
- Leaders had failed to ensure the service improved and governance systems and processes were ineffective in identifying, managing and mitigating risks and improving the quality of the care provided. There was insufficient oversight of restrictive practice.
- We also identified issues with the monitoring of the effect of medicines on people’s physical health, issues with long term segregation and policies that were not in line with national guidance.
- The care environments were clean and well maintained, people’s views were recorded in their care plans and information was available in accessible formats.