The Care Quality Commission (CQC) today publishes a further 18 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 later this year.
These 18 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.
Major concerns were identified against both outcomes at Harkstead Barns, and a major and a moderate concern were identified at Shear Meadow.
At Harkstead Barns, the inspection team found that people were not being protected against the risks of inappropriate or unsafe care and treatment because care plans and health action plans were not being reviewed or updated to reflect changes in people’s needs. They also found that systems to prevent and identify abuse were inadequate.
The main concern at Shear Meadow was that, although procedures were in place to prevent and identify abuse, they were not always followed. There were risks to the safety and wellbeing of people receiving support as the number of restraints was not monitored or analysed.
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.
Overall, six locations are compliant with Outcome 4, seven have minor concerns, four have moderate concerns and one has a major concern. On Outcome 7, ten locations are compliant, five have minor concerns, one has a moderate concerns and two have a major concern.
Six locations are compliant with both outcomes, with a further seven having no more than a minor concern with both outcomes.
The batch contains eight NHS, four independent health care and six adult social care locations.
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.