The Care Quality Commission (CQC) today publishes a further 19 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 19 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, Hennel Lane, in Preston, while inspectors found one major and one moderate concern at the Newsam Centre, in Leeds,
At Hennel Lane, inspectors reported that care planning was inadequate and not person centred. Staff did not properly report or record safeguarding concerns. This meant that they had no processes in place to properly evaluate why individual instances of restraint had happened and how they could be avoided in the future.
The Newsam Centre had a moderate concern around care and welfare of people and a major concern around safeguarding. Inspectors found that safeguarding procedures were not followed in a robust enough way and allegations were not treated with urgency they merited, meaning that patients were not always adequately protected from abuse.
In both cases, the providers have told us what they will do to make the necessary improvements, and we will return on an unannounced basis to ensure that these improvements have been made.
Overall, five locations are compliant with Outcome 4, nine have minor concerns, four have moderate concerns and one has a major concern. On outcome 7, ten locations are compliant, four have minor concerns, three have moderate concerns and two have major concerns.
Four locations are compliant with both outcomes.
The batch contains seven NHS, six 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.
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.