Monday, 29 October 2012

Winterbourne View: Care workers jailed for abuseWorkers from


Winterbourne View: Care workers jailed for abuseWorkers from Winterbourne View were filmed pinning down and hitting patients

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Six out of 11 care workers who admitted a total of 38 charges of neglect or abuse of patients at a private hospital have been jailed.
Five other workers from Winterbourne View near Bristol were given suspended sentences after the acts of abuse were uncovered by BBC Panorama.
Ringleader Wayne Rogers, 32, who admitted nine counts of ill-treating patients, was jailed for two years.
Judge Neil Ford QC said there was a "culture of cruelty" at the care home.
'Vile and inexcusable'

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It would be naive to believe that this monstrous behaviour had not been continuing for a very long time”
Victims' families
Judge Ford said no attempt was made to provide a caring environment and if the abuse had not been uncovered by the BBC, it would have continued.
He told the sentencing hearing the home had been "run with a scandalous lack of regard to patients and staff".
"What happened was a gross breach of trust," he said.
Alison Dove, 25, of Kingswood, was jailed for 20 months as was Graham Doyle, 26, of Patchway. Both pleaded guilty to seven charges of abuse.
Addressing Dove, Judge Ford said: "You suggested it was born of boredom during long shifts and that you had viewed patients as playthings."
He also referred to a letter Doyle wrote to him, in which the defendant had described his own behaviour as "disgusting, vile and inexcusable".
'Bite face off'
Judge Ford then told Doyle: "You are considered genuinely remorseful and haunted by guilt.
Ch Supt Louisa Rolfe: "These vulnerable people were subjected to the most extreme and persistent abuse."
"But your treatment of Simone Blake was often cruel, callous and degrading. It was always wholly unjustified."
Prosecutor Kerry Barker QC, said care watchdogs failed to act on repeated warnings of "inhumane, cruel and hate-fuelled treatment" of patients.
"The so-called restraint techniques were used to inflict pain, humiliate patients and bully them into compliance with the demands of their carers," he said.
Abuse of five residents at the home featured in footage played to the court during a week of sentencing hearings.
Among the hours of graphic footage, support worker Rogers is shown slapping patient Simon Tovey across the cheek before telling him: "Do you want a scrap? Do you want a fight? Go on and I will bite your bloody face off."
In a statement read outside court after the hearing, families of the abused patients said seeing the footage had been "distressing and extremely harrowing".
support worker and patient at Winterbourne ViewSecret filming caught patients being dragged and slapped by support workers
"The guilty parties were only charged with offences shown on the Panorama programme and it would be naive to believe that this monstrous behaviour had not been continuing for a very long time," they said.
Lawyers representing 17 families say they are now pursuing compensation in a civil action against Castlebeck, who owned Winterbourne View.
Defendant Jason Gardiner, who received a suspended jail term after admitting two charges of abuse, said he wanted to apologise for his actions.
"I take full responsibility for everything I have done," he said outside the court.
'Major flaws'
"It was a very difficult place to work, a tough place to work. We were under-staffed and working 12-hour days without a break.
"All I can do is apologise to everybody for what happened."
Sentencing Gardiner, Judge Ford had said he had heard he was "barely coping" with his remorse and regret.
James Welch, legal director of human rights campaign group Liberty, said he was "disappointed" with some of the sentences but thought the judge had been fair.
Jason Gardiner Gardiner was given a four-month suspended sentence for abuse
The home's owners, Castlebeck, said there had been "extensive changes in board and management" and new measures introduced to ensure it could not happen again.
The Care Quality Commission, which was heavily criticised after it ignored attempts by whistleblower Terry Bryan to inform them of the abuse that was happening at the home, said the responsibility for the abuse rested with the home's owners Castlebeck and individual employees.
Outgoing chair of the CQC, Dame Jo Williams said: "We are committed to do all we can to protect people whose circumstances make them vulnerable - and since the abuse at Winterbourne View was uncovered we have made changes to ensure that we are better placed to prevent abuse."
Care and Support minister Norman Lamb said: "This terrible case has revealed the criminal and inhuman acts some so-called care workers are capable of.
"It has also shone a light on major flaws in the system which we will address. We will publish our final recommendations very soon."
Court artist image of the Winterbourne View former care workersSix of the 11 former care workers were sent to jail
Sentences of all those found guilty are detailed below:
  • Wayne Rogers, 32, of Kingswood, jailed for two years after admitting nine charges of ill-treatment.
  • Alison Dove, 25, of Kingswood, was jailed for 20 months for seven counts of abuse;
  • Graham Doyle, 26, of Patchway, was jailed for 20 months for seven counts of abuse;
  • Nurse Sookalingum Appoo, 59, of Downend jailed for six months for wilfully neglecting patients;
  • Nurse Kelvin Fore, 33, from Middlesbrough, also jailed for six months for wilfully neglecting patients;
  • Holly Laura Draper, 24, of Mangotsfield, pleaded guilty to two charges of abuse and was jailed for 12 months;
  • Daniel Brake, 27, of Downend, pleaded guilty to two charges of abuse and was given a six month jail sentence suspended for two years and ordered to carry out 200 hours of unpaid work;
  • Charlotte Justine Cotterell, 22, from Yate, pleaded guilty to one charge of abuse and was given a four-month jail term suspended for two years. Cotterell was ordered to do 150 hours of unpaid work and complete 12 months supervision;
  • Michael Ezenagu, 29, from Shepherds Bush, west London, admitted two counts of abuse and was given a six month jail sentence suspended for two years and ordered to carry out 200 hours of unpaid work;
  • Neil Ferguson, 28, of Emerson Green, admitted one count of abuse and was given a six month jail term was suspended for two years and ordered to carry out 200 hours of unpaid work;
  • Jason Gardiner, 43, of Hartcliffe, who admitted two charges of abuse, was given a four month jail term was suspended for two years and ordered to carry out 200 hours of unpaid work.

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Care homes given five star ratings fail key standards


Care homes given five star ratings fail key standards

But critics say this is a "cheque book system" open to any home prepared to pay for a rating.Care homeCare homes with five-star ratings are receiving premium fees despite not meeting essential standards set out by the care regulator.
Local authorities pay higher fees to care homes awarded top ratings.
The Care Quality Commission advises people to visit homes and check their most recent CQC inspection report before making a decision on care.
Care regulator the Care Quality Commission (CQC) stopped issuing its own star ratings in 2010 and now some homes pay independent ratings companies and consultants to assess them instead.
Gwenda Dunn was surprised to find that her aunt's care home had been awarded five stars by such a company.
"This is not a complaint against the home - it's a complaint as to how the home could be given five stars when it patently was not," she told the BBC's 5 live Investigates.
5 star failures
Mrs Dunn says her aunt's room was often cold and calls from her aunt for a commode during the night were sometimes ignored by staff.
Also, her aunt was frequently disturbed by another patient with dementia who often entered her room uninvited.
"I was there when the inspection was done. I spoke to the inspector and raised a fair amount of issues and then we found out within a week that the home had got five stars again," says Mrs Dunn.
"People who aren't in the know would take it as face value, not recognising the reality."
The home was rated by David Allen, an independent consultant who trades under Prestige Quality Ratings (PQR).
Mr Allen says the issues raised with him lacked substance and were misplaced. He also says other people at the home spoke very highly of the care provided and he saw no reason to downgrade the home.
PQR is one of three independent ratings companies recognised by Sefton Council. The others are RDB Star Rating Limited and Assured Care.
With the top five-star rating attached, families might believe a home is providing an outstanding level of care.
But the BBC has found that out of 80 homes given a four or five-star rating in the Sefton area, 14 are failing to meet one or more of the essential standards set out by the CQC.
This includes standards of staffing, standards of treating people with respect and standards of caring for people safely and protecting them from harm.
A day centre for the elderlyAll of the homes had been rated by either RDB Star Rating, Assured Care or PQR.
The CQC is taking action against two of the highly-rated homes, demanding immediate improvements be made - although it is not known which company provided their rating.
All three ratings companies have defended their awards system.
"I always take account of what the CQC have to say… but the CQC doesn't have to be right every time," says Frank Watts of Assured Care.
David Allen of PQR insists that his company's ratings are "accurate reflections of the quality of the care provided at care homes at the time of the assessment".
RDB Star Rating told the BBC its assessments were "comprehensive and reliable".
Higher fees for homes
Sefton Council pays a quality premium to homes given a high rating by the companies - a residential or nursing home with five stars receives an additional £40 per week on top of the basic fee paid for each person in its care.A spokesman for Sefton Council said: "All the companies providing quality ratings use assessment criteria linked to outcomes in care home provision.
An old lady sits at a table"We work closely with the CQC to ensure quality standards are closely monitored. If either party feel standards have reduced, through their own monitoring activity or inspections, we will decline or even suspend a particular rating and work with CQC in relation to this."
Sefton council is not the only one to pay a quality premium to homes awarded a four or five-star rating.
Redcar and Cleveland Borough Council says that since it introduced the RDB rating scheme in 2001, standards of care homes across the borough have improved.
But the BBC has learned that a quarter of its highly rated homes are failing to meet all the essential standards set out by the CQC.
"The council does feel that a new quality assessment tool would help to continue the drive to improve the quality of provision and therefore the RDB scheme will cease to be used at the end of this financial year," a council spokesperson said.
While the old Care Quality Commission rating system did have problems, critics say it was at least a system which was nationally recognised, independent, and easy for the public to understand.
"We maintain it is the responsibility of CQC as the regulator to assess the quality of care homes," says Nadra Ahmed, chair of the National Care Association which represents care homes.
"When the star rating system was scrapped by the CQC they consulted on the introduction of a system whereby assessments would be carried out by organisations independent of the CQC, which would be selected through a tendering process.
"The process was voluntary, so providers would pay to be assessed. The National Care Association felt strongly that this would be a cheque book rating system which enabled those who could afford it, to purchase a rating."
Bupa, the UK's second-largest care home group, is also critical of the CQC for abolishing its rating system:
"We would like to see them [star ratings] back so people can identify excellent care homes," said a company spokesperson.
"Other organisations, such as local councils and independent companies, are creating their own systems - but this could be confusing because there is no consistency."
The CQC warns people not to rely on ratings from outside companies when choosing a home.
"We do not endorse any external ratings systems," CQC operations director Amanda Sherlock told the BBC.
"We would recommend people look at a range of information includingour website to get the latest reports into care homes, nursing homes, hospitals and other care providers."

Winterbourne View patients in new care safety alerts


Winterbourne View patients in new care safety alerts

Winterbourne View private hospitalThe abuse at Winterbourne View was uncovered by secret filming by the BBC
Many patients who were poorly treated at a private hospital which closed down after a BBC Panorama investigation have had new fears raised over their safety.
Last week six support workers were jailed for abusing vulnerable patients at Winterbourne View, near Bristol.
NHS figures show safeguarding alerts have been issued for at least 19 of its 51 former patients since they were moved to other care homes.
At least one patient has been assaulted and one criminal inquiry is under way.
However, not all of the alerts mean that someone was harmed.
Secret filming
Campaigners told Panorama they feared vulnerable adults were being warehoused in a system that was not offering them the support they need.
Using an undercover reporter in the spring of 2011, Panorama secretly filmed support workers slapping patients, pinning them under chairs and giving them cold punishment showers at Winterbourne View.
Last week at Bristol Crown Court, 11 people were sentenced for the ill-treatment and neglect of patients at the hospital.
Six were jailed, including ringleader Wayne Rogers, 32, who admitted nine counts of ill-treating patients, and was jailed for two years.

Simone
Shivering and Shaking
Simone Blake, then just 18, faced some of the most disturbing abuse at Winterbourne View, including being drenched in water and left shivering and shaking on the freezing ground outside.
Simone was moved to an NHS hospital - Postern House in Wiltshire - as soon as the abuse allegations were revealed.
Postern House was just forty minutes' drive from Simone's parents, allowing them to visit her several times a week.
In June of this year her parents received a letter from Ridgeway Partnership, the health trust that runs Postern House, telling them that she was the subject of a safeguarding alert and that four members of staff had been suspended.
Her mother, Lorna Blake, said: "We were not told what they had done wrong...even though this is not the same as Winterbourne View, she has still gone through a wrong - whether it is a wrong restraint or whatever, it is still wrong."
Ridgeway Partnership, which runs Postern House, accepts the family should have been told more about the investigation. Wiltshire council says it has no reason to doubt that Postern House provides good care. Both Wiltshire Council and Ridgeway Partnership say the incident can't be compared to Winterbourne View.
Simone has now been moved to another hospital 200 miles away; her fourth in two years. The eight-hour round trip is too long a journey for her parents to make.
"We can't see her and we used to visit three times a week... it's not very nice to not see your child," Mrs Blake said.
Warehousing difficult patients
Research for the "Count me in" survey in 2010, which falls under the auspices of the Care Quality Commission, found that in England and Wales one in 20 patients with learning disabilities in hospital said they had been assaulted at least 10 times in the previous three months.
The chief executive of the learning disabilities charity Mencap, Mark Goldring, said cases like Simone's highlight a system that has resorted to warehousing difficult patients with challenging behaviour.
"What allowed Winterbourne View and places like it to flourish was that those places were effectively being used...as a dumping ground by public bodies who had not planned ahead."National guidance on people with learning disabilities calls for them to be cared for in their communities, but the Department of Health (DoH) has estimated in England 1,500 people with challenging behaviour are currently in hospitals.
Margaret Flynn examined what went wrong at Winterbourne View in the most exhaustive report, the Serious Case Review.
She said that needs to change: "If nothing else results from the scandal of Winterbourne View Hospital I very much hope that it is scrutiny of a practice that moves people around as though they are pawns. We can and should be doing something so much better."

Thursday, 25 October 2012

world's best in elderly care


Target to become world's best in elderly care 'at risk'

Social care services have been cut in the past two years, council chiefs say

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Generic image of a pensionerThe government's pledge to try to make England a world leader in elderly care is at risk of becoming "superficial" words, council chiefs are warning.
The Local Government Association and Association of Directors of Adult Social Services (ADASS) said the social care crisis had to be solved first.
The target of becoming the "one of the best" in terms of elderly care was made by the health secretary last month.
Jeremy Hunt will be expanding on the aim in a speech later.
He is expected to tell the annual ADASS conference in Eastbourne on Thursday that he wants England to become "one of the best countries in Europe to be old" and that councils "must take the lead".
To help, he will be announcing a £50m fund for hospitals and care homes to help pay for improvements to help patients with dementia.
These could include things such as hi-tech lighting, smells and sound to stimulate those with the condition.
'Danger of collapsing'
But the two groups have warned that mainstream services are under too much strain to achieve the goal.
A joint analysis they have produced has shown nearly £2bn has been trimmed from the social care budget in the past two years - a cut of nearly 15%.

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Unless we see urgent action the growing funding crisis threatens our ability to provide basic daily services that older people rely on, such as help with washing, getting out of bed and meals on wheels”
Councillor David RogersLocal Government Association
It predicts the funding gap will get worse in the coming years, partly because of the growing demands of the ageing population.
And it goes on to say that unless councils are given extra money, other budgets, including those covering leisure, libraries and transport, will have to be raided.
The government is considering reforming the system to cap the costs individuals have to pay. This was an idea put forward by the Dilnot Commission last year.
But the two groups have argued that such a change while helping individuals avoid huge costs, will do nothing to solve the funding problem they are facing.
ADASS president Sarah Pickup said the Dilnot proposals were just "one piece of the puzzle".
In reference to Mr Hunt's call made at the Conservative Party conference earlier this month that England should become the "best in the world" at caring for the elderly, Ms Pickup said if an answer was not found all that talk would be just "superficial" words.
"At the moment [social care] is a minimum wage industry. We have to think about what good care costs and be prepared to pay it."
David Rogers, from the Local Government Association, said: "The current care system is in danger of collapsing.
"Unless we see urgent action, the growing funding crisis threatens our ability to provide basic daily services that older people rely on, such as help with washing, getting out of bed and meals on wheels."

Friday, 12 October 2012

Conservative conference: Jeremy Hunt puts NHS focus on elderly


 Jeremy Hunt puts NHS focus on elderly

NHS staff must become the "best in the world" at looking after the elderly, Health Secretary Jeremy Hunt has told the Conservative Party conference.
In his first major speech since taking on the role in the recent reshuffle, he said it was time to change the culture of the organisation.
Mr Hunt attacked Labour, saying no party had a "monopoly on compassion".
He also praised doctors and nurses as "unsung heroes", but added that the NHS should be "honest about failure".
Mr Hunt, who said his father had worked as an NHS manager and his mother as an A&E nurse and midwife, replaced Andrew Lansley in the cabinet reshuffle last month.
This followed the passing of the Health and Social Care Act, which will give GPs greater power over care budgets via clinical commissioning groups, after abolishing strategic health authorities and primary care trusts.
In his speech, Mr Hunt paid tribute to his predecessor, saying: "If Andrew is the health secretary who helped give us the structures for a modern NHS, I want to be the health secretary who helped transform the culture of the system - to make it the best in the world at looking after older people."
'Common decency'
He added: "Since it was set up in 1948 the NHS has come to symbolise a deeply held belief about what it means to be British: a country fit for heroes where everyone should have a roof over their heads, a school for their children and proper treatment for their family when they're sick.

Analysis

The speech was short. In fact, it was barely 20 minutes long, which is a sharp contrast with the lengthy, policy-heavy speeches made regularly by his predecessor Andrew Lansley.
That in itself is telling about what sort of secretary of state Mr Hunt is likely to be. It is clear Mr Hunt has been brought in to establish a clear and concise message about the government's position on the NHS.
Again and again he talked about improving patient care. His speech was peppered with references to the issue. He mentioned past scandals, such as Mid Staffordshire and Winterbourne View. He talked about making managers accountable for care as well as finances.
He also recognised the wider challenge the NHS faces from an ageing population and the need for better solutions to dementia and social care.
Beyond that there was little detail about how he plans to proceed. But after a health secretary that went after the structure of the NHS, Mr Hunt has his eyes firmly set on its culture.
"That was under the Attlee government. But the NHS does not belong to Labour any more than victory in the second world war belongs to the Conservatives. No party has a monopoly on compassion and it is an insult to common decency for any party to claim it."
Ministers are looking at introducing a cap on the amount for which people are liable when funding their care in old age.
Mr Hunt said: "Last month I visited St Thomas', the hospital where I was born. I met a nurse who had been caring for a dying man who had lost touch with his family 20 years earlier. She searched out the family on Google, found them in Ireland, arranged to fly him back there so he was able to spend his last two weeks reunited with his family.
"So much of the NHS is like that. Unsung heroes who represent the very best of our values.
"But as we celebrate excellence, we must be honest about failure. I'm going to name names now because I don't want anything to be swept under the carpet.
"The shocking failures of care at Mid Staffs where a patient with C-diff was left to lie naked in their own excrement.
"The bullying of a man with Parkinsons at East Surrey hospital. The kicking of disabled residents at Winterbourne View care home. The slapping of an older woman with dementia at Ash Court care home."
Mr Hunt added: "Last month the Royal College of Physicians published a report about the way older people are looked after in our hospitals. It said 'the system continues to treat older patients as a surprise, at best, or unwelcome at worst'. Strong words.
"We have many committed managers in hospitals and care homes. But I need to say this to all managers: you will be held responsible for the care in your establishments. You wouldn't expect to keep your job if you lost control of your finances. Well don't expect to keep it if you lose control of your care."
The conference continues until Wednesday.

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