Showing posts with label Winterbourne View. Show all posts
Showing posts with label Winterbourne View. Show all posts

Friday 11 January 2013

the CQC had still failed to grasp its primary role to ensure patient safety.


Health regulator problems 'persist'


Surgeons operatingThe commission monitors hospitals and care homes

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The health and care regulator for England has yet to win the public's confidence, according to a report by a committee of MPs.
The Care Quality Commission (CQC) was only created in 2009 but has been under fire virtually ever since.
The House of Commons' Health Select Committee said the CQC had still failed to grasp its primary role to ensure patient safety.
Previous reports have found recruitment problems have meant the quantity and quality of inspections have suffered.
Now the new review by the cross-party group said despite some recent improvements it was was not yet back on track.
Eighteen months ago the committee had produced a report which said the CQC had developed a "tick-box culture" and lost sight of its main role - to protect patients.
The report prompted Prime Minister David Cameron to criticise the organisation and this was followed by another attack by the National Audit Office a year ago and an official performance review by the Department of Health.
Its work also came under scrutiny after abuse at the Winterbourne View residential home near Bristol came to light.
Since then the CQC has lost its chief executive, while its chair is due to leave soon.
Public confidence
The MPs acknowledged the organisation was now aware of the changes it had to make, while new inspectors have been taken on.
But the committee said the CQC had not yet successfully defined its core purpose or earned public confidence.

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We will ensure that openness and transparency are at the heart of the way we develop”
David BehanCare Quality Commission
It suggested its inspections needed to be more challenging and that when problems were identified ensure providers of care were addressing them rapidly.
Committee chairman Stephen Dorrell said: "The CQC's primary focus should be to ensure that the public has confidence that its inspections provide an assurance of acceptable standards in care and patient safety.
"We do not believe that the CQC has yet succeeded in this this objective."
David Behan, the CQC's new chief executive, said the regulator had carried out a strategic review and was in the process of making changes.
"We will ensure that openness and transparency are at the heart of the way we develop.
"We are focused on protecting and promoting the health, safety and welfare of people who use health and care services."
Mike Farrar, chief executive of the NHS Confederation, which represents health managers, said feedback from his members showed many did not have confidence the CQC would be fit for purpose this year.
But he said the new leadership at the regulator had brought "strong expertise" for the future.
"It is in everybody's interest to have a strong and respected regulator for health and social care in place," he added.

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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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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."

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