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Both editions are © Brunswicks LLP 2006-08


BHCR 2006 Vol 1 Issue 39

(Click the icon to download)
© Brunswicks LLP 2008

This week's article

Editorial

There is much that could be said this week; however,

sometimes ‘less is more’ – as they say.

So, to all our readers - from Lin, me and all our

colleagues in Brunswicks we take this opportunity to

wish you and yours the compliments of the season.

Thanks to all of you who have been kind enough to

contact us during 2006 with thoughts, views and

comments on this publication. Thanks also to the

many individuals who have contributed articles for

inclusion and those who have ‘tipped us off’ about

information which the authorities sometimes would

prefer not to have aired, except at a time of their

choosing.

We are now taking a break and the next issue of

BHCR will be published in the New Year.

Have a very happy, peaceful and rewarding 2007.

.

Parliament

19 December 2006 – House of Lords – Corporate

Manslaughter and Corporate Homicide Bill, Second

Reading

20 December 2006 – Parliamentary Recess until 8

January 2007.

Next

Abuse

1. Huntley defends sex allegation

15 December 2006 – The Times

Soham killer, Ian Huntley, has succeeded in having a

civil default judgement set aside in a claim brought

by a woman who says he sexually assaulted her

when she was aged nine.

2. Claims of abuse in care homes up by a

third

14 December 2006 – icWales

Complaints about abuse of vulnerable people in Cardiff

has risen by a third in the last year.

496 complaints were made about abuse of older

people over the last 12 months.

The allegations related to incidents in care homes,

hospitals, supported housing and the victims' own

homes.

That figure has risen from 373 in 2004/05 and only

158 the year before, according to the annual report

of Cardiff Area Adult Protection Committee.

3. 'Most wanted' sex offender found

12 December 2006 – BBC News

Paul Turner, a convicted child sex offender who had

gone missing in 2004 has been tracked down thanks

to a new website set up to track missing convicted

paedophiles. The Child Exploitation and Online Protection

(CEOP) website published the names, ages

and pictures of the men. Turner was located in

France and will be returned to Dorset to face

charges.

For full report click here

Business News

4. Coalition wanted to bury BUPA news

16 December 2006 – Irish Independent

The newspaper is full of items about BUPA (including

two full page adverts from BUPA itself) explaining its

withdrawal from healthcare insurance in Ireland. A

decision taken following an Irish High Court judgement

which would require BUPA pay about a million

euro every week to its competitor VHI under the Irish

risk equalisation scheme.

5. Nursing home aim

12 December 2006 – The Times

Southern Cross is said to be considering a £200m

acquisition of Life Style Care.

6. Southern Cross Healthcare Group PLC

11 December 2006

Southern Cross has entered into a management

agreement with Alpha Care Services (UK) Limited for

the management of five elderly care homes containing

a total of 197 beds. Four of the five homes are

based in Norwich (totals 166 beds) and one home is

based in Durham (31 beds). Southern Cross, as part

of the management agreement, has an option to acquire

the shares of Alpha, currently holding the leasehold

interest, business and trading assets of the five

homes.

7. Competition Commission requires clinical

waste sell off by Stericycle International

12 December 2006 – GNN

A clinical waste firm will be required to sell off at least

part of a competing business it had acquired, following

a ruling by the Competition Commission (CC).

In its final report published today at http://

www.competition-commisssion.org.uk the CC concluded

that Stericycle International LLC's completed

acquisition of Sterile Technologies Group Limited

(STG) may be expected to result in a substantial reduction

in competition in the market for healthcare

risk waste requiring high temperature treatment in

northern England, the North Midlands, north Wales,

the West Midlands and south-east Wales. As a result

of the merger, customers face the risk of higher

prices for incineration of healthcare risk waste.

Stericycle will be required to sell all or part of the STG

business to a suitable purchaser. The CC will assess

the suitability of purchasers according to their ability

and incentive to act as an effective competitor. Initially,

Stericycle will be allowed to pursue its own proposal,

which involves selling STG's incinerators at

Salford, Redditch, and its incinerator and alternative

technology plant at Wrexham.

If Stericycle fails to do this within an agreed period,

then the CC will have the right to appoint an independent

divestiture trustee, who will be authorized to

sell all or part of the STG business excluding Northern

Ireland.

The case was referred to the CC on 28 June 2006.

8. BUPA acquires home healthcare specialist

Clinovia

BUPA has acquired Clinovia for £87.8 million from

Lyceum Capital. Clinovia is a home healthcare specialist

and will give BUPA new opportunities to expand

the out of hospital care market. Clinovia also

has a strong network among NHS hospitals and

PCTs and is a growing business an in area identified

by the government as a priority.

9. BARCHESTER SECURES TGI FRIDAY

BOSS

10 December 2006 – Sunday Telegraph

Tim Hammond, the former managing director of TGI

Friday's, the restaurant chain, is swapping burgers

for bedpans by becoming the Managing Director of

Barchester.

Hammond, who is starts in the new role tomorrow, is

likely to continue Barchester's ambitious expansion

plans. The company has made over 40 acquisitions

in its 13 year history, and is one of Britain's fastest

growing companies. The move follows the appointment

of Mike Parsons, Barchester's incumbent Managing

director, to the position of chief executive of

Grove Limited, Barchester's Jersey-based parent

company.

10. Life Style Care ready to sell as investors

hunger for homes

10 December 2006 – Independent on Sunday

Investment bank NM Rothschild will conduct the auction

of Life Style Care, a privately held nursing-home

operator with 23 sites in London and the Southeast,

for a price of up to £150m.

Prospective bidders, include Barchester Healthcare

and Three Delta, the investment firm set up earlier

this year by Paul Taylor with the backing of the Qatar

government. "We're interested. We will bid on it,"

said Mr Taylor of Three Delta, owner of Four Seasons

Healthcare.

Southern Cross Healthcare, which buyout firm Blackstone

Group floated earlier this year and BUPA,

which has on the mergers and acquisition trail all

year, may also make a bid.

Care Homes

11. Do older people in care homes get a fair

deal?

13 December 2006 – CSCI

For full report see CSCI, CSIW etc… - item 36

12. Deck the halls

Caring Business, issue no. 204—page 19

Article giving ideas on how to keep service users entertained

over the Christmas period and how to make

the most of the festive season of goodwill.

13. A helping hand

Caring Business, issue no. 204—page 24

An article looking at how smaller care home providers

can survive in a market where larger groups are increasingly

monopolising the sector.

Case Reports

Law Reports

14. Giblin V Huntley

H successfully applied to set aside a default judgment

brought by G, now aged 20, who says H sexually assaulted

her nine years ago.

15. Tweed V Parades Commission for Northern

Ireland

This is a case concerning conditions which were attached

to an Orange Lodge march. Its relevance to

health and social care is that the House of Lords has

held that in judicial review proceedings, while the disclosure

of documents would be ordinarily unnecessary,

the court should adopt a more flexible, less prescriptive

approach. Accordingly, those involved in

judicial review cases can expect to have a greater

involvement in preparation of documents for disclosure.

Disciplinary cases

16. Police probe 'cheating' optician

14 December 2006 – BBC News

An optician is being investigated after allegations that

he cheated the health board out of £110,000. The

locum optician who has a practice in Scotland examined

the eyes of elderly people in NI care homes, but

seemed to check on an unusually high number in any

given day. NI’s four health boards re-tested hundreds

of people and many people had been given unnecessary

glasses.

The optician was fined £1,000, struck off the NI ophthalmic

list and reported to the General Optical Council.

For full report click here

Cases in the news

17. Regina V Arthurworrey

Ms A, the social worker sacked for failing to spot the

abuse of Victoria Climbie was given a conditional discharge

by Enfield Magistrates Court after pleading

guilty to one count of harassment.

Children

18. Children & Young Peoples Plans: Childrens

Commissioner report

14 December 2006 – NCVCCO

A report has been published by the Children’s Commissioner

for England, a review of the first year of

Children and Young People’s Plans. The report

evaluates the mechanisms used to pull together the

Plan and has analysed the creation and implementation

of it also.

For full report click here

19. Councils should be aware of childcare

obligations

12 December 2006 – Community Care

The National Children’s Bureau has warned that local

authorities should be aware of their legal obligation

to ensure staff who are parents and entitled to

childcare should receive it. The charity has produced

a guide to help professionals be aware of their

obligations under the Childcare Act 2006.

For full report click here

Conferences & Courses

To follow next week

Consultations

20. NHS Emergency Planning Guidance 2005

- Mass Casualties Incidents: A Framework

for Planning - Best Practice Guidance: A

consultation

Closing date: 31 December 2006

A consultation that calls for comments of this set of

general principles to guide all NHS organisations in

planning for incidents that produce mass casualties.

This is based within the context on the NHS Emergency

Planning Guidance 2005.

For full report click here

21. Consultation on the Draft Employment

Equality (Sexual Orientation) (Religion or Belief)

(Amendment) Regulations 2006

Closing Date: 2 January 2007

These new regulations will be introduced to update

the Employment Equality (Sexual Orientation) Regulations

and the Employment Equality (Religion or Belief)

Regulations to ensure they are in line with EU

Directives for employment and vocational training.

For consultation click here

22. Childcare Act 2006: Section 12 Duty to

Provide Information, Advice and Assistance

Closing Date: 3 January 2007

A consultation on regulations and guidance supporting

the information duty as set out in clause 12 of the

Childcare Act 2006. It is aimed at local authorities,

children's information services in England and other

interested organisations.

For consultation click here

23. Direction of travel for urgent care: A discussion

document

Closing date: 5 January 2007

People's expectations of health and social care are

changing and the DoH is seeking views on the range

of services available in each health and social care

community.

For consultation click here

24. Childcare Inequalities Targets: consultation

on regulations

Closing Date: 31 January 2007

A consultation from the DfES is seeking views on a

draft of regulations. The regulations referred to are

for the Childcare Act 2006 allowing the Secretary of

State to set statutory targets for English local authorities

to improve the wellbeing of young children and

reduce inequalities between them.

For full report click here

25. Amendments to regulations under Section

142 of the Education Act 2002 and the

childcare disqualification regulations which

apply to applications for registration made

under Part XA of the Children Act 1989

Closing Date: 2 January 2007

This consultation is inviting comments on amendments

to the Education (Prohibition from Teaching or

Working with Children) Regulations 2003 and proposals

for changes to the Day Care and Child Minding

(Disqualification) (England) Regulations 2005.

For consultation click here

26. Communication from the Commission -

Consultation regarding Community action on

health services

Closing date: 8 January 2007

The European Commission has published a Communication

on health services, the document forms a

consultation on health services that will run until the

end of January 2007.

This Communication is a response to the removal of

health care from the scope of the Services Directive,

and recent developments in European Court of Justice

case law on cross-border patient mobility.

For full report click here

27. Care Matters: transforming the lives of

children and young people in care

Closing Date: 15 January 2007

Care Matters sets out a radical package of proposals

for transforming the lives of children in care. Despite

the fact that outcomes for these children have improved,

they have not kept pace with other children

which is unacceptable.

For consultation click here

28. Government launches discussion on Professional

Executive Committees

Closing Date: 7 February 2007

A review of professional executive committees

(PECs) has now concluded and the outcomes of that

review have informed a consultation document and

supporting annexes. The consultation document is

seeking views from the NHS and stakeholders on

roles and functions of PECs in the new primary care

trust landscape.

For consultation click here

29. Guidance on non-emergency patient

transport services: consultation

Closing date: 16 February 2007

A consultation seeking views on draft eligibility and

finance guidance for non-emergency patient transport

services in accordance with the white paper Our

Health, Our Care, Our Say commitment.

For full report click here

30. Reviewing the Care Programme Approach

2006: A consultation document

Closing date: 19 February 2007

A consultation setting out a range of proposals and

questions about the review of the Care Programme

Approach (CPA), introducing values and principles

that should underpin implementation of the CPA.

Comments on the proposals and examples of positive

practice are invited.

For full report click here

31. Bearing Good Witness: Proposals for reforming

the delivery of medical expert evidence

in family law cases - A consultation

Closing date: 28 February 2006

The Chief Medical Officer's report Bearing Good Witness:

Proposals for reforming the delivery of medical

expert evidence in family law cases has now been

published for a period of public consultation, from

30th October 2006 - 28th February 2007.

The report was originally commissioned in 2004 by

Ministers Dr Stephen Ladyman MP and Mrs Margaret

Hodge MP after some very high profile court cases

calling into question the quality of medical expert witnesses

in certain types of case. The report makes 16

proposals.

For consultation click here

32. Social care and health inspection merger

to go ahead

Closing Date: 28 February 2007

A Department of Health consultation paper published

today proposes that the Commission for Social Care

Inspection (CSCI), the Healthcare Commission and

the Mental Health Act Commission merge to form a

single regulatory body by 2008.

For consultation click here

33. The code of practice for promotion of

NHS services

Closing date: 28 February 2007

A document setting out the context within which providers

may wish to consider promoting their services.

It outlines proposals for a self-regulatory approach to

promotion of NHS services, underpinned by a Code

of Practice.

This aims to ensure that: information patients receive

is not misleading, inaccurate, unfair or offensive; the

brand and reputation of the NHS is protected; and

expenditure of public money on advertising and promotion

is not excessive.

For consultation click here

CSCI, CSIW, Healthcare

Commission &

Scottish Care Commission

34. Healthcare watchdogs call for consistency

in drug treatment throughout country

15 December 2006 – Healthcare Commission

The Healthcare Commission and the National Treatment

Agency for Substance Misuse (NTA) has issued

a joint press release to call for action on inconsistent

standards of care provided by substance misuse services

across England. The findings were released via

a joint national report revealing the overall findings of

a review carried out by both Healthcare Commission

and the NTA.

For full report go to http://www.healthcarecommission.org.uk//

newsandevents/pressreleases.cfm?

cit_id=4889&FAArea1=customWidgets.content_view_1&useca

che=false

35. Commissioners Approve New Star Ratings

for Care Services

13 December 2006 – CSCI

The new star rating system for all social care providers

in England will begin in January 2007. People

who use such services, social care providers and

local councils will be invited to work with the CSCI to

make sure the new system works.

For full report click here

36. Do older people in care homes get a fair

deal?

13 December 2006 – CSCI

The CSCI is launching an investigation to find out if

older people looking for a care home are given

enough information to make the best choice for

themselves. The CSCI, as a result, will be carrying

out unannounced inspections specifically to look at

this issue. See the link for more details on what they

will be looking for.

For full report click here

37. Older people want real choices about

their care

12 December 2006 – CSCI

The CSCI has issued a new report which reveals that

older people want real choices and responsibility to

choose the best possible lifestyle for them. The report

looks at experiences of older people and carers

who need care providers to help the adjust to their

life changes associated with getting older, not just to

arrange care services.

For full report click here

Making choices: taking risks report

38. Older people want a life, not just services,

says new report

12 December 2006 – CSCI

For full report click here

Education

Nothing to report

Ireland, Scotland & Wales

Ireland

Nothing to report

Scotland

39. Executive responds to NHS Grampian

proposals

14 December 2006 – Scottish Executive

NHS Grampian has been given approval to develop

its diagnostic and older people’s services. However,

it has been asked to do more work on its plans for

maternity services, which is expected to be completed

and re-submitted to Health Minister, Andy Kerr

before the end of January 2007.

For full report click here

40. Scots consider limit to children numbers

13 December 2006 – Community Care

The Scottish Executive is currently considering limiting

the number of children placed with individual carers,

a move welcomed by foster care charities. The

Executive had previously indicated it was reluctant to

do this due to a shortage of foster carers, but are now

asking whether a maximum number of three children

should be looked after by a foster carer at any one

time. This is the limit in the UK.

The news was published in the Executive’s draft National

Fostering and Kinship Care document.

For full report click here

For document go to http://www.scotland.gov.uk/

Publications/2006/12/07091551/0

41. New NHS team to tackle depression

13 December 2006 – BBC News

NHS Highland has launched a new team designed to

relieve pressure on GPs by helping patients suffering

from mild to moderate depression. The health authority

stated that the scheme is aimed at cutting waiting

times for increasing numbers of patients. The

team will take referrals from doctors.

For full report click here

42. Child safety rules 'scare' adults

13 December 2006 – BBC News

MSPs have been told that adults are scared of working

with youngsters because of strict child protection

rules. Prof. Kathleen Marshall has urged them to address

the issue, which currently leaves children open

to neglect. The children’s commissioner told Holyrood’s

education committee that the measures were

putting “absolutely ridiculous” pressure on adults.

For full report click here

43. Intensive care post numbers cut

11 December 2006 – BBC News

Three Lothian hospitals are reducing their nursing

post numbers in intensive care and high dependency

units. The health board stated that the equivalent of

36.5 posts will be “reallocated” to elsewhere within

the service and the changes followed an independent

review of staffing.

For full report click here

44. Patients become NHS bug busters

11 December 2006 – BBC News

NHS Lothian are rolling out new plans which aims to

ask hospital patients to become hygiene inspectors.

The new “patient environment monitoring teams” will

be made up of staff, an infection control manager

and a patient nominated from the hospital patient

representative group. This follows the scheme being

successfully piloted at St John’s in Livingston, Roodlands

and Herdmanflat Hospitals in East Lothian.

For full report click here

45. Minister backs plan to downgrade A&E

department

16 December 2006 – The Herald

Andy Kerr, the Health Minister has approved proposals

to downgrade the A&E department at Ayr Hospital,

stating that the NHS “cannot stand still” in the

face of massive local opposition. There were also

warnings that the longer journey times needed to

reach an emergency department would cost lives,

and the reform means that the number of emergency

hospital departments serving south-west Scotland is

reduced from three to two. Ayr is the sixth A&E department

out of 15 in West and Central Scotland to

be selected for downgrading.

46. NHS board's finance gap revealed

15 December 2006 – BBC News

A Scottish Executive-appointed task force sent to

resolve problems at Western Isles Health Board has

found its spending plans ran at £4.5m more than the

authority’s income. The team have implemented

cuts with immediate effect such as a freeze on vacancies

and reducing the number of staff allowed to

place orders from 52 to six.

For full report click here

47. Obesity 'could bankrupt the NHS'

15 December 2006 – BBC News

The British Medical Journal has warned that current

rising levels of obesity could bankrupt the NHS if left

unchecked. Experts said obesity treatment currently

took up 9% of the NHS budget but warned that it

would rise as the number of obese adults rose from

one in five to one in three by 2010.

For full report click here

Wales

48. 14 December 2006

No. 3251

(W.295) The Care Standards Act 2000 and the

Children Act 1989 (Regulatory Reform and Complaints)

(Wales) Regulations 2006

For full legislation see Legislation Update—item 55

49. A Director Designate is being sought by the

Welsh Assembly Government at £95,000 a year to

lead the Care and Social Services Inspectorate for

Wales (CSSI) which will be established to receive the

merged entities of Care Standards Inspectorate for

Wales and Social Services Inspectorate for Wales in

2007.

For an application form visit www.wales.gov.uk/

recruitment

50. Older people want real choices about elderly

care

Craegmoor News (press release) - UK

A report carried out by the Commission for Social

Care Inspection (CSCI) has revealed that the older

generation wants to be offered "real" choices when it

comes to their own care.

Learning Disabilities

51. Day centre closes to save money

14 December 2006 – BBC News

East Sussex County Council has announced that all

users of a day centre catering for 45 people with

learning difficulties will be offered alternative ways of

receiving their usual services. The centre is closing

in order to save £231,000, but will not close immediately.

For full report click here

52. Two councils severely criticised over care

of young person with learning difficulties

12 December 2006 – Community Care

Two councils have faced severe criticism by the Local

Government Ombudsman after they failed to adequately

care for a looked-after young person with

learning difficulties. Essex Council was found at fault

for moving the John Moore (not his real name) to

Kent even though it was told there was no suitable

education available. Kent Council was criticised for

failing to provide appropriate education for the teenager

during his stay in the area.

Tony Redmond, Ombudsman, said both councils

blamed each other instead of fulfilling their duties to

the teenager.

For full report click here

53. Compensation for council failures

12 December 2006 – BBC News

For full report click here

Legislation Update

54. 15 December 2006

NORTHERN IRELAND

The Health (Miscellaneous Provisions) (Northern

Ireland) Order 2007

For full legislation click here

55. 14 December 2006

No. 3251

(W.295) The Care Standards Act 2000 and the

Children Act 1989 (Regulatory Reform and Complaints)

(Wales) Regulations 2006

For full legislation click here

Mental Health

56. Mental health is soft target for NHS cuts,

say MPs

13 December 2006 – Community Care

The health select committee report has found that

mental health services are “soft targets” for savings

being made in the NHS. The report noted that deficits

were the “main reason” for reducing spending in

mental health trusts in 2006-7 which meant there

was a “significant step back” in the provision of mental

health services. It also meant a reduction in the

number of mental health acute beds.

For full report click here

For the health select committee report go to http://

www.publications.parliament.uk/pa/cm200607/cmselect/

cmhealth/73/7302.htm

Miscellaneous

57. Lord Warner announces retirement

15 December 2006 – Community Care

Health Minister, Lord Warner, has announced his

intention to retire next year to spend more time with

his family.

Warner has a wealth of experience in health and social

care, including a spell as director of social services

at Kent county council and time as a senior policy

adviser to the home secretary. In 1992, he also

chaired the national inquiry into selection, development

and management of staff in children’s homes in

1992.

For full report click here

58. Good practice guidance on managing the

introduction of new healthcare interventions

and links to National Institute for Health and

Clinical Excellence (NICE) technology appraisal

guidance

14 December 2006 – DoH

Good practice guidance responding to a number of

requests, received by the Department of Health, to

update guidance originally issued in 1999 (HSC

1999/176) and to further clarify guidance on Directions

to Primary Care Trusts and NHS Trusts concerning

the funding of Technology Appraisal Guidance

issued by the National Institute for Health &

Clinical Excellence (“the funding Directions”).

For full report click here

59. How Red Cross can relieve mental and

physical scars

13 December 2006 – The Times

As part of its Christmas Appeal The Times article focuses

on the sole UK provider of skin camouflage

advice, Red Cross, which helps 7,500 people each

year with a range of skin disfigurements from those

who self harm to people coping with surgical scarring.

www.redcross.org.uk/timesappeal

60. The CRB Christmas Opening Hours

11 December 2006 – CRB

The CRB has published its opening hours over the

Christmas period.

For full report click here

61. Rankin’s Grilling

Caring Business, issue no. 204—page 20

An interview with celebrity chef, Paul Rankin who has

been working with the Barchester Group...gives his

views on how to improve food quality in care homes.

Includes a recipe for Irish stew.

62. In the bleak midwinter

Caring Business, issue no. 204—page 22

Advice on how to keep residents warm as the cold

weather starts to bite.

NHS

63. Why does a hard-hearted old Right-wing

Tory have to tell a Labour Government the

NHS should not be privatised by half-baked

schemes

17 December 2006 – The Mail on Sunday

Lord Norman Tebbit weighs into the debate following

the headline ‘World Famous Nuffield Faces Closure’

(see other items on this topic in this issue of

BHCR). Lord Tebbit talks from personal experience

following the paralysis of his wife, Margaret, in the

IRA bombing of the Grand Hotel, Brighton in 1987.

64. Doctors told to cast off ties

17 December 2006 – The Sunday Times

Brighton and Sussex University Hospitals Trust has

told consultants that even bow ties are now banned,

together with all neckwear as a potential source of

MRSA and that they face disciplinary action if they

repeatedly were a tie.

The memos can be seen in full at: www.timesonline.co.uk/

doctorsites

65. Fears over children's care staff

16 December 2006 – BBC News

Jane Dudeney has expressed her fears that her

daughter Annie, 11, will have nurses withdrawn from

caring for her. Annie suffers from Edward’s syndrome

which affects her heart and lungs, and Mrs

Dudeney said she believes funding for the care team

at the Royal Alexandra Children's Hospital in Brighton

will be axed.

A hospital spokeswoman said that a decision was

currently in progress as to how the service would be

best provided for the future.

For full report click here

66. Electronic care records go ahead

16 December 2006 – BBC News

The go-ahead has been given for the controversial

electronic medical records system. The government's

patients' tsar Harry Cayton will say the system,

which will hold records for 50m people in England,

is needed to modernise the NHS, and so only

people who prove that the system will cause them

substantial mental distress will be exempt. Doctors

warned that creating the record without a patient’s

consent could harm the doctor-patient relationship.

For full report click here

67. Specialist hospitals vital to modern NHS

16 December 2006 – The Daily Telegraph, Letters

to the Editor

Prof. Paul Wordsworth of the Nuffield Department of

Orthopaedic Surgery complains about the lack of

joined up thinking in the DoH in the planning of

healthcare provision in the NHS and the potential for

adverse impact on the education and training provided

by current centres of excellence.

68. Drive to improve patient safety

15 December 2006 – BBC News

Due to the failure of current safeguards, the government

has announced a shake-up to improve patient

safety. The chief medical officer’s report has called

for a blame-free culture for staff to report, plus

quicker and simpler reporting systems and that serious

incidents should be reported within 36 hours.

For full report click here

69. Safety first: a report for patients, clinicians

and healthcare managers

15 December 2006 – DoH

This report was commissioned by Sir Liam

Donaldson, Chief Medical Officer, to reconsider the

organisation arrangements currently in place to ensure

that patient safety is at the heart of the healthcare

agenda.

For full report click here

70. Report of the National Patient Choice Survey,

England - July 2006

15 December 2006 – DoH

A report giving the results of around 70,000 responses

to the second national patient choice survey

commissioned to assess the implementation of

choice at PCT level. The surveys were conducted by

Ipsos MORI on behalf of the DoH, as part of a series

of surveys planned to monitor patient awareness of

choice and recall of having been offered a choice of

hospital for their first outpatient appointment.

For full report click here

71. Results of the Patient Choice Survey,

England - July 2006

15 December 2006 – GNN

Link:

http://www.dh.gov.uk/PublicationsAndStatistics/Publications/

PublicationsStatistics/PublicationsStatisticsArticle/fs/en?

CONTENT_ID=4141309&chk=vfv/vq

The Information Centre for Health and Social Care

released the following statistics:

Summary of the Public Service Agreement

(PSA) target on Home Care, 2005-6; which

shows The national PSA value has continued

to rise, increasing to 33.8 per cent in 2005-06

from 32.0 per cent in 2004-05.

Community care statistics 2005-06: Referrals,

Assessments and Packages of care for adults,

England: national summary is said to show that

there was estimated to have been 2 million

contracts for 'new clients' and that 37,000 people,

in total were receiving direct payments.

Personal social services survey of Home Care

users in England aged 65 or over: 2005-

06 which shows 59% of service users were

satisfied with the services they receive; 86%

said their care workers always or usually came

at times that suit the service user; 10% said

that they were never kept informed of changes

to their care.

71. Results of the Patient Choice Survey,

England - July 2006 (continued…)

HES Outpatient Data Quality Report

Links:

* http://www.ic.nhs.uk/pubs/psahome

* http://www.ic.nhs.uk/pubs/ccs0506

* http://www.ic.nhs.uk/pubs/psshceng0506

http://www.ic.nhs.uk/pubs/outpatientdq

72. Doubts over orthopaedic hospital

15 December 2006 – BBC News

A report has called into question the future of the

renowned Nuffield Orthopaedic Centre (NOC), in

Headington by stating its existence as “not viable as

a separate organisation”. The report was commissioned

by the former Thames Valley Strategic Health

Authority – now called the South Central Strategic

Health Authority (SHA).

The NOC has nearly completed its new £42m treatment

and diagnostic centre, due to open in February

2007. Bosses at the NOC insist that the centre will

not close but may have to merge.

For full report click here

73. Care and resource utilisation: ensuring

appropriateness of care

14 December 2006 – DoH

Document setting out for commissioners using practice-

based commissioning (PBC) and primary care

trusts (PCTs) some techniques to help identify areas

where services can be redesigned, thereby freeing

up resources to focus on clinically needy patients.

The Care and resource utilisation (CRU) is all about

giving the patient the right treatment in the right place

at the right time.

For full report click here

74. Diagnostic tests waiting times

13 December 2006 – GNN

Diagnostic test waiting times data were released for

the month ending October 2006

The data is claimed to show NHS progress in tackling

the waiting times for diagnostic tests like scans. The

monthly data published today gives the waiting times

for 15 key diagnostic tests carried out in the NHS.

More information, including a diagnostic data Q&A, is

available via the 18 week website.

Link - 18 week website: http://www.18weeks.nhs.uk

The following statistics were released today by the

Information Centre for Health and Social Care:

- Hospital Episode Statistics (admitted patient care),

England 2005-06

Link - http://www.ic.nhs.uk/pubs/hesapc

75. 'NHS-wide faults' led to deficits

13 December 2006 – BBC News

The Commons Health Select Committee has found

that mismanagement at all levels of the NHS in England

has led to the current multimillion pound deficit.

The committee also said that existing deficits have

been made worse by new staff pay deals and the

expense of meeting NHS targets.

For full report click here

76. NHS 'pride of Britain' says Blair

13 December 2006 – BBC News

Tony Blair has fought back against criticism of the

NHS saying that it was getting better under his party.

For full report click here

77. Mental health is soft target for NHS cuts,

say MPs

13 December 2006 – Community Care

For full report see Mental Health – item ??

78. Equality and Human Rights in the NHS: A

guide for NHS Boards

12 December 2006 – DoH

A guide designed to help NHS Board members understand

and comply with their obligations under

equality and human rights legislation. Every NHS organisation

as a public body, needs to assure itself of

legal compliance.

For full report click here

79. Health merger consultation starts

12 December 2006 – BBC News

A consultation has begun on the proposed merger

between Good Hope Hospital NHS Trust and Heart of

England NHS Foundation Trust. Patricia Hewitt has

approved the consultation and the merger is expected

to take place on 1 April 2007.

For full report click here

80. 43 maternity units 'under threat'

12 December 2006 – BBC News

The Conservatives have warned that forty-three maternity

wards across the UK are under threat. The

party also said that most wards are in England, and

two-thirds are in Conservative, Liberal Democrat or

Independent seats.

The Department of Health has challenged the figures

saying that safety and quality demands dictated that

services have to change.

For full report click here

81. Information Regarding Publication of Local

Choosing Your Hospital Booklets and the

National Menu Supplement

12 December 2006 – DoH

Letter announcing publication of the second editions

of the choosing your hospital booklets and the national

menu supplement.

For full report click here

82. 12 December 2006 – GNN

The reform of specialist medical training is the next

stage of the Modernising Medical Careers (MMC)

initiative, designed to improve the quality and safety

of patient care through better education and training

for doctors and ensure fully trained specialist doctors

deliver more NHS services in 2007.

Health Minister Lord Warner said:

"A guaranteed minimum of 18,000 additional training

places is excellent news as it represents a significant

number of training opportunities - and many more

than the alarmist predictions that came from some

quarters earlier in the year.

"Doctors in training in England should consequently

be pretty confident about securing a training post. Of

course, as recruitment is competitive not everyone

will be able to have their first choice specialty or location,

but this has always been the case. The number

of vacancies in each specialty and location is ultimately

decided by the needs of patients and the

NHS. We anticipate that there will be around 16,000

- 17,000 doctors currently in training in England eligible

to apply for these positions, but we do not yet

know how many doctors will apply from the EEA and

overseas."

Provisional data based on the specialties within the

Royal Colleges are shown below. These show, for

example, there will be over 5,800 places in General

Practice, 2,235 for surgery, 1800 for Psychiatry and

1390 vacancies for doctors who want to be paediatricians.

More detailed figures by specialty, level of entry and

deanery will be placed on the MMC website (http://

www.mmc.nhs.uk) on 21 December 2006.

Final figures will be available as the recruitment process

commences on 22 January. At that stage applicants

will be able to register with the new national

electronic Medical Training Application Service (http://

www.mtas.nhs.uk) and view the detail of the programmes

available.

Approximate specialty training numbers by Royal Colleges:

Anaesthetics 1485

Emergency Medicine 870

General Practice 5800

Medicine 2980

Obstetrics & Gynaecology 835

Ophthalmology 290

Paediatrics 1390

Pathology 130

Psychiatry 1800

Public Health 50

Radiology 135

Surgery 2235

Doctors wishing to find out more about the changes

to postgraduate medical education and the transitional

arrangements should visit: http://www.mmc.nhs.uk

83. NHS child units spared bed cuts

12 December 2006 – BBC News

Hospitals at Hastings and Eastbourne will not now

see a reduction in children’s services. A planned cut

to two 15-bed units to 10 were decided against because

demand was higher during the winter. A

spokesman said that bed numbers could still be reduced

in the spring.

For full report click here

84. Londoners say NHS needs improving

11 December 2006 – BBC News

A poll has suggested that three-quarters of Londoners

believe that their local NHS services need to improve.

A poll of more than 7000 people found that

only 6% in total believed that the NHS did not need to

improve at all. The survey was part of a major report

into the London’s NHS services to be released in the

New Year.

For full report click here

85. Trust to lead medical research

11 December 2006 – BBC News

Oxford Radcliffe Hospitals will receive a £11.5m grant

to become one of five new centres for biomedical research

across the UK. The hospital will work in partnership

with the University of Oxford and research will

be carried out in areas such as vaccines, diabetes,

stroke, cancer and heart disease. The National Institute

for Health Research are setting up the centres.

For full report click here

86. The NHS in England: Operating framework

for 2007-08

11 December 2006 – DoH

Document setting out the specific business and financial

arrangements for the NHS for 2007/08. As an

update to the 2006/07 operating framework, it describes

the delivery priorities, the payment by results

and tariff details and expectations on the development

of commissioning and practice based commissioning.

For full report click here

87. Target for £250 million budget surplus

must not come at expense of high-quality

services to patients, says King's Fund

11 December 2006 – King’s Fund

The King’s Fund has welcomed the government target

to restore financial balance to the NHS but

warned that the quest to achieve the £250 million

budget surplus must not be at the expense of high

quality care.

For full report click here

88. NHS Chief Executive publishes 2007-08

operating framework

11 December 2006 – DoH

The operating framework for 2007-8 has been published

by NHS Chief Executive, David Nicholson. It

sets out a number of significant changes in the way

the NHS will conduct its business by bringing greater

rigour and transparency to the service. It also marks

a deliberate move towards a more rules-based system

allowing greater autonomy for local NHS organisations.

For full report click here

89. NHS Chief Executive releases podcast

11 December 2006 – DoH

NHS Chief Executive David Nicholson has recorded

a video podcast to explain the importance of the new

NHS operating framework for 2007-08 (more details

above).

For full report click here

90. NHS 'must make surplus next year'

11 December 2006 – BBC News

The NHS in England has been told that it has to

achieve a £250m surplus next year, despite the latest

predictions showing that it will have a £94m

shortfall. NHS chief executive David Nicholson has

set out new targets for tackling hospital infections

and meeting the 18-week waiting time target.

For full report click here

91. New edition of 'Immunisation against Infectious

Disease'

11 December 2006 – Department of Health

(National)

The ‘Green Book’ officially called 'Immunisation

against Infectious Disease,' is now being distributed

free to primary care health professionals. It’s a valuable

reference guide on the latest UK immunization

recommendations and information on vaccinations

and its procedures.

92. Revealed: the 13 bankrupt NHS trusts

11 December 2006 – The Guardian

Front Page. A dozen NHS hospital trusts are technically

bankrupt and 103 expect to end the year with

accumulated deficits of £1.6bn.

93. How new rules caught one hospital in

debt trap

11 December 2006 – The Guardian

Analysis of Queen Elizabeth Hospital in Woolwich;

the hospital is regarded within the NHS as being well

run. However, it is moving towards building the largest

deficit within the NHS. Why? In short, it is because

of the PFI deal which locked it into a deal

which added £9m to the costs that were met by an

equivalent hospital built with traditional funding -

money from the Government and locked into payments

which are particularly onerous.

Nursing

Nothing to report

Older People

94. Care cuts mean fewer old folk are being

helped to live at home

16 December 2006 – Daily Mail

Figures from the national Patient Survey demonstrate

that thousands fewer are receiving the help they need

to in order to stay at home. 493,000 older people

received home care in 2003/04 and 489,000 in

2005/06.

Ed. Making the short-term savings now will be

shown to be misguided and ill-judged in the long

term as the cost of caring for older people who

enter care homes will increase as their care needs

become more severe and they become more frail

at the point of entering into care homes.

95. Survey of home care users aged 65 and

over finds they feel more in control

15 December 2006 – Community Care

The Information Centre for health and social care has

published a survey of 84,000 home care users showing

that over a third said they were always kept informed

by their home care service providers and 10

per cent felt they were never kept informed. 46 per

cent currently receiving home care services say that

the report they receive helps them feel more in control

of their lives.

For full report click here

For more information go to http://www.ic.nhs.uk/

96. When the laughter has to stop

14 December 2006 – Community Care

Tony Robinson, comedian, and campaigner for older

people has given an interview to Community Care,

Robinson is best known for playing Baldrick in TV

comedy Blackadder. During the interview he speaks

about his dream to get care for older people improved

in the UK.

For full report click here

97. New slippers given out to elderly

13 December 2006 – BBC News

Nursing staff at Leicester’s hospitals have been

handing out new slippers in a bid to cut falls for the

over-65s. According to the University Hospitals of

Leicester, 24,000 over-65s in the UK fall over at

home every year because of poorly fitting footwear

and Leicester have mounted a campaign to ban dangerous

“sloppy slippers” from homes.

For full report click here

98. GPs' concerns over bed closures

13 December 2006 – BBC News

GPs at Honiton Surgery in Devon have stated their

concerns about cuts which mean that more elderly

people may have to stay in big general hospitals as a

result of bed closures in community hospitals. The

PCT has responded by saying that it must return to

financial balance and the measures are only short

term, with no loss of service.

For full report click here

99. Older people want real choices about

their care

12 December 2006 – CSCI

For full report see CSCI, CSIW etc…- item 37

100. Older people want a life, not just services,

says new report

12 December 2006 – CSCI

For full report see CSCI, CSIW etc…- item 38

Social Care

101. Peers debate funding shortfall in adult

social care

8 December 2006 – Community Care

In a debate on adult care funding, Essex Council

leader Lord Hanningfield joined parties’ calls that the

sector faced both an immediate and long-term funding

crisis. Chancellor Gordon Brown was criticised

for “missing an opportunity” to address the significant

funding shortfall.

For full report click here

102. New kid in the dock

Caring Business, issue no. 204—page 12

Full length article examining Care Minister, Ivan

Lewis’ background and looks at his challenge in the

social care sector.

Staff, employment and

disciplinary

103. Social worker sent inappropriate text to

service user, conduct committee hears

15 December 2006 – Community Care

Eric Charlesworth, a social worker, is fighting allegations

that he formed inappropriate relationships with

service users sent a text message to a client saying

that he was lining up some “top totty” for him. The

General Social Care Council hearing is taking place

in Birmingham this week.

For full report click here

For another report click here

104. Danger from 'untrained' staff

11 December 2006 – HD24

Research by the Royal College of Nursing has revealed

that the NHS is letting people work as healthcare

assistants without giving them any training. This

means that patients could be at risk because the

healthcare assistants provide essential nursing care,

often having to make intimate contact with patients.

Apparently nurses are also unsure of what tasks

healthcare assistants should be given so decisions

are being made on how well the nurse knows the individual

rather than their level of training. The study

surveyed healthcare assistants and 35 ward managers

at two acute trusts followed up by interviews in

focus groups.

Healthcare assistants are currently unregulated. The

RCN plan to address this by developing a set of competency

standards, welcomed by NHS Employers.

105. Right from the start

Caring Business, issue no. 204—page 48

How to ensure you induct staff properly and how to

implement the Common Induction Standards (CIS)

within the induction as the recognised standards in

adult care.

Protecting Adults from

Abuse – everyone’s business

Community Care Conference

30 November 2006

Paul Snell

Chief Inspector, Commission for Social Care

Inspection

‘The role of regulation and inspection in protecting

vulnerable adults’

Introduction

Thank you for inviting me to deliver a session at this

event on what is a very important topic. The title of

the conference ‘Protecting Adults from Abuse – everyone’s

business’ is well-chosen – not only the key

agencies but people using services themselves, their

relatives and carers, and staff, can all act in ways

that help safeguard themselves and others. We

need to work together to ensure that services and

systems that are designed to safeguard adults work

as effectively as possible.

There is a growing awareness in England of the phenomenon

of elder and adult abuse, and it is now accepted

that mistreatment, neglect, or outright abuse

of people by professional or informal carers does

take place. We must now however ensure that it is

treated with the same seriousness as child abuse

has been over the last decade. People need to know

that they will be safe and well cared for and that, if

there are any incidents of abuse and neglect, trained

staff will respond appropriately.

An effective system for responding to abuse and neglect

is part of broader ‘safeguarding adults’ work,

which promotes respect for the dignity, independence

and well-being of all people who require the support

of social care services. However, the chances of

abuse occurring can be minimised in services which

are well-managed and led, which have the right policies,

and a combination of appropriate support, training

and supervision of staff.

In the Commission, we are prepared to get tough with

organisations that fail to do everything they can to

keep people safe. Where our inspectors come across

abuse or poor practice they will not hesitate to act.

But I also want to argue that developing high quality

services responsive to the needs and wishes of people

who use services will prevent abuse and enhance

their quality of life.

What do people tell us they want?

People have told us told us what matters to them in

services. They want:

Choice

Flexibility

Information

Being like other people and taking risks

Respect and being heard

Fairness and non-discrimination

Cost and value

And of course to be safe from abuse or neglect

The starting-point for providers and commissioners

must be what people have said they want. Services

for people need to preserve their dignity; individuality;

and privacy. They need to treat them with respect;

offer them choice and promote independence. Where

these qualities are not in place we will say so in our

reports and require services to improve.

What the Commission does

You have asked me to talk on the role of regulation

and inspection in protecting vulnerable adults. Inspection

is an important component of the system of accountability

that runs through the way we organise

public services in this country. The function of the

regulator is to provide independent scrutiny and report

publicly on what we find.

We have a statutory duty to promote improvement in

social care services in England, across both adults’

and children’s services. We combine regulation, the

performance assessment of local councils and inspection

to ensure that national standards are met.

This means we can give a single, overall picture of

the quality and efficiency of social care services in

England, including the performance of local councils

in meeting the social care needs of their local population.

What have we found about services and safeguarding?

In ‘The state of social care in England 2004-05’ we

reported that there were serious concerns in services

for adults which were failing to ensure the proper

level of protection for people using them. In particular,

it was identified that care homes for older people

and younger adults needed to:

improve their recruitment practices to ensure

that staff are suitable for the job,

work in a safer way to protect the health and

safety of people who live in the home, and

put better systems in place for managing

medication.

It is the National Minimum Standards that identify

what a registered person needs to do in order to

meet their legal obligations. These include having:

Clear written policies concerning abuse.

Robust procedures for responding to suspicions

of abuse.

Policies, practices and procedures that ensure

that the restraint of residents is used as a last

resort by staff and in accordance with government

guidance.

Arrangements for safely managing residents’

finances and valuables

Finally where staff are unsuitable to work with

vulnerable adults they are referred for consideration

for inclusion on the Protection of Vulnerable

Adults (PoVA) list.

Whilst it is important to have robust procedures in

place to safeguard adults, procedures alone will not

keep people safe. It is how the procedures are used

and, most importantly, the interactions between people

living in care homes and those trained to care for

them which will help keep people safe.

Earlier this month we published a report called ‘Better

Safe than Sorry’. This describes the performance of

care homes for older people and councils in relation

to their policies and procedures for safeguarding

adults and identifies areas in which these agencies

could make improvements.

What were our key findings?

As at 31 March 2006, some 75% of care homes met

the national minimum standard for safeguarding

adults. Of the 25% who failed to meet the standard,

just over 4% of homes scored the lowest mark and

gave cause for concern. 20% of homes just failed to

meet the standard but need to address the necessary

shortfalls. Whilst there was a considerable improvement

against this standard between 2003 and 2004 –

23% more care homes met the standard between

these two years - further improvement is required.

We found that the most common reasons why some

care homes do not meet the safeguarding standard

were:

Policy and procedures were not clear or specific

enough about all of the necessary steps a

provider or staff member should take in the

case of suspected abuse or neglect.

Staff members were unaware of the policy.

Staff members did not know how to recognise

signs of abuse or neglect.

Training on adult protection procedures and on

recognising abuse was not being made available

to all staff.

Incidents of abuse were poorly recorded or not

reported to the council’s safeguarding adults

services.

Providers were unaware of the local council’s

safeguarding adults procedures or did not link

their own care home procedures into the council

procedures, in effect keeping the two systems

separate.

Where we found good practice:

care homes had comprehensive policies and

procedures on adult protection.

The manager and staff had undertaken adult

protection training.

Staff could demonstrate that they could tell the

difference between expressions of dissatisfaction

about the quality of the service and an

incident of a more serious nature.

Staff and residents felt safe in expressing their

concerns to the manager.

A self-assessment process has been put in

place for staff to identify gaps in their skill development.

Managers acted promptly to address any concerns.

Overall it was the quality of leadership and management

in the care home that was fundamental to the

running of a good home. The manager must create

an environment and culture of professionalism and

openness, so that staff, people living in care homes

and their families feel able to raise concerns, complaints

or allegations of abuse.

What did we find about councils?

Whilst almost all (97%) had established multi-agency

procedures by 2004, there is more work to do to ensure

that the procedures work as well as they should.

In the past three years, councils’ performance in relation

to safeguarding adults improved from 63% in

2004 to 82% performing well against this standard in

2006. However again here more needs to be done to

ensure that:

Training for staff in assessing the risk of abuse

and in the multi-agency procedures needs is

made more widely available. In 2005/6, the

average percentage of relevant council social

care staff receiving safeguarding adults training

was only 51%.

Councils also need to improve the systems for

monitoring referrals concerning the safeguarding

of adults. In 2005, 66% of councils produced

an annual report on work relating to vulnerable

adults, although only 56% of councils

produced a report that contained the number of

referrals received and investigations undertaken.

This clearly needs to improve.

Finally, members of the multi-agency partnerships

including health organisations must be are aware of

and carry out their roles and responsibilities effectively.

Roles and responsibilities of the organisations

should be clearly set out. These arrangements did

not work well in the case of Cornwall – and I will talk

more about this in a minute.

So what is our role in safeguarding adults

We receive information from a range of people

(including staff, other agencies, residents, family

members and advocates) on the performance of services

through the process of inspection or through our

Concerns and Complaints procedure. Sometimes

information is disclosed to us directly, rather than to

the care home manager, because people find it difficult

to raise their concerns directly with the care home

manager for a variety of reasons.

Our inspectors may also find direct evidence of concerns

when inspecting a care home. We have increased

the number of unannounced inspections now

over 90%, placing a greater focus on the views of

people using the service and resources are focused

on poor performing care services.

The legislation places specific responsibilities and

duties on us and in working to safeguard adults we

need to work within that legal framework. Our role is

as a regulator and not an investigation agency. As a

result the responsibility for investigation of individual

cases within safeguarding adults procedures rests

primarily with other partners including the local authority.

There are three significant levels of engagement for

CSCI in response to a safeguarding alert or referral:

Where the safeguarding alert suggests serious risk

to a person’s life, health or well-being then we will

consider what immediate regulatory action is needed

in addition to the investigation/assessment undertaken

by partner agencies or the care provider. On

occasion this can include the urgent closure of a service.

Where the safeguarding adults referral received by

the local council suggests breaches of regulations

and standards we will undertake a random Inspection

as part of the multi –agency strategy.

Where there are no indications of serious risk requiring

immediate regulatory action, the outcome of any

investigation undertaken by partner agencies or the

care provider will inform our decision making about

further inspection or enforcement action.

And we will take action if care providers are placing

adults at risk. What action we take will depend on

how seriously the care service is failing to protect and

safeguard people, what effect this is having on the

people using the service and the response of the care

service provider.

Cornwall Partnership NHS Trust

I want to talk now about the Cornwall Partnership

NHS Trust case. The official investigation into learning

disability services provided by Cornwall Partnership

NHS Trust began in May 2005 and was sparked

by concerns raised by East Cornwall Mencap Society.

The subsequent investigation jointly undertaken

by CSCI and the Healthcare Commission examined

services at the Budock Hospital near Falmouth, which

is a treatment centre for 18 inpatients. The investigation

also looked at two other treatment centres, 4 children’s

units and 46 houses occupied by groups of up

to four people with learning disabilities.

The report of our investigation described many years

of abusive practices at the trust and the failure of senior

Trust executives to tackle this. We found that institutional

abuse was widespread, preventing people

from exercising their rights to independence, choice

and inclusion.

Some examples were a person who spent 16 hours a

day tied to their bed or wheelchair, for what staff

wrongly believed was for that person’s own protection.

One man told investigators that he had never

chosen any of the places he had lived as an adult.

More than two-thirds of the sites we visited placed

unacceptable restrictions on people living there. For

example, we found that some internal and external

doors were kept locked by staff to restrict the movement

of people from the services, instead of seeking

alternative methods to address perceived problems.

In one home, taps had been removed and, in another,

light fittings were taken out. Arrangements to manage

the finances of people in supported living services,

such as the apparent pooling of their money to a

shared household account and the use of people’s

money to purchase communal goods and pay for improvements

to homes, were also a concern.

As a result of the investigation 40 people were referred

to the County Council under the procedure for

the Protection of Vulnerable Adults.

More than two thirds of the 46 supported living

houses visited by the investigation team placed unacceptable

restrictions to the people living there. We

also found that the houses were run as unregistered

care homes, which did not meet accepted standards.

Following our investigation, we made a number of

recommendations for action including that:

The key agencies should ensure effective systems

and processes to protect people with

learning disabilities from abuse were implemented

the Council should carry out community care

assessments and provide ‘person centred’

plans for people who may require social care

and ensure that the results of assessments

are used to shape the redesign of the service

The views of people using services and their

carers should be included as part of the annual

planning cycle for learning disability services.

the trust should make immediate applications

to register homes where indeed they are care

homes!

the provision of personal care should be delivered

in accordance with the regulations and

national minimum standards for care homes or

domiciliary care agencies

the trust should ensure that people with learning

disabilities are allowed to exercise choice

and control over their care and development,

supported by the availability of information in a

format that is easy to read.

the trust must review its systems, policies and

practice for managing the finances of people

who use its services.

We continue to monitor the CPT & SSDs action plan

to ensure that the redesign of the new placements for

all services users with LD is compliant with the Care

Standards Act.

What conclusions can we draw in order to learn from

what happened in Cornwall?

Listening to people who use services and their

families remains a vital element in uncovering

abuse and in helping to ensure high quality services;

Training staff, (many of whom were caring and

well-meaning in Cornwall) must encompass the

very best practice, not simply learning from peers

in other local services;

Services provided in community settings must be

subject to the scrutiny of independent regulation;

As regulators we could effectively work in partnership

to look at the needs of people using services

in health and social care settings.

Risk and independence

Finally I want to say something briefly about risk and

independence. Our guiding principle is to judge services

by how well they reflect the qualities that people

value, and to be guided by people’s experiences and

aspirations. It is our job, as a modern inspectorate,

within the framework we are given, to make sure that

care services are relevant to the people who use

them – and that services give people choice, voice

and dignity.

When we have talked to people who use services, we

have sometimes been challenged specifically about

our approach to balancing risk and safety, and balancing

risk with the duty to care. These are not easy

judgements to make. Risk must be managed but not

to the point that creativity is managed out of care and

it must not be confused with abuse or lack of care.

Worries about risk – by other people, organisations,

wider public perceptions and media- can affect the

personal choices that individuals calling upon support

from social care are able to make and the amount of

control they have over their everyday lives. Rather

than encouraging independence this can make older

people more dependent; it can prevents them from

leading fulfilling lives and achieving the outcomes

they want.

Conclusion

The function of regulators is to provide independent

scrutiny and report what they find. I believe that the

inspection, performance assessment and regulatory

functions of CSCI and of other regulators have

helped achieve improvement in services and protection

of people from abuse - an aim we all share. Policies

and procedures which are well understood by

well led and trained staff have an important part to

play in ensuring effective safeguards. Where we find

poor practice, we will act on it.

For the providers of services, the message is that

striving for, and achieving, excellence in the quality

of services will go a long way to ensuring people are

also safeguarded.

Reproduced with the kind permission of the

Commission for Social Care Inspection.

For online speech, please click here:

http://www.csci.org.uk/default.aspx?page=1814&key=

Paul Snell

Chief Inspector

Commission for Social Care Inspection

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Crisis Intervention Line 07855 855 588
available 24 hours 365 days

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