Update CQC Learning Disability inspections

1. Update CQC Learning Disability inspections Sue Culling –Strategic Commissioning Manager –Learning Disabilities 27th June 2012

2. Rationale …… • Following the poor care and abuse found at Winterbourne view – CQC commissioned a team including people with a learning disability , family carers and inspectors to look at 150 services across England including residential and specialist health provision . • There were no visits to East Sussex services – this may have been linked to the selection criteria used by CQC(see report) • Two particular outcomes were looked at : Outcome 4: The support and welfare of people who use services. Outcome 7: Making sure people who use services are safe from abuse

3. Key Findings • There were lots of services that did not meeting the standards • NHS services were more likely to meet the standards in both of the areas checked than Independent health care services. • Not many care homes met the government standards in both of the standards checked • Just over half assessment and treatment services were meeting the government standards in both of the areas checked. • People are often staying in NHS and Independent healthcare services for too long.

4. Key Findings…. • Across all care services - people and their families were not always involved in planning their care • Across all care settings - the use of restraint was not always written down in reports and checked. • Services need to check how good their advocacy services are. • Staff and managers sometimes do not know how to use safeguarding laws properly.

5. Some actions • At national level -there is a timetable of improvements with those organisations identified as requiring special measures • Commissioners, providers and people who use services will be asked to input to local improvement plans and assurances • Locally, we will review current commissioning policy and practice relating to use of physical interventions and support for people with complex needs • We would like to hear your thoughts/ concerns ahead of the next LD Provider Forum so please indicate your interest on the evaluation form or contact suzanne.culling@eastsussex.gov.uk.

6. Further information available • Easy read version of report available on CQC web site • http://www.cqc.org.uk/public/reports-surveys-and-reviews/themed-inspections/review-learning-disability-services