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Anti-psychotics given to 68.3% with learning disabilities

A census has revealed that anti-psychotic medication is given to more than two thirds of inpatients with learning disabilities in specialist units.

The findings also showed that over half (56.6%) of the patients had experienced an "incident" during the three months preceding the census date such as self-harm, an accident, physical assault on the patient, hands-on restraint or seclusion.

Anti-psychotic medication given to 68.3% of inpatients. Credit: Matthias Hiekel/DPA/Press Association Images

The analysis of the 2013 Learning Disability Census was commissioned in response to events at Winterbourne View Hospital and have been published by the Health and Social Care Information Centre (HSCIC).

Its results are based on survey responses received from 104 (58 NHS and 46 private) provider organisations in England on behalf of 3,250 service users in September last year.


Care staff 'not recognising seclusion as a means of restraint'

We found that people were being taken to their bedroom and shut in and basically not allowed out and staff weren't recognising that (was a form of restraint).

"If somebody's not recognised that what they are doing is secluding somebody then they are ultimately not going to put in safeguards either."

– CQC's Bernadette Hanney

Some patients 'not treated as individuals'

Some of the people I met could have more help in getting a better life. They were often bored and distressed and staff talked to them not as adults but as though they were children.

"Some of the people weren't treated as individuals and certainly not in a personal-centred way.

"I felt that some people didn't get the opportunities they could have because they couldn't speak or because others thought their behaviour was challenging."

– Former learning disability services patient Laura Broughton


Independent services 'twice as likely to fail vulnerable patients'

  • Independent services were twice as likely (33% compliant) to fail to meet these standards as NHS providers (68% compliant).
  • Some assessment and treatment services admit patients to care for disproportionately long periods of time and discharge arrangements take too long to arrange.
  • Of the 145 locations inspected, 69 failed to meet one or both standards and 35 failed on both standards.
  • There were minor concerns over the locations that met both standards and only 35 fully met both standards with no concerns
  • The locations were made up of 68 NHS assessment, treatment and secure services, including two residential care homes, while 45 were independent assessment, treatment and secure services.
  • There were also 32 residential care homes included in the report.

Patients are being restrained inappropriately, says CQC

All too often, inspection teams found that people using services were at risk of being restrained inappropriately because staff often did not understand what actions count as restraint, and when restraint happened there was inadequate review of these putting people at risk of harm or abuse."

– CQC chairman Dame Jo Williams

CQC: Half of hospital and care homes 'failing vulnerable adults'

Nearly half of Britain's hospitals and care homes are failing vulnerable adults, the Care Quality Commission (CQC) have said.

General view of the Winterbourne View residential hospital in Bristol Credit: Tim Ireland/PA Wire

Nearly half of the 145 hospitals and care homes inspected nationwide did not meet required standards in terms of care.

The unannounced inspections were carried out in the wake of abuse uncovered by the BBC's Panorama programme at Winterbourne View hospital near Bristol.

The undercover footage showed staff at the hospital appearing to taunt and abuse the vulnerable adults in their care.

But there was no evidence in this report that pointed to abuse on the scale uncovered at Winterbourne View hospital, the report said.

CQC raise care homes concerns

People with learning disabilities have a one in two chance of receiving substandard care, a report by the care services watchdog revealed today.

CQC inspections have raised concerns over the quality and safety of learning disability services

Nearly half of the 145 hospitals and care homes inspected nationwide by the Care Quality Commission (CQC) did not meet required standards in terms of care, welfare and whether people were safe from abuse, the report showed.