ASSIGNMENT 204 - TASK B – RESEARCH AND ACCOUNT
IDENTIFY TWO REPORTS ON SERIOUS FAILURES TO PROTECT INDIVIDUALS ON ABUSE. WRITE AN ACCOUNT THAT DESCRIBES THE UNSAFE PRACTICES IN THE REVIEWS.
REPORT 1
Concerns at Winterbourne View Hospital first came to light after a charge nurse raised the issues with the hospital in October 2010 and his allegations were passed on to the local authority, South Gloucestershire council, in its capacity as lead safeguarding agency and then relayed to the CQC in December 2010 but nothing was done.
In May 2011 the BBC released undercover footage about the appalling way vulnerable residents at Winterbourne View Hospital were being treated, once the footage was released it came into light that the owners
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Inspectors who visited Winterbourne View considered taking urgent action to close the centre, but decided that it was in the best interests of the patients to allow NHS and local authority commissioner’s further time to find alternative placements.
CQC ensured that there would be an immediate stop on admissions and that extra staff would be brought in to protect patients until they could be moved.
When they were satisfied that those arrangements were in place, CQC took enforcement action to remove the registration of Winterbourne View, the legal process to close a location. The hospital closed in June.
The report is full of unsafe practices such as;
‘The providers had failed in its legal duty to notify the Care Quality Commission of serious incidents including injuries to patients or occasions when they had gone missing.’ ‘Staff did not appear to understand the needs of the people in their care, adults with learning disabilities, complex needs and challenging behaviour.’
Winterbourne view was not ‘compliant with 10 of the essential standards which the law requires providers must meet.’ ‘People who had no background in care services had been recruited, references were not always checked and staff were not trained or supervised properly.’
‘Some staff were too ready to use methods of restraint without considering alternatives.’
REPORT 2
‘In July 2006, Steven Hoskin was found
After the serious shortcomings within the Mid-Staffordshire NHS Trust came to light, The Francis Report (Francis, 2013) investigated how the conditions of inexcusable care could prevail within the trust. The Francis Report proposed several extensive changes that could improve the National Health Service (NHS). Garner (2014) informs that these changes include that leaders need to be effective and accountable, staff should be empowered to work in partnership, each trust should aim to improve innovation and quality, whilst putting the patient first. The Department of Health (DH) reflected on the findings and in response to The Francis
not quite right occurring within the trust. The NHS care regulator soon became aware of the fact that Stafford seemed to
UP.01.03.01 requires a time-out before the start of the procedure. The Site Identification and Verification policy describes the time-out process however the policy falls short of fully meeting the intent of this standard. EP 2 describes which team members must participate in the timeout, EP 3 requires a time-out before each procedure when two or more procedures are being performed, and EP 5 requires documentation of the time-out. These 3 elements are missing from the hospital policy/process and therefore revisions to the process/policy are necessary to include these 3 elements. Nightingale’s Safety Report reveals increasing compliance (nearing 100%) with the time-out process, however as mentioned above, EP 5 requires documentation of the process. In addition to the policy revision, I recommend the development of a unique form which will be used to document
Some health care professional who are not committed to the care value base may treat service users unfairly. For example, a care worker that is not demonstrating the role of empathy may not want to listen or respect the ideals of the service users because the care worker is not in their position and do not see things from service users point of view. It is important for health care professionals to be committed and being honest with themselves in order to make sure that they are providing equal care to their service users. Careful use of language
These barriers relate to individuals having differing personalities, if someone has lack of self-esteem or poor interpersonal interactions and communication it can affect the way they treat others. They may be unaware of how to support someone with needs that are new to them or struggle to identify resources needed to support a client. If staff are unable to provide information to the residents or carry out tasks they may need additional training to gather greater knowledge on equality, diversity and inclusion; when staff are unable to acknowledge differences it can mean that individuals are discriminated against unintentionally. This would then have an impact on relationships and rapport built between staff and clients and discourage the residents to work with the staff if they believe they are not being understood or their needs are not being met, this can have further impact on their mental health and wellbeing, therefore it is crucial that staff and management work alongside residents and their families or friends to ensure that their voice is heard especially when considering person centred care, as many vulnerable adults may not have the capacity to challenge discrimination.
We all want to be treated with dignity and it is a very important part of an individual’s life. Working in the health and social care profession it is important to help people maintain their dignity so they can keep their sense of self-respect and self-worth. All health and social care professionals should be sensitive and aware of the needs of people and service users. Just because a person has dementia, they still need to be given a choice and not assume that they cannot make a choice. Not everybody is the same, there are different levels of dementia, so getting to know the service user is vital to challenge discrimination. We also need to make sure that the service user or their families are aware of the complaints procedure. Having policies and procedures are put in place and that staff are up to date on their training.
Concerns at Winterbourne View came to light after a charge nurse raised the issue with the hospital in October 2010 and his allegations were passed on to the local authority, South Gloucester shire Council, in its capacity as lead safeguarding agency, and then relayed to the CQC in December.
2.2)Explain the possible consequences of not actively complying with legislation and codes of practice relating to diversity,equality,inclusion and discrimination in adult social care settings.
Staff were not aware of who they could talk to, this critic’s poor management and lack of training. Staff have a duty of care according to section 11 of Children Act 2004 and yet they could not protect Daniels safety and wellbeing and failed to take any action to save his
al., 2003). We do not have enough information about this case to know whether there was anything the hospitals in question could have reasonably done different.
The needs assessment relates to an individual’s care and personal needs, the assessment centres on the activity for daily living and the
This unit develops understanding of the values and principles that underpin the practice of all those who work in health and social care. The essay consider theories and policies that underpin health and social care practice and explore formal and informal mechanisms required to promote good practice by individuals in the workforce, including strategies that can influence the performance of others. The first part of this essay will consider how principles of support are implemented by using Overton house residential care home to evaluate and explain how principles of support are applied. Key concepts such as person-centred approach and dilemmas and conflicts arising from the
The NHS is a main component of safeguarding as well as the local commissioning group which is a core partner of the SAB. “The NHS has particular duties for patients less able to protect themselves from harm, neglect or abuse” (Skills or Care, n.d). Moreover, the contractors and commissioners have a responsibility in making certain that there is invitation to tender, service specification, service level agreement as well as service contracts promote dignity in care as well as comply with the local multi-agency safeguarding policies and also the procedures. Health Providers All those who are working in the field of Health have a professional responsibility to protect vulnerable adults for example Mr. K as well as their participation in multi-agency support to social services is important if the interests of these persons are to be safeguarded. However, it is mandatory that all health care professionals need to be aware as well as understand the current guidance from their professional bodies in respect of protecting vulnerable adults as well as sharing of information and also the limits of confidentiality.
In May 2011, BBC Panorama Investigate Winterbourne View Hopital as they had recived report of abuse from a former senior Nurse Terry Bryan that worked at the hospital.
In some instances, even the hospital services failed to report the concerns they had with the primary care trust. This was probably because they felt they lacked the knowledge and authority to challenge