Care Quality Commission
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CQC publishes 19 more reports from its review of services for people with learning disabilities

The Care Quality Commission (CQC) today publishes a further 19 reports from a targeted programme of 150 unannounced inspections of hospitals and care homes that care for people with learning disabilities.

The programme is looking at whether people experience safe and appropriate care, treatment and support and whether they are protected from abuse. A national report into the findings of the programme will be published later this year.

These 19 inspections covered locations that provided a range of services including assessment and treatment, rehabilitation and longer term care.

Inspections were focused on two outcomes relating to the government’s essential standards of quality and safety: the care and welfare of people who use services, and safeguarding people who use services from abuse.

Major concerns were identified against both outcomes at, Hennel Lane, in Preston,  while inspectors found one major and one moderate concern at the Newsam Centre, in Leeds,
At Hennel Lane, inspectors reported that care planning was inadequate and not person centred. Staff did not properly report or record safeguarding concerns. This meant that they had no processes in place to properly evaluate why individual instances of restraint had happened and how they could be avoided in the future.

The Newsam Centre had a moderate concern around care and welfare of people and a major concern around safeguarding. Inspectors found that safeguarding procedures were not followed in a robust enough way and allegations were not treated with urgency they merited, meaning that patients were not always adequately protected from abuse.
In both cases, the providers have told us what they will do to make the necessary improvements, and we will return on an unannounced basis to ensure that these improvements have been made.

Overall, five locations are compliant with Outcome 4, nine have minor concerns, four have moderate concerns and one has a major concern. On outcome 7, ten locations are compliant, four have minor concerns, three have moderate concerns and two have major concerns.

Four locations are compliant with both outcomes.

The batch contains seven NHS, six independent health care and six adult social care locations.

CQC inspectors were joined by ‘experts by experience’ – people who have first hand experience of care or as a family carer and who can provide the patient or carer perspective as well as professional experts in our learning disability inspections.

Where inspectors identified concerns, they raised these immediately with the providers and managers of services.

All the services where concerns are identified have to tell the CQC how and when they will improve. Those failing to meet essential standards could face enforcement action by the regulator if improvements are not made.

The national report will be based on the findings from all the 150 inspections and will make conclusions about the overall state of this type of service.

- ends -

Notes to editors

For media enquires call the CQC press office on 0207 448 9401

The reports will be published on CQC’s web site on Wednesday 21 March.

The reports published today are for the following providers and locations. The table shows our findings in relation to the two outcomes we focussed on, but some reports also show concerns in respect of other outcomes.

Summary Table - Reports to be published 21 March 2012


Organisation Name



5 Boroughs Partnership NHS Foundation Trust

Warrington(Hollins Park Hospital)

1 Minor

1 Moderate

North West

Central and North West London Foundation Trust

Seacole Centre

2 Minor


Burnside Care Limited

Burnside Care Limited - Holme Road

1 Minor

Yorkshire & Humberside

St Andrew's Healthcare

St Andrew's Healthcare -William Wake

2 Minor


East Midlands

Calderstones Partnership NHS Foundation Trust

Scott House

1 Minor


North West

LeedsPartnership NHS Foundation Trust

Newsam Centre

1 Moderate

1 Major

Yorkshire & Humberside

Doulton Lodge Limited

DoultonLodge Independent Hospital

1 Moderate

1 Minor

East Midlands

Leicestershire Partnership NHS Trust

Agnes Unit

1 Minor


East Midlands


Hennel Lane

2 Major

North West

Fairhome Care Group (W.L.) Limited t/a Vista Healthcare Independent Hospital

VistaHealthcare Independent Hospital

2 Moderate

South East

Nottinghamshire Healthcare NHS Trust

MansfieldCommunity Hospital

1 Moderate


East Midlands

Stepping Stones Resettlement Unit Limited

Stepping Stones

1 Moderate

South West

Four Seasons (Granby One)

Cedar House

1 Minor


South East

HC-One Limited

Tarry Hill

2 Minor

East Midlands

Black CountryPartnership NHS Foundation Trust

Sutton's Drive


West Midlands

South YorkshireHousing Association

Wensley Street

1 Minor


Yorkshire & Humberside

Four Seasons (Granby One)



East Midlands

Autism North Limited

All Saints Vicarage


North East

Leonard Cheshire Disability

Shore Lodge


South East

Inspection teams are making unannounced visits to 150 services. More than 100 are NHS and independent services that provide services such as assessment and treatment, rehabilitation and longer term care. The others are adult social care locations.

They are checking two outcomes:

  • Outcome 4 Care and welfare
  • Outcome 7 Safeguarding adults from abuse.

But where our inspectors find problems with other outcomes, they will report on these.

Our inspection teams are led by CQC inspectors joined by two ‘experts by experience’ -  people who have experience of using services, either first hand or as a family carer and who can provide the patient perspective and a professional advisor.

CQC set up an advisory group to help it plan the programme. CQC’s Chair, Dame Jo Williams, chairs the group. The members come from a range of voluntary, charitable and other organisations that work with or represent people with learning disabilities and their families.

The learning disability inspection programme was launched in response to the abuse revealed by undercover filming by the BBC Panorama programme. CQC apologised for failing to respond to warnings of abuse at Winterbourne View. Matters concerning Winterbourne view are the subject of serious case review.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England. We make sure that care in hospitals, dental practices, ambulances, care homes, people’s own homes and elsewhere meets government standards of quality and safety – the standards anyone should expect whenever or wherever they receive care. We also protect the interests of vulnerable people, including those whose rights are restricted under the Mental Health Act.

We register services if they meet government standards, we make unannounced inspections of services – both on a regular basis and in response to concerns – and we carry out investigations into why care fails to improve. We continually monitor information from our inspections, from information we collect nationally and locally, and from the public, local groups, care workers and whistleblowers. We put the views, experiences, health and wellbeing of people who use services at the centre of our work and we have a range of powers we can use to take action if people are getting poor care.

Further information

There is information on this website about How to share concerns and complaints about a social care service, a council, independent healthcare services, the NHS or CQC.

People can telephone concerns to CQC on 03000 616161

The Challenging Behaviour Foundation has provided this list of organisations providing independent support to families with disabled relatives. Click on the name of an organisation to read more information.

Support for families

Families provide long term love, care and support for their disabled relatives, and speak up for them. Even when people leave home, they do not leave the family. Families continue to offer a lifetime of involvement and support, and know a great deal about their relative’s needs and wishes, likes and dislikes.

When the services and support for a relative go wrong it can be very difficult for families to deal with. They may be faced with a barrage of information and decisions to take, as well as coming to terms with what has happened. It is important that families know where they can get impartial information, and find out what support is available to them. There is a list below of organisations which you may find useful.

It is important to note that family carers must be consulted and involved in key decisions about the care and support of a relative who is unable to make these decisions (unless you have specifically asked not to be involved). There is a proper legal process that must be followed, under the Mental Capacity Act 2005. For example, your relative cannot be moved to another service without involving you, and others who know your relative well, in the decision-making process. For more information about this, see Making Decisions: A guide for family, friends and other unpaid carers. Copies available by phoning 0300 456 0300.

Organisations providing independent support

Ann Craft Trust

Provides advice to anyone who has a query about the protection of vulnerable children and adults, including professionals, parents, carers and family members.
Tel: 0115 9515400 (Mon-Thurs 9am-5pm, Fri 9am – 4.30pm) or

The Challenging Behaviour Foundation

Provides telephone and email support from a Family Support Worker on challenging behaviour associated with severe learning disabilities and related issues. Tel. 0845 6027885 or email:
Free information sheets and DVDs about good support for people who have a learning disability and behaviour described as challenging.

Disability Law Service

Provides telephone or email advice on community care law. Free to disabled people and their family carers Tel: 020 77919800 e-mail:

Mencap Learning Disability Helpline

Provides advice and information on all issues relevant to people with learning disabilities and their families in England, Wales & Northern Ireland.
England: Telephone: 0808 808 1111 Email:
Northern Ireland: 0808 808 1111 Email:
Wales: 0808 808 1111 Email:

National Autistic Society

If your relative has an Autistic Spectrum Condition you can contact the National Autistic Society which offers advice and information to people on the autism spectrum and their families: Mon-Fri, 10am – Tel: 0808 8004104 or email:

Hft Family Carer Support Service (FCSS)

Provides free information and support to all family carers of people with learning disabilities. For help or more information call 0117 9061751; email; write to FCSS at Hft, 5 – 6 Brook Office Park, Emersons Green, Bristol BS16 7FL and see


Works with children and adults with learning disabilities who have experienced abuse or trauma, as well as those who have abused others, through psychotherapy, advocacy, campaigning and other support. Respond also runs a free helpline: 0808 808 0700. If you call outside opening hours leave a message and someone will get back to you. For more info see their website:

Voice UK

Voice UK are a national charity supporting people with learning disabilities and other vulnerable people who have experienced crime or abuse. They have a helpline for carers, parents and professionals on 080 8802 8686 (Mon-Fri, 9am – 5pm) or email