Summary
In this blog, Debbie Ivanova, Deputy Chief Inspector — People with a learning disability and autistic people, and Jemima Burnage, Deputy Chief Inspector and Mental Health Lead, update on progress since the Care Quality Commission’s (CQC) 'Out of Sight' report published in October 2020. Their blog discusses the findings of the authors' 'Restraint, segregation and seclusion review: Progress report' published in December 2021.
Content
The authors highlight key progress at a system level:
- There have been independent reviews of everyone who was found in segregation in the initial review.
- In July 2021, the government published its new ‘National Strategy for autistic children, young people and adults’. The strategy contains the government’s vision for autistic people and their families across six priority areas including tackling health and care inequalities for autistic people, building the right support in the community and supporting people in inpatient care.
- NHS England is carrying out a review of advocacy for children, young people and adults with a learning disability and autistic people in inpatient settings.
- In January 2021, the Mental Health Act (MHA) white paper made recommendations to improve the way the MHA is used for people with a learning disability or autistic people.
- The CQC has taken enforcement action where it has found poor care for people with a learning disability, autistic people and/or people with mental ill health.
- The CQC has updated its policy ‘Right support, right care, right culture’ which outlines what they expect to see from providers supporting autistic people and people with a learning disability.
- The CQC is piloting communication and support tools for use on inspections including a new quality of life tool.
They call for further action to be taken on the following issues:
- Use of restraint, seclusion and segregation is commonplace in some settings.
- Commissioning the right support and services for people with a learning disability and autistic people is not happening quickly enough.
- People are still being placed in services which are not able to give them the right care.
- There are still too many people in inpatient hospital wards.
- When admitted, some people are spending too long in hospital and discharge can be very slow.
Blog: A year on — Progress update on ‘Out of sight — Who Cares?’ review into restraint, seclusion and segregation (2 December 2021)
https://carequalitycomm.medium.com/a-year-on-progress-update-on-out-of-sight-who-cares-4dcf540541dd
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