Mr Bryan, a senior nurse, had alerted the care home’s management and the CQC on several occasions, but his concerns failed to be followed up. After considering a range of evidence, CQC inspectors found Castlebeck Care had failed to ensure That people living at Winterbourne View were adequately protected from risk, including the risks of unsafe practices by its own staff. It said: “There was a systemic failure to protect people or to investigate allegations of abuse. “The provider 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.” It added that staff did not appear to understand the needs of the people in their care and said “some staff were too ready to use methods of restraint without considering alternatives”. The watchdog said the review began as soon as it found out Panorama had gathered evidence, including secret filming, to show the serious abuse of patients at the centre.
It also showed emotional and verbal abuse in the form of name calling. This was an inhumane and diabolic mistreatment of vulnerable individuals unable to defend themselves. Winterbourne appears to have made decisions based on profits and returns, over and above decisions about the effective and humane delivery of assessments and treatments. Where were the staff who should have been reporting these crimes to management , if management was not listening then they should have been reported to the authorities and organisations, such as social services and CQC that is what they are there for. Staff who had no involvement in the actions taken towards the residents, but failed to comply with the agreed ways of working and report what they knew was wrong is just as much to blame as those who were involved.
In the 1960’s a group of psychiatrists’ formed the anti-psychiatry movement and stated that psychiatry had no validity. Psychiatrists like Thomas Szasz put forward the idea that mental illness did not exist and that people were struggling to make sense of a mad world and another psychiatrist called Ronal Lain put forward an idea which suggested that a person’s mother makes them mentally ill. In 1973 David Rosenhan conducted an experiment into the validity of psychiatric diagnosis. This study was conducted in two parts. First Rosenhan sent a number of healthy pseudo patients to 12 different mental institutes undercover.
Two days prior to drowning her children Andrea Yates had visited Saeed and the doctor described her condition as “increasingly declining ‘ then sent her home . Russell Yates had no choice but to trust the doctor ‘s wisdom , after all Saeed was the professional trained to understand mental health (Cohen ) It might be said that this was just a slight mistake in judgment or that the doctor may have assumed that the situation at hand wasn ‘t that serious but as history revealed itself the world would find out that Dr . Saeed made a number of bad decisions in Yates ‘ case . In May , Yates was admitted to the Devereux Treatment Network in League City , Texas where she was under the treatment of Dr . Saeed .
Task D In May 2011 BBC Panorama aired a program called “Undercover Care”. The program showed the unmanaged staff at Winterbourne View hospital mistreating and assaulting adults with learning disabilities and autism. The program caused up roar in society, people who watched it were left feeling angry, disgusted and shocked with how the staff had being treating service users. Winterbourne View was a hospital in south Gloucestershire for people with learning disabilities and autism whose behaviour sometimes made their health professionals and families worry. Winterbourne View hospital was put in place to help to assess and treat patients so that they could lead ordinary lives in their own homes.
Eight workers at other Kaiser hospitals and the chain’s regional office were among those implicated, said Kathleen Billingsley, deputy director of the Public Health Department’s Center for Health Care Quality. Ornstein (2009). The steps Kaiser took to protect Suleman’s privacy were not aggressive enough. Kaiser workers were still being investigated by the California Office of Health Information Integrity, which will decide whether individual penalties will be imposed. Kaiser told the public health agency on Feb. 5 that two employees inappropriately accessed the records of Suleman, who gave birth on Jan. 26 to the world’s only surviving octuplets, according to a Public Health Department report issued Thursday.
They stated that: * There was a systematic failure to protect people in their care. * Castlebeck had failed it’s legal duty to notify the CQC of serious incidents including injuries and patients going missing. * Staff didn’t appear to understand the needs of the people in their care and some staff were too ready to use restraint without considering alternatives. * Background checks on staff weren’t carried out * Planning and delivery of care did not meet individual needs * They didn’t have good enough systems in place to assess and monitor the quality of services * They did not identify, and manage, risks relating to the health, welfare and safety of patients. * They had ignored their own complaints procedures * Staff investigations were not robust * They didn’t have agreements in place to protect people against unlawful or excessive use of restraints.
Case study 1 CQC inspectors visited a care home in Merseyside to follow up on concerns raised about standards of care. Upon inspection CQC found that the care being provided was falling short of the standards people should be able to expect and improvements were needed. People were not protected against the risk of receiving unsafe and inappropriate care because their care and support needs were not being properly assessed. Care plans viewed by inspectors provided only general information and did not reflect individual needs and lifestyle choices. At the time of the inspection visit, the manager and deputy manager had both resigned and there was no one person to oversee the service on a day to day basis.
The Department of Veterans Affairsfailed to handle the situation by not bringing in some of the world’s best information system personnel or qualified security personnel. The Department of Veterans Affairssecurity plan did not comply with the agency's own rules for securing data, and it improperly allowed the IT Specialist and contractor access to databases beyond the requirements of his job and the scope of his background check. It also concluded that the VA had failed to adequately supervise the IT Specialist and the contractor, whose actions had violated the Privacy Act as well as the Health Insurance Portability and Accountability Act of
Due to the lack of knowledge the primary care physician cannot properly address the issue and leaves the concerns of the parents or guardians unheard. Primary care physicians have become uncomfortable discussing mental health issues with guardians and parents due to lack of training on the subject; limited