The review found that there was a systemic failure to protect people or to investigate allegations of demoralize.
The supplier had failed in its duty to notify the C.Q.C(Quality Care Commission) of serious incidents involving injuries to patients, or occasions when they had gone missing.
Inspectors said that provide did not expect to understand the needs of the people in their care, adults with learning disabilities , entangled needs and challenging behaviour.
Staff who had no background in care services had been recruited, references were not always checked and faculty were not trained or supervised properly. Some staff were too ready to use methods of restraint without considering alternatives.
Managers did not envision that major incidents were reported.
Planning and delivery of care did not find out individual needs.
They did not have robust systems to assess the feeling of service.
They did not identify and manage risks relating to health and safety of the patient.
They did not take reasonable steps to identify the possibility of abuse and to prevent it before it occurred.
They failed in their responsibilities to provide appropriate teach and supervision to staff.
They did not operate an effective recruitment procedure.
They id not respond appropriately to allegations of abuse.
They had not responded to or considered complaints and views of people virtually the service.
Investigations into the conduct of staff were not robust enough and had not safeguarded the residents.
The report said that it was now clear that the problems at Winterbourne observe were far worse than initially indicated by the whistle-blower and that the supplier had effectively misled the Q.C.Q by not keeping them informed closely incidents as required by law.If you want to get a full essay, order it on our website: Ordercustompaper.com
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