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Fact Sheet Serious Case Review Winterbo
Winterbourne View
Summary of the Government Response
What happened at Winterbourne View?
On 31st May 2011, an undercover investigation by the BBC revealed criminal abuse by staff of patients. After its broadcast:
 Winterbourne View was closed
 11 criminal convictions were made

About Winterbourne View Hospital
Opened in December 2006, Winterbourne View was a private hospital owned and operated by Castlebeck Care Limited. It was designed to accommodate 24 patients in two separate wards, and it was registered as a hospital providing assessment, treatment and rehabilitation for people with learning disabilities.

What did the Government Review find?






Patients stayed at Winterbourne View for too long and were too far from home There was an extremely high rate of ‘physical intervention’ – well over 500 reports in a 15 month period
Mulitple agencies failed to pick up on key warning signs – nearly 150 separate incidents There was a clear management failer a the hospital – no Registered Manager in place
A ‘closed and punitive’ culture developed – family and visitors were not allowed access to the top floor ward

The review also exposed wider concerns about how people with learning disabilities or autism and with a mental health condition or challenging behavior were being treated in England.

What actions did the Government Review propose?
An end to all inappropriate placements by 2014, stronger accountability on owners and directors, tighter regulation and inspection on providers, better training and quality of safety standards, better local planning and support and stronger monitoring processes.
Source: Department of Health – Summary Document June 2012

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