Winterbourne View, and the company Castle Beck Care LTD, failed to protect the individuals in their care from various types of abuse. They were not protected adequately from harm, risk and the own unsafe practices of the staff employed there. Staff at Winterbourne View had failed in their legal duty to notify the Quality Care Commission of serious incidents, including injuries to patients and occasions when they had gone missing.
Ten essential standards, which the law requires providers to meet and Winterbourne View did not include; The managers did not ensure that major incidents were reported to the CQC as required.
Planning and delivery of care did not meet people’s individual needs.
They did not have robust systems 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 not responded to or considered complaints and views of people about the service.
Investigations into the conduct of staff were not robust and had not safeguarded people.
They did not take reasonable steps to identify the possibility of abuse and prevent it before it occurred. They did not respond appropriately to allegations of abuse. They did not have arrangements in place to protect the people against unlawful or excessive use of restraint.
They did not operate effective recruitment procedures or take appropriate steps in relation to persons who were not fit to work in care settings.
They failed in their responsibilities to provide appropriate training and supervision to staff.
The CQC report concluded that there were systemic failures in protecting people or to investigate allegations of abuse. Footage used in prosecutions showed member of staff repeatedly assaulting and harshly restraining patients under chairs, giving patients cold punishment showers, with one patient being left out in near zero temperatures