What happened at Winterbourne View Hospital was horrifying for both patients and their families.Many people were shocked,angry and disappointed by the way people with learning disabilities,autism,mental health problems and behaviour that challenges were treated.
Six former members of staff at Winterbourne View hospital were jailed for the terrible crimes they committed.
Serious concerns were raised by families,CQC and the public concerned for example patients placed in Winterbourne View were there a very long time,some patients there for more than 3 years,the number of times patients were restrained by staff was very high and unacceptable.
A family provided evidence their son was restrained 45 times in 5 months.
Families were not allowed to visit patients on the ward or in their bedrooms,patients had very little access to advocacy and also patients complaint they were not been handled properly.
The abuse at Winterbourne View should have been noticed earlier but was not despite many incidents being reported.
Castlebeck Care Limited had policies and procedures that seemed really good.But the policies and procedures were not put into practice.
The recruitment of staff did not appear to focus on quality.The job description of staff did not ask staff to have experience in supporting people with learning disabilities,autism and challenging behaviour and staff training was focused too much on the use of restraint.
The South Gloucestershire Council were told about safeguarding issues in Winterbourne but failed to identify a trend in the number of times they were contacted.
The commissioners are the people who placed people at Winterbourne they should have made sure the hospital provided quality care.
A whistle blower told the CQC that he was worried about the way patients at Winterbourne were being treated.The CQC failed to respond to the concerns raised by the whistle blower.
The Mental Act Commission were told about