Safeguarding Prevention and Early Intervention in Service Design

This study discusses the Winterbourne scandal case study and the impact of abusing behavior on people with learning disabilities. It also explores the goals and effectiveness of the LeDer program and the role of health and social care professionals in safeguarding people. The study highlights the major safeguarding failings in the Winterbourne case and the need for appropriate actions and programs for people with learning disabilities.

Safeguarding Prevention and Early
Intervention in Service Design
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Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY..................................................................................................................................3
Key issues, associated with the Winterbourne scandal case study..............................................3
Major safeguarding failing concerning the case study................................................................4
Goals and effectiveness of LeDer program.................................................................................6
The role of the health and social care professionals....................................................................7
CONCLUSION................................................................................................................................8
REFERENCES..............................................................................................................................10
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INTRODUCTION
Safeguarding is a process of protecting people from harm with an effective and appropriate
measure (Stockinger, Shah and Wincent, 2021). This study is based on the case of Winterbourne
hospital where staff of this hospital abuse patients with learning disability. This study will
discuss impact of abusing behaviour on overall health of people. LeDer program plays a vital
role and it will show roles of all involved parties of this program for protecting people against
harm and abusing behaviour and improving their health. There are number of legislations that
have been developed especially for protecting people with learning disability and challenging
behaviour.
MAIN BODY
Key issues, associated with the Winterbourne scandal case study
Before discussing issues associated with this case study, it is important to know about
Winterbourne and in this context, it can be said that it is view care home and hospital at South
Gloucestershire, Engalnd. An investigation, named Panorama exposed psychological and
physical abuse with people of learning disability and challenging behaviour by workers of this
hospital. English national regulator and local social services received number of warning by
people but they did not consider and mistreatment continued. One senior nurse, name Terry
Bryan reported concern to the top management of this hospital and view care home but his
complain was not being considered and not taken up (Allen, 2018). There was an undercover
footage in which staff of this hospital shown while they were assaulting and harshly controlling
patients under chair only because of they were not able to learn and behave as like normal
people. In addition, it is also shown that one of that staffs gave cold shower as a punishment to
one of the patients and then left her outside in near zero temperature and after that she was
forcefully given mouthwash in eyes. It was very brutal incident and it has affected her mentally
to the great extent. People with learning disability and challenging behaviour needs special care
and treatment otherwise, it may increase their health issues and can affect them emotionally as
well as mentally.
Along with this abuse, other number of cases were recorded and complained about. In
other abuse, patients or people with learning disability were pulled by their hair and given
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medications to them forcefully. Victims were screaming, shivering and shaking because of fear
of being beaten and abused in other manner. One of the patients was shown jumped in protection
of himself out of a second floor window. He was trying to escape from this situation and abuse
and patients were mocked by staff. Another patient was also poked in the eyes. So, on the basis
of this recorded video at this hospital, it can be said that staff of this hospital were cruel and very
harsh towards patients. After watching this video, around 86 people wrote a letter to Prime
minister about this revelation. They mentioned everything that they saw in video of this hospital
where staff were abusing patients very harshly. In addition, they state that they are aware that
numbers of actions have been taken within and outside government and now they hope to make
submission to those both individually as well as collectively (Branford and et.al., 2018). In June,
2011 the association of supported living issued a press statement and as a result, four supported
workers and two nurses were jailed for between 6 months as well as 2 years for their role in the
abuse of patients at this privately run hospital. So, on the basis of this case, it can be said that
there is requirement of taking appropriate actions and developing programs for learning with
disable people.
Major safeguarding failing concerning the case study
On the basis of above discussion, it can be said that at winterbourne staff abused patients
with learning disability and did not even consider complains of community members. Members
of community complained number of times but they did not register and consider them and they
continued mistreating. CQC report on Winterbourne view found owners Cestle back care had
failed to ensure residents that were living at the unit, protected from risk. Risk include: unsafe
practices by their own staff (Starns, 2018). They said that there was systematic failure to protect
people as well as investigation allegations of abuse. One senior nurse reported his concern to the
management at winterbourne but his complain was ignore and not taken up. At the end after
finding footage of this hospital, publicly funded hospital shut down as a result of abuse that took
place. Cestleback, the company at the centre of BBC exposed this scandal into physical abuse as
well as neglect one of its care homes. 11 workers admitted a total of 38-39 charges last year after
they were secretly filmed while they were abusing patients at Winterbourne view near Bistro.
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At the end this scandal was exposed by the Panorama program that shocked the nation.
Government took action at that time and on the basis of government pledge, all people with
learning disability were moved and autism inappropriately placed into community care (Harding,
2021). Owners, local health services and health regulators were all criticized for failing to act on
increasing warning signs of abuse by staff at this care centre. There was a focus on the use of
restraint and the system of this hospital was blamed as people stated that we are not getting as
how the structure of this hospital were preparing patients to return to their homes. In addition,
they also said that we are not getting if staff really wants to treat people and want to improve
overall health of patients or not. By watching their recorded footage, it seems that nursing and
other staff were only abusing patients and patients were forcefully given medication. This was
very shameful behavior of nurses. It was recommended by Flynn that NHS funded service
should ban staff from sitting on people with learning disabilities to restrain them.
It was also emerged that a whistleblower had contacted the council about abuse but
nothing had been done in the erroneous belief (Willis, 2020). Care quality commission was
responsible for investigating this case and improper treatment done with behavioral challenges
and learning disable people. There were number of safeguarding failing such as: complaints of
community members and one of its nurses were not taken up. Other failing that was reported by
CQC include: Cestleback care had failed to ensure that people with learning disability, living at
winterbourne were adequately protected from harm. So, these both were main failing in
safeguarding protection. On the basis of this, it can be said that staff and other associated people
did not perform their work in an effective manner. But eventually, staff of this hospital had been
jailed and all people were moved from this place and safeguarded from being abused and harm
(Boggis, 2018).
.Overall, it can be said that LeDer program needs to ensure that no one will be harmed
and abused in the future. Decreasing safeguarding failure was other main aim of development of
LeDer program. By decreasing this safeguarding failing, we can make changes and improve
overall health of people with learning disability.
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Goals and effectiveness of LeDer program
This program is known as learning disability mortality review that is planned and paid for
by NHS England. The aim of developing this program is making sure that people with learning
disability are receiving high quality of health and social care. It is being done by NHS and for
ensuring qualitative health and social care as well as protecting people from being abused as like
Winterbourne case, it provides support to local agencies and health professionals and make them
able to complete LeDer reviews. It is also trying to change the way of healthcare professionals
that they provide service in their local area by providing training. It encourages these agencies
for working with one another by which they can increase their knowledge, identify best ways of
making people able to protect them and improving learning capacity of people with learning
disability (England and Improvement, 2019).
In addition, NHs has requested to the government to have clinical commissioning group
and now in every area of England, there is a local clinical commissioning group who is
responsible for planning as well as making sure provision of health services in their area. In
addition, they are also responsible for making sure LeDer reviews that are carried out for deaths
that has happened in their area. The aim of reviewing this is to identify reasons of death to this
people and on the basis of identified causing factors; they can take action and can protect people
from being abused. CCG has power to change the services that they have planned and bought on
the basis of review of this program and LeDer. They are responsible for publishing annual report
about actions that they have taken and all those things that they have done to change services as a
result of reviews that they have completed.
There are steering group and they work with CCG in local clusters. They cover large
geography and find out about those hospitals and community centers that have provided services
to people with learning disability (Jabbari and et.al., 2021). This steering group makes and
develops plans in order to make sure that all those things that have been identified from LeDer
reviews improve the care and treatment of people with learning disability. Every CCG of every
area in England has to be an active part of LeDer sheering group. It is stated that in the future
each sheering group will have a BAME lead who will be responsible for connecting into local
networks and raising the profile of this program. Along with this, it will be responsible for
identifying all those barriers that might occur in providing qualitative care and services to people
with learning disability and behavioral challenges.
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In addition, it is found that workers and associations that are working on this program are
trying to engage family members of people with learning disability. They stated that families and
carer are keys to keep them healthy. For ensuring qualitative care, NHS and associated
institutions involve people with learning disability and their families as well as carer in the
development of services which might impact on them. Every health and care professional
involved in the care and treatment of people with learning disability that support people with the
main aim of making them feel happy. The focus is on providing services to people by which the
can live happy and can enjoy healthier lives by ensuring thinks like: reasonable adjustments,
annual health checkups, autism and others (Yao and et.al., 2020). Action plan are being
developed as per the outcomes and review of these planes and it makes them able in improving
overall health of people.
So, on the basis of this, it can be said that this LeDer program is very effective and can
protect people from being abused as people were abused at Winterbourne hospital and care view
centre. It can improve lives of people with learning disability and behavioral challenge and by
working together all these involved associations can make an effective community. Overall, it
can be said that this program is effective to the great extent and has became successful.
The role of the health and social care professionals
A health and social care practitioner delivers about how the health support from their care to
rehabilitation. Through having such close relationship with medical terms practitioner and they
are able to support from the patients and their families to ensure them with health care needs that
are met. Health and social care practitioner will have some strong social skills as they need to
work with patients. They will need to developed emotional intelligence for handling with some
challenging patients and the distress of bereavement (Stojanov and et.al., 2021). A job for the
social care sector and this means that well-being concepts and providing the supportive for non-
clinical needs. However, this could create the importance for collaboration between social and
health care worker. Moreover, it is observed that laborers and affiliations that are chipping away
at this program are attempting to connect relatives of individuals with learning inability. They
expressed that families and carer are keys to keep them sound. For guaranteeing subjective
consideration, NHS and related organizations affect individuals with learning handicap and their
families as well as carer in the advancement of administrations which may affect on them. Each
wellbeing and care proficient associated with the consideration and treatment of individuals with
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learning handicap that help individuals with the principle point of causing them to feel cheerful.
The emphasis is on offering types of assistance to individuals by which the can live cheerful and
can appreciate better lives by guaranteeing thinks like: sensible changes, yearly wellbeing exams,
mental imbalance and others (Dalley, Rahman and Ivaldi, 2021). Activity plan are being created
according to the results and audit of these planes and it makes them capable in working on
generally speaking strength of individuals. Along these lines, based on this, one might say that
this LeDer program is exceptionally powerful and can safeguard individuals from being
manhandled as individuals were mishandled at Winterbourne emergency clinic and care view
focus.
It can further develop lives of individuals with learning handicap and conduct challenge and by
co-operating this multitude of involved affiliations can make a successful local area. Generally
speaking, one might say that this program is viable to the extraordinary degree and has become
effective. Furthermore, NHs has mentioned to the public authority to have clinical authorizing
gathering and presently in each space of England, there is a neighborhood clinical dispatching
bunch that is answerable for arranging as well as ensuring arrangement of wellbeing
administrations in their space (Papadopoulos and et.al., 2020). Moreover, they are likewise liable
for ensuring LeDer audits that are completed for passing’s that has occurred in their space. The
point of checking on this is to recognize reasons of death to these individuals and based on
distinguished causing factors; they can make a move and can safeguard individuals from being
mishandled. CCG has ability to change the administrations that they have arranged and
purchased based on survey of this program and LeDer. They are answerable for distributing
yearly report about moves that they have made and that multitude of things that they have done
to change administrations because of audits that they have finished.
CONCLUSION
From above discussion, it has been concluded that LeDer program is an effective program
that can improve overall health of people with learning disability and challenging behaviour. It
has been discussed impact of abusing behaviour of nursing and other staff of Winterbourne case
with learning disable people. Abusing behaviour has negative impact on mental and emotional
health of people and it delays in their recovery. It has further discussed safeguarding ailing
concerns of Winter bounce case along with ways in which wellbeing agenda provides a holistic
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perspective. Lastly, it has discussed roles and responsibilities of professional in improving their
practice with safeguard.
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REFERENCES
Books and journals
Allen, D., 2018. Transforming Care: A case study in failure?. International Journal of Positive
Behavioural Support. 8(2). pp.4-8.
Boggis, A., 2018. Safeguarding disabled children and young people. In Dis/abled
Childhoods? (pp. 121-139). Palgrave Macmillan, Cham.
Branford, D. and et.al., 2018. Stopping over-medication of people with intellectual disability,
autism or both (STOMP) in England Part 1–history and background of
STOMP. Advances in Mental Health and Intellectual Disabilities.
Dalley, D., Rahman, R. and Ivaldi, A., 2021. Health care professionals’ and patients’
management of the interactional practices in telemedicine videoconferencing: A
conversation analytic and discursive systematic review. Qualitative Health
Research. 31(4). pp.804-814.
England, N.H.S. and Improvement, N.H.S., 2019. Learning disability Mortality Review (LeDeR)
programme: action from learning. NHS England.
Harding, R., 2021. Safeguarding Freedom? Liberty Protection Safeguards, Social Justice and the
Rule of Law. Current Legal Problems. 74(1). pp.329-359.
Jabbari, M. and et.al., 2021. Evaluation of effectiveness of risk-based comprehensive safety
training planning in the gas pipeline construction industry. International journal of
occupational safety and ergonomics. pp.1-14.
Papadopoulos, I. and et.al., 2020. Enablers and barriers to the implementation of socially
assistive humanoid robots in health and social care: a systematic review. BMJ
open. 10(1). p.e033096.
Starns, B., 2018. Moving to a Systems Approach to Safeguard Adults in Residential
Care. Practice. 30(3). pp.157-161.
Stockinger, B., Shah, K. and Wincent, E., 2021. AHR in the intestinal microenvironment:
Safeguarding barrier function. Nature Reviews Gastroenterology & Hepatology, 18(8),
pp.559-570.
Stojanov, J. and et.al., 2021. Quality of sleep and health-related quality of life among health care
professionals treating patients with coronavirus disease-19. International Journal of
Social Psychiatry. 67(2). pp.175-181.
Willis, D., 2020. Whorlton Hall, Winterbourne View and Ely Hospital: learning from failures of
care. Learning Disability Practice. 23(6).
Yao, S.C. and et.al., 2020. Effectiveness of osteopathic manipulative medicine vs concussion
education in treating student athletes with acute concussion symptoms. Journal of
Osteopathic Medicine. 120(9). pp.607-614.
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