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News from the Care Quality Commission: November 2022
This bulletin was sent at 29-11-2022 07:56 AM GMT
The independent regulator of health and social care in England
Newsletter
Our monthly update for everyone interested in health and social care
Who I am matters
Who I am matters is our new report looking at the experiences of being in hospital for people with a learning disability and autistic people.
During February and March 2022, we visited 8 hospitals in England.
We found that people with a learning disability and autistic people are still not getting the care they need, when they need it. The report shines a light on the impact these failings have on people and their families.
It is clear from our findings and other multiple studies published previously that, nearly 6 years after Oliver McGowan’s death, change and improvement is still too slow. As well as being a key equality issue, this is a critical patient safety issue.
Between February 2019 and November 2021, we looked at how community treatment orders (CTOs) were being used in 9 boroughs across London.
We were concerned that figures around the use of CTOs were not providing an accurate picture, and that CTOs were being used in an overly restrictive way.
Our report details the findings of our review, and highlights key areas of concern including people being on CTOs for years, a lack of care planning and access to advocacy services, and the disproportionate use of CTOs for Black people.
Promoting sexual safety in health and social care services
Our latest update on learning from safety incidents looks at protecting people who use services from sexual incidents.
Each of these updates briefly describes a critical issue - what happened, what CQC and the provider have done about it, and the steps providers can take to avoid it happening in their service.
The update talks about how we prosecuted a care home provider and a registered manager for failing to protect a resident from avoidable harm. The resident was sexually assaulted by another person using the service.
The update also shares guidance on promoting sexual safety and supporting personal relationships.
We've published an update about the independent review looking at improvements we can make to the way we learn from, respond to, and act on concerns.
The Listening, Learning, Responding to Concerns Review is being conducted in 2 phases and will be overseen by an independent governance panel.
The first phase will look at our handling of protected disclosures shared by Mr Shyam Kumar, including whether ethnicity played any part in the management of those disclosures.
The second phase will look at how well we listen to whistleblowing concerns. We will talk to health and social care staff, as well as CQC colleagues to understand the expectations and experiences of people when they raise concerns with us. The governance panel will help to ensure the independence and credibility of the review.
CQC reports on safe use of radiation in healthcare settings
Our annual report on how we enforce the Ionising Radiation (Medical Exposure) Regulations - IR(ME)R - has been published.
The report provides a breakdown of the number and type of notifications we received about IR(ME)R incidents between 1 April 2021 to 31 March 2022, and findings from our inspections.
We also share learning from examples of errors and the actions that providers took to improve.