Care Quality Commission final report into use of restraint, seclusion and segregation
Our briefing summarises key findings and conclusions from the report, which we have also outlined in high level detail below:
- CQC found people often ended up in hospital because they did not have the right support, early on, in the community at the time they and their families needed it. The report highlights numerous ‘missed opportunities’ for these groups of individuals, which includes issues around: diagnosis, waiting times, transition planning and social care support.
- Overall, CQC found the environment of hospitals wards was often not therapeutic and there was inappropriate use of restrictive practices. CQC’s overall assessment of community services was that they were providing higher quality care, with fewer restrictive interventions.
- The report highlights the difficulties in finding people suitable care in the community. CQC found complex commissioning arrangements and poor communication between providers and commissioners could lead to delays in identifying suitable community care or getting the care package ready.
- CQC stress government, NHS organisations and local authorities need to work creatively to remove the barriers stopping people from getting the care they need, and put in place the funding, community placements, crisis teams and skilled staff who understand the people they care for. This action must be owned and led by government, delivered by local systems working together, and involve people and their families to ensure individuals’ needs are met.