A preventable death

Spoke to two people this week who separately told me this story.

As part of a project team under the Winterbourne View Joint Improvement Programme, they were tasked with finding good practice in assessment and treatment centres. Through examining paperwork they identified five places to visit. They went to one area, hooked up with a local commissioner and spoke to managers who confirmed that the provision was good. They then spoke to families and some dudes who told them a different story. They went to visit the unit and were shocked at what they saw. They were told by patients that they didn’t like the place, that the kitchen and laundry were kept locked, they were given the wrong clothes back and couldn’t have a cup of tea when they wanted. The team was shown round the unit and it was awful. At the end of the visit, the commissioner, who was visibly shocked, said it just goes to show how important it is to go and actually visit places.

The two people who told me this story said they assumed that the commissioner would act on this.

The unit was STATT. The visit took place in January 2013.

20 thoughts on “A preventable death

  1. Just when you think things can’t get any worse. This is beyond words. So many people could have done so much to change things, so many people have blood on their hands. X

  2. Dreadful and sadly,I know how you must feel! Too many rely on lying management and dont listen to patients or families. We had an Action Plan after Rich’s death….preventing bin bags being used for returning patients possessions (who can possibly think this is acceptable practice anyway!)and TWO YEARS later the same Trust (West London MH Trust)were using bin bags on the ward. It was noted by shocked PPIF member(pre LINks & Healthwatch) & I was contacted, I met with PPIF Manager and we reported it to the Healthcare Commission. NOTHING was recorded or done! For all I know 8.5 years later the appalling practice may still go on! We are trying to effect change but we also need grieving time! Take care Dee x

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  4. Speechless, the utter horror of everything you continue to have to bear leaves me cold. I’m so very, very sorry x x

  5. Sadly none of this surprises me I am so deeply sad for your loss we must become one voice and unite for Justce for LB I will continue to paste these shocking stories on facebook and talk about LB whenever I can so tht people are aware. I cannot imagine how these people sleep at night it’s been an apalling lack of care and humanity the system is rotten to the core!

  6. As well as ‘mums test’ we of course need a standard where people who find it hard to communicate are helped and respected and believed. Human rights and all that
    Sent from my BlackBerry smartphone from Virgin Media
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    From: mydaftlife
    Date: Thu, 27 Mar 2014 17:19:52 +0000
    To:
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    Subject: [New post] A preventable death

    sarasiobhan posted: “Spoke to two people this week who separately told me this story. As part of a project team under the Winterbourne View Joint Improvement Programme, they were tasked with finding good practice in assessment and treatment centres. Through examining paper”

  7. How utterly, utterly dreadful that it left to you to uncover this negligence and incompetence. What are all these people involved in the Winterbourne scandal being paid to do? Before my son died, I had a long – lost – battle with OFSTED who are now inspecting children’s respite homes. They were asking staff for their opinions, then getting the staff to get the childrens’ opinions (mainly non-verbal, profoundly disabled children), but not asking parents. This is in contrast to OFSTED school inspections where every single parent is asked to contribute. They just didn’t seem to grasp that parents had the most vital, eyes and ears, picking up on nuances role in the inspection process. Trying to explain this to OFSTED was a banging head against a brick wall scenario.. Fucking idiots, all of them

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  9. And to think there are still as we speak, valuable but vunerable young people in these horrific places. Why doesn’t the word ‘CARE’ mean anything anymore? The people that condone, run and work in these units from the top down should be thoroughly ashamed.

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