The BBC's Panorama programme sent in an undercover reporter to expose abuse of residents at Winterbourne View hospital in Bristol. The programme has led to closure of the hospital and there may be criminal cases arising from it
www.bbc.co.uk/news/uk-england-bristol-13848877As the article notes, Winterbourne is run by Castlebeck care.
The satirical magazine "Private Eye" reports about financial and business matters in a serious and invstigative way, very often. They gave the following information in the latest issue:
Castlebeck care are part of CB Care Ltd. CB Care Ltd is owned by a Jersey based company called Castle Holdings. It is controlled ultimately by a Swiss based private equity group called Lydian.
Lydian's money comes largely from Irish financiers, at least one of whom is a substantial donor to the Tory party.
CB Care Ltd has £233 million in debt to the banks and £195 million "subordinated debt": much of the latter yields 15% interest for the lenders, and interest payments were £38 million in the last accounts. The company made a loss of £19 million in 2008: and £10 million in 2009. Thus it pays no tax at all. It is interesting that Private Eye notes that some of the debt (£100 million) was converted to an "interest free loan" in April last year: that does not suggest to me that the arrangements are purely commerial and the natural assumption is that the debt is owed to other companies or investors who are part of the same group. Effectively it pays money to itself with another hat on: and this allows it to avoid tax. It extracts money from the company, and that leaves very little for the ostensible purpose of the enterprise: which is looking after vulnerable people.
The care homes are supposed to be monitored and regulated by government oversight agencies: in this case the Care Quality Commission. This body is useless, as so many of them are. It is a "paper generator". It has neither the staff nor the funding to do a proper job: and it does not even see a problem with that, if the interview with the top banana I heard a few months ago is to be believed: she said that a "paper review system" is more than adequate to ensure good standards of patient care and safety (she was talking about the general system, not about this particular case, but the point stands). It is really touching how naive these folk are.
But even if that were true (which it isn't) Winterbourne was reported to the CQC by "whistleblowers" more than once. They were ignored and I am led to wonder if they were the reason Panorama decided to investigate in the first place. I don't know. But it seems that those who exercise the relatively new legal protections to report abuse are wasting their time.
The linked article notes that Castlebeck has launched an internal investigation, as well as closing the hospital: so that is all right then? No. Southern Cross has been found to allow appalling neglect and abuse in some of its homes in the past. They, too, launched internal enquiries: no staff or managers appear to have been disciplined n any way. "Lessons were learned" though: so we need not have any further concern.
According to Private Eye the CQC had reacted to at least one "whistleblower" who drew attention to the dreadful conditions and care in one of Southern Cross's homes. Their report records poor staff training; lack of equipment; and the fact that residents had to wait till lunch time to be washed and dressed. This apparently means there were no major shortcomings, and the home was given an "adequate" care rating. Adequate is not good: but it does not result in closure nor any effective demand for improvement which can be enforced as a matter of urgency. Private Eye notes that a fifth of Southern Cross's homes are rated "poor" or "adequate": one shudders to think of what "poor" means in light of what passes for "adequate".
These homes get their money from the Local Authority, mostly, as noted in earlier posts. This case may not be typical but I think it is telling:
First: this is the web page for St Michael's View care home in South Shields.
www.carehome.co.uk/carehome.cfm/searchazref/20004504BAMA It looks nice, doesn't it ? It offers both residential and respite care and I was pleased to see that, in the case of respite, "carers' skills allow them to take on palliative requirements, being experienced in the sensitive situations families face at such times." If I were looking for a care home for a relative in that area I would go and see that one, probably. The facilities are good, and sound like just what i might be looking for.
QUOTE
Single Rooms: 62 Shared Rooms: 1 Rooms with ensuite WC: 28
Facilities & Services: Palliative Care • Respite Care / Holidays • Seperate EMI Unit • Pets by arrangement • Smoking not permitted • Close to Local shops • Near Public Transport • Wheelchair access • Ground Floor Accommodation only • Gardens for residents • Bar/Cafe on premises • Phone Point in own room/Mobile • Television point in own room
Of course I would be aware of the fact that homes are rated by the CQC so I would look for that and the website helps me out:
QUOTE
CQC* Star Rating: Suspended (0=Poor, 1=Adequate, 2=Good, 3=Excellent) read more about CQC ratings
Due to a change in legislation, CQC stopped awarding quality ratings under the Care Standards Act from July 2010.
Ratings are shown for historical purposes
I don't know about you, but as I read that it seemed that the rating was "suspended". There is a link which explains further. But the rating is immediately followed by a sentence which explains that CQC stopped issuing ratings due to a a legal change: and there is a clear implication that they no longer can tell me much. Indeed I think it tends to imply that "suspended" refers to that, rather than to it being a rating in itself. But there is a link. I am not sure that everyone who is old enough to be looking for a care facility, eg for a spouse, is likely to be all that computer savvy, and I think this is an active discouragement for them to click: but I clicked on the basis of "caveat emptor". This is what it says:
QUOTE
Services with 'suspended rating'
These are services that are not meeting the required standards for a regulated service. CQC have sent them a legal notice stating that we propose to cancel their registration. Services have the right to make an appeal against our proposals to the Care Standards Tribunal. If the tribunal uphold the decision, then the care service will close and we will remove all the service details (name, address etc) from the CQC website.
Ask yourself if that is what you expected from the way the site presents that information? Caveat emptor indeed. I can see no other explanation for this than that they set out to mislead, while telling no outright lies. Implicature matters, IMHO.
So why are they rated as "suspended"? Here is a clue.
www.thenorthernecho.co.uk/news/8106...s_at_care_home/The local authority has paid £1 million pounds a year to buy care from this home.
Privatisation: cheaper, more efficient......and deadly
Edited by FionaK - 22/6/2011, 23:58