York Court - Adult Safeguarding

Steve Tennison made this Freedom of Information request to Wandsworth Borough Council

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The request was partially successful.

Dear Wandsworth Borough Council,

York Court Nursing Home has now closed and this was following a serious service level safeguarding investigation (started June 14) and an embargo instigated by Wandsworth Council for new admissions.

Please can I have an in-depth update regarding the findings of this service level safeguarding investigation? Specifically:

How many people were found to be mistreated by staff at York Court?
Where staff found to be culpable for any of the safeguarding alerts?
Where any specific, or the general service level safeguarding, aimed towards specific staff members or management?
Why does the council not consider their findings to constitute institutional abuse?

Yours faithfully,

Steve Tennison

Freedom Of Information, Wandsworth Borough Council

Request for Information - 2016/13616 - York Court - Adult Safeguarding

 

Thank you for your request for information received on 09/09/2016.

 

This will be processed in accordance with the appropriate access to
information regime.

 

Regards

 

Corporate Support and Information Team

[1][Wandsworth Borough Council request email]

 

IMPORTANT:
Confidentiality: This email and its attachments are intended for the above
named only and may be confidential. If they have come to you in error you
must take no action based on them, nor must you copy or show them to
anyone. Please reply to this email and highlight the error.

Please visit the Council's website at: [2]www.wandsworth.gov.uk

References

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1. mailto:[Wandsworth Borough Council request email]
2. http://www.wandsworth.gov.uk/

Freedom Of Information, Wandsworth Borough Council

Request for Information - 2016/13616 - York Court - Adult Safeguarding

 

I refer to your request for information received on 09/09/2016.  Please
see the information below in response to your request: -

 

Please can I have an in-depth update regarding the findings of the serious
service level safeguarding investigation? Specifically:

The provider concerns meetings addressed the overall institutional
concerns, and individual safeguarding enquiries were conducted separately.

How many people were found to be mistreated by staff at York Court?

                There were 5 substantiated abuse outcomes and appropriate
actions were taken in all these cases.

Where staff found to be culpable for any of the safeguarding alerts?

                Actions were taken by the provider in relation to staff
performance (which was their direct responsibility) and in relation to
systems.  

Where any specific, or the general service level safeguarding, aimed
towards specific staff members or management?

                The provider concerns actions related to the overall
service.

Why does the council not consider their findings to constitute
institutional abuse?

        The concerns were considered to amount to institutional abuse,
hence the commencement of provider concerns actions.

 

I hope this information meets your needs. If you do not understand the
information provided or wish to discuss anything further, please feel free
to contact me and I, or another member of the team will be able to assist
you.

 

Please note, all material provided by Wandsworth Council in response to
your request for information is for your personal, non-commercial use.
Wandsworth Council reserves all rights in the copyright of the information
provided. Any unauthorised copying or adaptation of the information
without express written confirmation from Wandsworth Council may
constitute an infringement of copyright. Any intention to re-use this
information commercially may require consent. Please forward any requests
for re-use of information to the FOI officer.

 

If you are dissatisfied with the information provided in relation to your
request you may make representations to the Chief Executive. 
Correspondence should be addressed to: 

 

Room 149, Wandsworth Town Hall, Wandsworth High Street, London, SW18 2PU.

 

If you are not content with the outcome of the internal review, you have
the right to apply directly to the Information Commissioner for a
decision.  The Information Commissioner can be contacted at: 

 

Information Commissioner's Office, Wycliffe House, Water Lane, Wilmslow,
Cheshire, SK9 5AF.

 

 

Regards

Maxine Lynch

FOI and DPA Team

[1][Wandsworth Borough Council request email]

 

 

show quoted sections

Dear Freedom Of Information,

Please can I have an in-depth update regarding the findings of the serious
service level safeguarding investigation? Specifically:
The provider concerns meetings addressed the overall institutional
concerns, and individual safeguarding enquiries were conducted separately.
How did the provider concerns meetings specifically address concerns and what actions were taken?
I believe approx 37 safeguarding alerts were raised at York Court - how many of those were substantiated?
How many of the 37 were related to institutional abuse?
What was the LAs outcome to their own serious service level investigation on York Court that started June 2014? But when did it end , and what was concluded?
There were many witnesses who alerted abuse and neglect at York Court hence the 56 complaints to the CQC alone - how many witnesses were included in that LA investigation that started in June 2014 and others?
What date did the LAs investigation conclude?
What actions did the LA take against the provider or individuals based on the findings of that investigation?
How many people were found to be mistreated by staff at York Court?
There were 5 substantiated abuse outcomes and appropriate
actions were taken in all these cases.
Please can we have the results of all 37 safeguardings raised at York Court and identify how many were against staff members and management separately?
How many outcomes of neglect or acts of omission were found at York Court by the LA?
The LA as the commissioner of this service must be aware of any outcomes taken against individual staff members to meet contractual responsibilities to the LA and its service users - so what appropriate actions were taken on each individual ?
How many of the 5 were the police included in?
and what were the police findings for each of those and the other 32 safeguardings raised at York Court?
What action was taken against each of those individuals by the LA/Police/FSHC that was found to have caused abuse - please identify each action re each anonymous individual by which authority?
Where staff found to be culpable for any of the safeguarding alerts?
Actions were taken by the provider in relation to staff
performance (which was their direct responsibility) and in relation to
systems.
Performance was not the question - safeguarding alerts was?
What specific action did FSHC and the LA take re those individuals found guilty of abuse?
Were any staff reported to the DBD? or NMC? and what was the result ?
Where any specific, or the general service level safeguarding, aimed
towards specific staff members or management?
The provider concerns actions related to the overall
service.
Above its states 5 persons were found substantiated re abuse - so what was the outcome of the overall institutional general service level safeguarding of that service?
What actions were taken by the LA re the general service level safeguarding?
and what other actions were taken re specific staff members/management culpable for the abuse and neglect and concerns raised by multiple relatives and whistleblowers amounting to 56 complaints received by just the CQC?
Why does the council not consider their findings to constitute
institutional abuse?
The concerns were considered to amount to institutional abuse,
hence the commencement of provider concerns actions.
Investigations by the LA started June 2014 when exactly did the LA decide that they considered concerns at York Court amounted to Institutional abuse ? and when did they inform the provider of this- dates please
When was the commencement of provider concern actions? and what were those specific actions?.
Please can you confirm the LAs findings of their own serious service level investigation that started June 2014 - were that York Court committed Institutional abuse? and over what period of time did that abuse occur - dates please?
How was FSHC management or named responsible person made responsible or accountable for any abuse findings at York Court that were reported by many to management, CQC, LA and CCG?

Yours sincerely,

Steve Tennison

Freedom Of Information, Wandsworth Borough Council

Request for Information - 2016/13725 - York Court - Adult Safeguarding

 

Thank you for your request for information received on 05/10/2016.

 

This will be processed in accordance with the appropriate access to
information regime.

 

Regards

 

FOI and DPA Officer

[1][Wandsworth Borough Council request email]

 

IMPORTANT:
Confidentiality: This email and its attachments are intended for the above
named only and may be confidential. If they have come to you in error you
must take no action based on them, nor must you copy or show them to
anyone. Please reply to this email and highlight the error.

Please visit the Council's website at: [2]www.wandsworth.gov.uk

References

Visible links
1. mailto:[Wandsworth Borough Council request email]
2. http://www.wandsworth.gov.uk/

Freedom Of Information, Wandsworth Borough Council

Request for Information - 2016/13725 - York Court - Adult Safeguarding

 

I refer to your request for information received on 05/10/2016.  Please
see the information below in response to your request: -

 

Please can I have an in-depth update regarding the findings of the serious
service level safeguarding investigation? Specifically:

The provider concerns meetings addressed the overall institutional
concerns, and individual safeguarding enquiries were conducted separately.

How did the provider concerns meetings specifically address concerns and
what actions were taken?

I believe approx 37 safeguarding alerts were raised at York Court - how
many of those were substantiated?

How many of the 37 were related to institutional abuse?

What was the LAs outcome to their own serious service level investigation
on York Court that started June 2014? But when did it end , and what was
concluded?

There were many witnesses who alerted abuse and neglect at York Court
hence the 56 complaints to the CQC alone - how many witnesses were
included in that LA investigation that started in June 2014 and others?

What date did the LAs investigation conclude?

What actions did the LA take against the provider or individuals based on
the findings of that investigation?

How many people were found to be mistreated by staff at York Court?

                There were 5 substantiated abuse outcomes and appropriate
actions were taken in all these cases.

Please can we have the results of all 37 safeguardings raised at York
Court and identify how many were against staff members and management
separately?

How many outcomes of neglect or acts of omission were found at York Court
by the LA?

The LA as the commissioner of this service must be aware of any outcomes
taken against individual staff members to meet contractual
responsibilities to the LA and its  service users - so what appropriate
actions were taken on each individual ?

How many of the 5 were the police included in?

and what were the police findings for each of those and the other 32
safeguardings raised at York Court?

What action was taken against each of those individuals by the
LA/Police/FSHC that was  found to have caused abuse - please identify each
action re each anonymous individual by which authority?

Where staff found to be culpable for any of the safeguarding alerts?

                Actions were taken by the provider in relation to staff
performance (which was their direct responsibility) and in relation to
systems.

Performance was not the question - safeguarding alerts was?

What specific action did FSHC and the LA take re those individuals found
guilty of abuse?

Were any staff reported to the DBD? or NMC? and what was the result ?

Where any specific, or the general service level safeguarding, aimed
towards specific staff members or management?

                The provider concerns actions related to the overall
service.

Above its states 5 persons were found substantiated re abuse - so what was
the outcome of the overall institutional general service level
safeguarding of that service?

What actions were taken by the LA re the general service level
safeguarding?

and what other actions were taken re specific staff members/management
culpable for the abuse and neglect and concerns raised by multiple
relatives and whistleblowers amounting to 56 complaints received by just
the CQC?

Why does the council not consider their findings to constitute
institutional abuse?

        The concerns were considered to amount to institutional abuse,
hence the commencement of provider concerns actions.

Investigations by the LA started June 2014 when exactly did the LA decide
that they considered concerns at York Court amounted to Institutional
abuse ? and when did they inform the provider of this- dates please When
was the commencement of provider concern actions? and what were those
specific actions?.

Please can you confirm the LAs findings of their own serious service level
investigation that started June 2014 - were that York Court committed
Institutional abuse? and over what period of time did that abuse occur -
dates please?

How was FSHC management or named responsible person made responsible or
accountable for any abuse findings at York Court that were reported by
many to management, CQC, LA and CCG?

 

In accordance with the provisions defined under section 12 of the Freedom
of Information Act 2000 we are not obliged to comply with your request as
the process of identifying, locating, retrieving and, where appropriate,
extracting the information would exceed the 'appropriate limit' as defined
by the Freedom of Information and Data Protection (Appropriate Limit and
Fees) Regulations 2004.

 

To process your request and to identify the detailed information relevant
to the questions raised above would take in excess of 18 hours.  The
Council’s Education and Social Services Department have advised that, as
this information is not held in an easily retrievable format, an officer
would need to locate, extract and collate information from 37 case records
to meet the scope of your request.  They calculate that this would take
one hour to review each file, equating to 37 officer hours.  You may wish
to revise the scope of your request in order to try and bring it within
the cost limit. 

 

I hope this information meets your needs. If you do not understand the
information provided or wish to discuss anything further, please feel free
to contact me and I, or another member of the team will be able to assist
you.

 

Please note that all material provided by Wandsworth Council in response
to your request for information is for your personal, non-commercial use.
Wandsworth Council reserves all rights in the copyright of the information
provided. Any unauthorised copying or adaptation of the information
without express written confirmation from Wandsworth Council may
constitute an infringement of copyright. Any intention to re-use this
information commercially may require consent. Please forward any requests
for re-use of information to the FOI officer.

 

If you are dissatisfied with the information provided in relation to your
request you may make representations to the Chief Executive. 
Correspondence should be addressed to: 

 

Customers and Partnerships, Room 149, Wandsworth Town Hall, Wandsworth
High Street, London, SW18 2PU.

 

If you are not content with the outcome of the internal review, you have
the right to apply directly to the Information Commissioner for a
decision.  The Information Commissioner can be contacted at: 

 

Information Commissioner's Office, Wycliffe House, Water Lane, Wilmslow,
Cheshire, SK9 5AF.

 

 

Regards

 

Sue Murray

Customers and Partnerships

Chief Executive’s Group

Serving Richmond and Wandsworth Councils

 

[1][Wandsworth Borough Council request email]

020 8871 8119

 

 

show quoted sections

Dear Freedom Of Information,

I don’t believe your responses to be factual in terms of the time it would take to supply this information.
Whilst at a meeting with the Safeguarding team, I witnessed a spreadsheet with a summary of 22 Safeguarding alerts. I therefore believe, especially as the ‘provider concerns’ were dealt with centrally that this information would be summarized in a ‘York Court’ file.
Given that I believe this information is readily available, I have summarized my questions as follows:
What ‘actions’ were taken against the 5 substantiated abuse outcomes?
The council have already inferred institutional abuse occurred at York Court. What action has been taken against FSHC in light of this, and against individuals? And on what date did the Council make the judgment institutional abuse had occurred at York Court?
What was the final outcome of the ‘provider concerns process’ that started June 2014?

Yours sincerely,

Steve Tennison

Freedom Of Information, Wandsworth Borough Council

Request for Information - 2016/13877 - York Court - Adult Safeguarding (2)

 

Thank you for your request for information received on 31/10/2016.

 

This will be processed in accordance with the appropriate access to
information regime.

 

Regards

 

FOI and DPA Officer

[1][Wandsworth Borough Council request email]

 

IMPORTANT:
Confidentiality: This email and its attachments are intended for the above
named only and may be confidential. If they have come to you in error you
must take no action based on them, nor must you copy or show them to
anyone. Please reply to this email and highlight the error.

Please visit the Council's website at: [2]www.wandsworth.gov.uk

References

Visible links
1. mailto:[Wandsworth Borough Council request email]
2. http://www.wandsworth.gov.uk/

Freedom Of Information, Wandsworth Borough Council

Request for Information - 2016/13877 - York Court - Adult Safeguarding (2)

 

I refer to your request for information received on 31/10/2016.  Please
see the information below in response to your request: -

 

What ‘actions’ were taken against the 5 substantiated abuse outcomes?

The actions resulting from the substantiated  safeguarding adults cases at
York Court involved a range of required individual care and wider service
improvements. These included requirements on improved staff reporting of
incidents, risk assessment reviews, falls procedures, individual
protection plans, revision to one-to-one support and staffing skills.

 

The Council have already inferred institutional abuse occurred at York
Court. What action has been taken against FSHC in light of this, and
against individuals?

The Local Authority is not empowered to take direct action other than
contractual against a service provider. In this regard, Four Seasons
Health Care made the decision in September 2015 to close York Court by
January 2016, and the Local Authority co-ordinated the safe transfer of
residents to alternative homes. Also, the Local Authority is not empowered
to take direct action against individual staff members and any such
actions are within the remit of other authorities.

 

And on what date did the Council make the judgment institutional abuse had
occurred at York Court?

The Local Authority initiated a provider concerns response from June 2014
and this was escalated in August 2015 due to on-going concerns.

 

What was the final outcome of the ‘provider concerns process’ that started
June 2014?

The provider concerns response included a range of required actions to
improve standards of care and safety. These included safeguarding actions
and actions relating to leadership and consistent staffing, care plans,
observation charts, medication administration, meals choice, cleanliness
of environment, recording and reporting, training, etc. A cessation of
placements was in place pending evidence of improvements and monitoring
was conducted by relevant agencies including inspections, unannounced
visits, and in the final months the input of direct staffing support. The
outcome of the provider concerns response was that satisfactory progress
had not been made and, following the decision of FSHC to close, the focus
was on ensuring the safe transfer of residents which was completed.

 

I hope this information meets your needs. If you do not understand the
information provided or wish to discuss anything further, please feel free
to contact me and I, or another member of the team will be able to assist
you.

 

Please note that all material provided by Wandsworth Council in response
to your request for information is for your personal, non-commercial use.
Wandsworth Council reserves all rights in the copyright of the information
provided. Any unauthorised copying or adaptation of the information
without express written confirmation from Wandsworth Council may
constitute an infringement of copyright. Any intention to re-use this
information commercially may require consent. Please forward any requests
for re-use of information to the FOI officer.

 

If you are dissatisfied with the information provided in relation to your
request you may make representations to the Chief Executive. 
Correspondence should be addressed to: 

 

Room 149, Wandsworth Town Hall, Wandsworth High Street, London, SW18 2PU.

 

If you are not content with the outcome of the internal review, you have
the right to apply directly to the Information Commissioner for a
decision.  The Information Commissioner can be contacted at: 

 

Information Commissioner's Office, Wycliffe House, Water Lane, Wilmslow,
Cheshire, SK9 5AF.

 

 

Regards

 

Sue Murray

Customers and Partnerships

Chief Executive’s Group

Serving Richmond and Wandsworth Councils

 

E :  [1][Wandsworth Borough Council request email]

T :  020 8871 8119

[2]www.wandsworth.gov.uk / [3]www.richmond.gov.uk

 

 

show quoted sections

Sylvia Rushbrooke left an annotation ()

The LA contrary to what is stated here can take action and do when safeguarding issues are raised as other authorities can raise and alert and the LA must look at the safeguardings alerted to them - it is clear that the LA knew of staff reported via the CQC and directly and were aware of several staff reported directly to them by me and others in relation to safeguarding aspects - I personally reported a member of staff witnessed with another person who threatened a resident with physical violence - was that member of staff investigated under safeguarding at the time the WCC will not say .....as witnesses to that physical threat to a resident - it is self evidence that witnesses to such behavior must be included in any related safeguarding investigation - if there was no investigation regarding this member of staff - why not ? safeguarding is the responsibility of all who know and have reported to the LA such matters - they can raise a safeguarding against such staff staff /persons reported to them in relation to safeguarding matters alerted to them directly or via the CQC - why is the WCC saying they cannot take action when it is common knowledge they can and it is their responsibility to do so .....the serious service level investigation from June 2014 until Dec 2015 when that home closed must have an outcome - to date the outcome has been withheld and no response from the MP Jane Ellison and Councillor Rory Obroin or the LA as to the outcome of that investigation - many relatives reported this home and its staff for many months - this home had 56 complaints to the CQC 7 whistle blowing and 37 safeguarding - the LA knows that many staff were involved in such matters and knew residents were getting unknown caused injuries - As relatives we feel this home committed institutional abuse and neglect and its high time the LA stated their findings of this home - the excuse that too many man hours are required is just an excuse the LA know what the outcome was of the serious service level investigation but no one is admitting the institutional abuse and neglect this home owned by FSHC announced it would close dec 2015 in Sep 2025 when it failed its fourth CQC inspection - seemingly closing, avoided the risk of any prosecution for breaches that are instantly prosecutable by the CQC that came into force around April 2015 - the LA have refused to date since Dec 2015 to say what the outcome was of that over a year long investigation keeping from relatives and the public their findings - why?

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