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CQC inspection reports for acute NHS trusts: Are there relationships between the comments in inspection reports regarding people with learning disabilities and CQC hospital/trust ratings?

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CQC inspection reports for acute NHS trusts: Are there relationships between the comments in inspection reports regarding people with learning disabilities and CQC hospital/trust ratings? / Baines, Susannah; Hatton, Chris.
In: Tizard Learning Disability Review, Vol. 23, No. 1, 02.01.2018, p. 56-62.

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@article{7f4372fbaa9b49ccb2d5ac86b47e1435,
title = "CQC inspection reports for acute NHS trusts: Are there relationships between the comments in inspection reports regarding people with learning disabilities and CQC hospital/trust ratings?",
abstract = "Purpose - People with learning disabilities are at risk of poor health and premature death. Due to these inequalities, NHS trusts are required to make reasonable adjustments to their care, such as longer appointment times, with the legal duty on them being “anticipatory”. The paper aims to discuss these issues. Design/methodology/approach - Secondary analysis of CQC acute hospital inspection reports asking the following research questions: Do CQC inspection reports mention people with learning disabilities? Where issues concerning people with learning disabilities are reported in CQC hospital inspection reports, what issues and reasonable adjustments are reported? Are there any relationships between comments made in the inspection reports and CQC ratings of the trusts? Findings - In total, 29 of the 30 trust-wide inspection reports (97 per cent) and 58 of the 61 specific site reports (95 per cent) included at least one mention of people with learning disability/ies. Most comments about practices for people with learning disabilities were positive across all CQC inspection output types and across all CQC overall ratings, although the proportion of positive comments decreased and the proportion of negative comments increased as CQC ratings became less positive. Research limitations/implications - Overall the authors found that CQC inspection reports routinely contained some information regarding how well the hospitals were working for people with learning disabilities. The depth of information in reports varied across trusts, with the potential for CQC reports to more consistently report information collected during inspections. Originality/value - The report updates and extends a report published by the Public Health England Learning Disabilities Observatory in 2015.",
keywords = "Acute hospitals, CQC, CQC inspection reports, Hospital trusts, Learning disabilities, Reasonable adjustments",
author = "Susannah Baines and Chris Hatton",
note = "This article is (c) Emerald Group Publishing and permission has been granted for this version to appear here. Emerald does not grant permission for this article to be further copied/distributed or hosted elsewhere without the express permission from Emerald Group Publishing Limited. ",
year = "2018",
month = jan,
day = "2",
doi = "10.1108/TLDR-10-2017-0039",
language = "English",
volume = "23",
pages = "56--62",
journal = "Tizard Learning Disability Review",
issn = "1359-5474",
publisher = "Emerald Group Publishing Ltd",
number = "1",

}

RIS

TY - JOUR

T1 - CQC inspection reports for acute NHS trusts

T2 - Are there relationships between the comments in inspection reports regarding people with learning disabilities and CQC hospital/trust ratings?

AU - Baines, Susannah

AU - Hatton, Chris

N1 - This article is (c) Emerald Group Publishing and permission has been granted for this version to appear here. Emerald does not grant permission for this article to be further copied/distributed or hosted elsewhere without the express permission from Emerald Group Publishing Limited.

PY - 2018/1/2

Y1 - 2018/1/2

N2 - Purpose - People with learning disabilities are at risk of poor health and premature death. Due to these inequalities, NHS trusts are required to make reasonable adjustments to their care, such as longer appointment times, with the legal duty on them being “anticipatory”. The paper aims to discuss these issues. Design/methodology/approach - Secondary analysis of CQC acute hospital inspection reports asking the following research questions: Do CQC inspection reports mention people with learning disabilities? Where issues concerning people with learning disabilities are reported in CQC hospital inspection reports, what issues and reasonable adjustments are reported? Are there any relationships between comments made in the inspection reports and CQC ratings of the trusts? Findings - In total, 29 of the 30 trust-wide inspection reports (97 per cent) and 58 of the 61 specific site reports (95 per cent) included at least one mention of people with learning disability/ies. Most comments about practices for people with learning disabilities were positive across all CQC inspection output types and across all CQC overall ratings, although the proportion of positive comments decreased and the proportion of negative comments increased as CQC ratings became less positive. Research limitations/implications - Overall the authors found that CQC inspection reports routinely contained some information regarding how well the hospitals were working for people with learning disabilities. The depth of information in reports varied across trusts, with the potential for CQC reports to more consistently report information collected during inspections. Originality/value - The report updates and extends a report published by the Public Health England Learning Disabilities Observatory in 2015.

AB - Purpose - People with learning disabilities are at risk of poor health and premature death. Due to these inequalities, NHS trusts are required to make reasonable adjustments to their care, such as longer appointment times, with the legal duty on them being “anticipatory”. The paper aims to discuss these issues. Design/methodology/approach - Secondary analysis of CQC acute hospital inspection reports asking the following research questions: Do CQC inspection reports mention people with learning disabilities? Where issues concerning people with learning disabilities are reported in CQC hospital inspection reports, what issues and reasonable adjustments are reported? Are there any relationships between comments made in the inspection reports and CQC ratings of the trusts? Findings - In total, 29 of the 30 trust-wide inspection reports (97 per cent) and 58 of the 61 specific site reports (95 per cent) included at least one mention of people with learning disability/ies. Most comments about practices for people with learning disabilities were positive across all CQC inspection output types and across all CQC overall ratings, although the proportion of positive comments decreased and the proportion of negative comments increased as CQC ratings became less positive. Research limitations/implications - Overall the authors found that CQC inspection reports routinely contained some information regarding how well the hospitals were working for people with learning disabilities. The depth of information in reports varied across trusts, with the potential for CQC reports to more consistently report information collected during inspections. Originality/value - The report updates and extends a report published by the Public Health England Learning Disabilities Observatory in 2015.

KW - Acute hospitals

KW - CQC

KW - CQC inspection reports

KW - Hospital trusts

KW - Learning disabilities

KW - Reasonable adjustments

U2 - 10.1108/TLDR-10-2017-0039

DO - 10.1108/TLDR-10-2017-0039

M3 - Journal article

AN - SCOPUS:85037819951

VL - 23

SP - 56

EP - 62

JO - Tizard Learning Disability Review

JF - Tizard Learning Disability Review

SN - 1359-5474

IS - 1

ER -