This is the reply i got to my email regarding why the CSCI seem to take so long to do anything about stopping the abuse that goes on in care homes etc, see what you think ?

Tony Image

Dear Tony

Thank you for your comments.

Our job is to improve social care and stamp out bad practice. We are determined to be more effective in doing so and we are focussing our activity on poor services more and more. The law has been changed to let us do this. Since April 2006 we have assessed all services for their quality and safety. From these assessments we have decided how often they will be inspected, and what kinds of inspection will be done. Poorer services now have more inspections than other services.

Local councils hold the lead responsibility for safeguarding of adults using care services. We work in partnership with them and other agencies to make sure that concerns or allegations of abuse are appropriately referred to and investigated by the most appropriate agency. Our statistics show that the number of communications we received about abuse in adult care services has fallen each year from 2004 - 2007. Protecting people in care services is still a priority for us and we have recently reviewed the way we work with other agencies in this area. You can read the new safeguarding adults protocol and guidance by clicking here: ... tocol.aspx

Many care services act on our recommendations but sometimes we need to take action to make sure they do what we say. In July 2006 we introduced new enforcement policy and guidance which says we will "use enforcement if the provider does not make the improvements needed within a reasonable time; or people using the service are at risk and we need to act straight away to safeguard their interests." The law has also been changed so that we can require care providers to produce an improvement plan setting out what they will do to comply with the law, and their timetable for doing so. Care providers are required to share the improvement plan with people using their service.

Our guidance has a clear process for escalation of enforcement action which includes issuing of statutory notices and cancellation of registration. A diagram showing the process can be found on page 7 of the policy] ... ement.aspx[/url]

However, we do not always take enforcement action when a provider has not met legal requirements. We have signed the central and local government Enforcement Concordat to show that we want to have good enforcement policies and procedures. One of these is proportionality, or acting in a fair and balanced way. So when we decide what action to take, we take account of the effect on people using the service and the service provider's attitude to improvement. We support providers who alert us to failings they have identified in their service. As long as the provider is addressing the failures they have identified in a reasonable way, we will not take enforcement action against them.

We are in the process of setting up enforcement teams in our regional offices so that our expertise in this area is used most effectively.

Statistics for 2006-07 show that there whilst there has been a reduction in the number of requirement notices for adult care services, there has been an increase in the more serious actions we take, that is statutory notices, urgent cancellations and prosecutions. Our annual report (2006-07) is due to be published next week and will include more detail of enforcement action taken since we changed our approach. As you will see in the attached summary of our 2007-09 corporate plan, one of our first priorities is that by 2009 people who use services will be better protected and we will continue to use enforcement to promote safe care. ... 007_09.pdf

There are national minimum standards about protection in care homes and the number of homes meeting these standards has steadily improved since 2002. Our report 'The State of Social Care in England 2005-6' reported that 74% of homes providing care for adults (18-65) and 75% of homes providing care for older people met the standards in 2005-06. In 2002-03 only 47% of care homes for adults (18-65) and 46% of care homes for older people met the standards. We continue to work with providers to increase these percentages.

If you are not currently involved in our work through the National Carers Forum, but would like to be, our user and public involvement team would like to hear from you. You can find details by clicking on the following links which will also tell you a little about the team and their work. ... views.aspx

Hopefully this is helpful. Please contact us again if you need further advice.

Yours sincerely

Deborah Sterry
Head of methodology and policy (regulation)
Quality Performance and Methods (QPM) Directorate
Commission for Social Care Inspection

Tony Rhodes ( National Carers Forum )
Date: 8/7/2007
Topic: Failure to do your job
To: The Commission for Social Care Inspection

To Whom it may Concern:

I am very interested to know how each year the cases of abuse in Carehomes continues to grow, i thought your inspectorate was there to stop poor care in carehomes, half a million cases each year and the numbers growing seem to imply your large failure in doing your job.
The exscuses you give for not closing down carehomes is just stupid, you seem to give the benefit of the doubt to the carehome rather than to the elderly person who lives in the carehome, you are meant to protect the person, not protect the owner or manager of the carehome, some of the cases of abuse are horrid, the neglect on a par with torture, that is down to your failure as an organisation to work quickly enough, i have seen cases where you have given the carehome two or three chances to put there house in order as you put it, the first suspicion of neglect or abuse should then mean you close that place down, the reason i believe you do not close down as many homes as you should is because it would put more pressure on the government to provide better care for these poor and vulnerable people, your organisation has become complacent with the abuse of elderly people who cannot defend themselves.
I look forward to your reply which i hope will show some reason for your failures to do your job.

Yours Sincerely Tony Rhodes ( National Carers Forum )