Serious Case Review of Winterbourne View Published
South Gloucestershire’s multi-agency Safeguarding Adults Board (SAB) has published the independent Serious Case Review into the events at the Winterbourne View private hospital.
The review was commissioned by the SAB following the disclosure last year of the abuse of adults with learning disabilities and autism at the 24-bed private hospital owned and operated by Castlebeck Ltd.
Prepared by independent adult safeguarding expert Margaret Flynn, the review shows that the abuse at Winterbourne View Hospital resulted from serious and sustained failings in the management procedures of Castlebeck Limited.
It also identifies where other organisations’ systems and procedures fell short in commissioning patient care, and in reviewing and safeguarding the wellbeing of patients before and during their stay at Winterbourne View hospital.