Challenging behaviour by Ian stables https://padlet.com/istables1/53dbj3ehvftw Please share your experience of challenging behaviour en-us 2017-09-13 13:01:26 UTC 2025-10-25 02:30:31 UTC hello@padlet.com Winterbourne View https://padlet.com/istables1/53dbj3ehvftw/wish/192031698 This documentary was very difficult to watch showing abuse and assault on many levels. Staff did not follow policies, guidelines and care plans for the correct management of challenging behaviour (CB) resorting to inappropriate, lengthy and dangerous restraint for almost everything.  Instead of putting in place strategies for example  managing Simon's close contact of people this was used as a reason to assault him. The only CB i saw was when a patient threw an item at a staff member due to staff escalating and provoking the behaviour and forcefully taking a patient out of their bed.  On two occasions items were taken away causing anxiety for the patient(s). 
Power, control, physical and emotional assault and punishment were used to manage the patients. Often the staff would carry out a "game" which resulted in the patient being hurt and ridiculed or placed in somewhere they were scared of.
 Meaningful activity was minimum and when activities did happen they were not individualised to the patient. 
Despite concerns being raised on several occasions to management and the Care Quality Commission nothing was done with senior staff members witnessing the abuse and ignoring it.
I was angry and saddened that this happened in the first place, in my opinion the staff were the ones displaying CB. ]]> 2017-09-28 12:34:30 UTC https://padlet.com/istables1/53dbj3ehvftw/wish/192031698 The documentary is so difficult to watch, it brought tears to my eyes and I found it so hard to watch, the staff were not trained in any aspect of caring for those with a learning disability, the senior staff those who lead by example were in fact the ring leaders and showed no remorse towards their actions. I did not witness one safe restraint nor did I see any valid reason why any of the restraints were used, the situations we saw were abuse and not restraint techniques. https://padlet.com/istables1/53dbj3ehvftw/wish/192923976 There was no structure to the patients day, no activities suited to individual needs, no respect for individuals needs wants or desires, no praise no redirection. I just cannot believe that adults who were employed to take care of these individuals were allowed to treat them so inhumanly. Its sickening. ]]> 2017-10-02 10:58:57 UTC https://padlet.com/istables1/53dbj3ehvftw/wish/192923976 Winterbourne View https://padlet.com/istables1/53dbj3ehvftw/wish/193654713 This documentary was very difficult to watch it made me cry watching these individuals be treated so horrible in this day and age. The staff were not trained in any aspect of care whatsoever. There were no interaction with the individuals at all unless it was the staff using them as there entertainment by physically and mentally abusing them. There were also no management strategies to prevent any challenging behaviour it was only a straight restraint to the floor and no reasonable explanation for it at all.
These individuals had no structure, routine or predictability at all in there day to day activities there were no meaningful activity for the individuals either. 
The parents were not allowed in to the individuals personal space either ie: their rooms which is also wrong because that is where their family live.
I think its disgusting as well that a former employer made a complaint as well and this was also misjudged and not looked into properly at all. Made me feel so angry and very sad.]]> 2017-10-03 21:12:15 UTC https://padlet.com/istables1/53dbj3ehvftw/wish/193654713 Winterbourne View https://padlet.com/istables1/53dbj3ehvftw/wish/193664986 Just finished watching the Winterbourne View Panorama documentary which was very difficult and distressing to watch such sickening abuse and assaults on vulnerable patients. Staff carrying out the abuse were completely out of control, had no interest in ‘caring’ for their patients and only seemed interested in using patients for their own entertainment. 

Staff members continually escalated situations and provoked reactions from patients throughout the footage. Patients were abused and attacked by a particular group of staff members who appeared to dismiss any use of policies and procedures required for their role as support workers, to carry out basic care and to use formal management strategies to support patients who presented challenging behaviours. Patients were physically and mentally abused as a result and restraint was commonly used as a first resort.

There was no consideration, dignity or respect for patient’s individual needs. Patients on the ward required and should have been receiving therapeutic care from staff, however no patient seemed to have any structure to their day and had no opportunities for meaningful interactions or engagement at all. 

It was heart-wrenching to see such extreme abuse on vulnerable people and see their family members watch how their son/daughter were being so cruelly treated. It was also incredibly frustrating how the abuse was reported by a senior nurse prior to the documentary was overlooked by the care quality commission who failed to investigate.]]> 2017-10-03 22:20:58 UTC https://padlet.com/istables1/53dbj3ehvftw/wish/193664986 I have seen this before, and it doesn't get any easier to watch. It is easy to watch this and immediately attribute blame and hatred towards the staff who's faces were visible and named. But this is so much more. It is a perfect example of a systematic failure by a regulatory body to properly and timeously investigate complaints of abuse and to ensure that they have efficient working processes for investigating these complaints. It is the failure of a company to ensure that staff are properly vetted, trained and investigated. I do not agree that the staff members who did not directly abuse the patients had the privilege of anonymity. Every single person who stood by and did not report this torture should be held accountable to some degree. You have to ask yourself how evil and abusive bullies were able to thrive in this environment in the first place. Even if they did not assist in the abuse, the failure of other members of staff and management to intervene (even if this meant reporting the abuse0 and investigate allegations through immediate suspension still condones their behaviour. It is our job as nurses to speak up for those who cannot. I agree with a previous post that the only real challenging behaviour I saw was from the staff. https://padlet.com/istables1/53dbj3ehvftw/wish/193868587 2017-10-04 14:05:27 UTC https://padlet.com/istables1/53dbj3ehvftw/wish/193868587 Winterbourne view https://padlet.com/istables1/53dbj3ehvftw/wish/195247812 Thank you for posting these really insightful comments. I appreciate this is a video that is very difficult to watch and can provoke some very unpleasant emotions.

Its interesting to see how you immediately note that there were no positive or meaningful engagement within the interactions. Only provocation to escalate a situation to engage in punitive practice. A situation instigated not by the service user but by those supposed to be providing care and support.

I think it is important to remember that this was not that long ago and the potential for punitive practice is sadly still possible (even though the evidence base shows its ineffective and people should fundamentally know better). I hope this also demonstrated to you how ineffective punitive practice is in terms of behaviour management. Some of the treatment experienced by these service users was pretty extreme. Did it stop them engaging in the 'problem' behaviour?

You are also right in your statements that whistle blowing in this instance should have been listened to by the organisation but also the appropriate governing bodies. In practice it is your responsibility to report poor or abusive practice.

How do you think the parents/siblings/responsible person may have felt knowing they have put trust in a service and as a result a loved one was treated in such a manner? Do you think this is likely to impact on future relationships with services? How might this affect the service users ability to develop therapeutic reationships in the future with health professionals and as a result how might this impact on their ability to access healthcare?

Can i also ask that you add your names to your padlet postings please. Thanks for posting!

James

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