National inspection of care and support for adults with learning disabilities

The inspection looked at the quality, efficiency and safety of the care and support provided for adults with learning disabilities.

The inspection considered how good local authority social services are at achieving outcomes that matter to people. It also looked at the factors that drive good outcomes for people as well as the barriers.

Reference to ‘Care and Social Services Inspectorate Wales’ (CSSIW) in the documents on this page should be read as ‘Care Inspectorate Wales'.

What the inspection looked at

  • How well local authorities understand the need for care and support for people with learning disabilities in their areas, including support for carers and the development of preventative services.
  • The quality of the information, advice, assistance, assessment and care planning provided and how well it demonstrates a respect for people with learning disabilities as full citizens, equal in status and value to other citizens of the same age.
  • How good leaders are in delivering a clear vision for care and support for people, aimed at improving outcomes, and which has the support and involvement of partners – including people with learning disabilities and carers.

What we did

  • Carried out a national survey and self-assessment of all 22 local authority social services in Wales.
  • Worked with the All Wales Forum of Parents and Carers to facilitate a series of focus groups with parents and carers across Wales.
  • Worked with All Wales People First to help us engage productively with people with learning disabilities during the inspection.
  • Met with providers of supported accommodation for people with learning disabilities to discuss the key questions for the inspection.
  • Explored additional, relevant questions for the national inspection during our routine inspection of regulated services for people with learning disabilities.
  • Carried out detailed inspections in 6 local authorities between November 2015 and February 2016.

We worked with Healthcare Inspectorate Wales (HIW). (External link) They also carried out a national survey of local health boards and  joined us for part of the fieldwork in the 6 local authority areas.

Our findings

We have will published individual inspection reports for the local authorities included in the detailed fieldwork.  The reports outline recommendations for improvement, and the authorities will be asked to produce improvement plans.

Our all Wales report containing the key findings from the inspection series and the implications for policy and practice is available on our National and thematic report area of our website.