:01:26. > :01:36.This programme contains some scenes which some viewers may find
:01:36. > :01:39.
:01:39. > :01:41.upsetting. This is Winterbourne View - once a private hospital near
:01:41. > :01:45.Bristol, that claimed to care... Now, notorious for the abuse of
:01:45. > :01:48.some of the most vulnerable people in society. It took an undercover
:01:48. > :01:51.Panorama investigation to expose the ugly truth... ..that showed,
:01:51. > :01:55.two of the patients, Simone... ..and Simon, facing some of the
:01:55. > :01:59.most disturbing abuse. Sadly, this is not specific to
:01:59. > :02:02.Winterbourne View. This is happening in many, many other care
:02:02. > :02:07.homes. Tonight, with exclusive access to their records, we reveal
:02:07. > :02:13.the mistreatment they've faced elsewhere in the care system.
:02:13. > :02:16.though this isn't the same as Winterbourne View, it's still wrong.
:02:16. > :02:26.And we reveal the trainer who eyewitnesses say advised, if all
:02:26. > :02:26.
:02:26. > :02:30.else fails, bring down a patient with a kick. If a person was too
:02:30. > :02:33.big to put on the floor to restrain, to kick them in the balls. Tonight,
:02:33. > :02:43.Panorama asks, have we really learnt from the hospital that
:02:43. > :02:52.
:02:52. > :02:56.Are you filming? Simon has moderate learning disabilities. Please be
:02:56. > :03:00.nice to my mum. Be nice to your mum? OK. Yes. And the dog. In some
:03:00. > :03:05.ways he's like a child. In other ways, Simon's like any 38-year-old.
:03:05. > :03:14.You have a visitor. Ah, a visitor. With support, he now lives just a
:03:14. > :03:18.short distance from his mother, Ann. This is the cameraman. I know he is.
:03:18. > :03:22.You all right? OK. I have got some heavy blocks and things, I thought
:03:22. > :03:24.you might help... Yeah. But a year and a half ago, life was very
:03:24. > :03:27.different. He was locked in a secure hospital... Winterbourne
:03:27. > :03:31.View, near Bristol. Gently, gently Only now is he telling his family
:03:32. > :03:39.all that happened there. Simon, please pull your trousers up, mate.
:03:39. > :03:42.They would put him in a cold shower. Let go when you're asked. What was
:03:42. > :03:46.that for? They would put his head down the toilet, they would
:03:46. > :03:52.physically hit him. Let go when you are asked. Look, look - this is how.
:03:52. > :03:55.Ow! Ow! ..and restrain him. stop fighting at us all! In court
:03:55. > :03:58.last week, Wayne Rogers - often the ring-leader - and ten others were
:03:58. > :04:04.sentenced for the ill-treatment and neglect of patients. He's been
:04:04. > :04:06.jailed for two years, the longest punishment handed down. The
:04:06. > :04:11.prosecutions were based entirely on secret filming by an undercover
:04:11. > :04:21.Panorama reporter. Evidence gathered during just 16 shifts with
:04:21. > :04:24.
:04:24. > :04:29.Set on an industrial estate close to the M4 near Bristol,
:04:29. > :04:33.Winterbourne View was owned by a private company,Castlebeck. But it
:04:33. > :04:43.was funded by public money. Patients here were out of sight,
:04:43. > :04:48.That's the conclusion of Margaret Flynn, the joint author of the most
:04:48. > :04:51.in-depth report into the abuse at Winterbourne View. After it closed,
:04:51. > :05:00.she spoke to former patients, changing their names to protect
:05:00. > :05:10.Patients were traumatised, in places where we should be most safe
:05:10. > :05:17.
:05:17. > :05:21.- in our bedrooms and in our One former patient whose fictional
:05:21. > :05:24.name is Tom has been so distressed, he has ceased to use a toilet, he's
:05:24. > :05:34.urinating in cups because he was so terrified of what happened to him
:05:34. > :05:46.
:05:46. > :05:51.when he used his own bathroom and This is the care home which Simon
:05:51. > :05:57.moved into when he was 18. He's happy here. He's where his family
:05:57. > :06:03.have always wanted him to be, near them. So how did he end up at
:06:03. > :06:07.Winterbourne View? Simon had for Winterbourne View? Simon had for
:06:07. > :06:11.some time been exhibiting, er, a more disturbed sort of behaviour.
:06:11. > :06:18.And the care home where he was and had been for many years had put on
:06:18. > :06:23.additional staff to cope. The care home estimated it needed an extra
:06:23. > :06:25.�600 a week to pay for the staff Simon needed at busy times. Before
:06:26. > :06:32.the local council, Wiltshire, made a decision on funding, doctors were
:06:32. > :06:35.asked to assess Simon. But not at home, in a hospital. When we
:06:35. > :06:41.questioned that, they told us that they would actually section Simon
:06:41. > :06:51.if we didn't agree to it. They would literally come along with an
:06:51. > :07:00.
:07:00. > :07:04.Wiltshire NHS and council say people aren't deprived of their
:07:04. > :07:07.liberty under the Mental Health Act, as a threat. It's only ever done on
:07:07. > :07:12.clinical need. For years the national policy has been for people
:07:12. > :07:18.with learning disabilities to be cared for in the community. That
:07:18. > :07:21.care is bought by commissioners on behalf of councils and the NHS.
:07:21. > :07:24.are you, Simon, are you all right? Fine. But when it comes to
:07:24. > :07:28.challenging behaviour, experts say hospitals, that should be the last
:07:28. > :07:31.resort, are used too frequently. Our contact with the families
:07:31. > :07:38.confirmed that had there been some some assistance for their daughters
:07:38. > :07:40.and sons when they were living in the community. Just a little bit
:07:41. > :07:48.more help, then they could have managed and they could have
:07:48. > :07:53.Simon's mother was told his assessment wouldn't be long just
:07:53. > :07:56.three to six months. But it's not uncommon for people with learning
:07:56. > :08:03.disabilities, who end up in hospital, to be there for between
:08:03. > :08:07.five and seven years. Critics call it warehousing. Simon's family felt
:08:08. > :08:12.they were left with no choice. The next stop for him would be a
:08:12. > :08:17.hospital. But before he arrived here at Winterbourne View, he was
:08:17. > :08:22.sent to two other hospitals first. This is the untold story of a
:08:22. > :08:25.journey that Simon never wanted to take. After 16 years in one care
:08:25. > :08:32.home, Simon found himself being moved from locked hospital to
:08:32. > :08:34.locked hospital. His behaviour deteriorated. For the first time he
:08:34. > :08:41.was being physically restrained regularly - at times for something
:08:41. > :08:47.like trying to hug. And doctors now described him as dangerous. What do
:08:47. > :08:49.you think about that shift in how Simon was viewed? It's really hard
:08:49. > :08:56.to understand how professional people actually never questioned
:08:56. > :09:03.whether it was something they were doing. It was always assumed that
:09:03. > :09:06.it was Simon's behaviour that was causing the problems. Sue Armstrong
:09:06. > :09:13.is an advocate who speaks on behalf of people who find it hard to
:09:13. > :09:19.communicate, like Simon. She now runs her own team of advocates, but
:09:19. > :09:23.in 2009, worked in Wiltshire. Sue was asked to see Simon by his
:09:23. > :09:28.mother. He thought he was being punished, he thought he'd been
:09:28. > :09:36.naughty, in his words. He thought that he'd been taken away from his
:09:36. > :09:41.family and his friends. He was leading a very solitary life.
:09:41. > :09:44.had now been away from his home for nine months. He was at his second
:09:44. > :09:48.Wiltshire hospital Postern House, run by the NHS. It's where Sue
:09:48. > :09:58.visited him. And he told her something worrying. He said he'd
:09:58. > :10:04.
:10:04. > :10:09.He told me straight away that he'd been hit and he was pointing to his
:10:09. > :10:16.head and pointing to his body. I said, "Simon, who's hit you?" And
:10:16. > :10:19.he told me the name of the staff member. And he said it wasn't the
:10:19. > :10:22.first time. Panorama has obtained records and notes that give us an
:10:22. > :10:26.extraordinary insight into Simon's journey through the system. And
:10:26. > :10:31.they reveal what happened at Postern. To our surprise, it also
:10:32. > :10:34.showed how little his family were told. We've been through some of
:10:35. > :10:44.Simon's papers at Postern House and we're aware of three allegations of
:10:45. > :10:46.
:10:46. > :10:49.mistreatment. And one worrying injury to Simon. One that Simon had
:10:49. > :10:51.been frogmarched with his arm behind his back to his room,
:10:51. > :10:59.another where he was being restrained inappropriately with
:10:59. > :11:03.someone lying across his chest, and a third incident. Then in addition
:11:03. > :11:07.to that, there was where he had the cut on his head - were you actually
:11:07. > :11:10.told about what happened? No, no - the only one that subsequently came
:11:10. > :11:17.to light after Sue, the advocate, made her investigations was the one
:11:17. > :11:20.where Simon was restrained on the floor. I had no idea about the
:11:20. > :11:25.others, absolutely none. So no-one told you? No-one told us nobody
:11:25. > :11:30.informed us, I did not realise it was that bad. Sue wanted an
:11:30. > :11:33.investigation into whether Simon had been hit and into the injury.
:11:33. > :11:37.There was a meeting at Postern House. Despite being Simon's
:11:37. > :11:42.advocate, she wasn't invited, neither was his family. And within
:11:42. > :11:51.days, Simon was moved to Winterbourne View. As I'm standing
:11:51. > :11:53.back here now, I feel choked. I felt that they whisked him away to
:11:53. > :12:03.Winterbourne View to try and deflect the investigation into
:12:03. > :12:06.
:12:06. > :12:08.Postern. And had that happened, then he may never have gone to
:12:08. > :12:17.Winterbourne View, and what must have been so frightening may not
:12:17. > :12:20.have happened. That was January 2010. His family may not have known,
:12:20. > :12:24.but Simon's notes show two people were disciplined over the first two
:12:24. > :12:27.incidents. Now, Wiltshire Council examined the third - and the cut to
:12:28. > :12:32.Simon's head. It meant questioning him at Winterbourne View. The
:12:32. > :12:36.interview notes make particularly interesting reading for his mother.
:12:36. > :12:46.I have got Simon Tovey and... you note who was supporting him?
:12:46. > :12:51.
:12:51. > :12:54.Yes - Wayne Rogers... ..who was one of the main ring leaders in
:12:54. > :12:59.Winterbourne View. Later, our secret filming would show Wayne
:12:59. > :13:03.Rogers targeting Simon, often. Wayne! For many people with
:13:03. > :13:08.learning disabilities, like Simon, telling a clear story can be hard.
:13:08. > :13:10.Simon... Yeah. Stand up, please. Others may not have known, but he
:13:10. > :13:14.was being asked about possible abuse, with his current abuser
:13:14. > :13:18.close-by. After the interview, it was decided there wasn't enough
:13:18. > :13:20.evidence of an offence. Both Wiltshire Council and Ridgeway
:13:20. > :13:22.Partnership, the NHS trust that runs Postern, say the incidents
:13:23. > :13:30.were investigated thoroughly, and can't be compared to Winterbourne
:13:30. > :13:37.View. A year after that meeting, our undercover reporter Joe Casey
:13:37. > :13:40.started at Winterbourne View as a support worker. Part of the
:13:40. > :13:45.training was three days' instruction on how to cope with
:13:45. > :13:55.patients when they're physically challenging. New recruits were
:13:55. > :14:01.
:14:01. > :14:04.taught by the company's own trainer. Andrew Norton was certified to
:14:04. > :14:14.teach a technique known as Maybo. The aim is to re-direct patients in
:14:14. > :14:31.
:14:31. > :14:34.a way that avoids physical restraint. But three former staff,
:14:34. > :14:37.who went to different sessions, told us he also gave advice not in
:14:37. > :14:42.any handbook. One was Terry Bryan, the nurse who blew the whistle on
:14:42. > :14:46.the abuse at Winterbourne View. Andy said that, if a person was too
:14:46. > :14:53.big to put on the floor to restrain, to kick them in the balls to get
:14:53. > :14:57.them there. I was shocked. No, I've been doing this job for 30-odd
:14:57. > :15:01.years, and first time I ever heard anything like that. Our undercover
:15:01. > :15:04.reporter wasn't told to kick patients in the groin. But we
:15:04. > :15:10.played an audio recording of the advice he was given to Margaret
:15:10. > :15:14.Flynn. If you do resort to using reasonable force, be honest about
:15:14. > :15:18.it. You've got to justify it - he was a lot bigger than me, I could
:15:18. > :15:21.not get his hands off my throat, I thought I was going to die... I
:15:21. > :15:27.tried the Maybo technique and it didn't work, and if I did nothing,
:15:27. > :15:32.I would have died. So I did this and I'll leave it up to your
:15:33. > :15:36.imagination... But you see how that covers everything? It wouldn't be
:15:37. > :15:46.just enough to write, "He had me up against the wall by my throat so I
:15:47. > :15:48.
:15:49. > :15:52.kneed him in the balls." it is almost a recipe for thuggery.
:15:52. > :15:57.know from some of the injuries sustained by patients that they had
:15:57. > :16:01.been head-butted. So, it is profoundly shocking to hear that
:16:01. > :16:11.whatever it takes his fine, and that people were trained in such
:16:11. > :16:11.
:16:11. > :16:57.Apology for the loss of subtitles for 46 seconds
:16:57. > :17:03.The company says, it has revised its training in the last year. Then,
:17:03. > :17:08.only eight team, Simone was the patient our undercover reporters
:17:08. > :17:13.saw being abused most frequently. As with Simon, her records tell a
:17:13. > :17:16.story of someone who is not being heard. A report written at
:17:16. > :17:26.Winterbourne View says she has a good relationship with this man,
:17:26. > :17:36.
:17:36. > :17:40.Wayne Rogers, who we now know Simone picks up a telephone and
:17:40. > :17:44.asks for 999. She is giggling and it is taken as a joke. She asks for
:17:44. > :17:54.Wayne to be arrested and with good reason, because this happen six
:17:54. > :17:57.
:17:57. > :18:03.She was left soaked with water outside in near-freezing
:18:03. > :18:13.temperatures. That day she was subjected to abuse over 11 hours,
:18:13. > :18:16.
:18:16. > :18:22.We do not know what the Daily care notes written by staff said about
:18:22. > :18:27.Simone that day. But we do know how are the days were described. This
:18:27. > :18:34.is Simon on March 7th, 2011. On this day, his care notes so that he
:18:34. > :18:40.has been re- directed a couple of times. -- his care notes say. And
:18:40. > :18:44.there are no management problems. It is a false record that helped to
:18:44. > :18:48.hide the abuse. The notes say that this was a good day for Simon. The
:18:48. > :18:54.snapshot survey of every hospital patient with learning disabilities
:18:54. > :19:01.in England and Wales showed one in 20, 5%, claimed they had been
:19:01. > :19:09.assaulted at least 10 times in the previous three months. Few assaults
:19:09. > :19:14.lead to prosecution. Without these pictures, would anybody have
:19:14. > :19:18.believed Simon or Simmone? The Panorama programme broadcast in May
:19:18. > :19:23.last year horrified anyone who watched. The Government says it is
:19:23. > :19:27.a shock. NHS South West says it is appalled at the secret filming.
:19:27. > :19:33.Horrendous and horrible. They were dragged by the hair, sat on, soaked
:19:33. > :19:36.in water... Change was promised. care home providers are not up to
:19:36. > :19:41.shave, they should be properly criticised and had their homes
:19:41. > :19:44.taken away from them. Winterbourne View was closed quickly and now
:19:44. > :19:48.similar homes for people with learning disabilities have been
:19:48. > :19:53.inspected. Nearly half a failed to meet necessary standards for care
:19:53. > :19:58.and safety and more problems were found in those run by private firms
:19:58. > :20:02.and voluntary organisations. The most exhaustive report into what
:20:02. > :20:08.happened was a serious case review. Vic Citarella worked on it
:20:08. > :20:15.alongside Margaret Flynn. Whichever way you look, the professionals at
:20:15. > :20:20.Winterbourne View, the nurses, the psychiatrists, let people down, and
:20:20. > :20:24.then you look at the commissioners that purchased the service.
:20:24. > :20:28.Safeguarding, they missed things and the police. Every group of
:20:28. > :20:34.professionals, every group of organisations fell down in some
:20:34. > :20:37.shape or form. That is a pretty sorry story. But the authors of the
:20:37. > :20:42.review say that a lot of responsibility for failure at
:20:42. > :20:46.Winterbourne View lies with Castlebeck. It promoted an
:20:46. > :20:51.unworkable management structure. And it acknowledged that there was
:20:51. > :20:57.limited executive oversight. We know that Castlebeck's board and
:20:57. > :21:06.chair melted away once the Panorama programme had been broadcast last
:21:06. > :21:12.year. And I am not confident that the individual's who was steering
:21:12. > :21:15.the organisation have learned the lessons other than to disappear.
:21:15. > :21:19.Castlebeck insist that the board did not melt away but was
:21:19. > :21:22.reconstituted to include more health and social care experts. It
:21:23. > :21:27.also says that once alerted, it moved swiftly to protect patients
:21:27. > :21:33.and apologise. Since then, �8 million has been put into a
:21:33. > :21:39.turnaround programme. Financially Winterbourne View was one of
:21:39. > :21:43.Castlebeck's best performers. Turnover at the 24 bed hospital was
:21:43. > :21:52.�3.7 million a year. There was an average weekly fee for patients of
:21:52. > :21:57.�3,500. At Bristol Crown Court last week, the judge described to a
:21:57. > :22:03.hospital run with profit in mind. He called it a scandalous lack of
:22:03. > :22:06.regard for residents and staff. would like you to remember that our
:22:06. > :22:11.children have suffered greatly and it will take a long time for their
:22:11. > :22:14.physical and mental scars to heal. Castlebeck denies that profit came
:22:14. > :22:19.before patient welfare and says that investors have not taken money
:22:19. > :22:23.out of the business. It also says that where possible it has provided
:22:23. > :22:26.information to the serious case review. The author is still found
:22:26. > :22:36.it difficult to discover how the public money paying the bills was
:22:36. > :22:41.
:22:41. > :22:46.We can probably best described it as no response. We thought we would
:22:46. > :22:50.explore help for areas, like how they were investing in activities
:22:50. > :22:55.and staff development and a whole raft of areas, but the door was
:22:55. > :23:01.closed on us, basically. The fact that they described the information
:23:01. > :23:07.as commercially sensitive rather suggests that profit did play a
:23:07. > :23:11.considerable part. After Panorama exposed the abuse here, Simone did
:23:11. > :23:16.not go home. She was not ready. Instead she went to another
:23:16. > :23:21.hospital. Austen house, the place that Simon and left after three
:23:21. > :23:26.complaints about his treatment and one worrying injury. -- Costa and
:23:26. > :23:29.house. For Simone's parents, it was still a 40 minute drive away but
:23:29. > :23:39.closer to home than Winterbourne View. They were pleased with some
:23:39. > :23:40.
:23:40. > :23:44.of the care. Someone was very calm, nothing. -- Simone. Then she
:23:44. > :23:52.probably got used to the environment. She was not being
:23:52. > :23:55.nasty like she was at Winterbourne View. She was quite calm. If she
:23:55. > :24:02.sat on the floor, the manager or somebody would sit on the floor
:24:02. > :24:07.with her. They would stroke her. But Simone's notes also detail the
:24:07. > :24:12.difficult days. Over four hours one morning, she was restrained in a
:24:12. > :24:17.chair 10 times and twice on the floor. Then four months ago, this
:24:17. > :24:22.letter arrived. There has been a safeguarding concern raised at
:24:22. > :24:26.Postern House. Simone is mentioned and we are in the process of
:24:26. > :24:30.looking into this to see what has happened. She continues to be safe
:24:30. > :24:40.and the concern talks about the way she was supported by staff when she
:24:40. > :24:46.was upset and agitated. We were not told what they had done wrong. We
:24:46. > :24:49.just assumed that somebody had made a wrong move. You have been left to
:24:49. > :24:59.knowing that something has happened to Simone but to do not know what
:24:59. > :25:02.
:25:02. > :25:07.It is not the same as Winterbourne View but it is still wrong.
:25:07. > :25:10.Although were told was that four members of staff had been suspended.
:25:10. > :25:13.Ridgeway Partnership who run Postern says that disciplinary
:25:13. > :25:19.action has been taken and accepts that the family should have been
:25:19. > :25:24.told more. Not a council says it has no reason to doubt that postion
:25:24. > :25:28.house provides good care. -- Postern House. Within a matter of
:25:28. > :25:33.weeks, Simone was moved and her parents were not told when she was
:25:33. > :25:38.moving even though they asked. you have any idea why the decision
:25:38. > :25:45.was made suddenly? Probably because she attacked two staff, on Monday
:25:45. > :25:53.and on the Wednesday. This time she was taken 200 miles away to her for
:25:53. > :25:58.a hospital in two years. -- 4th hospital. We were mad because we
:25:58. > :26:02.did not get to see our daughter or say goodbye before she left.
:26:02. > :26:08.the journey her parents are making now is not to see her. The AA Tower
:26:08. > :26:13.round trip is too much for them. -- the eight hour round trip. They
:26:13. > :26:20.cannot see her. We used to visit three times a week. Now we do not
:26:20. > :26:23.see her. It is not very nice not to see your child. Instead they have
:26:23. > :26:33.been to Postern House again to collect the possessions that Simone
:26:33. > :26:34.
:26:34. > :26:41.left behind. We always thought that one day we would pick her up and
:26:41. > :26:46.her staff. Now we have ended up picking up her things and not her.
:26:46. > :26:49.All they have been able to bring home, boxes and bags. Ridgeway
:26:49. > :26:58.Partnership says that it deeply regrets that the family were not
:26:58. > :27:02.able to say goodbye to their daughter. Panorama has learnt that
:27:02. > :27:07.including Simone, at least 19 of the 51 former Winterbourne View
:27:07. > :27:10.patients have had further alerts over their safety since leaving.
:27:10. > :27:14.Not all alerts will mean that somebody has been harmed, but we
:27:14. > :27:20.know at least one patient has been assaulted and in the second case
:27:20. > :27:27.there is a criminal investigation. Also like Simone, just under half
:27:27. > :27:32.of the patients remain in hospital. If nothing else results from the
:27:32. > :27:37.scandal of Winterbourne View Hospital, I very much hope that it
:27:37. > :27:42.is scrutiny of a practice that moves people around as though they
:27:42. > :27:49.are pawns. We can and should be doing something so much better than
:27:49. > :27:57.placing people in units that we do not know what it is that they can
:27:57. > :28:00.reliably deliver. Most people with learning difficulties, like these
:28:00. > :28:06.volunteers on a gardening project, lead busy lives in their
:28:06. > :28:11.communities. But it is estimated that 1500 people in England with
:28:11. > :28:14.challenging behaviour are currently in hospitals. Campaigners say that
:28:14. > :28:20.if there is to be real change after Winterbourne View, then the
:28:20. > :28:24.Government needs to do more than give guidance. What we need is the
:28:24. > :28:28.Department of Health to say thou shalt not. We will close these over
:28:28. > :28:34.a period of time and each local authority will look at how it can
:28:34. > :28:36.make its local provision work, together with local health services.
:28:36. > :28:40.The Government says it is intolerable that people spend so
:28:40. > :28:48.long in such hospitals and it will publish its plans for change
:28:48. > :28:54.shortly. For now, Simone is a long way from her family home. Her only