National Preventive Mechanism Fifth Annual Report 2013–14 mental health advocate if wanted, which it considers a potentially crucial tool in securing the rights of patients at risk of de facto detention. The findings from this work will inform the annual performance evaluations of the relevant local authorities which will be published in October 2014. are developed. CQC began to develop its frameworks for inspections of other secure settings and started to explore ways of using its enforcement powers to take forward its NPM mandate in the light of a consultation by the Department of Health on revisions to its registration regulations.27 The Care Inspectorate is a recently designated member of the NPM following an institutional merger, and has a statutory responsibility for the inspection of criminal justice social work services under the Public Service Reform (Scotland) Act 2010. It is also responsible for the inspection of offender accommodation services and secure accommodation for children and young people. During the year, the Care Inspectorate took steps to develop its approach to the scrutiny of criminal justice social work, collaborating with other bodies in Scotland, with a view to better evidencing outcomes for vulnerable people within the justice system, strengthening public assurance and protection and reflecting emerging national policy changes. Criminal Justice Inspectorate Northern Ireland (CJINI) published an inspection report in December 2013 on Monitoring of Progress on Implementation of the Youth Justice Review Recommendations, which included recommendations about youth custody and the practices around sending under-18year-olds to the Young Offenders’ Centre. In October 2013, inspection reports from announced inspections (conducted jointly with HMI Prisons, RQIA and the Education and Training Inspectorate) of Ash House Women’s Prison and Hydebank Wood Young Offenders’ Centre were published. CJINI’s Chief Inspector served as an independent member of the Prison Review Team Oversight Group, and inspectors continued to monitor and report on the implementation of the group’s recommendations. The Care Quality Commission (CQC) carried out 1,292 Mental Health Act monitoring visits to 1,356 wards where they spoke with 4,517 detained patients. CQC also carried out the first of its newly designed regulatory visits to mental health services. After consulting on its 2013–16 strategy in 2012, CQC published its response which sets out plans to make sure its regulation of services and Mental Health Act monitoring work together effectively. CQC also undertook to continue its work with national organisations to better understand and fulfil its monitoring role under deprivation of liberty safeguards as case law and policy on deprivation of liberty Healthcare Inspectorate Wales (HIW) became responsible for collecting data relating to the numbers of detentions under Sections 135 and 136 of the Mental Health Act in Wales, relating to both health- and police-based places of safety. HIW worked with counterparts in the health and police sectors to ensure the accuracy of this data before it could comment on the use of Sections 135 and 136. In January 2014, the Home Secretary asked HM Inspectorate of Constabulary (HMIC) to undertake a specific thematic inspection on 27 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 20

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