Section three Strengthing the NPM Member-specific developments During the reporting year, there were several significant developments and positive impacts in relation to NPM members’ OPCATrelated work. In the last year, the Care Inspectorate (CI) inspected all five dedicated secure care units for young people. The CI also continued to work jointly with HMIPS on prison inspections, inspecting four prisons in 2017–18. The CI led on developing a methodology for joint inspections to report on the experiences of, and outcomes for, children and young people in need of protection. This includes children and young people in secure settings and care leavers up to 26 years old, including those who may have experience of adult custodial settings. The new model will be introduced in 2018–19. In addition, the CI continued to develop new methodology for care service inspections incorporating the new, human rights-based health and social care standards, ‘my support, my life’ (2017).48 During the year, this methodology was piloted in 40 inspections in care homes for older people and is now being evaluated to inform future decisions on scrutiny of care homes for older people and its wider applications to other service types, including secure care services. The CI created a dedicated page on its external website to profile the work of the NPM49 and a dedicated NPM intranet page to raise staff awareness and share NPM guidance and reports. Care Inspectorate Wales (CIW) continued to inspect the Secure Centre in Wales, making recommendations about the need to improve outcomes in relation to quality assurance, staffing and safeguarding. The Welsh Government developed new legislation to be introduced in April 2018 – the Regulation and Inspection of Social Care (Wales) Act 2016 – which will provide a new registration and inspection framework for regulated services in Wales. In February 2018, Care Quality Commission (CQC) published its annual report to Parliament on how health services in England are applying the Mental Health Act.50 The report notes individual examples of good practice, but again highlights longstanding concerns, including limited improvement in aspects of care planning that are important to supporting the recovery of patients and their discharge from inpatient services, and some patients not being informed of their rights on admission, and/or not receiving physical health checks on admission. CQC is also a key contributor to the Transforming Care programme. This aims to ensure that people with learning disabilities and challenging behaviour are effectively supported to live in their communities, close to home, and are only admitted to a mental health hospital when that is the intervention most suited to their needs at the time. As part of this, it published Registering the Right Support, which outlines its approach to registering 48 Standards are available at https://www.gov.scot/publications/health-social-care-standards-support-life/, accessed 21 November 2018. 49 Available at http://www.careinspectorate.com/index.php/national-preventive-mechanism, accessed 21 November 2018. 50 Monitoring the Mental Health Act in 2016/17, available at http://www.cqc.org.uk/publications/major-report/monitoringmental-health-act-report, accessed 21 November 2018. 39