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Adult care report slates Council

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Accepts reports findings: Cllr Simon Hancock

A DAMNING report from Wales’s Social Services Inspectorate (CSSIW) and the Healthcare Inspectorate Wales (HIW) has exposed a series of scandalous and substantial shortcomings in the way Pembrokeshire County Council deals with people with learning disabilities, The Herald can reveal. 

The report’s authors conclude that there is a series of significant failings in the way the Council delivers its services for vulnerable adults with learning disabilities, and says that plans for improving the service are ‘aspirational or embryonic’.

The report goes on to say that some measures taken with the aim of improving the authority’s performance are ‘less effective than they could be because of the absence of an overarching strategy that drives improvement across all aspects of care and support for people with learning disabilities’.

While failings are noted at the front line of service delivery, the publication does not hold back in identifying those at fault, stating that ‘senior managers and other leaders must also accept final responsibility for the deficits in performance at the front line’.

The report finds that, while there have been historical issues about competence and performance in the Community Team for Learning Disability (CTLD), it would be a mistake for the authority to conclude that this is the main reason for the deficits in performance. Rather, inspectors concluded that care managers and others have not been well served by systems, processes and leadership in recent years.

The distinction between ‘senior management’ and ‘leadership’ is particularly telling for the authority and firmly points the finger at those considerably higher up the political and executive food chain.

The report criticised the absence of an explicit accommodation strategy for people with learning disabilities and found that there was ‘little sense that the local authority has effective processes in place that will enable it to predict demand, plan for the future and deliver sustainable and preventative solutions’.

Noting that the Health Collaborative, of which the Council is part, and its regional statement of intent have ‘the potential to provide a sound basis for progress’, inspectors found that it had ‘only marginal impact in Pembrokeshire’.

The deficiencies in the Council’s approach to dealing with the learning disabled appear to be systemic and widespread, to the extent that even fundamental care issues are not being addressed appropriately.

The inspectors note a ‘lack of any case file audit process’ and that ‘language and communication needs were not well-represented in the files examined by inspectors’. In one case, a learning disabled Welsh-speaker was compelled to communicate in English because no carer could be found who spoke Welsh.

As of September 30, 2015, there were 129 reviews that were overdue, i.e. outstanding for a year or more. This amounts to 35% of the cases that were described by the authority as either ‘active’, ‘review only’, or ‘open to review.’

In one case, there was no assessment of need or care plan on file, but there was reference to a plan having been completed FIVE years previously. In another instance, the care and support provided for a service user had not been reviewed by the authority for more than TWO years between 2013 (when a major adult protection incident was investigated) and July 2015.

It can scarcely be surprising, therefore, that the report’s authors found that: ‘The authority is not delivering information, advice, assistance and care planning to a consistently acceptable standard. Consequently it cannot be confident about the quality of outcomes for people… Most of the case files examined showed at least some aspects of practice that was either poor or required improvement’.

Pembrokeshire County Council’s Cabinet Member for Adult Services, Health and Well-Being and Equalities, Simon Hancock, told us: “We accept the findings in the inspection report which we acknowledge revealed a need for significant improvement.

“Indeed, prior to the inspection last December, we undertook a self-assessment of Learning Disability Services and identified a number of areas which required attention.

“As a result of that awareness, the management team drew up a comprehensive improvement plan which they and the staff have been following since the beginning of the year in order to ensure that the necessary improvements are put in place.”

Among the actions identified in the improvement plan was to appoint a Champion for Learning Disabilities services in Pembrokeshire, and Councillor Hancock took up this position in January.

In order to ensure service users and carers are involved in agreeing priorities and are helping shape the service, a Learning Disability Partnership Board has been set up and a number of engagement events with service users and carers have also been held so that the voice of the customer is heard.

Councillor Hancock added: “The improvement plan will not only help ensure that the recommendations from the CSSIW inspection process are met, but that service improvement is sustained.

“I am passionate in my role of Learning Disabilities Champion for Pembrokeshire and am satisfied that we are on target to deliver the changes required.”

2 Comments

2 Comments

  1. Tomos

    July 26, 2016 at 9:47 pm

    Is it going to make any difference to PCC? they don’t give a flying ****

  2. flash bang

    July 27, 2016 at 9:35 am

    ” In one case, a learning disabled Welsh-speaker was compelled to communicate in English because no carer could be found who spoke Welsh.” Is that such a hardship to speak in English? Be thankful a carer was available.

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Crime

Swansea man dies weeks after release from troubled HMP Parc: Investigation launched

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A SWANSEA man has died just weeks after being released from HMP Parc, the Bridgend prison now at the centre of a national crisis over inmate deaths and post-release failures.

Darren Thomas, aged 52, died on 13 November 2025 — less than a month after leaving custody. The Prisons and Probation Ombudsman (PPO) has confirmed an independent investigation into his death, which is currently listed as “in progress”.

Born on 9 April 1973, Mr Thomas had been under post-release supervision following a period at HMP/YOI Parc, the G4S-run prison that recorded seventeen deaths in custody in 2024 — the highest in the UK.

His last known legal appearance was at Swansea Crown Court in October 2024, where he stood trial accused of making a threatening phone call and two counts of criminal damage. During the hearing, reported by The Pembrokeshire Herald at the time, the court heard he made threats during a heated call on 5 October 2023.

Mr Thomas denied the allegations but was found guilty on all counts. He was sentenced to a custodial term, which led to his imprisonment at HMP Parc.

Parc: A prison in breakdown

HMP Parc has faced sustained criticism throughout 2024 and 2025. A damning unannounced inspection in January found:

  • Severe self-harm incidents up 190%
  • Violence against staff up 109%
  • Synthetic drugs “easily accessible” across wings
  • Overcrowding at 108% capacity

In the first three months of 2024 alone, ten men died at Parc — part of a wider cluster of twenty PPO-investigated deaths since 2022. Six occurred within three weeks, all linked to synthetic drug use.

Leaked staff messages in 2025 exposed a culture of indifference, including one officer writing: “Let’s push him to go tomorrow so we can drop him.”

Six G4S employees have been arrested since 2023 in connection with alleged assaults and misconduct.

The danger after release

Deaths shortly after release from custody are a growing national concern. Ministry of Justice data shows 620 people died while under community supervision in 2024–2025, with 62 deaths occurring within 14 days of release.

Short sentences — common at Parc — leave little time for effective rehabilitation or release planning. Homelessness, loss of drug tolerance and untreated mental-health conditions create a high-risk environment for those newly released.

The PPO investigates all such deaths to determine whether prisons or probation failed in their duties. Reports often take 6–12 months and can lead to recommendations.

A system at breaking point

The crisis at Parc reflects wider failures across UK prisons and probation. A July 2025 House of Lords report described the service as “not fit for purpose”. More than 500 people die in custody annually, with campaigners warning that private prisons such as Parc prioritise cost-cutting over care.

The PPO investigation into the death of Darren Thomas continues.

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Crime

Woman stabbed partner in Haverfordwest before handing herself in

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A WOMAN who stabbed her partner during a drug-fuelled episode walked straight into Haverfordwest Police Station and told officers what she had done, Swansea Crown Court has heard.

Amy Woolston, 22, of Dartmouth Street in Milford Haven, arrived at the station at around 8:00pm on June 13 and said: “I stabbed my ex-partner earlier… he’s alright and he let me walk off,” prosecutor Tom Scapens told the court.

The pair had taken acid together earlier in the day, and Woolston claimed she believed she could feel “stab marks in her back” before the incident.

Police find victim with four wounds

Officers went to the victim’s home to check on him. He was not there at first, but returned shortly afterwards. He appeared sober and told police: “Just a couple of things,” before pointing to injuries on his back.

He had three stab or puncture wounds to his back and another to his bicep.

The victim said that when he arrived home from the shop, Woolston was acting “a bit shifty”. After asking if she was alright, she grabbed something from the windowsill — described as either a knife or a shard of glass — and stabbed him.

He told officers he had “had worse from her before”, did not support a prosecution, and refused to go to hospital.

Defendant has long history of violence

Woolston pleaded guilty to unlawful wounding. The court heard she had amassed 20 previous convictions from 10 court appearances, including assaults, battery, and offences against emergency workers.

Defending, Dyfed Thomas said Woolston had longstanding mental health problems and had been off medication prescribed for paranoid schizophrenia at the time.
“She’s had a difficult upbringing,” he added, saying she was remorseful and now compliant with treatment.

Woolston was jailed for 12 months, but the court heard she has already served the equivalent time on remand and will be released imminently on a 12-month licence.

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News

BBC apologises to Herald’s editor for inaccurate story

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THE BBC has issued a formal apology and amended a six-year-old article written by BBC Wales Business Correspondent Huw Thomas after its Executive Complaints Unit ruled that the original headline and wording gave an “incorrect impression” that Herald editor Tom Sinclair was personally liable for tens of thousands of pounds in debt.

The 2019 report, originally headlined “Herald newspaper editor Tom Sinclair has £70,000 debts”, has now been changed.

The ECU found: “The wording of the article and its headline could have led readers to form the incorrect impression that the debt was Mr Sinclair’s personal responsibility… In that respect the article failed to meet the BBC’s standards of due accuracy.”

Mr Sinclair said: “I’m grateful to the ECU for the apology and for correcting the personal-liability impression that caused real harm for six years. However, the article still links the debts to ‘the group which publishes The Herald’ when in fact they related to printing companies that were dissolved two years before the Herald was founded in 2013. I have asked the BBC to add that final clarification so the record is completely accurate.”

A formal apology and correction of this kind from the BBC is extremely rare, especially for a story more than six years old. 

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