Archive has 147 results
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Tees, Esk and Wear Valleys NHS Foundation Trust (20 009 115a)
Statement Upheld Mental health services 07-Sep-2021
Summary: Durham County Council correctly charged Mr A for his social care support when his circumstances changed. Tees, Esk and Wear Valleys NHS Foundation Trust missed the opportunity to reassess Mr A’s section 117 aftercare needs after that time. That fault caused Mr A uncertainty. The Trust should apologise to Mr A and reassess his section 117 aftercare needs.
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NHS County Durham Clinicial Commissioning Group (20 009 115b)
Statement Not upheld Mental health services 07-Sep-2021
Summary: Durham County Council correctly charged Mr A for his social care support when his circumstances changed. Tees, Esk and Wear Valleys NHS Foundation Trust missed the opportunity to reassess Mr A’s section 117 aftercare needs after that time. That fault caused Mr A uncertainty. The Trust should apologise to Mr A and reassess his section 117 aftercare needs.
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North Kirklees Clinical Commissioning Group (19 014 217a)
Statement Not upheld Care and treatment 31-Aug-2021
Summary: The Ombudsmen find fault in aspects of the care a Care Home provided to a young man with a severe learning disability. This had an impact on his dignity and likely left him in minor avoidable discomfort at times. The Ombudsmen recommend the Care Home apologises for the impact of these failings. The Ombudsmen have not found fault in the way the Council investigated its own role through the children’s statutory complaints procedure so has no cause to reinvestigate the substantive matters. Further, the Ombudsmen find no fault in the CCG’s attempts to improve the situation.
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North Kirklees Clinical Commissioning Group (19 014 217b)
Statement Not upheld Care and treatment 31-Aug-2021
Summary: The Ombudsmen find fault in aspects of the care a Care Home provided to a young man with a severe learning disability. This had an impact on his dignity and likely left him in minor avoidable discomfort at times. The Ombudsmen recommend the Care Home apologises for the impact of these failings. The Ombudsmen have not found fault in the way the Council investigated its own role through the children’s statutory complaints procedure so has no cause to reinvestigate the substantive matters. Further, the Ombudsmen find no fault in the CCG’s attempts to improve the situation.
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Statement Upheld Care and treatment 31-Aug-2021
Summary: The Ombudsmen find fault in aspects of the care a Care Home provided to a young man with a severe learning disability. This had an impact on his dignity and likely left him in minor avoidable discomfort at times. The Ombudsmen recommend the Care Home apologises for the impact of these failings. The Ombudsmen have not found fault in the way the Council investigated its own role through the children’s statutory complaints procedure so has no cause to reinvestigate the substantive matters. Further, the Ombudsmen find no fault in the CCG’s attempts to improve the situation.
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Statement Upheld Care and treatment 31-Aug-2021
Summary: The Ombudsmen find fault in aspects of the care a Care Home provided to a young man with a severe learning disability. This had an impact on his dignity and likely left him in minor avoidable discomfort at times. The Ombudsmen recommend the Care Home apologises for the impact of these failings. The Ombudsmen have not found fault in the way the Council investigated its own role through the children’s statutory complaints procedure so has no cause to reinvestigate the substantive matters. Further, the Ombudsmen find no fault in the CCG’s attempts to improve the situation.
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University Hospitals of Leicester NHS Trust (20 010 092a)
Statement Closed after initial enquiries Hospital acute services 20-Aug-2021
Summary: The Ombudsman will not investigate Mr G and Mr H’s complaint about the Council. This is because an investigation would be unlikely to add to the response they have already received.
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NHS Derby and Derbyshire Clinical Commissioning Group (20 009 117a)
Statement Upheld Assessment and funding 18-Aug-2021
Summary: Mrs B complained about a funding dispute between the Council and the Clinical Commissioning Group which prevented her daughter from moving to a suitable placement in 2019. On the evidence available now, we found fault by the Council and the Clinical Commissioning Group as they delayed in following their local dispute resolution policy. This impacted on Mrs B’s daughter’s independence and caused avoidable frustration and time and trouble to Mrs B. To put things right the authorities have agreed to apologise to Mrs B and her daughter and make acknowledgement payments to them. The Council and the Clinical Commissioning Group will work together to agree a suitable placement for Mrs B’s daughter and agree funding in line with the relevant laws and their local policies.
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Great Western Hospitals NHS Foundation Trust (20 011 171a)
Statement Not upheld Hospital acute services 18-Aug-2021
Summary: Mrs B complained about information an NHS Trust provided to the Council’s commissioned care home provider when her late father was discharged from hospital in December 2019. She complains a Surgery prescribed antibiotics but failed to send the prescription to the pharmacy. She also said the Home delayed in following up on the medication her father needed, and this contributed to his untimely death. We found the Trust at fault for poor record keeping when it dealt with the discharge, but it improved. Faults in the way the Surgery made an electronic request for medication and the Home’s failure to take follow up action caused delay in the medication being received. The Surgery and the Home also missed an opportunity to report the incident to the Council so it could consider its safeguarding procedures. The authorities have agreed to our recommendations and the Council will monitor the Home to ensure it improves the way it records discharge information and it will provide safeguarding training if necessary. The Surgery will remind its staff of the importance of reporting safeguarding concerns to the Council when dealing with incidents relating to patient safety. The Home and the Surgery will apologise to Mrs B for the missed opportunity which contributed to doubt she has about the events which occurred.
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Orchid Care Home (20 011 171b)
Statement Upheld Community hospital services 18-Aug-2021
Summary: Mrs B complained about information an NHS Trust provided to the Council’s commissioned care home provider when her late father was discharged from hospital in December 2019. She complains a Surgery prescribed antibiotics but failed to send the prescription to the pharmacy. She also said the Home delayed in following up on the medication her father needed, and this contributed to his untimely death. We found the Trust at fault for poor record keeping when it dealt with the discharge, but it improved. Faults in the way the Surgery made an electronic request for medication and the Home’s failure to take follow up action caused delay in the medication being received. The Surgery and the Home also missed an opportunity to report the incident to the Council so it could consider its safeguarding procedures. The authorities have agreed to our recommendations and the Council will monitor the Home to ensure it improves the way it records discharge information and it will provide safeguarding training if necessary. The Surgery will remind its staff of the importance of reporting safeguarding concerns to the Council when dealing with incidents relating to patient safety. The Home and the Surgery will apologise to Mrs B for the missed opportunity which contributed to doubt she has about the events which occurred.