Archive has 147 results
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North Swindon Practice Home Ground Surgery (20 011 171c)
Statement Upheld General practice 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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Wirral University Teaching Hospital NHS Foundation Trust (20 011 447a)
Statement Not upheld Hospital acute services 18-Aug-2021
Summary: Wirral University Teaching Hospital NHS Foundation Trust acted with fault by not including Mrs X’s medication changes to her discharge paperwork. The Trust has remedied the injustice to Mrs X’s son, Dr Y. Also, Liscard Group Practice and Leighton Court Care Home did not contribute to a delay restarting Mrs X’s medication.
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Liscard Group Practice (20 011 447c)
Statement Not upheld General practice 18-Aug-2021
Summary: Wirral University Teaching Hospital NHS Foundation Trust acted with fault by not including Mrs X’s medication changes to her discharge paperwork. The Trust has remedied the injustice to Mrs X’s son, Dr Y. Also, Liscard Group Practice and Leighton Court Care Home did not contribute to a delay restarting Mrs X’s medication.
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North Staffordshire Combined Health Care NHS Trust (20 013 884a)
Statement Closed after initial enquiries Mental health services 16-Aug-2021
Summary: Miss B complains on behalf of her adult son Mr D about his health and social care support. We will not investigate the complaint as we are not satisfied Mr D has fully consented to Miss B complaining to us on his behalf. We do not therefore consider Miss B suitable to bring the complaint to us.
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Calderdale & Huddersfield NHS Foundation Trust (20 001 972a)
Statement Not upheld Hospital acute services 11-Aug-2021
Summary: Mr A complained health and social care professionals failed to adequately assess his brother’s, Mr B’s, needs before discharging him from hospital. Mr A said this meant Mr B had an inadequate care package which, in turn, placed avoidable stress and worry on the family. The Ombudsmen find no fault in the way professionals assessed Mr B’s needs.
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Tilehurst Village Surgery (20 006 862a)
Statement Not upheld General practice 10-Aug-2021
Summary: West Berkshire County Council carried out a safeguarding investigation into Mrs Y’s weight loss in line with the local procedures. However, a GP at Tilehurst Village Surgery did not monitor Mrs Y’s weight despite agreeing to. That fault caused Mrs Y’s daughter, Mrs X, uncertainty. The GP recognised that fault and has appropriately remedied the injustice to Mrs X and potentially others.
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Lancashire and South Cumbria NHS Foundation Trust (20 007 240a)
Statement Upheld Community hospital services 05-Aug-2021
Summary: Meadowfield House Home for Older People and Lancashire and South Cumbria NHS Foundation Trust jointly contributed to Mrs Y’s worsening pressure sore. That caused her pain and distress. They have agreed to apologise, make service improvements and pay a financial remedy to Mrs Y and her husband.
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Statement Closed after initial enquiries Covid-19 28-Jul-2021
Summary: The Ombudsmen will not investigate a complaint about a care home’s restrictions on visiting and sharing of information with relatives during the COVID-19 pandemic. This is because we are unlikely to find fault causing injustice with the actions of the care home.
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North East Essex Clinical Commissioning Group (20 012 268b)
Statement Closed after initial enquiries Covid-19 28-Jul-2021
Summary: The Ombudsmen will not investigate a complaint about a care home’s restrictions on visiting and sharing of information with relatives during the COVID-19 pandemic. This is because we are unlikely to find fault causing injustice with the actions of the care home.
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Barchester Healthcare Homes Limited (18 015 760a)
Statement Upheld Care and treatment 26-Jul-2021
Summary: Kingston Upon Hull City Council, Molescroft Nursing Home Limited and Barchester Healthcare Homes Limited all acted with fault when supporting Mrs B. Those faults include personal care, unfairly charging a top-up, best interest decision making, safeguarding investigations, and complaint handling. Those faults had an emotional and financial impact on Mrs B’s son, Mr A.