Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust (21 010 564a)

Statement Closed after initial enquiries Mental health services 26-Jan-2022

Summary: The Ombudsman cannot consider a complaint about a Council’s actions in relation to safeguarding procedures and accommodation support because it is late.

Lynwood Care Centre (21 000 498a)

Statement Not upheld Covid-19 21-Jan-2022

Summary: The Ombudsmen found no fault by a Council, a CCG and a care home in relation to the nutritional support and personal care provided to Mrs Y. We have found fault with how nutritional risk was assessed, but this did not affect the care provided and the care home has now remedied this by making changes with how it completes nutritional risk assessments.

Brighton & Hove Clinical Commissioning Group (21 000 498b)

Statement Not upheld Covid-19 21-Jan-2022

Summary: The Ombudsmen found no fault by a Council, a CCG and a care home in relation to the nutritional support and personal care provided to Mrs Y. We have found fault with how nutritional risk was assessed, but this did not affect the care provided and the care home has now remedied this by making changes with how it completes nutritional risk assessments.

North Central London Clinical Commissioning Group (Enfield) (21 010 067a)

Statement Closed after initial enquiries Assessment and funding 17-Jan-2022

Summary: The Ombudsmen have decided they will not investigate a complaint about a person’s health and social care as it has not been made by a suitable person. Further, it would be reasonable to use an alternative legal remedy.

Woodbourne Priory Hospital (20 009 803a)

Statement Upheld Mental health services 10-Jan-2022

Summary: We found fault by the Council, CCG and Private Hospital with regards to how they planned aftercare for a young person following her discharge from hospital after a period of detention under the Mental Health Act 1983. These organisations have agreed to apologise and the Private Hospital will also pay the complainant a financial remedy. We found no fault by the Private Hospital in terms of the consideration it gave to the young person’s diagnosis during her admission.

Coventry & Warwickshire Clinical Commissioning Group (20 009 803b)

Statement Upheld Mental health services 10-Jan-2022

Summary: We found fault by the Council, CCG and Private Hospital with regards to how they planned aftercare for a young person following her discharge from hospital after a period of detention under the Mental Health Act 1983. These organisations have agreed to apologise and the Private Hospital will also pay the complainant a financial remedy. We found no fault by the Private Hospital in terms of the consideration it gave to the young person’s diagnosis during her admission.

Northumbria Healthcare NHS Foundation Trust (20 012 826a)

Statement Upheld Hospital acute services 10-Jan-2022

Summary: We found fault by Hill Care 3 Ltd as it failed to maintain accurate and complete nutritional records for Mr B, an elderly man at risk of malnutrition. We also found fault by the Trust as staff failed to inform Mr B’s family that his dentures were broken. Hill Care 3 Ltd and the Trust will apologise for this fault. We found no fault by the Council in terms of the care it provided to Mr B.

Hill Care 3 Limited (20 012 826b)

Statement Upheld Care and treatment 10-Jan-2022

Summary: We found fault by Hill Care 3 Ltd as it failed to maintain accurate and complete nutritional records for Mr B, an elderly man at risk of malnutrition. We also found fault by the Trust as staff failed to inform Mr B’s family that his dentures were broken. Hill Care 3 Ltd and the Trust will apologise for this fault. We found no fault by the Council in terms of the care it provided to Mr B.

Mersey Care NHS Foundation Trust (FT) (21 005 756a)

Statement Closed after initial enquiries Mental health services 07-Jan-2022

Summary: We will not investigate Miss X’s complaint about the housing support provided to her by the Council. This is because we consider it unlikely an investigation would find fault by the Council. In addition, Miss X has a right of appeal by which she can challenge the decision to detain her under the Mental Health Act 1983.

Princess Alexandra Hospital NHS Trust (21 000 206a)

Statement Upheld Hospital acute services 04-Jan-2022

Summary: We find fault with an NHS Trust and Council regarding the discharge planning process for the late Mr Y when he left hospital. The NHS Trust also failed to ensure Mr Y continued to receive treatment for a fungal infection. The Council failed to assess Mr Y’s care needs and its care provider failed to properly assess and meet Mr Y’s needs. The Council failed to properly investigate the safeguarding concern raised when Mr Y was readmitted to hospital and did not notify Mr Y’s daughter, Ms X, of the outcome. This meant Mr Y did not receive the care and support needed after his hospital discharge. The organisations have agreed to apologise to Ms X and make a symbolic payment to acknowledge the distress this caused her. The organisations have also agreed to take action to prevent a recurrence of the faults identified.