Archive has 207 results
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Southend Clinical Commissioning Group (19 015 337b)
Statement Closed after initial enquiries Other 06-Feb-2020
Summary: The Ombudsmen will not investigate Mrs X’s complaint. The Ombudsmen consider Mrs X’s complaint about events at Essex Partnership University Foundation Trust in 2017 is late, and we could not say the Trust should have detained Mr Y in 2017 and 2019. Also, the Ombudsmen do not consider there is a significant injustice to Mrs X to warrant an investigation of Southend Clinical Commissioning Group’s continuing healthcare assessment of Mr Y.
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Meadowside Family Health Centre (19 008 347a)
Statement Closed after initial enquiries General practice 31-Jan-2020
Summary: The Ombudsmen will not investigate Mr A’s complaint about treatment and care from the Practice and Council in 2016. This is because the complaint is late and I have not seen sufficient reason to accept it now.
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Western Sussex Hospitals NHS Foundation Trust (18 017 535a)
Statement Upheld Hospital acute services 30-Jan-2020
Summary: Ms A has complained about a Trust and a Council in relation to a delay in discharging her father in law, Mr B, to a care home. The Ombudsmen find fault with the Trust in not making required referrals. However, we do not find fault in relation to the delay in diagnosis of dementia or the issuing of a behaviour warning. In addition, the Ombudsmen do not find fault with the Council in relation to a delay in finding suitable care homes, but it should have provided the family with a copy of Mr B’s initial needs assessment.
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Croydon Health Services NHS Trust (18 010 646a)
Statement Upheld Hospital acute services 22-Jan-2020
Summary: The Ombudsmen found fault with a Hospital Trust’s communication with a patient’s family about discharge arrangements. However, there was no fault with the decisions to discharge the patient back to her own home or subsequently to a rehabilitation placement. The Ombudsmen also found fault by a Council not completing a carer visit for 15-hours after the patient returned home. This caused the patient and her family distress. The Council and the Trust have agreed to the Ombudsmen’s recommendations to ensure learning is taken from the complaint and ensure the faults do not happen again. They will also apologise to the complainant for the distress caused by the faults identified.
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Statement Not upheld Other 21-Jan-2020
Summary: The Ombudsmen consider Livewell Southwest missed the opportunity to support Mrs K when her art therapy stopped because of staff sickness. This caused Mr and Mrs K distress which Livewell Southwest should put right. Also, Plymouth City Council should have properly considered Mrs K’s respite request in May 2018. That caused Mrs K uncertainty. The Ombudsmen do not consider Livewell Southwest were at fault in the way it managed Mrs K’s section 117 aftercare with a psychiatrist rather than a care coordinator.
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Livewell Southwest (19 006 761b)
Statement Upheld Mental health services 21-Jan-2020
Summary: The Ombudsmen consider Livewell Southwest missed the opportunity to support Mrs K when her art therapy stopped because of staff sickness. This caused Mr and Mrs K distress which Livewell Southwest should put right. Also, Plymouth City Council should have properly considered Mrs K’s respite request in May 2018. That caused Mrs K uncertainty. The Ombudsmen do not consider Livewell Southwest were at fault in the way it managed Mrs K’s section 117 aftercare with a psychiatrist rather than a care coordinator.
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Livewell Southwest (19 008 253a)
Statement Not upheld Other 16-Jan-2020
Summary: The Ombudsmen found fault by the Council and Livewell Southwest with regards to their communication with the complainant about care charges. However, the Ombudsmen are satisfied this did not result in a significant injustice for the complainant.
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Dudley Group NHS Foundation Trust (18 009 105a)
Statement Upheld Hospital acute services 15-Jan-2020
Summary: The Ombudsmen consider Dudley Group NHS Foundation Trust’s (the Trust) communication with Mr C about Mrs D’s prognosis was poor which caused confusion and distress. Also, the Trust’s lack of care planning for Mrs D on discharge to two care homes caused Mr C uncertainty. Trinity House Care Centre’s diabetes care plan lacked detail and did not escalate Mrs D to a GP in a timely manner which caused Mr C distress at witnessing his mother suffer pain and distress. The Ombudsmen consider Dudley Metropolitan Borough Council’s (the Council) safeguarding investigation and safeguarding adults review caused Mr C uncertainty and distress. The Council, the Trust and Summerhill Surgery’s complaint handling compounded Mr C’s distress.
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Netherton Green Residential & Nursing Home (18 009 105b)
Statement Not upheld Other 15-Jan-2020
Summary: The Ombudsmen consider Dudley Group NHS Foundation Trust’s (the Trust) communication with Mr C about Mrs D’s prognosis was poor which caused confusion and distress. Also, the Trust’s lack of care planning for Mrs D on discharge to two care homes caused Mr C uncertainty. Trinity House Care Centre’s diabetes care plan lacked detail and did not escalate Mrs D to a GP in a timely manner which caused Mr C distress at witnessing his mother suffer pain and distress. The Ombudsmen consider Dudley Metropolitan Borough Council’s (the Council) safeguarding investigation and safeguarding adults review caused Mr C uncertainty and distress. The Council, the Trust and Summerhill Surgery’s complaint handling compounded Mr C’s distress.
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Summerhill Surgery (18 009 105c)
Statement Upheld General practice 15-Jan-2020
Summary: The Ombudsmen consider Dudley Group NHS Foundation Trust’s (the Trust) communication with Mr C about Mrs D’s prognosis was poor which caused confusion and distress. Also, the Trust’s lack of care planning for Mrs D on discharge to two care homes caused Mr C uncertainty. Trinity House Care Centre’s diabetes care plan lacked detail and did not escalate Mrs D to a GP in a timely manner which caused Mr C distress at witnessing his mother suffer pain and distress. The Ombudsmen consider Dudley Metropolitan Borough Council’s (the Council) safeguarding investigation and safeguarding adults review caused Mr C uncertainty and distress. The Council, the Trust and Summerhill Surgery’s complaint handling compounded Mr C’s distress.