Birmingham & Solihull Mental Health Trust (20 002 158a)

Statement Not upheld Mental health services 23-Feb-2021

Summary: We consider an Approved Mental Health Professional and a Community Psychiatric Nurse appropriately supported Mr L before and after the decision to detain him under section 2 of the Mental Health Act.

East Sussex Healthcare NHS Trust (19 007 535a)

Statement Upheld Community hospital services 23-Feb-2021

Summary: The complainant, Mrs C, says the Council and the Trust failed to provide her late father, Mr J, with sufficient occupational health equipment and physiotherapy to enable him to achieve his potential for rehabilitation. She also said the lack of care planning and therapy had an adverse impact on her mother’s caring role and left her with out-of-pocket expenses. We found the Trust was at fault in the way it decided to reprioritise a referral from a doctor, and this led to a delay in physiotherapy being provided. The Council took too long to provide equipment better suited to Mr J’s needs. The Council and the Trust have agreed to our recommendations and will apologise in writing to Mrs C’s mother, make an acknowledgement payment in recognition of the injustice caused and act to improve the response to referrals and record-keeping.

Oxford Health NHS Foundation Trust (19 017 100a)

Statement Not upheld Other 17-Feb-2021

Summary: The Ombudsmen find no fault in a Council and Trust’s decision not to implement the recommendations of an investigating officer. The complaints policy sets out that investigations will be subject to senior approval and the Trust provided reasons for setting the investigator’s findings aside.

Carlton Court Care Home (19 021 064a)

Statement Closed after initial enquiries Care and treatment 15-Feb-2021

Summary: Mr B complains about the care and support provided to his wife’s late cousin, Miss J, while resident in a home partly funded by the Council and the Clinical Commissioning Group. Mr B says Miss J suffered continuous weight loss and was unlawfully strapped to a chair for long periods by the Home during the last six months of her life. Mr B also complained about the decision to discharge Miss J from hospital and a failure to readmit her to hospital. Mr B’s complaint to the Ombudsmen is late and it is unlikely we can add to the previous investigation completed by the Council or achieve the outcome he wants.

NHS Barnet Clinical Comissioning Group (19 021 064b)

Statement Closed after initial enquiries Community hospital services 15-Feb-2021

Summary: Mr B complains about the care and support provided to his wife’s late cousin, Miss J, while resident in a home partly funded by the Council and the Clinical Commissioning Group. Mr B says Miss J suffered continuous weight loss and was unlawfully strapped to a chair for long periods by the Home during the last six months of her life. Mr B also complained about the decision to discharge Miss J from hospital and a failure to readmit her to hospital. Mr B’s complaint to the Ombudsmen is late and it is unlikely we can add to the previous investigation completed by the Council or achieve the outcome he wants.

Leicestershire Partnership NHS Trust (20 005 451a)

Statement Closed after initial enquiries Other 15-Feb-2021

Summary: Mr B complained about historical allegations made about him in 2017 which the Council investigated under its safeguarding procedures. He said the Council did not tell him it had recorded the allegations in line with its safeguarding procedures. Mr B complains this meant that in 2019 the NHS Trust acted on the historical allegations to restrict visits to his daughter who is under the care of the Trust. Mr B’s complaint about the historical allegations is late and he could have complained to us earlier. We cannot achieve the outcome he wants. Mr B can complain to us about more recent matters once the Trust has sent him a final response.

Leeds Community Healthcare NHS Trust (20 001 761a)

Statement Upheld Community hospital services 02-Feb-2021

Summary: The Ombudsmen find a Trust did not respond to a request for a change of physiotherapist appropriately. There is evidence that staff were trying to meet the patient’s needs but this fault has left uncertainty about whether a further review could and should have happened. The Trust has agreed to provide an apology and to take steps to learn from the complaint.

The Lansdowne Surgery (19 019 952a)

Statement Not upheld Community hospital services 01-Feb-2021

Summary: Mrs D complains about a lack of urgent interim care for her mother by a Council, Medvivo, and a GP Surgery. We found fault with the Council which caused distress to Mrs D and her family. The Council has agreed to compensate Mrs D for this.

Medvivo Group Ltd (19 019 952b)

Statement Not upheld Community hospital services 01-Feb-2021

Summary: Mrs D complains about a lack of urgent interim care for her mother by a Council, Medvivo, and a GP Surgery. We found fault with the Council which caused distress to Mrs D and her family. The Council has agreed to compensate Mrs D for this.

West London Clinical Commissioning Group (19 010 659b)

Statement Upheld Mental health services 26-Jan-2021

Summary: We found fault with the care and support provided by the Council, Trust and CCG to Miss X, a vulnerable young woman with complex needs. We found this placed Miss X at significant risk in the community and caused her and her family avoidable distress. These organisations have agreed to apologise to Miss X and pay a financial remedy in recognition of the impact of this fault on her.