Brighton & Hove Clinical Commissioning Group (21 000 348a)

Statement Upheld Mental health services 25-Mar-2022

Summary: Dr B complained ESC Council and the NHS Trust failed to properly safeguard her when it undertook an investigation into allegations of physical assault when she lived in a care home jointly funded by the CCG and BHC Council. She also complained about the home’s investigation and its decision to serve notice to end the placement. We found fault in the safeguarding protection plan put in place by ESC Council and as a result Dr B experienced avoidable distress. We also found fault in the way the jointly funded home completed its investigation, and this is likely to have meant Dr B missed an opportunity to have her views and outcomes properly recorded. The Councils and the CCG agreed to our recommendations and will arrange for Dr B to receive a written apology for the injustice caused. ESC Council will also remind its officers of the importance of updating safeguarding documentation.

Sussex Partnership NHS Foundation Trust (21 000 348b)

Statement Not upheld Mental health services 25-Mar-2022

Summary: Dr B complained ESC Council and the NHS Trust failed to properly safeguard her when it undertook an investigation into allegations of physical assault when she lived in a care home jointly funded by the CCG and BHC Council. She also complained about the home’s investigation and its decision to serve notice to end the placement. We found fault in the safeguarding protection plan put in place by ESC Council and as a result Dr B experienced avoidable distress. We also found fault in the way the jointly funded home completed its investigation, and this is likely to have meant Dr B missed an opportunity to have her views and outcomes properly recorded. The Councils and the CCG agreed to our recommendations and will arrange for Dr B to receive a written apology for the injustice caused. ESC Council will also remind its officers of the importance of updating safeguarding documentation.

Barnet, Enfield & Haringey Mental Health NHS Trust (21 012 554a)

Statement Closed after initial enquiries Mental health services 23-Mar-2022

Summary: We will discontinue our investigation into Ms A’s complaint. The Office of the Public Guardian is currently investigating concerns about Ms A acting as her daughter’s lasting power of attorney. We cannot say Ms A is a suitable representative for her daughter.

North Central London Clinical Commissioning Group (Enfield) (21 012 554b)

Statement Closed after initial enquiries Mental health services 23-Mar-2022

Summary: We will discontinue our investigation into Ms A’s complaint. The Office of the Public Guardian is currently investigating concerns about Ms A acting as her daughter’s lasting power of attorney. We cannot say Ms A is a suitable representative for her daughter.

Somerset NHS Foundation Trust (20 008 735a)

Statement Upheld Mental health services 23-Mar-2022

Summary: Mrs M complained on behalf of her son, Mr P, about the actions of Somerset County Council (the Council) and Somerset NHS Foundation Trust (the Trust). The complaint was about the Council’s adult care services and the Trust’s mental health and complaints services. We have upheld elements of the complaint relating to social care needs assessment, claims about Mrs M’s behaviour, and complaint handling. We have not upheld other parts of the complaint. The Council and Trust accept our recommendations. We have therefore completed our investigation.

Oxford Health NHS Foundation Trust (21 014 685a)

Statement Closed after initial enquiries Mental health services 21-Mar-2022

Summary: We will not investigate this complaint about the circumstances surrounding Dr A’s detention under Section 2. The Trust and Council have already investigated the matter and acted to improve their services. It is unlikely an Ombudsmen’s investigation would achieve more.

Sussex Partnership NHS Foundation Trust (19 018 519a)

Statement Upheld Mental health services 07-Mar-2022

Summary: The complainant, Ms B, said she learnt in 2020 the Council, the Trust and two Clinical Commissioning Groups did not properly consider her daughter’s, Miss G’s, entitlement to free aftercare following her detainment under the Mental Health Act 1983. She also complained about the care and support provided to Miss G by the Council and the Trust. On the evidence available, we found that Miss G was not entitled to free aftercare. However, poor record keeping by the authorities led to confusion and Ms B’s uncertainty about Miss G’s entitlement to free aftercare. It also meant one of the CCG’s did not consider Miss G for healthcare funding when it should have. The Council and the Trust did not work together to complete the actions in Miss G’s discharge plan when she was released from detention and the Council did not complete care and support planning documentation properly. The authorities agreed to our recommendations and will reassess Miss G’s needs and entitlement to healthcare funding. The Council, the Trust and one of the CCG’s will apologise to Ms B and Miss G and make an acknowledgement payment. The Council will remind its officers of the importance of completing care and support planning documentation in line with best practice and statutory guidance.

Livewell Southwest (20 013 288a)

Statement Not upheld Mental health services 18-Feb-2022

Summary: Mr B complained about the way his relative, Mr C, was discharged from psychiatric liaison services on two occasions over one weekend. We found no fault by the Council, Livewell Southwest or the Trust.

Pennine Care NHS Foundation Trust (20 014 052a)

Statement Not upheld Mental health services 07-Feb-2022

Summary: Mr B and Mr C complain about the care their late mother Mrs D received from a Council-funded care home, from district nurses and from a mental health outreach team. They also complain the Council delayed re-assessing her needs. We found the Home failed to properly manage Mrs D’s leg condition and her continence needs. The Home and Council delayed too long in arranging to re‑assess Mrs D’s care needs. Mrs D is likely to have suffered preventable harm and distress due to these faults. The Council has agreed to apologise to Mr B and Mr C for the distress they have suffered, and to work with the Home to make service improvements. We did not find fault in Mrs D’s care from the district nurses or mental health outreach team.

Hertfordshire Partnership University NHS Foundation Trust (21 002 440a)

Statement Upheld Mental health services 28-Jan-2022

Summary: Mr E has complained about the mental health and social care of his sister, Mrs F, by the Council and Trust. We find fault with the mental health and social care of Mrs F but not with her mental health assessment or the Trust’s complaint handling. The Trust and Council agreed to apologise to Mr E and take action to prevent similar problems in the future.