What do complaints teach us about end of life care?

See our latest report on the lessons that can be learnt from our complaints about end of life care given in care homes and in the home.

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  • London Borough of Ealing (25 008 622)

    Statement Upheld Child protection 02-Jul-2026

    Summary: Mr X complained about how the Council considered concerns about his son, Y. He said the Council had access to evidence from multiple medical professionals saying there was no medical evidence to support the suspicion of abuse, but it continued to take child protection action. Mr X said this distressed him and his family. There was fault in the way the Council produced reports and assessments using incorrect information and its complaint handling was poor. This frustrated and distressed Mr X and his family. The Council agreed to apologise, make a financial payment, place a letter on the children’s case file and send it to other professionals, and create an action plan to quality assure its assessments.

  • Kirklees Metropolitan Borough Council (25 008 639)

    Statement Upheld Residential care 02-Jul-2026

    Summary: Mrs X and Mrs Z complain about their mother’s care and treatment by Kirklees Metropolitan Borough Council and Locala. We found fault by the Council and Locala in relation to communication and parts of Mrs Y’s end of life care. As a result, Mrs X and Mrs Z were caused uncertainty, frustration and distress. We recommend the Council and Locala apologise, pay a total of £600 and make systemic improvements. We did not find fault with Mrs Y’s daily care and discharge planning.

  • Locala Community Partnership CIC (25 008 639a)

    Statement Upheld Community hospital services 02-Jul-2026

    Summary: Mrs X and Mrs Z complain about their mother’s care and treatment by Kirklees Metropolitan Borough Council and Locala. We found fault by the Council and Locala in relation to communication and parts of Mrs Y’s end of life care. As a result, Mrs X and Mrs Z were caused uncertainty, frustration and distress. We recommend the Council and Locala apologise, pay a total of £600 and make systemic improvements. We did not find fault with Mrs Y’s daily care and discharge planning.

  • Lancashire County Council (25 009 002)

    Statement Upheld Special educational needs 02-Jul-2026

    Summary: The Council delayed completing Miss X’s child Y’s Education, Health and Care (EHC) Plan annual review and delayed amending the Plan. It also failed to consider whether it owed an alternative education duty between 2024 and 2026 when Y struggled to attend school due to a medical issue. The Council agreed to apologise to Miss X and make a payment to acknowledge the injustice the faults caused.

  • London Borough of Harrow (25 009 666)

    Statement Upheld Special educational needs 02-Jul-2026

    Summary: Miss X complained the Council failed to complete a key stage transfer review of her child’s Education, Health and Care Plan by the legal deadline which left them with no educational placement. We found the Council at fault for not properly carrying out a key stage transfer review and failing to act on Miss X’s concerns her child was not receiving an education. This caused Miss X and her child uncertainty. The Council has agreed to apologise and make a payment to recognise the injustice its actions caused to Miss X and her child. It has also agreed to make changes to its service to prevent the same faults happening again.

  • Milton Keynes Council (25 012 421)

    Statement Upheld Alternative provision 02-Jul-2026

    Summary: Mr B complained that the Council in respect of his son C, failed to complete the annual review process and issue an amended final Education, Health and Care (EHC) Plan with a right of appeal. It also failed to consider its section 19 duty when C was not attending school. We have found fault in the actions of the Council. The Council has agreed to issue an EHC Plan, apologise to Mr B and C, and make a symbolic payment to them.

  • London Borough of Southwark (25 012 785)

    Statement Upheld Homelessness 02-Jul-2026

    Summary: We have found the Council at fault for delaying Mr X’s housing register application and not notifying Mr X of its decision of his appeal rights. This delayed the application process causing Mr X avoidable distress and denied him of his review rights. The Council has agreed to apologise, make a symbolic payment and correctly process Mr X’s application.

  • Manchester City Council (25 001 178)

    Statement Not upheld Assessment and care plan 02-Jul-2026

    Summary: Miss X complained about the Council’s Adult Social Care Service’s involvement with her mother, Ms Y, after Ms Y was discharged from hospital. There was no fault in the Council’s decision making, communication, or in the processes it followed.

  • City of Wolverhampton Council (25 006 769)

    Statement Upheld Special educational needs 02-Jul-2026

    Summary: On behalf of Ms X, Mrs B complained the Council failed to secure special educational provision and failed to complete an annual review for Ms X’s child, Y. We find the Council at fault for failing to complete the annual review within the statutory timeframe and for failing to secure special educational provision for Y when she was unable to attend school. This caused Y and Ms X distress and frustration and meant Y did not receive access to suitable education for approximately one school year. The Council has agreed to apologise, make a symbolic payment and make service improvements to remedy the injustice caused.

  • London Borough of Wandsworth (25 007 664)

    Statement Upheld Assessment and care plan 02-Jul-2026

    Summary: The Council delayed referring Mr X for an advocate, failed to record the reasonable adjustments it had agreed, delayed explaining why it needed to carry out an in person assessment and failed to respond to his complaint properly. An apology, payment to Mr X, for the Council to reopen the assessment and guidance for officers is satisfactory remedy.

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