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London Borough of Croydon (20 000 380)

Category : Adult care services > Assessment and care plan

Decision : Upheld

Decision date : 16 Jun 2022


Key to names used

  • Mr and Mrs X The complainants

  • Miss X Their daughter

  • Hospital A Provides specialist treatment for people with severe and complex personality disorders. This hospital is not part of South London and Maudsley NHS Foundation Trust.

  • PD Centre Provides specialist treatment for certain types of personality disorder. The Centre is part of South London and Maudsley NHS Foundation Trust. It offers treatment as a day service based at a hospital.


1. Mr and Mrs X complained about faults by the Council, Trust and CCG relating to health and social care services for their daughter, Miss X. This includes: failing to refer Miss X for supported living accommodation and to place important documents on her files; flawed planning and provision of aftercare under section 117 of the Mental Health Act 1983; failing to provide relevant information; and inadequate support for Mr and Mrs X as Miss X’s carers.


2. Fault found causing injustice and recommendations made.


3. The Council must consider the report and confirm within three months the action it has taken or proposes to take. The Council should consider the report at its full Council, Cabinet or other appropriately delegated committee of elected members and we will require evidence of this. (Local Government Act 1974, section 31(2), as amended)

4. The Council, Trust and CCG should also take the actions set out at the end of this report. We have made these recommendations to remedy individual injustice and prevent similar faults affecting the complainants and others in the future. We are pleased that all three organisations have accepted all our recommendations in full.

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