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.

London Borough of Harrow (22 008 766)

Category : Adult care services > Charging

Decision : Closed after initial enquiries

Decision date : 13 Mar 2023

The Ombudsman's final decision:

Summary: We will not investigate this complaint about the Council charging the late Mrs B’s estate for her care. This is because there is not enough evidence of fault with the actions taken by the Council to warrant an ombudsman investigation.

The complaint

  1. Mr D says his late mother, Mrs B agreed a provisional cost for her care but says the Council did not tell her the cost had increased three times the amount she agreed. Mr D says the Council issued the invoice after Mrs B died and seven months after she had started receiving care. Mr D says the provisional costs agreed in 2021 were £23.23 a week but Mrs B was invoiced for care costing £73.63 a week. Mr B says the Council should recalculate the invoices for the cost of the care Mrs B agreed to pay.

Back to top

The Ombudsman’s role and powers

  1. We investigate complaints about ‘maladministration’ and ‘service failure’, which we call ‘fault’. We must also consider whether any fault has had an adverse effect on the person making the complaint, which we call ‘injustice’. We provide a free service, but must use public money carefully. We may decide not to start an investigation if the tests set out in our Assessment Code are not met. (Local Government Act 1974, section 24A(6), as amended)

Back to top

How I considered this complaint

  1. I considered information provided by the complainant and the Council.
  2. I considered the Ombudsman’s Assessment Code.

Back to top

My assessment

  1. The Council undertook a Care and Support Plan on 1 June 2021 identifying the full cost of Mrs B’s care would be £73.23 a week. The letter dated 16 June 2021 advised Mrs B her provisional contribution would be 23.23 a week, however, this was subject to a financial assessment. Mrs B agreed to pay top the full cost of her care. Mrs B signed and agreed to pay the full cost of her care on 22 June 2021.
  2. The Council provided a statement of what the outstanding balance comprised of and informed Mr D about the outstanding debts at the date Mrs B died.
  3. Mr D has queried the fees. The Council has explained how they arose and investigation by the Ombudsman would not change this.
  4. It is the responsibility of the executor to collect the assets, pay any debts and use the resulting balance to distribute to any beneficiaries.
  5. If Mr D as Mrs B’s executor, disputes the existence of a particular debt they can refuse to pay and defend any court proceedings against them.

Back to top

Final decision

  1. We will not investigate Mr D’s complaint because there is not enough evidence of fault with the actions taken by the Council to warrant an ombudsman investigation.

Back to top

Investigator's decision on behalf of the Ombudsman

Print this page

LGO logogram

Review your privacy settings

Required cookies

These cookies enable the website to function properly. You can only disable these by changing your browser preferences, but this will affect how the website performs.

View required cookies

Analytical cookies

Google Analytics cookies help us improve the performance of the website by understanding how visitors use the site.
We recommend you set these 'ON'.

View analytical cookies

In using Google Analytics, we do not collect or store personal information that could identify you (for example your name or address). We do not allow Google to use or share our analytics data. Google has developed a tool to help you opt out of Google Analytics cookies.

Privacy settings