Old School Surgery (20 001 063)
Statement Not upheld General Practice 29-Mar-2021
Summary: We consider East Sussex County Council, Change Grow Live, Sussex Partnership NHS Foundation Trust and Old School Surgery missed the opportunity to meet and discuss Ms E's worsening alcohol misuse and mental health before she died. That has caused Ms E's family uncertainty. They will not know if a joint meeting would have changed the outcome. The organisations should apologise for that fault.
Abbey Medical Centre (19 018 460)
Statement Not upheld General Practice 23-Mar-2021
Summary: Dr A has complained in relation to the care of her mother at a Care Home and the delay in a fast-track application for Continuing Healthcare funding. We do not find fault with the care provided or the delay in the application that caused Dr A the injustice has claimed.
Local Care Direct (18 013 815)
Statement Upheld General Practice 10-Sep-2020
Summary: Mrs X complains about the care her brother, Mr Z, received at the end of his life. The Ombudsmen have found faults in the care provided by Mr Z's care home and an out of hours GP service. We have found no fault in the actions of Mr Z's GP practice. The care home and out of hours GP service accept our recommendations. We have therefore completed our investigation.
Grange Park Surgery (18 013 815)
Statement Not upheld General Practice 10-Sep-2020
Summary: Mrs X complains about the care her brother, Mr Z, received at the end of his life. The Ombudsmen have found faults in the care provided by Mr Z's care home and an out of hours GP service. We have found no fault in the actions of Mr Z's GP practice. The care home and out of hours GP service accept our recommendations. We have therefore completed our investigation.
Knightsbridge Medical Centre (18 006 669)
Statement Upheld General Practice 24-Aug-2020
Summary: Mrs V complains about the care of her late husband by a care home and a GP Practice in the last months of his life. We have upheld some of Mrs V's complaints about the Home's care of Mr V and its complaint handling. We have also upheld some of Mrs V's complaints about the GP Practice's handling of end of life medication and complaint handling. Bupa, the Council and the GP Practice accept our recommendations. We have therefore completed our investigation.
Pleck Health Centre (19 003 492)
Statement Not upheld General Practice 04-Mar-2020
Summary: Ms X complained that Walsall Metropolitan Council, Walsall Healthcare NHS Trust and Pleck Health Centre failed to meet safeguarding duties in respect of her late mother, Mrs Y. The agencies responded appropriately to safeguarding alerts and made best interest decisions about Mrs Y's care that considered relevant evidence, including the difference of views amongst family members. The Council was at fault for not feeding back the outcome of its safeguarding investigation to the Pleck Health Centre. This did not cause injustice.
The Leys Health Centre (19 007 554)
Statement Not upheld General Practice 02-Mar-2020
Summary: The Ombudsmen found fault with the care provided to an elderly man by a care home acting on behalf of the Council. The Council agreed to apologise for this fault and pay a financial sum in recognition of the distress this caused. The Ombudsmen were satisfied a GP Practice and Trust that were also involved in the man's care acted without fault.
Summerhill Surgery (18 009 105)
Statement Upheld General Practice 15-Jan-2020
Summary: The Ombudsmen consider Dudley Group NHS Foundation Trust's (the Trust) communication with Mr C about Mrs D's prognosis was poor which caused confusion and distress. Also, the Trust's lack of care planning for Mrs D on discharge to two care homes caused Mr C uncertainty. Trinity House Care Centre's diabetes care plan lacked detail and did not escalate Mrs D to a GP in a timely manner which caused Mr C distress at witnessing his mother suffer pain and distress. The Ombudsmen consider Dudley Metropolitan Borough Council's (the Council) safeguarding investigation and safeguarding adults review caused Mr C uncertainty and distress. The Council, the Trust and Summerhill Surgery's complaint handling compounded Mr C's distress.
Corner Place Surgery (19 004 170)
Statement Not upheld General Practice 03-Dec-2019
Summary: The Ombudsmen find no fault in the care a Hospital Trust, Council-funded Care Home and GP Surgery provided to an older patient following hip surgery. The patient's hip became dislocated but, in view of the wider situation, there is no indication this was missed because of poor care.
Statement Upheld General Practice 20-Nov-2019
Summary: The Ombudsmen found fault with the care provided to a woman with complex needs by several health and social care organisations. This included failure to arrange assessments and reviews, failures in transition planning and failure to make appropriate safeguarding referrals. This fault meant opportunities were missed to explore whether the woman had additional care needs. This also resulted in distress and uncertainty for her sister, who is pursuing the complaint on her behalf. The organisations concerned have agreed to take action to remedy the injustice to the complainants.