Case Ref: 22 009 089 Category: Education Sub Category: Special educational needs

• The Council should review its procedures to ensure Annual Reviews are held on time and the action required following the review meeting is taken according to the guidance and timescales.
• The Council should remind staff to ensure they consult schools and professionals in good time, issue the EHC plan within the timescales and keep young people and parents informed.

Case Ref: 22 009 044 Category: Education Sub Category: Special educational needs

• The Council has agreed to circulate guidance to its complaints staff to remind them they should, where appropriate, offer financial remedies to complainants in response to upheld complaints.

Case Ref: 22 008 430 Category: Adult care services Sub Category: Assessment and care plan

• Remind and if necessary provide training to staff members of:1. the duty to assess;2. the process to follow when assessing and providing an individual budget for all those who have eligible assessed needs;
• Remind staff about the importance of completing DoLS assessments within the statutory time limits and evidence this is now occurring.

Case Ref: 22 005 444 Category: Children's care services Sub Category: Disabled children

• By training or other means, remind officers of what complaints should be considered under the children’s services statutory complaints procedure. The Council should also remind officers that it is responsible for care placements so should investigate complaints about those placements.

Case Ref: 22 005 438 Category: Education Sub Category: Special educational needs

• Review its procedures for commissioning tuition to children/young people out of school to ensure it regularly reviews the provision to ensure it is meeting their needs. The Council should explain to the Ombudsman how it has improved its performance in this area.

Case Ref: 22 007 187 Category: Adult care services Sub Category: Assessment and care plan

• •Remind staff of the importance of keeping accurate and complete records.

Case Ref: 22 007 057 Category: Adult care services Sub Category: Residential care

• The Council should provide evidence the provider has reviewed its policies for housekeeping and inventories for when people move into the care home;provide evidence that staff at the care home have been reminded of its privacy and dignity policy;provide evidence the provider has discussed with nurses and nursing assistants the falls protocol;provide evidence that nurses are aware of the residents that are prescribed blood thinners and the appropriate actions to take in the event of injury; andprovide evidence that relevant staff at the care home have been reminded of the importance of obtaining statements from all witnesses in a timely manner.
• The Council should ensure the care home has reviewed it falls policy and accident reporting procedure and consider whether it should include specific guidance about what action to take if a resident who is taking blood thinning medication falls.
• The Council should through contract monitoring ensure the care home is:correctly applying its fall prevention policy and procedure;accurately completely incident reports and body maps;maintaining robust records that clearly document decisions about seeking medical attention following a fall;communicating with family members where there are significant changes in a residents needs or circumstances; andadhering to its privacy and dignity policy and residents are dressed in their own clothes and that personalisation and dignity are upheld

Case Ref: 22 006 951 Category: Education Sub Category: Special educational needs

• The Council will ensure it has a robust system in place to ensure provision specified in Education, Health and Care plans is in place when it issues a new or substantially different Education, Health and Care plan.
• The Council will review how it commissions private speech and language therapy services, and will implement any changes it identifies as necessary to ensure speech and language therapy can be commissioned without significant delay.

Case Ref: 22 004 335 Category: Education Sub Category: School transport

• The Council will undertake a formal review of Mrs D’s case. The purpose of the review is to identify why the delay occurred and to adopt measures to prevent similar occurrences in the future. The review will also look at whether it is suitable for the Council to be accepting school transport review requests by telephone when its policy outlines this must be by written means. The review outcome will be shared with Council officers involved in school transport decision making to inform any necessary training and guidance.

Case Ref: 22 003 283 Category: Other Categories Sub Category: Other

• Share the outcome of its review with the Ombudsman that it has undertaken regarding its working protocols between education, health and social care. The Ombudsman would like to see that the Council has considered how its working processes can be improved to ensure better sharing of information between services.