Service improvements

Durham County Council

Showing service improvements between 1 April 2021 and 31 March 2026

Find out more about service improvements

When we find fault, we can recommend improvements to systems and processes where they haven’t worked properly, so that others do not suffer from these same problems in future. Common examples are policy changes; procedural reviews; and staff training. Service improvements from decisions are published for 5 years and those from reports are published for 10 years.

Showing 21 - 21 of 21 cases with service improvements

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Downloads the current filtered list of service improvement decisions for Durham County Council as a CSV file.

  • Durham County Council (20 002 566)

    Category: Adult care services Date: 12-Jul-2021

    Summary

    Mrs X complained about the care commissioned by the Council when her late father, Mr Y had a respite stay at Cedar Court. She said the Care Provider did not prevent Mr Y from having several falls and did not take medical advice when he had chest pains. She also said it did not tell Mrs Y about the falls or chest pain and took too long responding to her complaint. She says this caused them significant distress. We found the Care Provider failed to keep Mrs Y informed about the falls, chest pain and progress with her complaint. This put Mr Y at a significantly increased risk of harm. I do not find fault by the Care Provider in the action it took to prevent falls or the way it dealt with the chest pain. The Council has agreed to apologise and arrange to reimburse Mr Y’s estate with 50% of his fees. It has also agreed to take action to ensure the Care Provider’s practice, and its own, avoids similar failings in future.

    Service improvements

    The Council has agreed to review the Care Provider’s practice to ensure that people supporting residents are consulted with where appropriate and kept suitably informed.The Council has agreed to review the Care Provider’s practice to ensure records and documentation are properly completed particularly around: •Personal information. •Falls and head injuries. •Contact with family and others. •Mental capacity. •Daily logs.The Council has agreed to ensure both the Council’s and care providers’ complaints processes consider potential conflicts with investigations by other bodies at the earliest opportunity. This should ensure that complaints are only put on hold where essential.The Council has agreed to review practice by social workers generally, to ensure care providers have all necessary information about individuals referred by the Council.

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