Service improvements

London Borough of Enfield

Showing service improvements between 1 April 2024 and 31 March 2025

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 1 - 4 of 4 cases with service improvements

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  • London Borough of Enfield (24 004 238)

    Category: Adult care services Date: 02-Jan-2025

    Summary

    We upheld a complaint that Mr F received poor care while in a care home placement arranged by the Council. We also found the Council at fault for a flawed safeguarding investigation which followed. These faults caused injustice to Mr F who experienced a loss of a service and to his daughter who made the complaint, as distress. The Council has accepted these findings. At the end of this statement, we set out the action it has agreed to remedy this injustice and improve its service.

    Service improvements

    Further to the events covered by this complaint the Council had begun a review of its adult safeguarding procedures. It agreed that it would update us on what consideration this review gave to the time taken to complete adult safeguarding enquiries. It would also share any recommendations arising from that review designed to reduce or avoid delays in completing such enquiries, such as were present in this case (where enquiries took more than 12 months to complete).The Council also agreed to incorporate into that review, or undertake a separate piece of work, on its current arrangements for communicating with relatives when it undertakes safeguarding enquiries. It would review current advice given to practitioners and if this was sufficiently robust as to its expectations, and consider if it needed to brief them further on its expectations in this area. This followed a failure by the Council to inform the complainant in this case of the outcome of its enquiries, despite involving them in the initial stages of its investigation.The Council agreed that its contracting team would review any placements currently open for users of services at a named care home, to check the safety and suitability of their care. In particular, if any of those users required mouth care or feeding via a PEG tube, after investigation revealed significant failings in the care the complainant's father received in meeting those needs.

  • London Borough of Enfield (24 003 200)

    Category: Adult care services Date: 17-Dec-2024

    Summary

    Mr X complained about the Council’s delay in considering his request for his mother (Y’s) residential care home fees to be paid through a Deferred Payment Agreement (DPA). He also complained of the Council’s poor communication in relation to this. The Council was at fault because it took 10 months to issue the DPA contract. The Council should make a payment to recognise the distress, frustration and uncertainty this caused. However, there is no fault in how the Council communicated with Mr X regarding the DPA.

    Service improvements

    The Council was at fault because it took 10 months to issue a Deferred Payment Agreement. It will review the time taken from the Deferred Payment Agreement request to issuing the Agreement contract to determine what caused delays and what action can be taken to reduce such delays in future.

  • London Borough of Enfield (24 000 137)

    Category: Adult care services Date: 23-Apr-2024

    Summary

    Mrs Y complained about the way the Council decided she was not entitled to an extra bedroom. Mrs Y says sharing a bedroom will have a negative impact on her health. The Council was at fault for not assessing Mrs Y’s care needs after being asked to. It was also at fault as its Housing and Adult Social Care teams both told her the other was responsible for assessing her needs. To remedy the injustice caused the Council agreed to apologise to Mrs Y and carry out an assessment of her care needs. Following this, the Council agreed to make a new decision on whether Mrs Y was entitled to an extra bedroom.

    Service improvements

    The Housing team and Adult Social Care team should clarify what supporting evidence applicants need from Adult Social Care Services when asking the Council for an additional bedroom as per the allocations policy, and how applicants can go about obtaining this.

  • London Borough of Enfield (23 018 111)

    Category: Adult care services Date: 20-Aug-2024

    Summary

    Mr X complained on behalf of Mrs Y and her disabled son, Mr Z, that the Council’s care and support plan for Mr Z did not provide him or his family with sufficient support. Mr X says this has placed a strain on Mrs Y and her family. We found fault by the Council. The Council has agreed to carry out a re-assessment of Mr Z’s care needs and a carer’s assessment for Mrs Y.

    Service improvements

    Remind staff of the Ombudsman’s principles of good administrative practice, specifically, the importance of retaining appropriate records to show the Council’s rationale for its decisions.Remind staff of the statutory guidance which says councils should review care and support plans at least every 12 months, and the importance of adhering to this timeframe.Remind staff that where somebody provides or intends to provide care for another adult, and it appears the carer may have any needs for support, the Council must carry out a carer’s assessment.

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