Service improvements

Nottinghamshire County Council

Showing service improvements between 1 April 2022 and 31 March 2023

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 - 7 of 7 cases with service improvements

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

  • Nottinghamshire County Council (22 003 087)

    Category: Adult care services Date: 13-Feb-2023

    Summary

    The Council is not at fault for Mrs D’s initial move to a care home. The Council is at fault however for failing to properly consider whether it was in her best interests to remain at the care home. To remedy the complaint the Council should pay Mr C money in recognition of the uncertainty its actions have caused him. It should also remind staff about how and when to complete best interest decisions.

    Service improvements

    Remind staff and if necessary provide training about completing and recording best interest decisions especially when there are several parties with competing interests.

  • Nottinghamshire County Council (22 001 037)

    Category: Adult care services Date: 21-Feb-2023

    Summary

    Miss C has complained about a Home, Council and a Dementia Outreach Service about the care of her late mother, Mrs D. We found fault with the Home with oral care and nutrition and the Council in Mrs D’s move to a new care home. We did not find fault with Dementia Outreach.

    Service improvements

    The Home should remind staff of the importance of following residents' nutrition care plans and when to involve other professionals. It should also consider if any training is necessary for staff The Council should remind its staff of the importance of completing written risk assessments when considering moving residents with dementia to a new care home. It should ensure all officers involved in moving residents are aware of what procedure to follow.

  • Nottinghamshire County Council (21 017 952)

    Category: Adult care services Date: 04-Oct-2022

    Summary

    Mr X complained the Council did not ensure he had adequate care support and left him in unsuitable accommodation. We found no fault in the Council’s decision making on Mr X’s care. But we found fault in the Council’s delay in securing Mr X new accommodation. We recommended the Council apologise and pay Mr X £300 for distress and uncertainty.

    Service improvements

    The Council will review its actions in supporting Mr X to move accommodation from March 2021 to April 2022, consider whether additional monitoring is necessary to ensure cases are progressed and consider whether to update service users on any progress more regularly. It will also notify the Ombudsman of the outcome of its review and any actions taken.

  • Nottinghamshire County Council (21 017 566)

    Category: Adult care services Date: 09-Nov-2022

    Summary

    Mrs X complained about Mr Y’s needs assessments and mental capacity assessment. Also, the care packages and charges for care. We found fault in the mental capacity assessment and care and support plan. We recommended the Council review its training in these areas and ensure Mr Y did not pay for two care workers. The Council has agreed to this.

    Service improvements

    The Council has agreed to review its training around mental capacity and ensure all workers who may need to complete mental capacity assessments, are clear about how these should be completed and recorded.The Council has agreed to review its care and support planning training and ensure all care and support plans are based on evidence and an accurate needs assessment.The Council has agreed to sample twenty care and support plans with at least five by social worker A, and check for accuracy and evidence

  • Nottinghamshire County Council (21 014 715)

    Category: Adult care services Date: 18-Oct-2022

    Summary

    The Council was at fault when it failed to provide Mr X with affordable options for his parents, Mr and Mrs P’s, care placements. As a result, Mr X was denied the option to choose between a care home with no top up fee and a more affordable one. The Council has agreed to repay, or write off, the top ups Mr X has paid or owes and make service improvements. There was no fault in how the Council decided to take the value of the Mr and Mrs P’s property into account when deciding what they could afford to pay for their care. There was also no fault in the support provided to Mrs P before she was admitted to the Care Home, its actions in relation to falls experienced by Mr and Mrs P or the information in their care plans about their mobility. However, the Care Home was at fault when it failed to update Mr and Mrs P’s next of kin, Mr X, about these and other incidents. Although Mr X was not caused a significant injustice, the Council should make service improvements to prevent a reoccurrence.

    Service improvements

    The Council agreed to remind relevant officers of the statutory requirement to offer at least one available and affordable care home placement.The Council agreed to remind staff at a Care Home of the need to have communication plans in place for residents to ensure next of kin and families are updated appropriately on incidents or changes in their care.

  • Nottinghamshire County Council (21 014 425)

    Category: Adult care services Date: 06-Jul-2022

    Summary

    We found fault with the Council for a delay in Mr Y’s financial assessment and failing to provide information to allow him to make an informed decision about his home care. The Council agreed actions to remedy the injustice to Mr Y.

    Service improvements

    • Review its procedure to ensure that any phone calls about financial assessments, contributions and personal budgets are confirmed in writing.

  • Nottinghamshire County Council (21 009 745)

    Category: Adult care services Date: 14-Sep-2022

    Summary

    We uphold Mrs J’s complaint about the care and treatment provided to her husband by the Council and the Trust. We found fault with the handling of Mr J’s discharge, the management of his care and needs and consideration of Mrs J’s needs as a carer. This fault caused Mr and Mrs J significant distress. The Council and Trust will apologise to Mr and Mrs J and pay a financial remedy. They will also take action to prevent similar problems occurring in the future.

    Service improvements

    The Trust will review its pressure area management to ensure that patients are being repositioned as requiredThe Council and Trust will review processes to ensure a robust procedure is in place to ensure a person's needs are regularly reviewed throughout their admission and care planning is updated as needed.The Council and the Trust will review processes to ensure a person's care needs and options are fully discussed with the person and their family/carer prior to dischargeThe Council and the Trust will review processes to ensure staff are aware of the need to involve family members/carers in the discharge process, including properly considering their views and any arising carer needs

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