Swindon Borough Council (20 011 171)

Category: Adult care services Date: 18-Aug-2021

Summary

Mrs B complained about information an NHS Trust provided to the Council’s commissioned care home provider when her late father was discharged from hospital in December 2019. She complains a Surgery prescribed antibiotics but failed to send the prescription to the pharmacy. She also said the Home delayed in following up on the medication her father needed, and this contributed to his untimely death. We found the Trust at fault for poor record keeping when it dealt with the discharge, but it improved. Faults in the way the Surgery made an electronic request for medication and the Home’s failure to take follow up action caused delay in the medication being received. The Surgery and the Home also missed an opportunity to report the incident to the Council so it could consider its safeguarding procedures. The authorities have agreed to our recommendations and the Council will monitor the Home to ensure it improves the way it records discharge information and it will provide safeguarding training if necessary. The Surgery will remind its staff of the importance of reporting safeguarding concerns to the Council when dealing with incidents relating to patient safety. The Home and the Surgery will apologise to Mrs B for the missed opportunity which contributed to doubt she has about the events which occurred.

Service improvements

Swindon Borough Council (20 000 973)

Category: Adult care services Date: 19-Aug-2021

Summary

Mrs C complains about the Council’s management of her late father’s care home charges. There was delay in providing a full statement of account, and a failure to take action in respect of Mr B’s pension. The Council has agreed to the Ombudsman’s recommendation that it reimburse the £218.00 probate charges, in addition to the £262.07 it has already agreed to write off. It has also put in place measures to improve its management of client accounts.

Service improvements

Swindon Borough Council (19 016 113)

Category: Adult care services Date: 24-Oct-2021

Summary

Mrs D complains about her father-in-law, Mr E’s discharge planning by the Council and subsequent care in a nursing home and a hospital. We found fault with some aspects of Mr E’s care and have made recommendations to the Council and Home to improve their services. We did not find fault with the Hospital.

Service improvements