Report by the Health Service Ombudsman for England and Local Government Ombudsman on a Joint Investigation Into a Complaint Made by Mrs L PDF Download
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Author: Great Britain. Parliamentary and Health Service Ombudsman Publisher: ISBN: 9780102984163 Category : Languages : en Pages : 51
Book Description
Mrs L complained about the care that her father, the late Mr M, received at a Wakefield Metropolitan District Council-funded care home, Hazel Garth and from a visiting community nurse funded by NHS Wakefield District Primary Care Trust. Mr M was visited by the nurse on 13 October 2009 to deal with a problem with a catheter. Later that day he became unwell and was taken to hospital, where he was treated for urinary sepsis as well as a grade 4 necrotic (dead tissue) pressure ulcer on his sacrum. He was treated with antibiotics and recovered somewhat, but he died on 23 November 2009. Mrs L was not satisfied with the responses to her complaints to the Council and the Trust, and complained to the Ombudsmen. Their investigations find service failure by both Council and Trust for the care provided in the home and by the nurse. They also found failings in record keeping at the home and maladministration by both Council and Trust in dealing with Mrs L's complaints. The Council and the Trust's successor (Wakefield Clinical Commissioning Group) are instructed, within three months: to write to Mrs L apologising for the service failures and distress caused by the maladministration; to compensate her for the poor complaint handling; and to prepare action plans that describe what they have done to ensure they have learnt the lessons from the failings identified and what they have done or plan to do to avoid a recurrence.
Author: Australia. National Occupational Health and Safety Commission Publisher: ISBN: 9780642399632 Category : Industrial accidents Languages : en Pages : 30
Author: Josine Junger-Tas Publisher: Springer ISBN: 9780387560441 Category : Social Science Languages : en Pages : 0
Book Description
This comprehensive reference work presents inside information on the Juvenile Justice-systems in 19 different countries, both in old and new EU-member states and in the United States and Canada. The book is the result of research conducted by a group of outstanding researchers, who are concerned about trends in Juvenile Justice in the last two decades, which blur the border between criminal and juvenile justice.
Author: United Nations Office on Drugs and Crime Publisher: United Nations Publications ISBN: 9789211337617 Category : Law Languages : en Pages : 116
Book Description
This publication sets out practical guidance on the use of fifteen indicators of core importance to juvenile justice, developed by UNICEF and the UN Office on Drugs and Crime in consultation with non-governmental organisations and individual experts. The indicators have been refined through field-testing in a number of countries and are endorsed by the Interagency Juvenile Justice Panel. The indicators fall into two categorie of quantitative and policy matters, with five core indicators relating to: the number of children in detention; the number of children in pre-sentence detention; the percentage of children sentenced to a custodial sentence; the percentage of children diverted or sentenced who enter a pre-sentence diversion scheme; and the existence of a specialised juvenile justice system.
Author: Great Britain. Parliamentary and Health Service Ombudsman Publisher: ISBN: 9780102984163 Category : Languages : en Pages : 51
Book Description
Mrs L complained about the care that her father, the late Mr M, received at a Wakefield Metropolitan District Council-funded care home, Hazel Garth and from a visiting community nurse funded by NHS Wakefield District Primary Care Trust. Mr M was visited by the nurse on 13 October 2009 to deal with a problem with a catheter. Later that day he became unwell and was taken to hospital, where he was treated for urinary sepsis as well as a grade 4 necrotic (dead tissue) pressure ulcer on his sacrum. He was treated with antibiotics and recovered somewhat, but he died on 23 November 2009. Mrs L was not satisfied with the responses to her complaints to the Council and the Trust, and complained to the Ombudsmen. Their investigations find service failure by both Council and Trust for the care provided in the home and by the nurse. They also found failings in record keeping at the home and maladministration by both Council and Trust in dealing with Mrs L's complaints. The Council and the Trust's successor (Wakefield Clinical Commissioning Group) are instructed, within three months: to write to Mrs L apologising for the service failures and distress caused by the maladministration; to compensate her for the poor complaint handling; and to prepare action plans that describe what they have done to ensure they have learnt the lessons from the failings identified and what they have done or plan to do to avoid a recurrence.
Author: Great Britain. Parliamentary and Health Service Ombudsman Publisher: The Stationery Office ISBN: 9780102953411 Category : Administrative remedies Languages : en Pages : 36
Book Description
This joint report from the Health Service Ombudsman and the Local Government Ombudsman investigates complaints made by Mr & Mrs Taylor against Buckinghamshire County Council and Oxfordshire & Buckinghamshire Mental Health Partnership Trust. The complaints concern the care provided to their son, Frank, an adult with severe learning disabilities, from June 2001 to September 2003. Frank has no speech; cannot bathe, shave or dress himself; needs assistance to go to the toilet; needs to wear incontinence pads at night or for any lengthy periods spent outdoors. He needs one-to-one attention for 95 per cent of his waking time. The Council took over responsibility for the operation and management of the home in July 2002. In the care home his care needs were never properly assessed, and a number of significant failings in the level of care were identified. Complaints to both organisations were dealt with slowly, and there was confusion about which body should address the separate aspect of the complaints. Frank was removed from the care home, and kept and cared for at home for three months with no external support. The Ombudsmen, acting jointly under the Regulatory Reform (Collaboration etc between Ombudsmen) Order 2007, investigated. They find maladministration causing injustice and anxiety and distress to Frank and his parents. The conditions and care within the care home were unacceptable, and the Council failed to recognise that when taking over management responsibility. Frank's human rights may also have been infringed. The Ombudsmen recommend a payment of £32,000 as remedy for the injustice and distress caused.
Author: British Columbia. Office of the Ombudsman Publisher: Ombudsman, Province of British Columbia ISBN: 9780772628145 Category : Conflict of interests Languages : en Pages : 9
Author: Great Britain. Parliamentary and Health Service Ombudsman
Author: City of London (England). Corporation
Author: Australia. National Occupational Health and Safety Commission
Author: Josine Junger-Tas
Author: United Nations Office on Drugs and Crime
Author: Great Britain. Parliamentary and Health Service Ombudsman
Author: Justice (Society)
Author: New South Wales. Office of the Ombudsman
Author: Great Britain. Parliamentary and Health Service Ombudsman
Author: British Columbia. Office of the Ombudsman