Coastal West Sussex Clinical Commissioning Group
NHS / Health Body
Action Taken
AI-generated response summary
• An investigation was conducted involving the Quality Assurance team, medicines management, safeguarding adults, the residential care home, and the GP surgery to examine delays in accessing dressings. • The Deputy Chief Nurse, Sussex Community NHS Trust, was contacted to investigate the reason for ordering delays and the use of non-prescribed dressings. • The Residential Care Home reviewed its Management of Prescriptions policy to prevent future delays for residents.
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Dear Ms Schofield Re: Inquest into the death of James BATELEY 10 March 2015 Further to your letter dated 24 March 2015 highlighting matters of concern and the need to investigate the issues raised, we confirm the following: The matter was referred to our Quality Assurance team whereby a representative met with the Head of Medicines Management CWS CCG, Deputy Designated Nurse: Safeguarding Adults, CWS CCG, the Residential Care Home concerned and representative of the GP Surgery to investigate dressings not being available and the process undertaken by the Community Nurses who regularly to treat this type of ailment and the delay in the order of such dressings: The timeline of events was as follows: Need for dressings raised 13 2014 First order request submitted 28 May 2014* Further request submitted 2 June 2014 First order received 31 May 2015 Second order received 5 June 2015
*This resulted in a 15 day delay in ordering: The action to be taken will be to contact the Deputy Chief Nurse, Sussex Community NHS Trust to investigate fully the reason for delay in ordering; together with application and use of non-prescribed dressings. This action was completed by Friday 1 May 2015. Goring have May
Assurance has been obtained from the Pharmacy used by the Residential Care Home and we are satisfied there was no delay in processing the dressings order. The Residential Care Home have completed review of their Management of Prescriptions policy to monitor and ensure there will be no further delays for their residents in relation to prescribed dressings We would like to reaffirm the patient did receive appropriate treatment by the Community Nurses and the delay in the prescription request was not detrimental to the patient's physical health, as the appropriate dressings were used from within the Residential Home's stock.
*This resulted in a 15 day delay in ordering: The action to be taken will be to contact the Deputy Chief Nurse, Sussex Community NHS Trust to investigate fully the reason for delay in ordering; together with application and use of non-prescribed dressings. This action was completed by Friday 1 May 2015. Goring have May
Assurance has been obtained from the Pharmacy used by the Residential Care Home and we are satisfied there was no delay in processing the dressings order. The Residential Care Home have completed review of their Management of Prescriptions policy to monitor and ensure there will be no further delays for their residents in relation to prescribed dressings We would like to reaffirm the patient did receive appropriate treatment by the Community Nurses and the delay in the prescription request was not detrimental to the patient's physical health, as the appropriate dressings were used from within the Residential Home's stock.