Source · Prevention of Future Deaths

Clive Clinton

Ref: 2014-0238 Date: 23 May 2014 Coroner: John Gittins Area: North Wales (East & Central) Responses identified: 0 / 1 View PDF

A care home's complaints procedure failed, preventing family concerns about poor care (e.g., hygiene, medication) from reaching senior management and placing residents at risk of harm.

Date 23 May 2014
56-day deadline 18 Jul 2014 est.
Responses identified 0 of 1
Care Home Health related deaths

Coroner's concerns

AI summary
A care home's complaints procedure failed, preventing family concerns about poor care (e.g., hygiene, medication) from reaching senior management and placing residents at risk of harm.
View full coroner's concerns
_ (1) Evidence was given by the family of Mr Clinton that they had complained to the manager of the Care Home on several occasions about the standard of care which was being provided to Mr Clinton, namely that they would often find him drenched in urine and faeces, that his soiled bedding and clothing would be left in his room, that there were occasions when he would not receive his prescribed medication and that he would sometimes medical appointments which had been arranged for him_ (2) Evidence was also given by a representative of European Care who own the care home, confirming that although a complaints procedure exists within the organisation, the concerns of the family in this instance had not reached a senior level as should happen so that action could be taken: The

(3) My concerns relate to the apparent failings of a complaints procedure in which staff can effectively withhold concerns from senior management and the lack of information within the care home that could advise persons with concerns as to how they may direct their complaints to a more senior level of management within the organisation. In the absence of a truly robust system of complaint;, it is possible that concerns may not be addressed in a timely fashion or at all and could ultimately place residents at risk of harm.

Report sections

Circumstances of the death
Deceased had been a resident at Cae Glas Psychiatric Rehabilitation Care Home where he had passed away in bed on the 21 of October 2013_
Action should be taken
In my opinion action should be taken to prevent future deaths and believe your organisations have the power to take such action_

Similar PFD reports

Shared signals

Related inquiry recommendations

Similar themes

Report details

Reference
2014-0238
Date of report
23 May 2014
Coroner
John Gittins
Coroner area
North Wales (East & Central)

Responses identified

Responses identified 0 of 1
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 18 Jul 2014 (estimated).

Sent to

European Care

Source links