Source · Prevention of Future Deaths
Clive Clinton
Ref: 2014-0238
Date: 23 May 2014
Coroner: John Gittins
Area: North Wales (East & Central)
0 responses identified · 1 indexed addressee
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AI-generated concerns summaryThe coroner noted apparent failings in the care home's complaints procedure, which allowed staff to withhold concerns from senior management. There was also a lack of information for families on how to direct complaints to a more senior level within the organisation.
Date
23 May 2014
56-day deadline
18 Jul 2014 est.
estimated from the report date
Responses identified
0 of 1
Coroner's concerns
The coroner noted apparent failings in the care home's complaints procedure, which allowed staff to withhold concerns from senior management. There was also a lack of information for families on how to direct complaints to a more senior level within the organisation.
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.
(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_
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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 from the report date).
Sent to
- European Care