Mrs C complained about the care provided to her when she presented to the Grange Hospital on 24/25 June, and then on 28 June, with uncontrolled pain caused by a dislodged kidney stone.
The investigation found that the standard of care provided to Mrs C on 24/25 June was appropriate. However, there was a failing in the Health Board’s record keeping on 28 June because there was no evidence that Mrs C’s pain was properly monitored or recorded whilst she was in hospital or at discharge. This meant that the Ombudsman was not fully able to determine Mrs C’s complaint about whether the plan for the management of her kidney stone was appropriate. The Ombudsman upheld this aspect of the complaint to that extent.
The Ombudsman recommended that the Health Board should apologise to Mrs C for the identified failings, and review the details of this complaint with relevant clinical staff to ensure that pain is properly assessed and recorded in similar cases. The Health Board accepted the recommendations.