Investigation reports

A woman complained that her father’s health deteriorated because he was not looked after properly in his care home. Our investigation found failings in his care and treatment, as well as a string of serious record keeping failures by the home.

We found that failures in the care and treatment of a patient by a GP Practice had no impact on the prognosis or outcome, but had they not occurred it may have been possible for the patient to have received an earlier diagnosis.

An investigation has revealed that a nursing home failed to fully record its observations of a resident's head injury following a fall, and did not call an ambulance to take him to hospital until almost eight hours after the incident.