Investigation reports

We found that a pre-admission assessment for a care home resident did not accurately record her mobility, meaning that the home was ill-prepared for her arrival.

An investigation has concluded that the care plans prepared for a resident of a nursing home in Armagh were largely adequate, but that it had underestimated the resident’s risk of a fall, and that it was inconsistent in its assessment of his mental state.

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.