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.

We recommended that the Hospice should review staff training on clear communication with patients and their carers, following our investigation into a complaint by the parents of a child in its care.

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.