We found no maladministration in the way the Council for the Curriculum, Examination and Assessment’s made its decision about an exam grade, but were critical of the system it had in place for receiving appeals.
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.