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 into the way Transport NI (now DfI Roads) dealt with consultation responses to a planning application has led to the Ombudsman making a number of recommendations.