The daughter of an elderly cancer patient complained that her syringe driver was removed in the days before her death, causing her to experience unnecessary pain.
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 asked Choice Housing Association to review its Anti-Social Behaviour procedures, and to ensure its staff are aware of the importance of record keeping when conducting investigations into Anti-Social Behaviour.
A report has made recommendations to the Northern Ireland Hospice after an investigation found that a number of failures meant a meant a patient in receipt of community palliative nursing did not receive the end of life care she needed.