Failure to make adjustments for patient with a physical health problem

What happened

Ms F was admitted as an inpatient to a residential unit. She suffers from a serious physical ailment which requires constant monitoring. Among her concerns were the manner in which her physical illness was monitored, intrusive care, treatment of her injuries and problems with her medication.

What we found

There were shortfalls in the preparation of care plans for patients with physical illnesses, the treatment of minor injuries and the training of unqualified staff. The Trust acknowledged the problems Ms F experienced with her medication and had taken appropriate steps to prevent a repeat of this.

Putting it right

Following our report, the Trust apologised for its failings, and agreed to put together action plans that showed learning from its mistakes so that they would not happen again.