Christopher Smith

1. 1. lack of home assessment

   “A recommended home assessment was not completed as part of Mr [name redacted] planned discharge from hospital.”

2. 2. incorrect next of kin record

   “The next of kin was incorrectly recorded on Mr [name redacted] medical records and the family were not informed of his discharge home as part of the discharge planning that he required care.”

3. 3. discharge despite deterioration

   “Mr [name redacted] remained on a discharge ward from 2nd February until his discharge on 10th February even though he suffered a deterioration in his medical condition. Mr [name redacted] capacity fluctuated during his admission, he was noted by nurses to be confused and his capacity was not reassessed.”

4. 4. incomplete nursing notes

   “Nursing notes in respect of Mr [name redacted] discharge were incomplete, incorrect, and led to assumptions being made that Mr [name redacted] a. had capacity to make decisions about his care and treatment b. was being cared for in the community”

5. 5. lack of district nurse referral

   “Mr [name redacted] has extensive leg ulcers that required specialist input. No district nurse referral was made to ensure that Mr [name redacted] leg ulcers were treated.”

6. 6. unsafe home environment

   “Transport staff returning Mr [name redacted] home found he had no key. One was located and on entering the property found conditions that caused them serious concern about the hygiene and health and safety within the property with a leak, uncleanliness and exposed electrical wiring and that there was no bed.”

Linked reports

No published response was found on judiciary.uk.