Joyce Dennis

1. 1. lack of continuous oversight of residents

   “lack of continuous oversight, a lack of notes, a lack of review of those notes and no investigations at the Care Home”

2. 2. insufficient training on signs of illness in elderly

   “staff were aware of their duties if someone was ill they did not appear to have sufficient training or understanding of the signs of illness in the elderly which can be more subtle”

3. 3. failure to assess and communicate symptoms

   “evidence of failure to ask [the deceased] simple questions to elicit whether concern was needed; trivialization of her symptoms by people who were not medically qualified to say that those symptoms were trivial; and a general lack of liaison with each other and overview such that in snapshot form it was possible to miss or to minimse the symptoms [the deceased] had over the course of a week and to make assumptions which then put [the deceased] at risk”

4. 4. no recording of family concerns

   “no recording of family concerns and no process in place to do so”

5. 5. inaccurate recording of doctor schedule

   “no accurate notes of when the designated doctor was to visit or who the doctor was asked to see”

6. 6. inadequate sepsis training for elderly

   “understanding and training about sepsis in elderly people was not adequate”

No published response was found on judiciary.uk.