June Findlay

“During the course of Mrs [name redacted] 9-10 days at Frimley Park Hospital she lost at least 5.3kg from an already low weight. She had been assessed as being at high risk of malnutrition shortly after her admission. The care planning records were inconsistent about the interventions required and the level of risk. The record keeping of the actual interventions used on a daily basis to address this risk were absent or largely incomplete and I found that the ward staff did not properly follow the dietician's advice or the care plans.”

“I am concerned that ward staff are not: 1. Properly recognising the risk of malnutrition to patients, even after completing the MUST2 assessments; Correctly utilising care planning tools to address the risks of malnutrition; Properly monitoring and recording the interventions undertaken to address”

“The auditing of records does not seem to have identified the repeated failures to record required information”