May Gibson

1. 1. inadequate care plan development

   “the failure to obtain the community care assessment and to take proper account of this in developing a care plan”

2. 2. inadequate pre-assessment

   “the failure to make a proper pre-assessment, or query the differences in assessment with the City Council, or to make a further assessment upon admission”

3. 3. inadequate care plan recognition of needs

   “the failure to develop a care plan which recognised Mrs [name redacted] needs adequately, whether initially or by review after she had fallen on several occasions within the Home”

4. 4. inadequate risk assessment

   “the failure to risk assess adequately, taking account of all information that was known, let alone information that should have been known”

5. 5. inadequate risk reduction planning

   “the failure to develop a risk reduction plan when mandated by the risk assessment, even as it was actually completed”

6. 6. inadequate preventative measures

   “the failure to take available preventative measures given the information that was known or should have been known”

No published response was found on judiciary.uk.