Sidney Barnett

“Whilst at Berrycroft, the level and quality of observation of the client appears to have been inadequate.”

“There was an insufficiency of care shown to the deceased in terms of his general welfare (whether he was warm enough, whether he was washed and shaved, whether he was able to take his meals safely, whether his clothing was adequate and clean etc.).”

“The 'cleaner' at the care Home "opens the windows, whatever.." There seemed to be no clear rule in place as regards the appropriateness of the windows being open.”

“Asaresult of these matters a safeguarding alert was raised by the hospital team, and this was investigated by the Adult Safeguarding Team at the Council. Both a member of that investigation and the Chairperson of the meetings, agreed that the level of inquiry had been inadequate and that they ought not to have concluded that the 'complaint' was unsubstantiated.”

“The system for looking into these matters is vague and unstructured and will inevitably lead to an insufficiency of investigation. Too much reliance is placed on what the "Care home" employees say, without testing that and further querying what actually happened.”