Yong Hong

1. 1. lack of observation regime implementation

   “the observation regime advised by the GP was not implemented”

2. 2. lack of risk assessment before call bell return

   “no risk assessment was carried out prior to making the decision to return his call bell”

3. 3. lack of staff training in risk assessments

   “care home staff did not receive training in how to carry out risk assessments”

4. 4. lack of interpreter for communication

   “no interpreter was sought in the meantime to assist with assessment of his needs”

5. 5. lack of further clinical advice and social isolation

   “No further advice was Sought from the GP or other appropriate clinician and he was left in social isolation without any means to express his distress,”

6. 6. lack of risk assessment and GP input

   “no risk assessment was conducted and no further Input from the GP waa sought”

Linked reports

No published response was found on judiciary.uk.