Overview
Mrs C was concerned that her mother, Mrs A, had developed a pressure sore while in Ninewells Hospital (Hospital 1) and this prevented her from accessing stroke rehabilitation services.
Specific complaint and conclusion
The complaint which has been investigated is that the care and treatment received by Mrs A from Hospital 1 was inadequate and reduced her ability to access rehabilitation services (partially upheld to the extent that the Board did not fully respond to concerns raised by Mrs C).
Redress and recommendations
The Ombudsman recommends that the Board:
- (i) apologise to Mrs C for failing to respond clearly to her concerns about the effect on Mrs A of the problems in the care she had received; and
- (ii) use this case as a learning tool for staff to demonstrate the importance of good documentation and the effect that failing to complete documentation can have on patient care.
The Board have accepted the recommendations and will act on them accordingly.