Healthcare investigation finds serious failings in the care of Stanley O'Neill in a Belfast care home.
Stanley O'Neill was not showered for three months and was found wrapping a cord round his neckAn elderly dementia patient was failed by the system put in place to protect Northern Ireland's most vulnerable adults.Despite healthcare guidelines, these and other failings were not referred for adult safeguarding investigations.
"The Covid-19 pandemic was an unprecedented period for the adult social care sector, and although we offer no excuses, we were faced with unique stresses and an enormously challenging climate." "It was only passed onto us weeks later because I asked staff and they said that he was seen wrapping the cord around his neck and they had removed it."
His family did not receive a phone call about the adult safeguarding referral until two days after his death and investigators were unaware that he had died. A Serious Adverse Incident is defined as any event or circumstance that led or could have led to serious unintended or unexpected harm to patients. Investigation reports should be submitted within 12 weeks from the date the incident is reported.In the last three months of his life there were aspects of Mr O'Neill's care in Bradley Manor that fell short of the expected standard
The Department of Health said the increase could relate to "greater public awareness of adult abuse". In recent years the ombudsman's office has dealt with eight nursing and care home cases, in seven of these, adult safeguarding was an issue.Someone who was wrongly positioned in a bed and, as a result choked, and vomitedAn adult with a learning disability not given pain relief
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