Investigation reports

The Trust accepted its failings and our recommendations into record keeping after the patient’s mother raised concerns about both staff communication and the administration of medication.

Our investigation found that the South Eastern Trust failed to properly assess the risks faced by a patient, and could have done more to help him before his death.

We concluded that the investigation by the Belfast Health and Social Care Trust followed all relevant guidelines, but asked it to remind staff of the importance of routinely consulting the GPs of vulnerable adults when carrying out future investigations.