The Northern Trust failed to act on a woman’s concerns about her mother’s health. This, as well as its failure to properly assess her spinal injury and accurately read the results of an MRI scan, led to her untimely death.
The Ombudsman has found that an RQIA inspection and subsequent report was completed according to relevant standards, but that it should have taken further steps to provide the registered manager of a care home with a copy of the draft report so that she could comment on its factual accuracy.