Organisations involved in the Serious Case Review, sparked by the death of a South Tyneside pensioner have given their verdicts on the report’s recommendations.
Andrea Sutcliffe, Care Quality Commission’s chief inspector of adult social care, said: “The standards of care at St Michael’s View under Southern Cross were completely unacceptable, and I extend my sympathies to everyone who received poor care, and in particular to the family who have lost a close relative.
“We acknowledge that the inspection methodology we used at the time was not sufficiently robust and that better procedures for information sharing between agencies were needed. The report highlights a significant improvement in inter-agency working over the last three years, and we will continue to review all the recommendations in today’s report to ensure we have identified all the opportunities to further improve our practice in the future.
“In October, I outlined our plans for changes to the way CQC will monitor, inspect and regulate care homes and other adult social care services in the future, with a greater focus on public involvement and improvement.
“We will consider the findings of this very important report as part of this process.”
Steve Jamieson, South Tyneside NHS Foundation Trust’s director of corporate services, said: “We accept the recommendations in the Serious Case Review report.
“The patients concerned are the very frail in care homes – the very same people who will have repeated admissions to hospital.
“However, we have a strong safeguarding culture and are very aware of warning signs that may indicate failings in care and liaise with our partner agencies whenever we identify any of these.”
Jackie Smith, chief executive and registrar of the NMC said: “The events at St Michael’s View were both deeply saddening and distressing for all concerned. We would like to offer our sincerest sympathies to the family involved and we extend that to others who experienced poor care at St Michael’s View.
“We welcome the recommendations made within the Serious Event Review and we will be feeding these into our ongoing improvement programme. This includes the work being undertaken in response to the recommendations made to the NMC in the Francis report.
“We note the recommendation regarding raising our profile with stakeholders. We are continuing to work on plans to raise our profile so that the public and employers understand our role and how they can bring patient safety concerns to our attention.
“As part of this, during 2014 we will be:
Relaunching our website to ensure it is public facing and user friendly.
Issuing new public and employer guidance documents regarding the role of the NMC.
Developing public and patient facing information about The Code: standards of conduct, performance and ethics for nurses and midwives.
“In addition, we are also in the process of planning for the introduction a network of regionally based advisers to provide employer liaison and advice at a local level about raising concerns.
“The advisors will represent the NMC in independent care settings, as well as the NHS.
“We know that we need to speed up our fitness to practise processes, and we are working on introducing a more streamlined legal framework which would allow us to do that.”