Professional Documents
Culture Documents
Documentary Evidence
Documentary Evidence
a) The matrontold the GP shehad a complaint from the dietician that I had interfered,and confirms in her statement:" The
r*any specialist nulses that visited Mrs Bed&rus orten ma& verbal complaints to Elderholme staff about Mr Beddows
behqviour/demmdsetc." The NHS Head of the Dietetic Serviceandthe Head of the ContinenceService"the GP and the NHS
CHC Managerhave sinceconfirmedin writing that noneof their staffhad madeany complaintsaboutme. SeeNHS letter I le
July2011.
b) The matrontold the GP that the Continencenursehad complainedthat I had stoppedher from removingmy wife's catheter.
TheHeadof the ContinenceServiceconfirmsthat no suchcomplaintwasevermadeaboutme. SeeNHS letter 11* July201l.
e) The matronwrites '? csn stste that we neverhad or rqised a concemthat Mrs BeddowswasTns.singtoa muchurine. " The
matron statesthat the GPsstatementto this eflect is "irxrccurateandmisleading". NHS recordsshowthat Elderholmedid raise
sucha concern.SeeNHS letter I t ft July 2OI I .
a) The matroncomplainedto the GP that I was insistingon three staffto transfermy wife. The matronnow states"At no pint
did I "complain" to the GP aboat tlrs". Both the GF and I confirm that shedid,canfirrnedin the minutes.
b) Matron "I nevermadethe statementto GP that Mr Beddows'permissianwss required beforestaffconld contactthe GP."
Both the GP andI confirm that shedid, confirmedin the minutes.
c)" I disagreewith GP whenhe saysI talheddown to Mr Beddowsand I was not aggressive,anly assertivein my manner.The
aboverecollectionof eventscan be confirmedby other qualified nursesas to sn accaratedescriptionof the meeting.The other
nurseswere not at the meeting.Both the GP andI confirm that shewas, confirmedin the minutesand also in the NHS letter of
1Ifr July2
d) * lVe have no recollection, htowledge or docamentedevidencethat the cantinencenarse camplainedthat she wsnted to
removeMrs Bed&ws uqra pubic catheterond thqt Mr Beddowshd stoppedher. To the bestof rny fuuruIedgeno comments
were madeto this efiect by ar4toneat Elderholme.Both the GP andI confirm that shedid, confirmedin the minutes.
e) "To the bestof aur knowledgeat na point did Mr Beddowsdisagreewith this dressingandwe neverreportedthat he had. Is
GP refenrng to me when he says "she also told me". If so I did not say this to GP. Both the GP and I confirm that shedid,
confirmedin the minutes.
Iloe 4 Continencereport
Matron: "In our opinion shedid not needto be cqtheterised.We wrnld appreciatesight of the repart which GP sayshe hasfrom
the continencenursestating that this cathelerisationv'asin Mrs Beddowsbestinterest.It wcrsMr. Bed&ws who wontedier to
remqin eotheterised".This letter provesbestinterests.
Mstron: "Neverhos this suggestionbeenmde and is refuted by all Eulifed staff. Wefindwlwt GP hoswritten baffIing md
tomlly unlrae. Mqt we see the letter that we lwve purportedly written". This letter proves the matron's statement is not
truthtul.
b) Matron: *From admissionuntil some time in 2007 fururly docamentedcheckswere not carried out".Matron's statement
conflicts with Dinectarof Elderholme, who writes that "whenDoreenarived (in2}}})hourly checkswithfall docamentation
wererequired"
Doc 6 Letter from Elderholme22d May 2008from Matron Chris Whiteside
Doc 7 NHS Review Nurse Statement; RGN Statement
Doc I Minutes of 30e July meetinggiving reasonsfor hourly checks
Doc 9 List of cuts and photos
Doc 10 Letter from Elderholme 10 June 2010
Doc ll Scheduleof checla
GP: "In March 201I I saw severebruising to Mrs. Beddows'foot'nlhich was unexplainedby staff but was consistentwith
ha$ng beentrappedin theside rails of the bed"
Mstron: "This is actually untrue. GP did not uisitMrs Beddowsin Msrch 201l.Mrs Beddows'big toe wasfound to be braised,
and swollenbut not red to touch on Friday 25" March 201L If at anypoint during her stay GP, Dr.P. (consahant)or the CHC
teamhad given q valid reasonwlry hourly documentedcheckswere needed,we would have of coursecompletedthem.I scid
"will afuays checkhourly".
All documents6 to 11 concernrecordedhourly checkswhich were madepart of the careplan in 2008,butwere always done
without recordingfrom 2000.Therew matronstoppedthemin 2010,Elderholmeclaimingnot to be paidfor them.Thecutsand
bruisesshowthat hourly checkswere needed.The NHS ReviewNurseaskedElderholme to reinstatethem but the schedule
showsthat therewere long gapsbetweenchcks. :
concernthe complaintprocess:www.scribd.comldoc/2345O8123/Complaint-Process
Thefollowing documents
DearAlison
With rcgardto the questionsrelatingto the Nutrition& DieteticServicethe Headof Servicehas informed
me that:
uorthl Togf,fu?-cr|tt|d rrd Erc*n chshl'E. wrntrgbn ternrr oErhrr fid wftrl Ffr
Chdn Hnt(dryonrrilDt
Ch|rfhodtm l#tefiyDoren
with regardto the questionsrelatingto the continenceservicethe
Headof servicehas informedmeas
follows:
e) Elderhomeadvisedthe continenceservicethattheywereexperiencing
catheterisations difficufthsw1hre-
andwere increasingly uncomfortaule
auoutierrormlni tn" changesat
Elderhome.
f) Therewas a discussionaboulthe possibilityof removing
the supra-pubiccatheterif it was not
possibleto resolvethe problemswithcatheierisations.
i unoersiaruithis rtiscussionis undertaken
with any patientswhosecatheter_is
duringthe discussion, lecomingprobtematic forthem- ihl oinicianrecallsthat,
it was.not.Mr
Beddowi'prebrencefor thecatheterto be renpvedbutMr
Beddowsdid nottry to stopit beingremoved.?he clinicianatsorecalsihat
monitorthe situationand rcmovator tne catheterwouldbe a last it was agreedto
g) with regardto lhe abdominalr*ound, resort
option.
I havebeen-advisedthat Mrbeddowsoia not try to stopthe
clinicianfromsofleningthe wound.
h) The clinicianhasconfirmedthatshe dkl not makea complaint
aboutMr Beddowsbeingpresent
whilethe necessaryprocedurcswerebeingundertaken.'lunderstianJ
\// clinicianhadcontracted in* on turooccasionsthe
Mr Beddowsdirecti to anangea mutualtimefor servicevis1sto
place. take
') ofMrsHurslasking
EHerhome
Nursing
ilISEJ:##:"to Home
abour to Drpinderfor -i(
a refemal
j) lt is confirmed thattheContinuingCarcTeamattendeda meetirgin July2010andthatMrs
Beddows'careplanwas revierared at thattime. I unoerstanaine continuingcare Teamalso
undertooka reviewfollowinga meetingin Novembe r 201O.
*) confirmedthat Mr Beddowshis not madea comptaintabout
ll,iX."'"o rhe medicatcaregivento his
Yourssincerely
NFI 5 tnvv5it (6f r-r N f|eP.ta-"J
t l
i , . " r * Tn
-T -[ tt
Kathy Doran Vta1 t 5 5l n . tn el,F.r"l [r'r 'a 5
ChiefExecutive
NHSCheshire, Wanington& Winal t $.lZ',n-1t-ee;.. AFrl> fLE <.rralf f fr ot-r
7nJune201I
MrsJanetHope
SsniorComphints Officar
Cheshie,WantmtonendWnal Ctuster
Quayside
\Mtdrspool&rgfiess Park
Greenall'sAvemre
stocktonHath
Wanlqton
WA46HL
DearMt: Hope
Re MP anguiry- AlisonMcGovemMp
Mr Len geddorys.7 WaalctOrive,UflleSutbn. Ellesmerepoft CH6g4yW
Mrs DoreenBoddows.Bdarholrno NursingHome.CHE34Jy
*-
ffi#;uflfitme*,,*'ay;,m
,tjg"_.jn"t
ms*frffi
I haw oovaredthe poinre
Intormatbn orclarncation fuflv
rhenpreaie-oi'n;1il,?$"'J" anyrurrher
IH,"T ;T*r
Wilh bst wishes.
ON TITESDAY I2THMAY 2fi)9
EXTRACTS OF THE MINIITES OF MEETING HELD AT ELDERHOLME
D)
thet the
MatrOn said thet the continenCe wanted a sore
nurse wanted
continencenurse catheter to be kept'\ret'
the Crltneter
near Ule
sore near and Mr. Beddows had stoppedher
and said that he did not agree with this and wanted it to scab over'
@
to look at the
Mr. Beddows said that this was untrue. The specialist nurse had explained that she would get tissue viability
sorethen go from there.
E)
whilst she was on
Matron said that she had received a written complaint from nurse John who had put it under her door
by Mr. Beddows-vhohad shouted loudly at John in the corridor in front of
Lo[day.John felt that he was beenvictimised
other staff, that he could not organisea piss up in a brewery i.:,
twenty to two
Mr. Beddowssaid that the argument with John had beenbecausecarers had been available to get his wife up at
Mr. Beddows had asked John why his wife had
but did not do so becausea nurse had told them to leaveher until two thirty.
may be unwell and John replied that he was manager in charge of the flosr and he would
teen t ept in bed thinking she
organisewho got up.
F)
Dr. Meyer said that the nurseshad informed him that the dieticianl4rd criticisms about Mr. Beddows.
\:./
Mr. Beddowsexplainedthat he had never met the dietician and had only spokento her twice on the telephone.
G)
being
Matron seid that Mr. Beddows insisted on there being tlree people present on transfer. He dso insisted on his wife
wery hour and ii leing recorded on the tun*chart.Sire saio that Mrs. Beddows received more care than any other
checked
in intensive
resident in the home and there iere fiflry nine others to look after. Shewould not receive such attention if shewas
car. 1 { I
oa
Mr. Beddows said that the transfer by three people was the result of a note in the Nursing Needs sheetfrom the hospital
transfer to Elderholme and also as aiesult of a risk assessmentthat is in the care plan. Mr. Beddowssaid that the previous
matron had introducedthe hourly checkbecausehis wife could not usethe nurse call systemo-rshout for help.If her catheter
previcus
had bypassedshe could be wet for three or four hours. Her face neededobservationto seeif shewas in pain.Tbe
matron had insistedon all charts being completed.
year.
Matron said that half the peoplein the homecould not usethe call bell and the previousmatron had beengonealmosta
was
Mr. Beddoys said that he bad never overrode a nurse's instructions as otherwise what was the point of being in care. He
plan was met with that was his onty concern.Howcver for the
happy with the standardof care and said that aslong asthe care
he askedthat they agree that three pe-ople
were needed on transfer, his wife is checked hourly,and she is got out
sat e of cUrity
of bed betweenone and two. Vieti saiOtnat they could not guaranteethe timing but would try to achievethis.
Noteson resolution meeting with Matron 28e October 2{XD
On SundayI lft October,after receiving the reply from the directors about my complaint I saw the matron and
said to her that we both disagreedaboutcertainthings but the looserwas Doreenandthereforelet us havea truce
over thesematters.She agreedand said Thankyou.Thenext day I suggesteda meetingto go through everything
and trv to resolve our differencesand see what lessonscan be learnt. Shehad a look in her diarv and said she
would be &ee on 28ft October.
On that day we had a meetingin Doreen's room. I openedit by sayingthat we neededfrst of all to find some
commonground . Sheaskedwhy I was only bringing this up againafter five months - how could sheremember
what was saidthen.
She said the Directors told her to arrmge the meeting with Dr,Meyer after they receivedthe letter of complaint
from John.Mafron saidthat her staff wereon eggshellswitl me due to my involvementwith FARE (the relatives
goup). I pointed out that tle nurseshad their owr group which wrote letters of complaint to the directors.No
comment.
Shesaid that shewas not going over every point againand sheneversaid that shewantedto restrict my time with
Doreenand sheneversaidthat I was detrimentalto her care.When I had glen her the minutesshehadtakenthem
homeandput yellow lines throughalmostall of it becauseit wasnot hue. I askedwhy had shenot told me this at
the time. No response.
I pointed out that Dr. Meyer wasthe Home's appointedwitness.They recommendedhim to us and he wasnot my
GP but Doe's and I hadnot seenhim for two years.Hehad agreedthe minutes.
I said could we agreeaboutthe complaintfrom the continercenurse.Shesaid that the continencenursehad told
"us" that shewantedto take the catheterout and I would not let her. I referredher to the letter to the doctor by the
continencenurse on 26e Marctr,sixweeksbefore the meeting in which she statedthat shehad told me that she
wantedto re catheteriseDoreenand I agreed.Matronjust said "Well shetold us different''.
I then said canwe agreeon the diotician.The commentI hadbeentold by Tanya wasthat shethoughtthat diluting
the feed was old fashioned.Matron said that the dietician had said to tle nursesthat diluting the feed was no
longer approvedbecauseit meantopeningthe feedbottles.I told Matron that the dieticianshad orderedthis to be
donenine yearsago as a way of getting enoughfluid in to Doreenas shewas vomiting water given to her bolus,
andwhilst they visited every six monthsthey had never alteredit. Staffcould look it up in Doreen'sfiles, I do not
make decisionsabout Doreen's diet. She said that she called the dietician in becauseof the confirsion but I
remindedher that therewasno confrrsionuntil after her call.
We went over Vicki and Johnscommentsabouttoo much water and shesaid that if you had donea flush wit]r t}ts
mds you did not haveto do anotherone. I pointed out that in Vicki's caseshewas showingcarestaffhow to set
the feed up so even ifa flush was not neededthen, she shouldmsntion to them about it being normal procedure
otherwiseit would neverbe done.I said that I had agreedwith Johnto agreeto differ on what hadhappened.
Shesaidthat the staff were also on eggshellsbecauseI was alwayswriting things down.Mahonwas getting more
andmore in a temper just as shehad at the meetingon 12'May.
I explainedhow John and I had cometo have words and that it was threedays after we had both agreedto differ
over what had beensaid aboutdiet. All shekept sayingwas that Johnwas very upsetandthe staffthought that I
was askingthem eachquestionsin the hopeof tripping them up. I pointedout that I was trying to understandwhy
they wantedto reduoethe fluids when they had not discussedit with Doe's own namednurseswho knew nothing
about it. I said that shehad said to the dietician that Doe was passingloo much wine and she said that she had
never ever said that - who said shedid. I told her that the dietician told me and shesaid that shehad never said
that.
I ttrensaidthat the commentaboutneedingto get my permissionbeforecalling the doctor was not fue. Dr. Meyer
confirmedthis and he was their choice,fheir witnessandthey had recommendedhim to us and I had not ssenhim
for over two years.I said that I had not beentold of most of the doctor's visits and had not beenpresentat any of
the last twolve calls. Shesaid that they werebeforeshecame!They were not.I saidthat I shouldbe told when my
wife is ill enoughto call the doctor in.Whenreviewing the careplan in JanuaryI had asked nurseTmya to let me
Lnow when the doctor was to be called in becauseno one hadbeentelling me and I had found out later by reading
the professionalvisits pagein the careplan.
The meetingwas difficult becauseMatron deniedso much of what is minutedandjust kept repeatinggeneralities
about me upsettingthe staff. She admittedthat it was the newly registeredless experiencednurseswho had a
problembut it was all sortpdnow.
Wirral
PrimaryCareTrust
W'|as f ,gg;uv.4"g,
; r f A f $,r"; f gr# fl.-l*,i ; f rf f ,* ;.i * u # # gw{.: l;
SpecialistNursingCentre
3 Port Causeway
Bromborough
CH524NH
Tel: 01516435330
Fax: 01516435440
Our Ref: JJljcl1113
26 March2009
Privateand Confidential
Dr Meyer
TheSurgery
NestonRoad
Williaston
CH642TN
DearDr Meyer
Re:DoreenBeddows,ElderhomeHomeNursingHome
DOB: 10/03/1945
'l
f'. r-iOlY:,,'t.Ljt;i.lij,:?r,r.-:,.,L Chairman:Mrs FrancesStreet
Flai;,.: i trr ll
Chief Executive:Ms Kathy Doran OBE
wirrallffrI3
PrimaryCareTrust
hassomeconcerns thatthe tubing-maybe too longon these,but I havereassured
if thiswasthe casewe wouldlooliforalternatives.- himthat
Yourssincerely
CC ' t,de.tho.n"ra
ffi:;,,""ffirliffili;i":, Chief
Chairman:Mrs FrancesStreet
$ecutivei Ms Kathy Doran OBE
Elderholme
( L-\rt hRttRfiX;l-.
Irt)$plTAl.{;RouNr}s}
Mr L Beddons
7 Weald Drive
Litrle sutton
Cheshire CH66 4yW
23 December2010
DearMr Beddows
B Woods
Director
Mr Lrn Beddows
7 Weald Drive
Little Sutton
SouthWirral
cH66 4YW
Dear Len
:
I am writing to confirm detailsof both our discussionheld on Tuesday20s May 2008
and the outcomesagreedin relationto your corrcemshighlightedin your letterdated
l6'h Ma;*2008.
ObservationMonitoring
IN could be considered
During our discussionthe concernof Doreennot receiving what
monitoringwith regardsto position91hel zuprapubrc-*t*t
( art-e ti."fi- appropriate
""*ffi
ChristineM Whiteside
RegisteredHomeManager/Tvlatron
NHS ReviewNurseStatement
FYI
Whilst I worked at NHS Winal as the Physical& SensoryDisability ReviewingOfficer,
part of my role was to review patientsin receipt of Continuing HealthcareFunding who
were residentin carehomeswith Nursing.In April 2010 I visited Elderholmeto review
Mrs Beddowsasroutine for an annualreview, after reviewingthe careplan I discussedMrs
Beddowscare with one of the staff nurses,she told me that they neededmore funds to
carry out the care that Mrs Beddowsrequired and that if 3 staff were neededto carry out
the care, they should receive an increasein what the NHS were paying, I explainedthat
evidenceshouldbe providedin the care plan that the needshad increasedto recommenda
new application to panel, for further funds. The care plan did not show any increasein
needsand the staff felt that if they were to carry out regular Checkson Mrs Beddowsthey
would need extra funding for more staff. This concernedme somewhatas regularly
checking patients in your care should be part of basic nwsing. There appearedto be a
disagreementin whether or not Mrs Beddows required checking hourly between the
Matron and Mr Beddows, I therefore recommendedthat the Nursing staff refer Mrs
Beddowsback to the RehabConsultantto clarify the needs.Mrs Beddowscondition meant
she had no head control, if left unsupervisedthere would be a high risk that her head
position could change,this could restrict her airway. In order to gain clarity from the
Consul'tantand agreethe care plan gcing forward, an MDT was arrangedfor July. At that
meeting the referral had not been made for a clinical review, the Matron had agreedto
reinstatehourly checksand to documentwhen those checkshad been made, any issues
noted and any actions required,as far as I am awarethesecheckswere not put in place,
unfortunatelyI movedon from the PCT shortly after.
Kind regards,
PaulineHurst
ReviewMeetingfor DoreenBeddows
Minutes
ElderholmeNursingHome
Friday30 July 20{0
t{:00am
Prcsent:
PaulineHurst (PH) PSDReviewing fficer
DawnVasco (DV) ContinuirgCareManager
HeatherWard (l"lw) Manager/hlatron
RachelBlacklock (RB) Nurse
LenBeddows (LB) Husband
LB - yes alwaysassistswhenpresent
PH - LB needsreassurance
thatcheckingof DB is carriedout
-
'\/ LB - concemsoverdayshewas leftfrom 10:30to 16:30,whenshe wasn'tgot out of
bed or tumedduringthat time, askedwhy tris had happened.Was only bld that
there was an emergencyin the home,thereforeregularshff uere ergaged
elsewhere,br-rtarguedthatall staffshouldknowwhather neds are becausethey
shouldbe on herchart
RB - askedhowLB knewthishadhappened
LB * she was on her backwhenhe left her and was still in the same positionwhen
he retumed.
RB - staffareonlyhuman,mistakeswill be made
HW- theseare legaldocunerfrs. Sbff are wonied that if trcryput Ut$rgson form$,
and a chartis not corn$etedhoutlythenthey felfiey slu.Sdb liablein a court of
law
LB- no is happywithcareplanas it is
ff*ilHfif_"q-:':::i**"L'*'ffi,ffi.TffiK%*nff;#*iyffitrggrownbrownbrackandyeronrdoa,tknoww
Tuesdayth Jrme2009 Seephoto bejow
i*#-Ht--ffiT*fA$mXj*m;,nffi*":"X1ru;fffiil#.rtbruisederbowandshesaidshedoesn,tsewrtobe
Mondayl5eJune2009
Doe wasmurmuringquite a bit. she had
anotherbruiseon her knee.
SahrdayZZbfuneZbOg
j'st below the other onewhich
t*g;;i;#nn* is four weeksotd and sti1lyellow. No one
fi;rff "oo* knew anyrhingaboutit
uoe hadan rnchlong red mark on her forehead
atroveher left evebrow.It could hal'e been
sardthat shedid not know, a scratchor a burst blood vessel.I asked...
. what it was and she
Wednesday l9s Ausust2009
she had a cut that ha'dbeenbieedingjust belowher
le{t eye'It could only havebeencaused
her face insteadof-beingp;fi;;;#;ides. by a fiageraail and ifit was Doe,sthenher
Toni showedmethe permysizedmore on handsmust have
Hfrffi;tfft Doe,s back
herupperlip left sidew'hichnooneknewhorvithad
ffiS#ffion happer.red.It
lookedlike bangiag on the side rail &.hen turnins.
na{ scralch on ber lip and on her left arm.
S 1_{een
I i'' and 18"'Septernber20l0
:o-?nd.
Lroe nad severe nose bleds during
the night for wbich the doctor was called.
22@November 2010 There was no explanation.
Doe had a sore e! e with rvhat looked
like a nail mark just above her eyelid
24e November 2bi0 in the comer. Iasked nurse MAeve to
rook at it but she said it was nothing
I reported to nwse Aiix that Doe had
not opened her e1'esfor three days and
25q November 2010 could she ask night staffto check ifDoe
rs awake during the night.
I asked nurse lvlaeve if night staffhad
reported whe&er D:,"y:.:j":trg
t'es not the sofl of rhing that you noticei alr-mght or nol.sr'e said they had not
*'r"-t y* i..f.a for it ie did Jrr" -r""i said that they had noticed anylhing.r
*"."eh rh. said that it
rvlth me since last Saturdar.. becausesbe has-been?sleeprvhirst
"iehr;;';;#ffii*"u"
l3s.Tanuary.20lI
Nght staffnoted a superficial scratch
to Doresn's lelt upper arm. It showed
?0mJanuary.20l l blood and was about tlree inches rong
probably caused by nail.
D_oehad a three inch scratch on her ieft
thigh whioh showed blood.
22"o January 201 I
wealunderherleft breastoaused
throughthepegrubebeingleft therewhenshe
ry": F:*friJff hasbsentumed.
to b"d it ,u?snoticedthatshehada raisedarea
onherripfit legbelowtheknee(shin)with some
skinscraped
offit.
l;$Tl"1ffiTilfil-"tfftack
scratch
abovethekneeofherleft leg,toofardownto
ffi*:fffir-ch havebeencaused
by herownna1s.
Doe had blood on the side of her nose
and also aa inoh long quarter inch wide
10* March 201 I brood covered scmpe on her toague.could
ha'e been done on teeth cleanurg?
p-rynad three deep red scratches on her left
arm near the elbow.
l2e \4arch 201 I
Doe had a further two scratches on
her arm just below the prer'ious ones.Julie
25'March 20i I said that Does was on her refi side
with one arul across the other,
onthetoporthetoe,
goingback
ontothe'aiaarea
or&eroot.Looks
ffffi"*:'ffirH:Lt"#:tJif#iliff'*t asthoughithas
been
l)-' August 20ll
cuton[:neepossiblyceused
throughcontactwirhthecrossbaronthesranchion
fftrH$6i?* of rhehoist.
ft:?*?:T?il1.!1iTf,H#:,n*T;l"Hharrwavbetweenrootandreftknee
couisionwirhhoist?
i 9- November20il
f}re centimetrecut on right knee(collided
with hoist?)
25 March 2011Photo7ft
Thereasonfor needingthreestaJfontransfers.
This occurredin hospital.
ID
Elderholme
(C.LATIERBRI
tX}E I I(}sPITAI-CRoUNDs}
CLATTERBRIDCE ROAD
BEBINCTON
WTRRAL
CH63 4JY
Mr L Beddows
7 WealdDrive
Little Sutton
SouthWirral
CH664YW
l0 June2010
DearMr Beddows
Arc e'ti
B Woods
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Furposeof the Melins
A meetingwas held on th l1ul June2008 at 9130am at gudingtonllouse Crosbyto dtscussthe
ongoing cgncernsof Mr Liversageand Mr geddowsand the future rsle of FARE.
Mr Rourke-ChairmanWirrelderly
Flr Woods-CompanySecretaryWirrelderly
In responseto the cscIs concernthat the managementstructure in the home was fragmented
and
unclear
- thatrhiswould
betimety
+'
"",:ff;i:*
| : I:lhll,t_li*]'tthlteside.wlll assessdependencylevels on each of the peoptewho live at the
-,n w.hitesidewlll coniact csci to arrange a vBit io the horne. Ann Ford and lffinne
# loT*. T.F
Revie will visit the servlce and discussthe possibleirnpllcationshr changingth;
'/ staffing structure, t.;;;i
Fou'.eYer,it was also agreed thgt g: many relatlvesare intercsted in the progress
and developmentsf
the home a rlatlves meettng should stlll occur six rnonthly. rh|s forum isutd
popleabout any changesin th serviceand any tuture ddverop*enG, - be used to consult wlth
loanneRevle
Regulatory
Inspector
c.s.c.I.
f 4 4 . - {
ttr Fg
<J'
Elderholme
(CLATTERBRIDGE
IIOSPITALCROUNDS)
CLATTERBRIDGE ROAD
BEBINGTON
WTRRAL
CH63 4JY
Mr. L. Beddows
7 Weald Drive
Little Sutton
Cheshire
cH66 4YW
30* June2009
As you statedthere are parb that you feel are accurate. On readingthe letter, there are obviously facets
which we feel are a totally inaccuratereflection of events.
However, after our meetingwith Dr. Meyer and his discussionswith you, it was agreeda "line would be
drawn in the sand". and we could all move on from the past.
Therefore it is pointless in respondingto the numerousdetails of your letter which all occurredprior to the
discussionwith Dr. Meyer.
Yours sincerely
.,ltL/d*4
H. Ward
Matron
Dear Brian,
from Matron Heather ward'
I write to make an official complaint about the treatment that I have received
out problerns whioh' she
d F;;;h";""t""t"a -y i"if"'s G.P.,Dr. Meyer, and asked him to come to the Home to help sort
ihe staff wer" haing with *". O' th" tu-" day she told me that Dr. Meyer wanted to see me about my wife's diet
oful*"a,
"to a11ayyour fears" on 12* MaY.
She spoke about several items lrom the Care Plan as if I was unreasonable and in insisting thatthey are underiaken'
including entering the tum and fluid charts. The care plan has been agreed over a long period of time with all relevant parties
including the long lerln care team at the NHS, and should be adhered to as they are paying for theso services to be performed'
There isi ralue added element and it does not make sonse to try to avoid ilrisking a reduction in fees'
in any relationship
I have a very good reiationship with all of the staff. I have no complaint to make against any of them' As
the matron's
involving so niny people, there are bound to be the oocasional differences but there has been nothing that warrants
other way round
behaviorir -The difierence between how I have been txeated after words with a nurse than vl&en it was the
amourts to victimisation.
a senior nursing
The Home has a duty of care to me as a relative as well as to my wife as a resident. I am entitled to expect that
vt'ith dignity,
employee of the Home will treat me in accordance with the NtrrtC cod" of conduct but I have not ben kffi1ed
there has been no attempt to promote my well being; matron has not been open and honest with either
,"rp""i o, kindness;
impartial in her
myself or Dr. Meyer and has cerlainly not acted with urteCnty or in a professional-marmer and she has not been
of what she is
aotions. It is essential that a matron i; truthfirl with a G.P. and should not involve him with out concrete evidence
saying.
I will resist
I can only assume that Heather was pursuing a firanagement objective in restricting my prsence but it is one which
this aim
with the L"6 of uU agencies availabli to me. I would iike you to confrm that there-will be no more attEmpts to achieve
be trea:ted with the co1nmon courtesy which I have experienoed in the past. I must insist that you ensure that my
and that I will
wife,s care plan is followed to the letter,that she is looked at hourly and and that charts are completed accordingly.
B-LF
Mr L Beddows
7 WealdDrive
Little Sutton
SouthWinal
cH66 4YW
I October2009
DearMr Beddows
YourssincerelY
n
/fl {t*"-,
{llw-,/ t/
B Rourke
Chairman
Scribd.Notesfollowing meetingwith ElderholmeVice ChairRoseLloyd and
GeneralManagerPamMarr 5e iuly 20l0
l) We discussedfees and Mr Rourkescommentin his letter of 8e October2009 in which he said that the Home
receivedthe samefeesfor everyoneon the corridor. In May Heathertold me that shewas stoppinghourly checksas
shehad discussedit with severalmedically trained peopleand decidedthat it was not necessary.I then got a letter
from Mr. Woods aboutenhancedfees.He confirmsthat for eight years,when extra serviceswere not beenprovided
,the Home DID receiveextra payment.Mr Woods also referredto not being paid for additionalcarein his letter of
June20l0.The accountslady Mrs Stebbingsbroughtin her files and confirmedthat Elderholmedid is facir. receive
an enhancedfee for caringfor Doreen.
2) The NHS CHC Review nursehad written in the ProfessionalVisit Reportthat sherecommends that Doreen's
Doctor be askedfor a referralto seeDr. Pinderwho is a consultantneurorehabilitationdoctor.A monthlater she
askedme if I had heardfrom Doreen'sdoctor. I telephonedhim and he had not hadthe requestfrom the Home. He
telephonedHeatherand was told that shehad discussedit with severalmedicalpeopleand consideredit a wasteof
time so hadnot askedthe Doctor for the referral.
3) When I receivedMr. Woods letter. I told Pam Marr that all that I was askingfor was what is in the CarePlan.
This conversation was on l1ft June.Iwas then surprisedto note the unilateraldecisionthat appearsto havebeen
madeby a memberof the Bank StafqJeanetteRussell,to amendthe existingCarePlan 7 on l1* June20l0,the
sameday as my conversationwith Pam.The effect of this change wasto removethe hourly checksaad indeednot
to specify any frequency for checking .All that I have been seekingto achievefor my wife is demonstrable
evidencethat the CarePlanhasbeenadheredto
4) In the CarePlan there is a documentaboutthe Mental CapacityAct. On page3 '?etermining Best Interests"
you set out the legal position. It states,inter ali4 "Take accountof the views of family and informal carers" and
"demonstratethat you have carefully assessedany conflicting evidenceor views" and "provide clear objective
reasonsasto why you are actingin the personsbestirterest." The documentthengoeson to recitethat the records
shouldshow:-I. What was the decision?2.Why the decisionwas made.3.How the decisionwas made.The Care
Plan is the documentwhich identifieswhat my wife's needsare and how thoseneedsare going to be met. The
changingof the CarePlan is, therefore,a highly significant eventand I would be grateful if you would answerthe
following questions:
Question1. What eventprovokedthe changeof the CarePlan?2.Who authorisedthe changeof the CarePlan?3.In
what way havemy wife's needschangedin orderto motivatethe changeto the CarePlan?4.It is now suggestedthat
hourly checksdo not needto be doneor do they needto be donebut they do not needto be recorded?5. Ifthey are
not recordedhow can you be satisfiedthat those checkshave beenundertaken?6.Can you demonstratethat your
own proceduresunderthe Mental CapacityAct were followed in relationto the changein the CarePlan?Surelyit
must be in the interestsof the Home, if anythingdid go wrong, to haveobjectivecontemporaneous
evidencethat my
wife was regularly observed.
5) The diet is written on a sheetpinnedto the noticeboard.On2nd March 2009 AssistantMatron saysno water
neededbeforefeedingasthereis enoughin the feed.On3'dMarch at feedtime thereis a differenceof opinionasto
what happenedbut both agreethat there was a discussionabout fluids with Nurse John. Therewas no disputeor
argument- just a chat.It my be helpfulin understandingwhat occurredto seetheNurse'sCommunication Book for
this date,toseewhat messagepromptedaskingthe dietician for a review.On4ft lMarch staffrequesteda review of
Doreen'sdiet from the dieticianwho wasunderthe impressionthat shewas askedto reducethe fluids becauseDoe
was passingtoo muchurine. Again this is deniedbut if not true why askfor a reviewbecausethe careplanrecord
showsthat BMI at this time wasconsistent, therewasno increaseor loss in weightandherrisk is low. Heathersays
that therewas confusion- if so why not just follow the diet sheet?TheElderholme NutritionalRisk Assessment,
CarePathwayand ScreeningTool in the CarePlan statesthat a low risk shouldreceivemonthly monitoring and
only a high risk needsa diet review.Furthermorethe fluid balancecharts are never completedproperly so how
would anyoneknow if shewas passingtoo muchurine. Thereis no mentionin the carefile aboutany diet problems,
Howeverwho ever spoketo the dieticiandid not tell them about Doe's history of constipationproblemsand
vomiting.Doreen'snamednurseswerenot consulted.There is no mentionin the MentalCapacityAct recordof any
discussionwith me or indeedanythingat all abouta diet review.In any eventfluids shouldnot havebeenreduced
BEFORE getting a review (2nd March for example)
6) Becauseof my concernaboutreducedfluids causingconstipationon 12frApril I askedJohnif I could seethe
figuresthat he hadusedto showthat Doe was gettingtoo muchfluid. He saidthat he hadjust addedup that day's
charts.After speakingwith the dieticianon 30'April I askedJohnwhat symptomswas my wi{e showingwhich
promptedhim to believethat shewasgettingtoo muchfluid. He saidthat therewerenone.On 3'oMay I told John
what I thought hadbeensaidand he recollectedsomething different but we agreedto differ andthat wasthe end of
the matter.Thesearethe only two questions which I directedto nurseJohn- I wasnot constantlyquestioninghim as
statedin Mr. Rourke'sresponseto my complaint. AnywayDoreenexperienced severeconstipationandher fluids
hadto be returnedto their previouslevels.
It was three dayslater after John and I had agreedto differ that we had words and he put in a complaintabout me.
John spoketo me in a mannerthat was out of character(asfar aswith me) and my responsewas,manto man,based
on word association - no morethanthat.
7) When shegot John'scomplaint,Heathertold me that Dr. Meyer wantedto seeme to "allay my fears" about
Doreen'sdiet. Shetold Dr. Meyerthatthe nurseswerehavingproblemswith me. Shetold the nursesthatDr. Meyer
was coming becauseof problemswith me and did they haveany that they wantedbringing up. One nursewho said
shedidn't haveany wastold that shecould saythat shedid not like havingme in the room.(Heatherlatertold me
that th directorshadtold her to arrangethe meetingbecauseof my connectionwith FARE! ).John'scomplaint-
which I have never seen- was flimsy on its own so Heathersort to makemattersmuch more involved. I have no
doubtthat her intentionwas that Dr. Meyerwould be convincedthat I shouldnot be so involvedin Doreen'scare.
Howeverit backfired. At the meetingshetold the Doctor that they could not telephonehim without my permission
and I insistedon beingpresenton his visits. Shetold him that the continencenursewantedto take the catheterout
permanentlyandI would not let her andI alsodid not want herto leavea sore'\ryet".Shesaidthat the dieticianhad
complainedabout me. Dr.Meyer in his letter confirms what was discussed that all of thesepoints were not
true.(Alsoconfirmedby the continencenurse'sreportHe also confirmsthat shewas rudeto me.NMCguidessay
that elderlypeopleincludesthe relativeas well as the patient.Heather hasdriven a bus throughthe NMC codeof
conduct.
8) Following the negativeresponsefrom Mr. Rourke. I decidednot to pursuemattersfurther and offered Heathera
truce,whichsheaccepted.Six monthslater shedecidedto stophourlychecking.It is no good sayingthat peopleare
passingby to look in on Doreen.Sheis not eventurnedeveryfour hours.TakeThursday shewas turnedat 0500
andnot againuntil 1100- six hours.The fluid chartshowsno fluids between0430and 1600so it can't be saidthat
shewas checkedby a nurse. The occasionwhich startedthis hourly businesswason a SaturdaymorningwhenDoe
wasnot turnedbetween1030and 1830- eighthours.
OverallDoreenis at risk becausethe Home is not adheringto the CarePlan - not alwaysthreepeopleand not
turned,nevermind checked,and decisionsarebeing madeabouther care* diet, stoppingchecking- without taking
in to accountthe Mental CapacityAct.
9) At the meetingwith CSCI in June2008 Mr. Rourke undertookto overseeall investigationsand outcomesover
complaints.A properinvestigationwas not doneover my complaintwhich after all was madebecauseof the way
Heather handleda complaint againstme. In his commentsin his letter of October 2009 responseto me about
everyonepaying the sameand getting the samecare and Heather's commentsto Dr. Meyer that my wife would
receivethe samecareas everyoneelse illustrate that this hasnot beentakenon board.The meetingalso statedthat
the matronmustreceivemoresupervision(from the Board).Isthat happeningnow?
10) ThereforeI refer you to my letter of the l1tr September2009 in which I indicatedthat I wishedto makean
official complaint aboutthe Matron, HeatherWard. I note your reply of the 8ft October andI would be grateful if
you could confirm that this reply amountsto your full investigationof my complaint.I would alsobe most grateful
if you couldforwardme a copyof your ComplaintsProcedurenow that CQC do not handlecomplaints.
ll) The Long Term Care Team are arranginga review meetingwith Social Services.Surely it would be in
everybody'sbestintereststo revertto the plan that was inspectedby the CareTeamand ensurehourly checkingand
recordingof sameis re introduced.Ensurethat threepeopleattendtransfers andensurethat the fluid balancecharts
are enteredproperly and balancedand that any other alterationsare discussedwith myself properly in accordance
with the MentalCapacityAct. It shouldthenbe possibleto assurethe variouspartiesnow involvedthat Doreenis no
longerat risk from decisionsbeingmadewhich arenot in her bestinterests.
TLLEPH0NE: 0 I 5t 3-1+O?U)
F A X :{ ) l 5 l 3 4 3 l 3 ! ?
L. Beddows,EsQ.,
7, WealdDrive,
LittleSutton,
SouthWirral.
cH664YW.
17frJuly,2010.
DearMr. Beddovvs,
Lloyd'scopyof
I am writingto informyou that I havenow receivedRosemary
your notes,etc.for the meetingheldon 5'hJuly2010.
Yours
a.'
I
B.Rourke. ..
Chairytan.
illRE'-ClORSrl) llonrkc lk1, t('hnrntuil), ltre R Lltttt lI'ice ('huitaan). l)r.,/, 0'(irilhor ii G {tu'cnl:n1.,
H Panotage gJt1.,tlr H l"raq, B. Ll'oodsEq., Potron: Dr,l A ,lirken,ltt tAB. F&,{f (Edt- l)1'tl&tl,
r.y tSA (rgr{pANy t.tulr[D BY cu.\RANft t:
lf rl{RELDrR RICI9TERED
RcgstauiNo ll!(rlFl England ('HhRll'Y i\o l00l:l
t"/\ t
t-t'.3- J
QI.mBEruEE
@
Scribd. Notes following MEETING WITH ELDERHOLME DIRECTORS 10.12.10
6) MY COMPLAINT -Diet
My complaint was about the way matron handled a complaint rrade against me by nurse John, who (although I have never been shown his letter)
matron claims said that I was viotimising him and shouting up and down the corridor.Elderholme did telephone the dietician the day afterwards and say
that Doreen was passing too much urine. Why did Elderholme speak to the dieticians - the frst time a diet review had been requested in over eight
years ? It was an arrangernent by which someone sort to justifr Vicki's oomments that Doreen was getting too much water when I asked if the diet
sheet could be followed.I did not question John until a month later and we bad agreed to differ three days before we had words so the matter was onoe
again put to one side. After a1l, I trusted the dieticians to do the right thing so that.was not the issue. When we had words it was because Jeanette
Russell had said to leave Doreen in bed but John was looking after the floor. On 3'o May when we agreed to differ I told John that I had been very
worried about past experience ofconstipation through too much fibre in the diet and insufficient fluids, hence my oonoern- Three days later' why dirl
Jeanette Russell do a rectal digit examination ofDoreen after she had oleared her bowels and then say to me that there was no sip ofconstipation?
This was the same day that she told staffto leave Doreen in bed tili later .Why, three days after John and I had agreed to differ, did John say (after we
had words) that the dietioian had telephoned to say that there was no way that one can get oonstipa.tion from too muoh frbre? The dietioians have no
record of such a oall nor is it medioally oorrect (ask Dr. Pinder). Jeanette and John seerned to be overly concemed with a patient for whom they were
not ramed nurses.
After the meeting I gave Heather the minutes with my explanations to which she replied that she was not going through every point and Dr. Meyer had
said to draw a line rmder it. I appologised to mrse John ifl had upset him. I spoke with Heather and said that we should oall a truoe and she agreed and
then denied almost every*ring that she had said at the meeting.
Why did she say that Doreer was passing too much urine when there was no evidence to support this; why not just ask for a review rather tlun a
downward review, leading me to question the need. I have no problem with whatever the dietioians decide upon but they have to be given evidenced
information.Why was the diet pathway not followed if there was concern over urine output.
Referr{ng to your letter in respor*e to my comphint about lleafter, do you now acc*pt my version or not If you do then a proper explrrnation
is wrranted. If you don't agree, what pointr need morc evidence
Do you accept that Doreen's fees have been above average and certainly cover what you should supply under the oare plan. Ifnot why.
An entry should be made in the care plan mental capacity chads as to the reason for lot passing on tle referral request. Who are the medically trained
people with whom the referral was discussed and why wasn't I oonsulted.
Care Plan 7 to be amended to show ; Check every hour and enter on chart to monitor expression ofpain or discomfod or intervention provided.
FEES RECEIVED AT ELDERHOLME AND FEES PA]D FOR DOREEN SHOW]NG HOW COMPLAINTS BY ELDERHOLME OF BEING
I]NDERFLINDED ARE NOT BORNE OUT BY TT{EIR PI'BLIST{ED ACCOIINTS:
Average Profit: 396 583 1,458 1,565 2,597 1,757 -483 462
2009 TOTALS
Fees 1,642,570 11,034,867
Total
Costs 1,636,279 10,588,359
Total Net Profit 15,074 577,561
Average Fees: 27,522 204,749
D.Beddowsfees: 29,073 247,836
1.5To ot
Average Profit: 251 8,986 net
D.Beddowsprofit: 1,802 52,475 9% of net
Department of Adult Social Services
SAFEGUARDING ADULTS
#FWIRRAL
ESCR26
AlerUReferal Recordi ng/Monit<lring ReportForm
CONFIDENTIAL
ResponsibleCare managementTeam:-
BirkenheadAccess Team
SWIFTnumber 157t,69 number{if known}
Statr had been advised as to how they coutd managethese contacts to reduce "Risk" as far as possible for
e.g. Leiving the door of the room open {iltr Beddows had been in the habit bf ctosing it}.
Relationshipsbetweenlir Beddows and care staff ari strained due to his demandinl nature.Ttreyfelt this
would be further exacerbatedwere he to know of the refeffal-
CHCTeam werc to bE contacted as they know the family well and may be able lo discuss heatth concerns
with him.
tt is not known who Hr. Beddows GP is^
1/6
Allt/$ACtSAdoc/Od09
ttu
Doct tlp vufnonbh paran wlnt ta mlb e formrl compf*iil to thr Policr? tlo
tthd d+flrc tldr po*ron la r vulnanrbtr sdult l.o. Direbll*l re: Vul*rirbtc In pcrtrtrnt vlgrtrtlvr r|rt* -
no egrrmrnicdion
Ticrt hrr bcclt lotr of tcmtsn brtiltecn *tl|l llrrl llr Beddo*r er hc c<xrtfen{y frrn* edsntlon for hll wlfc
e*d unforluneEfy In thi lxt co$pb E{wmkr h+r mndttlon hs dc{ortqr*rd lnd GP h|n inf+rm+dhtrn fhs
rhc b detor*or$ngl
OrlglnrU GP dld fiot wrnt 3otrll hfm hrt hl phonad OP hirmrtl - Or f,ryor. lsrlon. [h Seyw herl toH hirn
ttrrt rhr ir &tario*ti$f efid hr ir guitl dir*trsamd.
Untortu*drty mr Boddom &or trs{ lno* t}rd tic hcml lnm lhlt hNtsr rpolren to tt}s GF. He w*tf not
*ps*l wi$ rlrmbsr S thr homc rnd ihr honte i* vq csffielned rbo$l him,
A nuillrbcr oil rrelta rgc ho et$ndeil tfts u*tr*lsfrclr tcttatscrrlent ecnre rlth hoqrct phyrt* *nd hGarid to
t|lr phyrlc 6r*t if t* hrd . gun hr would rhact hiil*ett *nd hlr ryFc. tt thfu &ne hdr conditon tred no{
ddsioretsd.
$e hr'**det thr milguitod thotqfiff tfi*t rnfi*r*r h qrir*t him hd thh nat to, lf. ** rrpncing ttrf to 8rr
phytb- Shc raeefrred hirn thrt Slb *es not thr csc. Ovrr thr vrrohnd lhry lc<l sbf Chrhtsn* paty and
dbcwrcd concirfta lor hwband Len and or $undry plryt*o pfron d cfcrror at lenrc to rNt lB hrd
crpngatd * so$do ol wrlhr rgo ruhHrl thaughtr rnd thougrhErbout ffidtn0 hir rtfot ltfi.
Atklng urgent inlavoldon aEconcsrnpd ltor theru both. llr l* nst rrrrre of tl$ rrfrml
!CL^ITEnBRrr)(;E I l{)SprTAL CiROUNOS!
Mr HotrrardCooper
Oirec{or
Oepadrfltof Arlutt Sooat SerubEs
VtJestmin$ler
f-louse t 7 ilAA?|Jtl
HamiltonStreet
Sidcnhesd
Wrral
CH41sFN
DearSir
lllRECli)L\ li-&..rr*a&9.ti'trumrani.^tNp!!an!ft-rr.lnLnraau,i)r..,ir.{-rmrr,.[(;(]ierE\,1.
N,*RELDE*Ly Lsq..B- tt'cttalsfs1.
fs ^coMF.Ny uA{rrErrrro,,^*^,Sf,I*"
{carecd ltr : i:rcl!4 !ng{&d nEtilsrFrED
Cf{.rRTt't6 ?c&i:l
{-}
ffiu'leu
'tt
,
rheefieEtofdea|ingwithsrere|ativesofthesetworesiden|shashadamalor
expense'time and troublefor Eklerholmes'
efed on El&rhdrne and has causedsgnrficant:extra
'nanagementanddetrimentateffectsonstefimofe|eandaconsequentiatreduotioninthetineavai|ab|e
{or our other 58 residents'
this
to the MP and subsequentmeetingattendanceand inspsctbns
In the instanceof the c(xrrplaanl
IL uould have amosntedb a biil for C1080'
l3 Wewillnot dis$nbtls ttrcresftrenti*ill*n ourcare es ttrdr welfare
bof pararnuntimporbnce to us
atdil'e rquststlpporl fien l&rel gcid servicegin (Htrgrith
lhesetrc reryd.iftcult rcsirlent
rebliYei
Yours sinerely
V
B. Rqn*e
(Chainru
r c.,
Rt.Hm. Frar*fHHp
AilgdaE6gleMP
Atlsonll@orsnltp./
EslherlkVey lfp
ANSWERS TO ALLEGATIONS MADE BY ROTJRKE IN TilS LETTER
MARCH 2011
Para 2 and 3: My wife is a continuingcarepatient so her needs areset out in a comprehensivecareplan which the Homewere
awareof before she arrived and for which they negotiatedan increasedfee Iiom Wirral NHS. I have never askedfor anything
that is not in that careplan .It hasnot beennecessaryto pressme in orrderto confirm that when the careplan is carriedout then I
am happywith the serviceat Eldertrolme.Ihavemadetwelve complaintsin elevenyears.Sevenwere aboutthe careplan not been
followed mainly due to a lack of stafr.Four were over inappropriatebehaviourby managementand one was about the non
availability of essentialprescribeditems.Of the twelve complaintsfive receivedno rsponsewhat so ever,six were upheld with
lettersof apolory received.The last one is the one for which I did not acceptthe responseas my complaintwas not investigated
propcrly and remains outsfanding.Examplesof "the high standards"mentionedare, at different times, I have gone round
ClatterbridgeandArrowe Parktying to borrow catheierbags,a feedingtube, and evenadhesivetape(we hadto usecellotapefor
a dressing).Inaddition the Home has run out of giving sets which are necessaryfor my wife to receive her feed, and bladder
washoutsolution which sheneedsfrequently.Although the letter claims that * nothing substantive"was found ,the Home did
apologisefor neady causingmy wife to have an unnece$sarygeneralaenesetictlrrough not checkingcommunications,and
taking unnece$arybloodsafter beingtold by the hospitalnot to do it.
Para 4 and 5: The meetingwas called by Mr. Webb, then director of Adult Social Care, at his office in order to bring to the
attentionof the directors&at there were concemsof victimisation and ignoring complaints.Theseare professionalmen - did
they not ensurettrat they were awareof the ned for the meeting and what it hopedto achieve?Theseare basic management
skills.
Para 7 and 8: Any matterbetweenmyself and the Homehasbeenasa result of their own actionsor correspondence since2009.
The need for rny only complaint since 2009 was managcments'de,cisionto call a meeting when there was no need and thon
refuseto investigatemy explanationsfor their false accusations.Many of the Inspectionreportsfor the Home particularly stress
the high morale of staff. Care$aff have always beenfriendly towards me and my wife, eagerto help and we have generally
eqioyeda good relationship.Why would experiencedmanagerialpersonnelneedany supportfrom Social Servicesin order to
investigatg within it's own organisation,and according to its own complaints policy, one ftlly evidencedand witnessed
complaint.
Para l0: Quote from chairmanof Elderholmein a letter dated27ft NovemberZAMf Sincewe commencedthe Home in 1989
everyyear has beena netprofit)'When my wife arrived at Elderholmethe Home negotiatedwith the NHS to receivean extra
f.75 per week becauseof her additional needs.This gave.theman additional l7Yo overthe averagefeesreceived.By 2006 this
difference had increasedta 4lo/o - my wife's fees were f,183 per wosk above the average!(Source: CompaniesHouse).
ElderholmeaskedSocial Servicesfor an increaseand so brought the fee to the aftentionof the Service.It was reducedto be
more in line with other continuingcareresidents.Following the reductionthe Home startedtheir campaignto reducemy wife's
care -Quote from letter dated l0th June 2010: "You are ander the misapprehensionthat Elderholme receivesan enhsnced
paymentfor your wife. Ifyou wart additional eareyou should makeout a caseto the PTC" and quotefrom their lettsr dated23
Decernber20l0uAs Doreenreceivesmeditationfour timesper day....sheis seenon a regular basif'when stoppingcheckingher
everyhour asper the careplan.
Para l1 and 12: When cateringcostsarc deductedbecausemy wife's specialfeed is provided on prescription,the differeirce
betweenher net profit to the Home and other residentsin 2010 was still f.4472 (Sauree:CompaniesHouse).Thisdifferential
morethanpaysfor any * extracosts",
CSCIInspection
ReportonElderholme
February2006states:
"Thefe is no effeetive cqre m(magementat this home due to a lack of leadership, guidance and
supervision,tvhichcompromisesthe health,safetyandwelfare of residentsand staff."
"Thele are seriousdeficienciesin the nursenansgementof resident'sc6re records."
"There is no formal supemisionof care staff in place. The managerrequestedclarifrcation
from the
inqtectoras tawhatformal supewisionmeant."
Th report endedwith a list of 30 statutory requirementswhich the Home neededto make before it
cwplied with the National Minimum Standards,The Care StandardsAct 2000 and the Care Homes
Regulations 2001.TheCSCI Report for 2007showedthat sevenof thesestatutoryrequirementshad still
not beenmet.
Mr. Webb, having himself recognised victimisation at his meetingwith Alison McGovern et al, called
the directorsto seehim to bring this to their attention.His letter of confirmation states"I exptainedottr
wish to work with Elderholmedirectors to resolve the matter (of victimisation\.Wedkcussed with the
direetors the needto resolveall matterswithout the needfor firther involvementof CQC or a refetal
fromyou (Alison McGoveml to the Secretaryof Stae".
Despite this warning several months later the Social Services Inspection Report says inter alia:
"Elderholmedo not currentlyformally recard allegedcaseof victimisation. Victimisationis not formelly
covered in Elderholme's safeguardingpolrcy. ru Sofeguording Trainer hod not had training on
recognisingand dealingwith allegedvictimisatian."
,W.
I,IST OF COMPLAINTS MADE TO ELI}ERI{OLMS
2000 No complaints
2001 Nocomplaints
2AAZ Nocomplaints
1)2003 13frApril Catheterchangeand bladderwashoutprocedurenot followed accordingto
coasulantsinstructions.I
2)2W 8fr August: Catheterbag fastenedabovelevel of body resulting in constantbypassing
d faecesleft on siderail bumpersin sight of wife.I
2ffi5 No complaints
3)2006 31" Octoberi No staffavailable to provide t}rreeon transfersas called for in careplan.
Five no responsereceived
Six apologiesreceived
Oneresponsenot accepted
ggold Bt*rd6rds,*'
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COMMUNICATION:
The decisionhas beendiscussedwifr the oatient
I
The decis_iont'as only been discussed.wtth the person closest to the patient
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/
Departmentof Adutt sociat s"rv
HowardCooper
Director
Beb-ington
LocalityTeam.
BebingtonTownHallAnnexe
CivicWay
BebingtonWirral CH6BZpT
Asgsrs
Meetingwith Mr Beddowsto take place week comrnencing
14111f2A11to let Mr Beddowsknowthat his behaviouris
unreasonableand cleartyexplainthe situationto Mr Beddows.
www.wirral.gov-uk
ivlentalCapacityAssessmentio be completedwith Mrs Beddows BH,.LW
ContactOfficialSolicitorre POA LW
Minutestaken by
-
Team SupportOfficer
BebingtonLocality
Ynrur-wirral,gov.uk