Best of intentions
Report from our deficiency in care investigation into the care and treatment of Mrs I an older woman with dementia who was admitted to hospital following a guardianship application.
Despite regular contact with services Mrs I's physical and mental health had deteriorated considerably before services moved to intervene. We aimed to find out why it had taken so long for professionals to intervene and to make recommendations to services that, if implemented, will prevent this happening in future.
- Download Best of intentions (.pdf)